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The Symptom Check-List-90-R (SCL-90-R): a German validation study.

N Schmitz1, N Hartkamp, J Kiuse

  • 1Clinic for Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University, Duesseldorf, Germany. schmitzn@uni-duesseldorf.de

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|September 13, 2000
PubMed
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The German Symptom Check-List-90-R (SCL-90-R) demonstrates high internal consistency and validity for assessing psychological status and screening mental disorders in clinical and community samples.

Area of Science:

  • Psychological assessment
  • Psychometrics
  • Clinical psychology

Background:

  • The Symptom Check-List-90-R (SCL-90-R) is a widely utilized psychological symptom inventory.
  • Validation of the German version is crucial for its application in German-speaking populations.

Purpose of the Study:

  • To evaluate the psychometric properties of the German SCL-90-R in clinical and community samples.
  • To assess the internal consistency, hierarchical structure, concurrent validity, and diagnostic accuracy of the SCL-90-R.

Main Methods:

  • Internal consistency was assessed using Cronbach's alpha coefficients.
  • Mokken scale analysis and exploratory/confirmatory factor analyses were employed.
  • Concurrent validity was examined against the Inventory of Interpersonal Problems (IIP-C) and General Health Questionnaire (GHQ-12).

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  • Receiver operating characteristic (ROC) analyses were used to evaluate diagnostic differentiation.

    • Main Results:

    • High internal consistency was found for the global scale and subscales.
    • Mokken analysis supported a hierarchical structure for most subscales.
    • Concurrent validity with IIP-C and GHQ-12 was high.
    • ROC analyses indicated the SCL-90-R effectively differentiates between individuals with and without psychological disorders.
    • Factor analyses did not support the original nine-factor model, suggesting potential issues with subscale multidimensionality.

    Conclusions:

    • The German SCL-90-R is a reliable and valid instrument for measuring psychological status.
    • It is useful for outcome studies and screening for mental disorders.
    • Concerns regarding the multidimensionality of subscales warrant consideration.