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The Dutch Symptom Checklist-90-Revised

Is the Use of the Subscales Justified?

Published Online:December 10, 2014https://doi.org/10.1027/1015-5759/a000233

Abstract

Abstract. The Symptom Checklist-90-Revised (SCL-90-R; Derogatis, 1977, 1994) was constructed to measure both general psychological distress and specific primary symptoms of distress. In this study, we evaluated to what extent the scale scores of the Dutch SCL-90-R reflect general and/or specific aspects of psychological distress in a psychiatric outpatients sample (N = 1,842), using a hierarchical factor model. The results revealed that the total scale score measures general psychological distress, with high reliability. The subscale scores Sleep Difficulties, Agoraphobia, Hostility, and Somatization reflect the specific primary symptoms reasonably well, with high reliability. The subscale score Depression hardly measures specific symptoms of distress, but instead a very common construct as is measured with the total scale of the SCL-90-R. The use of the Depression subscale score beyond the total scale score of the SCL-90-R appears therefore of limited value in clinical practice.

References

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. First citation in articleCrossref, Google Scholar

  • Arrindell, W. A., Barelds, D. P. H., Janssen, I. C. M., Buwalda, F. M. & van der Ende, J. (2006). Invariance of SCL-90-R dimensions of symptom distress in patients with peri partum pelvic pain (PPPP) syndrome. British Journal of Clinical Psychology, 45(3), 377–391. doi: 10.1348/014466505X68924 First citation in articleCrossref, Google Scholar

  • Arrindell, W. A. & Ettema, J. H. M. (1986). SCL-90: Handleiding bij een multidimensionele psychopathologie-indicator [SCL-90: Manual to a multidimensional psychopathology-indicator] (1st ed.). Lisse, The Netherlands: Swets & Zeitlinger. First citation in articleGoogle Scholar

  • Arrindell, W. A. & Ettema, J. H. M. (2003). SCL-90: Handleiding bij een multidimensionele psychopathologie-indicator [SCL-90: Manual to a multidimensional psychopathology-indicator] (2nd ed.). Amsterdam, The Netherlands: Pearson. First citation in articleGoogle Scholar

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. doi: 10.1037/0033-2909.107.2.238 First citation in articleCrossref, Google Scholar

  • Browne, M. W. & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. BollenJ. S. LongEds., Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage. First citation in articleGoogle Scholar

  • Brunner, M., Nagy, G. & Wilhelm, O. (2012). A tutorial on hierarchically structured constructs. Journal of Personality, 80, 796–846. doi: 10.1111/j.1467-6494.2011.00749.x First citation in articleCrossref, Google Scholar

  • Brunner, M. & Süβ, H.-M. (2005). Analyzing the reliability of multidimensional measures: An example from intelligence research. Educational and Psychological Measurement, 65, 227–240. doi: 10.1177/0013164404268669 First citation in articleCrossref, Google Scholar

  • Cyr, J. J., McKenna-Foley, J. & Peacock, E. (1985). Factor structure of the SCL-90-R: Is there one? Journal of Personality Assessment, 49, 571–578. doi: 10.1207/s15327752jpa4906_2 First citation in articleCrossref, Google Scholar

  • Derogatis, L. R. (1977). SCL-90-R: Administration, scoring & procedures manual-II for the R(evised) version. Baltimore, MD: Clinical Psychometric Research. First citation in articleGoogle Scholar

  • Derogatis, L. R. (1994). SCL90-R: Administration, scoring and procedures manual. Minneapolis, MN: National Computer Systems. First citation in articleGoogle Scholar

  • Derogatis, L. R. & Cleary, P. A. (1977). Factorial invariance across gender for the primary symptom dimensions of the SCL-90. British Journal of Social & Clinical Psychology, 16, 347–356. First citation in articleCrossref, Google Scholar

  • Derogatis, L. R., Lipman, R. S. & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale – preliminary report. Psychopharmacology Bulletin, 9, 13–28. First citation in articleGoogle Scholar

  • Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H. & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Scientist, 19, 1–15. First citation in articleCrossref, Google Scholar

  • Evers, A., Muñiz, J., Bartram, D., Boben, D., Egeland, J., Fernández-Hermida, J. R., … Urbánek, T. (2012). Testing practices in the 21st century: Developments and European psychologists’ opinions. European Psychologist, 17, 300–319. doi: 10.1027/1016-9040/a000102 First citation in articleLink, Google Scholar

  • Hafkenscheid, A. J., Maassen, G. H. & Veeninga, A. T. (2007). The dimensions of the Dutch SCL-90: More than one, but how many? Netherlands Journal of Psychology, 63, 29–35. doi: 10.1007/BF03061059 First citation in articleCrossref, Google Scholar

  • Holcomb, W. R., Adams, N. A. & Ponder, H. M. (1983). Factor structure of the Symptom Checklist-90 with acute psychiatric inpatients. Journal of Consulting and Clinical Psychology, 51, 535–538. doi: 10.1037/0022-006X.51.4.535 First citation in articleCrossref, Google Scholar

  • Muthén, L. K. & Muthén, B. O. (1998-2007). Mplus user’s guide (5th ed.). Los Angeles, CA: Author. First citation in articleGoogle Scholar

  • Raykov, T. (2004). Behavioral scale reliability and measurement invariance evaluation using latent variable modeling. Behavior Therapy, 35, 299–331. First citation in articleCrossref, Google Scholar

  • Reise, S. P. (2012). The rediscovery of bifactor measurement models. Multivariate Behavioral Research, 47, 667–696. doi: 10.1080/00273171.2012.715555 First citation in articleCrossref, Google Scholar

  • Reise, S. P., Bonifay, W. E. & Haviland, M. G. (2013). Scoring and modeling psychological measures in the presence of multidimensionality. Journal of Personality Assessment, 95, 129–140. doi: 10.1080/00223891.2012.725437 First citation in articleCrossref, Google Scholar

  • Schermelleh-Engel, K., Moosbrugger, H. & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research, 8, 23–74. First citation in articleGoogle Scholar

  • Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180. doi: 173-180.1991-03242-001 First citation in articleCrossref, Google Scholar

  • van Ginkel, J. R., van der Ark, L. A. & Sijtsma, K. (2007). Multiple imputation for item scores when test data are factorially complex. British Journal of Mathematical and Statistical Psychology, 60, 315–337. doi: 10.1348/000711006X117574 First citation in articleCrossref, Google Scholar

  • Vassend, O. & Skrondal, A. (1999). The problem of structural indeterminacy in multidimensional symptom report instruments. The case of SCL-90-R. Behaviour Research and Therapy, 37, 685–701. doi: 10.1016/S0005-7967(98)00182-X First citation in articleCrossref, Google Scholar

  • Vollebergh, W. A. M., de Graaf, R., ten Have, M., Schoemaker, C. G., Van Dorsselaer, S., Spijker, J. & Beekman, A. T. F. (2003). Psychische stoornissen in Nederland: Overzicht van de resultaten van NEMESIS [Psychological disorders in the Netherlands: Overview of the results of NEMESIS]. Utrecht, The Netherlands: Trimbos Instituut. First citation in articleGoogle Scholar

  • Zinbarg, R. E., Revelle, W., Yovel, I. & Li, W. (2005). Cronbach’s α, Revelle’s β, and Mcdonald’s ωH: Their relations with each other and two alternative conceptualizations of reliability. Psychometrika, 70, 123–133. doi: 10.1007/s11336-003-0974-7 First citation in articleCrossref, Google Scholar