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Brief Symptom Inventory
Brief Symptom Inventory (BSI)
Derogatis, L.
1975
Description of Measure
Purpose
To identify self-reported clinically relevant psychological symptoms in adolescents and
adults.
Conceptual Organization
The Brief Symptom Inventory (BSI) consists of 53 items covering nine symptom
dimensions: Somatization, Obsession-Compulsion, Interpersonal Sensitivity, Depression,
Anxiety, Hostility, Phobic anxiety, Paranoid ideation and Psychoticism; and three global indices
of distress: Global Severity Index, Positive Symptom Distress Index, and Positive Symptom
Total. The global indices measure current or past level of symptomatology, intensity of
symptoms, and number of reported symptoms, respectively.
Item Origin/Selection Process
The BSI is the short version of the SCL-R-90 (Derogatis, 1975, 1977), which measures
the same dimensions. Items for each dimension of the BSI were selected based on a factor
analysis of the SCL-R-90, with the highest loading items on each dimension selected for the BSI
(Derogatis, 1993; Derogatis Cleary, 1977; Derogatis Spencer, 1982).
Materials
Copyrighted forms and the BSI manual (Derogatis, 1993) are available from the
publisher.
Time Required
8-12 minutes
Administration Method
Self- or interviewer-administered
Rev. 04/08
32
Training
Minimal
Scoring
Score Types
Respondents rank each feeling item (e.g., “your feelings being easily hurt”) on a 5-point
scale ranging from 0 (not at all) to 4 (extremely). Rankings characterize the intensity of distress
during the past seven days.
The items comprising each of the 9 primary symptom dimensions are as follows:
? Somatization: Items 2, 7, 23, 29, 30, 33, and 37
? Obsession-Compulsion: Items 5, 15, 26, 27, 32, and 36
? Interpersonal Sensitivity: Items 20, 21, 22, and 42
? Depression: Items 9, 16, 17, 18, 35, and 50
? Anxiety: Items 1, 12, 19, 38, 45, and 49
? Hostility: Items 6, 13, 40, 41, and 46
? Phobic Anxiety: Items 8, 28, 31, 43, and 47
? Par
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