آزمون ها و تست های روانشناسی - مرکز مشاوره خانواده روانشناسی ندای مهر

Body sensation Questionnaire BSQ

Below list of specific body sensation that may occur when you are nervous or in feared situation. Please mark down how afraid each you are these filling. Use the following five point scale:

Not at all

somewhat

moderately

very

extremely

Frightened by this sensation ….

1. heart palpitation	1	2	3	4	5
2. pressure or heavy feeling in chest
3. numbness in arms or legs
4. tingling in the fingertips
5. numbness in another part of your body
6. feeling short of breath
7. dizziness
8. blurred or distorted vision
9. nausea
10. ha‎ving "butterflies" in your stomach
11. feeling a knot in your stomach
12. ha‎ving a lump in your throat
13. wobbly or rubber legs
14. sweating
15. a dry throat
16. feeling disoriented and confused
17. feeling disconnected from your body: only partly present
18. other (please describe and rate them)
. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .

Copy right 1984‚ Dianne L. Chambless

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15 مهر 1391

Inspiration Scale

Below are four statements‚ each followed by two questions. The questions concern how often and

how deeply/strongly you experience what is described in the statement. Please answer both

questions after each statement by circling numbers from 1 to 7.

1. I experience inspiration.

1a. How often does this happen?	1 never	2	3	4	5	6	7 very often
1b. How deeply or strongly (in general)?	1 not at all	2	3	4	5	6	7 very deeply or strongly

2. Something I encounter or experience inspires me.

2a. How often does this happen?	1 never	2	3	4	5	6	7 very often
2b. How deeply or strongly (in general)?	1 not at all	2	3	4	5	6	7 very deeply or strongly

3. I am inspired to do something.

3a. How often does this happen?	1 never	2	3	4	5	6	7 very often
3b. How deeply or strongly (in general)?	1 not at all	2	3	4	5	6	7 very deeply or strongly

4. I feel inspired.

4a. How often does this happen?	1 never	2	3	4	5	6	7 very often
4b. How deeply or strongly (in general)?	1 not at all	2	3	4	5	6	7 very deeply or strongly

4a. How often 1 2 3 4 5 6 7

Key for the Inspiration Scale:

Inspiration frequency subscale: sum of items 1a‚ 2a‚ 3a‚ 4a

Inspiration intensity subscale: sum of items 1b‚ 2b‚ 3b‚ 4b

Overall scale: sum of items 1a‚ 1b‚ 2a‚ 2b‚ 3a‚ 3b‚ 4a‚ 4b

Reference:

Thrash‚ T. M.‚ & Elliot‚ A. J. (in press). Inspiration as a psychological construct. Journal of

Personality and Social Psychology.

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15 مهر 1391

Cohen- Hoberman Inventory of Physical Symptoms

Cohen- Hoberman Inventory of Physical Symptoms (CHIPS)

CHIPS
Mark the number for each statement that best describes HOW MUCH THAT PROBLEM HAS BOTHERED OR DISTRESSED YOU DURING THAT PAST TWO WEEKS INCLUDING TODAY. Mark only one number for each item. At one extreme‚ 0 means that you have not been bothered by the problem. At the other extreme‚ 4 means that the problem has been an extreme bother.
HOW MUCH WERE YOU BOTHERED BY:
1. Sleep problems (can't fall asleep‚ wake up in middle of night or early in morning)	0	1	2	3	4
2. Weight change (gain or loss of 5 libs. or more)	0	1	2	3	4
3. Back pain	0	1	2	3	4
4. Constipation	0	1	2	3	4
5. Dizziness	0	1	2	3	4
6. Diarrhea	0	1	2	3	4
7. Faintness	0	1	2	3	4
8. Constant fatigue	0	1	2	3	4
9. Headache	0	1	2	3	4
10. Migraine headache	0	1	2	3	4
11. Nausea and/or vomiting	0	1	2	3	4
12. Acid stomach or indigestion	0	1	2	3	4
13. Stomach pain (e.g.‚ cramps)	0	1	2	3	4
14. Hot or cold spells	0	1	2	3	4
15. Hands trembling	0	1	2	3	4
16. Heart pounding or racing	0	1	2	3	4
17. Poor appetite	0	1	2	3	4
18. Shortness of breath when not exercising or working hard	0	1	2	3	4
19. Numbness or tingling in parts of your body	0	1	2	3	4
20. Felt weak all over	0	1	2	3	4
21. Pains in heart or chest	0	1	2	3	4
22. Feeling low in energy	0	1	2	3	4
23. Stuffy head or nose	0	1	2	3	4
24. Blurred vision	0	1	2	3	4
25. Muscle tension or soreness	0	1	2	3	4
26. Muscle cramps	0	1	2	3	4
27. Severe aches and pains	0	1	2	3	4
28. Acne	0	1	2	3	4
29. Bruises	0	1	2	3	4
30. Nosebleed	0	1	2	3	4
31. Pulled (strained) muscles	0	1	2	3	4
32. Pulled (strained) ligaments	0	1	2	3	4
33. Cold or cough	0	1	2	3	4

Cohen- Hoberman Inventory of Physical Symptoms (CHIPS)

To cr‎eate a total score‚ sum the scores across the 33 items.

The CHIPS is a list if 33 common physical symptoms. Items were carefully se‎lected so as to exclude symptoms of an obviously psychological nature (e.g.‚ felt nervous or epressed). The scale does‚ however‚ include many physical symptoms that have been traditionally viewed as psychosomatic (e.g.‚ headache‚ weight loss). Each item is rated for how much that problem bothered or distressed the individual during the past two weeks. Items are rated on a 5-point scale from "not at all" to "extremely".

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15 مهر 1391

The Silver Lining Questionnaire: illness

The Silver Lining Questionnaire

What is this questionnaire all about?

Although illness can be a distressing experience‚ some people who have or have had an illness talk about its positive aspects. This questionnaire asks you to think about this positive side of illness.

How do I complete this questionnaire?

On the next two pages‚ there are 38 statements about the experience of being ill. Please indicate the extent to which you agree or disagree with each statement by circling a number between 5 “strongly agree” and 1 “strongly disagree”. There are no right or wrong answers‚ your own personal views are important.

An example to help you:

I appreciate other people strongly agree not disagree strongly

more because of my illness agree sure disagree

5 4 3 2 1

If you strongly feel that you appreciate other people more now as a result of your illness‚ you would circle the number five.

Please complete: Age ………………….

Sex (tick) Male Female

Please write any illnesses you have

……………………………………

	strongly agree not disagree strongly agree sure disagree
1. I appreciate life more because of my illness	5 4 3 2 1
2. My illness gave me a new start in life	5 4 3 2 1
3. My life is much better now than it was before	5 4 3 2 1
4. My illness has made me live life to its fullest	5 4 3 2 1
5. Because of my illness I find it easier to accept what life has in store	5 4 3 2 1
6. My illness made me think about the true purpose of life	5 4 3 2 1
7. My religious/spiritual beliefs deepened because of my illness	5 4 3 2 1
8. I am now more open to other religions because of my illness	5 4 3 2 1
9. My illness made me a better person	5 4 3 2 1
10. I became a happier person because of my illness	5 4 3 2 1
11. I am a calmer person because of my illness	5 4 3 2 1
12. My illness made me more mature	5 4 3 2 1
13. My illness made me a more tolerant person	5 4 3 2 1
14. My illness made me realise that I matter as a person	5 4 3 2 1
15. My illness gave me more confidence	5 4 3 2 1
16. I am less concerned about failure because of my illness	5 4 3 2 1
17. My illness gave me permission to do things for myself	5 4 3 2 1
18. My illness made me a more determined person	5 4 3 2 1
19. My illness helped me find myself	5 4 3 2 1
20. My illness made me more aware of my strengths	5 4 3 2 1
21. Through my illness I discovered a talent I didn’t know I had	5 4 3 2 1
22. I can face whatever is around the corner because of my illness	5 4 3 2 1
23. My illness encouraged me to reflect on how I feel about myself.	5 4 3 2 1
24. My illness made me face up to problem areas of my life	5 4 3 2 1
25. My illness strengthened my relationships with others	5 4 3 2 1
26. My illness made me less concerned with the approval of others	5 4 3 2 1
27. Because of my illness I have more to offer other people	5 4 3 2 1
28. My illness made me more at ease with others	5 4 3 2 1
29. I see others in their true colours because of my illness	5 4 3 2 1
30. My illness gave me the opportunity to meet new people	5 4 3 2 1
31. My illness taught me how to stand up for myself	5 4 3 2 1
32. My illness made me put an end to troublesome relationships	5 4 3 2 1
33. My illness made me less judgmental of others	5 4 3 2 1
34. I have been an inspiration to others	5 4 3 2 1
35. People can be more open with me since my illness	5 4 3 2 1
36. My illness changed other people for the better	5 4 3 2 1
37. My illness changed other people’s perception of me for better	5 4 3 2 1
38. Other people appreciate me more because of my illness	5 4 3 2 1

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15 مهر 1391

BRIEF PATIENT HEALTH QESTIONAIRE

Brief PHQ

BRIEF PATIENT HEALTH QESTIONAIRE (Brief PHQ)

This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability unless you are requested to skip a question.

Name Age Sex: □ Female □ Male Today's Date

1	Over the last 2 weeks‚ how often have you been bothered by any of the following problems?
	a. Little interest or pleasure in doing things	Not at all	Several days	More than half the days	Nearly every day
	b. Feeling down‚ depressed‚ or hopeless
	c. Trouble falling or staying asleep‚ or sleeping too much
	d. Feeling tired or ha‎ving little energy
	e. Poor appetite or overeating
	f. Feeling bad about yourself‚ or that you are a failure‚ or have let yourself or your family down
	g. Trouble concentrating on things‚ such as reading the newspaper or watching television
	h. Moving or speaking so slowly that other people could have noticed. Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual
	i. Thoughts that you would be better off dead‚ or of hurting yourself in some way

2. Questions about anxiety	NO	YES
a. In the last 4 weeks‚ have you had an anxiety attack suddenly feeling fear or panic? If you checked "NO‚" go to question 3.
b. Has this ever happened before?
c. Do some of these attacks come suddenly out of the blue—that is‚ in situations where you don't expect to be nervous or uncomfortable?
d. Do these attacks bother you a lot or are you worried about ha‎ving another attack?
e. During your last bad anxiety attack‚ did you have symptoms like shortness of breath‚ sweating‚ your heart racing or pounding‚ dizziness or faintness‚ tingling or numbness‚ or nausea or upset stomach?

3. If you checked off any problems on this questionnaire so far‚ how difficult have these problems made it for you to do your work‚ take care of things at home‚ or get along with other people?

□ Not difficult at all □ Somewhat difficult □ Very difficult □ Extremely difficult

4. In the last 4 weeks‚ how much have you been bothered by any of the following problems?	Not bothered	Bothered a little	Bothered a lot
a. Worrying about your health
b. Your weight or how you look
c. Little or no sexual desire or pleasure during sex
d. Difficulties with husband/wife‚ partner/lover‚ or boyfriend/girlfriend
e. The stress of taking care of children‚ parents‚ or other family members
f. Stress at work outside of the home or at school
g. Financial problems or worries
h. ha‎ving no one to turn to when you have a problem
i. Something bad that happened recently
j. Thinking or dreaming about something terrible that happened to you in the past—like your house being destroyed‚ a severe accident‚ being hit or assaulted‚ or being forced to commit a sexual act

5. In the last year‚ have you been hit‚ slapped‚ kicked‚ or otherwise physically hurt by someone‚ or has anyone forced you to have an unwanted sexual act?

YES

6. What is the most stressful thing in your life right now? -‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎-

7. Are you taking any medication for anxiety‚ depression‚ or stress?

YES

8. FOR WOMEN ONLY: Questions about menstruation‚ pregnancy‚ and childbirth.

a. Which best describes your menstrual periods?
Periods are unchanged
No periods because pregnant or recently gave birth
Periods have become irregular or changed in frequency‚ duration‚ or amount
No periods for at least a year
ha‎ving periods because taking hormone replacement (estrogen) therapy or oral contraceptives

b. During the week before your period starts‚ do you have a serious problem with your mood—like depression‚ anxiety‚ irritability‚ anger‚ or mood swings?

YES

(or does not apply)

c. If YES‚ do these problems go away by the end of your period?	NO	YES
d. Have you given birth within the last 6 months?	NO	YES
e. Have you had a miscarriage within the last 6 months?	NO	YES
f. Are you ha‎ving difficulty getting pregnant?	NO	YES

Developed by Drs. Robert L. Spitzer‚ Janet B.W. Williams‚ Kurt Kroenke and colleagues‚ with an educational grant from Pfizer Inc. No permission required to reproduce‚ translate‚ display or distribute.

Developed by Drs Robert L. Spitzer‚ Janet B. W. Williams‚ Kurt Kroenke‚ and other colleagues‚ with an educational grant from Pfizer‚ Inc. For research information‚ contact

Dr. Spitzer at این آدرس ایمیل توسط spambots حفاظت می شود. برای دیدن شما نیاز به جاوا اسکریپت دارید. The names PRIME-MD® and PRIME-MD TODAY® are trademarks of Pfizer Inc.

سایت روان سنجی : منابع عدیده ای این تست را ارائه کرده اند . برای نمونه به منبع زیر مراجعه کنید.

http://www.healthplus-ny.org/data/bh_phq.pdf

Personal Health Questionnaire Depression Scale (PHQ-9)

1	Over the last 2 weeks‚ how often have you been bothered by any of the following problems?
	1. Little interest or pleasure in doing things	Not at all	Several days	More than half the days	Nearly every day
	2. Feeling down‚ depressed‚ or hopeless
	3. Trouble falling or staying asleep‚ or sleeping too much
	4. Feeling tired or ha‎ving little energy
	5. Poor appetite or overeating
	6. Feeling bad about yourself‚ or that you are a failure‚ or have let yourself or your family down
	7. Trouble concentrating on things‚ such as reading the newspaper or watching television
	8. Moving or speaking so slowly that other people could have noticed. Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual
	9. Thoughts that you would be better off dead‚ or of hurting yourself in some way

Scoring

If two consecutive numbers are circled‚ score the higher (more distress) number. If the numbers are not consecutive‚ do not score the item. Score is the sum of the 9 items. If more than 1 item missing‚ set the value of the scale to missing. A score of 15 or greater is considered major depression‚ 20 or more is severe major depression.

ch‎aracteristics

Tested on 344 subjects with diabetes.

No. of items	Observed Range	Mean	Standard Deviation	Internal Consistency Reliability	Test-Retest Reliability
9	0-23	6.40	5.73	0.88	NA

Source of Psychometric Data

English-language Diabetes Self-Management Study (not yet published).

This scale is free to use without permission

http://patienteducation.stanford.edu/research/phq.pdf

http://www.agencymeddirectors.wa.gov/Files/depressoverview.pdf

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15 مهر 1391

Curiosity and Exploration Inventory

Curiosity and Exploration Inventory (CEI‐II)

Instructions: Rate the statements below for how accurately they reflect the way you generally feel and behave. Do not rate what you think you should do‚ or wish you do‚ or things you no longer do. Please be as honest as possible.

1. Very Slightly or Not At All

2. A Little

3. Moderately

4. Quite a Bit

5. Extremely

1. I actively seek as much information as I can in new situations.

2. I am the type of person who really enjoys the uncertainty of everyday life.

3. I am at my best when doing something that is complex or challenging.

4. Everywhere I go‚ I am out looking for new things or experiences.

5. I view challenging situations as an opportunity to grow and learn.

6. I like to do things that are a little frightening.

7. I am always looking for experiences that challenge how I think about myself and the world.

8. I prefer jobs that are excitingly unpredictable.

9. I frequently seek out opportunities to challenge myself and grow as a person.

10. I am the kind of person who embraces unfamiliar people‚ events‚ and places.

Stretching: 1‚3‚5‚7 / Embracing: 2‚4‚6‚8.10.

©2009 Kashdan‚ T. B.‚ Gallagher‚ M. W.‚ Silvia‚ P. J.‚ Winterstein‚ B. P.‚ Breen‚ W. E.‚ Terhar‚ D.‚ & Steger‚ M. F. (2009). The Curiosity and Exploration Inventory-II. Development‚ factor structure‚ and psychometrics. Journal of Research in Personality‚ 43‚ 987-998

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15 مهر 1391

Dieting Beliefs Scale

Dieting Beliefs Scale (Stotland & Zuroff‚ 1990) – A measure of weight locus of control

Instructions:

Please respond to the following statements by indicating how well each statement describes your beliefs. Place a number from 1 (not at all descriptive of my beliefs) to 6 (very descriptive of my beliefs) in the box to the right of each statement.

Not at all Very

descriptive descriptive

of my beliefs of my beliefs

1 2 3 4 5 6

1.	By restricting what one eats‚ one can lose weight.
2.	When people gain weight‚ it is because of something they have done or not done.
3.*	A thin body is largely a result of genetics.
4.*	No matter how much effort one puts into dieting‚ one’s weight tends to stay about the same
5.*	One’s weight is‚ to a great extent‚ controlled by fate.
6.*	There is so much fattening food around that losing weight is almost impossible.
7.*	Most people can only diet successfully when other people push them to do it.
8.	ha‎ving a slim and fit body has very little to do with luck.
9.	People who are overweight lack the willpower necessary to control their weight.
10.	Each of us directly is responsible for our weight.
11.	Losing weight is simply a matter of wanting to do it and applying yourself.
12.*	People who are more than a couple of pounds overweight need professional help to lose weight.
13.	By increasing the amount one exercises‚ one can lose weight.
14.*	Most people are at their present weight because that is the weight level that is natural for them.
15.	Unsuccessful dieting is due to lack of effort.
16.*	In order to lose weight‚ people must get a lot of encouragement from others.

Note: * indicates items that are reverse scored.

References

Stotland‚ S. & Zuroff‚ D.C. (1990). A new measure of weight locus of control: The Dieting Beliefs Scale. Journal of Personality Assessment‚ 54‚ 191-203.

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15 مهر 1391

Body Awareness Questionnaire

MORNINGNESS-EVENINGNESS QUESTIONNAIRE

Self-Assessment Version (MEQ-SA)

Name: _____________________________ Date: ________________________

For each question‚ please se‎lect the answer that best describes you by circling the point value that best indicates how you have felt in recent weeks.

1. Approximately what time would you get up if you were entirely free to plan your day?

[5] 5:00 AM–6:30 AM (05:00–06:30 h)

[4] 6:30 AM–7:45 AM (06:30–07:45 h)

[3] 7:45 AM–9:45 AM (07:45–09:45 h)

[2] 9:45 AM–11:00 AM (09:45–11:00 h)

[1] 11:00 AM–12 noon(11:00–12:00 h)

2. Approximately what time would you go to bed if you were entirely free to plan your evening?

[5] 8:00 PM–9:00 PM (20:00–21:00 h)

[4] 9:00 PM–10:15 PM (21:00–22:15 h)

[3] 10:15 PM–12:30 AM (22:15–00:30 h)

[2] 12:30 AM–1:45 AM (00:30–01:45 h)

[1] 1:45 AM–3:00 AM (01:45–03:00 h)

3. If you usually have to get up at a specific time in the morning‚ how much do you depend on an alarm clock?

[4] Not at all

[3] Slightly

[2] Somewhat

[1] Very much

4. How easy do you find it to get up in the morning (when you are not awakened unexpectedly)?

[1] Very difficult

[2] Somewhat difficult

[3] Fairly easy

[4] Very easy

5. How alert do you feel during the first half hour after you wake up in the morning?

[1] Not at all alert

[2] Slightly alert

[3] Fairly alert

[4] Very alert

6. How hungry do you feel during the first half hour after you wake up?

[1] Not at all hungry

[2] Slightly hungry

[3] Fairly hungry

[4] Very hungry

7. During the first half hour after you wake up in the morning‚ how do you feel?

[1] Very tired

[2] Fairly tired

[3] Fairly refreshed

[4] Very refreshed

8. If you had no commitments the next day‚ what time would you go to bed compared to your usual bedtime?

[4] Seldom or never later

[3] Less that 1 hour later

[2] 1-2 hours later

[1] More than 2 hours later

9. You have decided to do physical exercise. A friend suggests that you do this for one hour twice a week‚ and the best time for him is between 7-8 AM (07-08 h). Bearing in mind nothing but your own internal “clock‚” how do you think you would perform?

[4] Would be in good form

[3] Would be in reasonable form

[2] Would find it difficult

[1] Would find it very difficult

10. Atapproximately what time in the evening do you feel tired‚ and‚ as a result‚ in need of sleep?

[5] 8:00 PM–9:00 PM (20:00–21:00 h)

[4] 9:00 PM–10:15 PM (21:00–22:15 h)

[3] 10:15 PM–12:45 AM (22:15–00:45 h)

[2] 12:45 AM–2:00 AM (00:45–02:00 h)

[1] 2:00 AM–3:00 AM (02:00–03:00 h)

11. You want to be at your peak performance for a test that you know is going to be mentally exhausting and will last two hours. You are entirely free to plan your day. Considering only your “internal clock‚” which one of the four testing times would you choose?

[6] 8 AM–10 AM (08–10 h)

[4] 11 AM–1 PM (11–13 h)

[2] 3 PM–5 PM (15–17 h)

[0] 7 PM–9 PM (19–21 h)

12. If you got into bed at 11 PM (23 h)‚ how tired would you be?

[0] Not at all tired

[2] A little tired

[3] Fairly tired

[5] Very tired

13. For some reason you have gone to bed several hours later than usual‚ but there is no need to get up at any particular time the next morning. Which one of the following are you most likely to do?

[4] Will wake up at usual time‚ but will not fall back asleep

[3] Will wake up at usual time and will doze thereafter

[2] Will wake up at usual time‚ but will fall asleep again

[1] Will not wake up until later than usual

14. One night you have to remain awake between 4-6 AM (04-06 h) in order to carry out a night watch. You have no time commitments the next day. Which one of the alternatives would suit you best?

[1] Would not go to bed until the watch is over

[2] Would take a nap before and sleep after

[3] Would take a good sleep before and nap after

[4] Would sleep only before the watch

15. You have two hours of hard physical work. You are entirely free to plan your day. Considering only your internal “clock‚” which of the following times would you choose?

[4] 8 AM–10 AM (08–10 h)

[3] 11 AM–1 PM (11–13 h)

[2] 3 PM–5 PM (15–17 h)

[1] 7 PM–9 PM (19–21 h)

16. You have decided to do physical exercise. A friend suggests that you do this for one hour twice a week. The best time for her is between 10-11 PM (22-23 h). Bearing in mind only your internal “clock‚” how well do you think you would perform?

[1] Would be in good form

[2] Would be in reasonable form

[3] Would find it difficult

[4] Would find it very difficult

17. Suppose you can choose your own work hours. Assume that you work a five-hour day (including breaks)‚ your job is interesting‚ and you are paid based on your performance. At approximately what time would you choose to begin?

[5] 5 hours starting between 4–8 AM (05–08 h)

[4] 5 hours starting between 8–9 AM (08–09 h)

[3] 5 hours starting between 9 AM–2 PM (09–14 h)

[2] 5 hours starting between 2–5 PM (14–17 h)

[1] 5 hours starting between 5 PM–4 AM (17–04 h)

18. Atapproximately what time of day do you usually feel your best?

[5] 5–8 AM (05–08 h)

[4] 8–10 AM (08–10 h)

[3] 10 AM–5 PM (10–17 h)

[2] 5–10 PM (17–22 h)

[1] 10 PM–5 AM (22–05 h)

19. One hears about “morning types” and“evening types.” Which one of these types do you consider yourself to be?

[6] Definitely a morning type

[4] Rather more a morning type than an evening type

[2] Rather more an evening type than a morning type

[1] Definitely an evening type

_____Total points for all 19 questions

Some stem questions and item choices have been rephrased from the original instrument (Horne and Östberg‚ 1976) to conform with spoken American English. Discrete item choices have been substituted for continuous graphic scales. Prepared by Terman M‚ Rifkin JB‚ Jacobs J‚ White TM (2001)‚ New York State Psychiatric Institute‚ 1051 Riverside Drive‚ Unit 50‚ New York‚ NY‚ 10032. January 2008 version. Supported by NIH Grant MH42931. See also: automated version (AutoMEQ) at www .c e t .o r g.

Horne JA and Östberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. International Journal of Chronobiology‚ 1976: 4‚ 97-100.

Reference: Terman M‚ Terman JS. Light therapy for seasonal and nonseasonal depression: efficacy‚ protocol‚ safety‚ and side

effects. CNS Spectrums‚ 2005;10:647-663. (Downloadable at www.cet.org)

Copyright © 2008‚ Center for Environmental Therapeutics‚ www.cet.org. All rights reserved. Permission is granted for personal use or use in clinical practice. Commercial distribution prohibited. January 2008 version.

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15 مهر 1391

The Body-Esteem Scale

The Body-Esteem Scale (Franzoi & Shields‚ 1984)

Instructions: On this page are listed a number of body parts and functions. Please read each item and indicate how you feel about this part or function of your own body using the following scale:

1 = Have strong negative feelings

2 = Have moderate negative feelings

3 = Have no feeling one way or the other

4 = Have moderate positive feelings

5 = Have strong positive feelings

-‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎--‎-

Factor Loading (see below)

Male Female

1. body scent _____ SA

2. appetite _____ PC WC

3. nose _____ PA SA

4. physical stamina _____ PC PC

5. reflexes _____ PC PC

6. lips _____ PA SA

7. muscular strength _____ UBS PC

8. waist _____ PC WC

9. energy level _____ PC PC

10. thighs _____ PC WC

11. ears _____ PA SA

12. biceps _____ UBS PC

13. chin _____ PA SA

14. body build _____ UBS WC

15. physical coordination _____ UBS‚ PC PC

16. buttocks _____ PA WC

17. agility _____ PC PC

18. width of shoulders _____ UBS

19. arms _____ UBS

20. chest or breasts _____ UBS SA

21. appearance of eyes _____ PA SA

22. cheeks/cheekbones _____ PA SA

23. hips _____ PA WC

24. legs _____ WC

25. figure or physique _____ UBS‚ PC WC

26. sex drive _____ UBS SA

27. feet _____ PA

28. sex organs _____ PA SA

29. appearance of stomach _____ PC WC

30. health _____ PC PC

31. sex activities _____ SA

32. body hair _____ SA

33. physical condition _____ PC PC

34. face _____ PA SA

35. weight _____ PC WC

A factor analysis indicated that three factors emerged for males and females. These factors are (1) Physical Attractiveness (PA) for males or Sexual Attractiveness (SA) for females‚ (2) Upper Body Strength (UBS) for males or Weight Concern (WC) for females and (3) Physical Condition (PC) for both males and females. Means for these three factors can be computed for males and females but please note that these means cannot be compared because they are not based on the same items. Also note that two items load on two factors for males. The information under the Factor Loading heading should be de‎leted before the test is given - the information is provided for experimenters who wish to analyse the three factors separately.

To determine a subject’s score for a particular subscale of the Body Esteem Scale‚ simply add up the individual scores for items on the subscale. For example‚ for female sexual attractiveness‚ you would add up the subject’s ratings of the items comprising the sexual attractiveness subscale (13 items).

References

Franzoi‚ S.L. (1994). Further evidence of the reliability and validity of the body esteem scale. Journal of Clinical Psychology‚ 50‚ 237-239.

Franzoi‚ S.L. & Shields‚ S.A. (1984). The Body-Esteem Scale: Multidimensional structure and sex differences in a college population. Journal of Personality Assessment‚ 48‚ 173-178.

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15 مهر 1391