Patients with anxiety disorders often frequent cardiology, emergency medicine, and respiratory medicine departments of general hospitals because of the main manifestations of heart discomfort, chest tightness, and dyspnea during attacks, and the results are often very unsatisfactory, resulting in misdiagnosis and mistreatment of the condition, prolongation of the course of the disease, and waste of medical resources. Since anxiety is one of the more common mood disorders in counseling clinics, the Anxiety Self-Rating Inventory is the most commonly used scale for anxiety symptoms, and we hope to provide some help for patients with anxiety disorders. Content and format of the Self-Assessment Scale for Anxiety (SAS)
Please note: 1. Please mark the appropriate number with a “tick” according to your actual feelings over the week, do not miss any item, and do not rate the same item repeatedly. 2. 3. This scale can be used to reflect the subjective feelings of anxiety of the test subjects, and can be used in psychological consultation clinics and psychiatric clinics or inpatient psychiatry. In addition to the scale scores, the clinical classification of anxiety symptoms should be based on the degree of clinical symptoms, especially the critical symptoms (critical symptoms include: painful emotional experience disproportionate to the situation, psychomotor agitation, and vegetative dysfunction). Youth
Serial number
Title
Not available or rarely available. (1 point)
Sometimes there is (2 points)
Most of the time there is. (3 points)
Most or all of the time. (4 points)
Scoring
1
I feel easily nervous and anxious (anxious) than usual.
2
I feel scared for no reason (fear).
3
I get easily upset or feel frightened (panic).
4
I feel that I may be going crazy (feeling of insanity).
5
I feel that everything is fine and that nothing bad will happen (feeling of misfortune).
6
My hands and feet are shaking and trembling (trembling hands and feet).
7
I suffer from headache, neck pain and back pain (somatic pain)
8
I feel easily weakened and tired (fatigue)
9
I feel calm and easy to sit quietly (unable to sit quietly)
10
I feel a rapid heartbeat (panic).
11
I am distressed by a bout of dizziness (dizziness).
12
I have fainting episodes or feel as if I am going to faint (fainting sensation)
13
I exhale and inhale feeling easy (breathing sleepiness).
14
I have numbness and tingling in my hands and feet (tingling in my hands and feet).
15
I suffer from stomach pain and indigestion (stomach pain or indigestion)
16
I often have to urinate (frequent urge to urinate)
17
My hands are often dry and warm (excessive sweating)
18
I am flushed and hot (facial flushing).
19
I fall asleep easily and sleep well through the night (sleep disorder).
20
I have nightmares.
Total Score Statistics
Scoring method
The SAS uses a 4-point scale to assess the frequency of symptoms, with the following criteria: “1” means no or rarely; “2” means sometimes; “3” means most of the time; “4” means most or all of the time. Among the 20 items, l5 items were stated with negative words and rated in the order of l to 4 above. The remaining 5 items (5, 9, 13, 17, 19) with * are stated with positive words and scored in reverse order from 4 to 1.
Analysis of indicators
The main statistical indicator of the SAS was the total score. The crude score is obtained by adding the scores of each of the 20 items; the standard score is obtained by multiplying the crude score by 1.25 and then taking the integer part, or the same conversion can be done by looking up the table (see SDS Appendix for the conversion table of crude and standard scores).
Interpretation of results
According to the Chinese common touch results, the cut-off value of SAS standard score is 50, where 50-59 is mild anxiety, 60-69 is moderate anxiety, and 70 or more is severe anxiety.
Indications
(1) Those who repeatedly visit the relevant departments in general hospitals for headache, neck, back, lumbar and extremity pain, and whose clinical examination and laboratory findings do not suggest organic pathology.
(2)Chronic pain due to anxiety, terror, hypochondria, depression and other mental factors.
(3) Chronic generalized pain caused by various reasons.
(4) Tension-type headache.
(5)Migraine.
Contraindications
(1)Patients with severe arrhythmia or heart failure during or after myocardial infarction attack.
(2)Patients with serious disorders of major organs, such as patients with hepatic or renal insufficiency, patients with respiratory failure, cerebral hemorrhage or cerebral infarction, and patients with unstable diabetes mellitus.
(3) Schizophrenic episodes.
(4) Those with severe mental deficiency and uncooperative examination.