Information:
Error:
ID
41270
Description
Manicavasagar, V., Silove, D., Wagner, R., Drobny, J.. (2012) . Adult Separation Anxiety Questionnaire - ASA-27. Measurement Instrument Database for the Social Science. Retrieved 05.08.2020 from www.midss.ie Key references: Manicavasagar, V., Silove, D., Wagner, R., Drobny, J. (2003). A self-report questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry, 44, 146-153. Manicavasagar, V., Silove, D., & Curtis, J. (1997). Separation anxiety in adulthood: A phenomenological investigation. Comprehensive Psychiatry, 38, 274-282. Primary use / Purpose: ASA-27 is a 27-item self-report questionnaire that purports to examine symptoms of separation anxiety experienced after 18 years of age, with Likert ratings on a scale of zero (this never happens) to three (this happens very often). Background: Scale items were constructed as adult equivalents of childhood separation anxiety disorder Diagnostic and Statistical Manual of Mental Disorders IV symptoms. Psychometrics: Sound psychometric properties for the ASA-27 have been demonstrated (Manicavasaga, Silove, & Curtis, 1997). Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.162 Scoring the ASA-27 Individual items are scored on a 0 to 3 scale where; ‘0’ = ‘This has never happened’ ‘1’ = ‘This happens occasionally’ ‘2’ = ‘This happens fairly often’ ‘3’ = ‘This happens very often’ The items are summated to derive a total score for adult separation anxiety. Further scoring guidelines and psychometric properties of the ASA-27 are available in: Manicavasagar, V., Silove, D. Wagner, R. and Drobney, J. (2003). A self-report questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry, 44(2): 146-153.
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Keywords
Versions (1)
- 07-08-20 07-08-20 -
Copyright Holder
Manicavasagar, V., Silove, D., Wagner, R., Drobny, J.
Uploaded on
7 augustus 2020
DOI
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License
Creative Commons BY-NC 4.0
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Measurement Instrument Database for the Social Science (MIDSS)
Adult Separation Anxiety Questionnaire - ASA-27
- StudyEvent: ODM
Similar models
Adult Separation Anxiety Questionnaire - ASA-27
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
The following statements refer to symptoms that you might have experienced as an adult (over the age of 18 years). Please tick the appropriate answers for each item, according to whether you have experienced any of these symptoms. Please remember to answer all questions.
C4286032 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C1457887 (UMLS CUI-3)
C0034394 (UMLS CUI-2)
C1457887 (UMLS CUI-3)
Item
1. Have you felt more secure at home when you are with people that are close to you?
text
C3146231 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0442519 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
Code List
1. Have you felt more secure at home when you are with people that are close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
2. Have you experienced difficulty in staying away from home for several hours at a time?
text
C0332218 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C0439787 (UMLS CUI [1,3])
C0442519 (UMLS CUI [1,2])
C0439787 (UMLS CUI [1,3])
Code List
2. Have you experienced difficulty in staying away from home for several hours at a time?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
3. Have you been carrying around something in your purse or wallet that gives you a sense of security or comfort?
text
C0206243 (UMLS CUI [1,1])
C0347997 (UMLS CUI [1,2])
C3146231 (UMLS CUI [1,3])
C0206243 (UMLS CUI [2,1])
C0347997 (UMLS CUI [2,2])
C1331418 (UMLS CUI [2,3])
C0347997 (UMLS CUI [1,2])
C3146231 (UMLS CUI [1,3])
C0206243 (UMLS CUI [2,1])
C0347997 (UMLS CUI [2,2])
C1331418 (UMLS CUI [2,3])
Code List
3. Have you been carrying around something in your purse or wallet that gives you a sense of security or comfort?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
4. Have you experienced extreme stress before leaving home to go on a long trip?
text
C0038435 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C1706081 (UMLS CUI [1,3])
C0442519 (UMLS CUI [1,2])
C1706081 (UMLS CUI [1,3])
Code List
4. Have you experienced extreme stress before leaving home to go on a long trip?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
5. Have you suffered from nightmares or dreams about being separated from someone close to you?
text
C0028084 (UMLS CUI [1,1])
C0443299 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0013117 (UMLS CUI [2,1])
C0443299 (UMLS CUI [2,2])
C1821461 (UMLS CUI [2,3])
C0443299 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0013117 (UMLS CUI [2,1])
C0443299 (UMLS CUI [2,2])
C1821461 (UMLS CUI [2,3])
Code List
5. Have you suffered from nightmares or dreams about being separated from someone close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
6. Have you experienced extreme stress before leaving someone close to you when going away on a trip?
text
C0038435 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C1706081 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C1706081 (UMLS CUI [1,3])
Code List
6. Have you experienced extreme stress before leaving someone close to you when going away on a trip?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
7. Have you become very upset when your usual daily routine is disrupted?
text
C3887804 (UMLS CUI [1,1])
C2372028 (UMLS CUI [1,2])
C2372028 (UMLS CUI [1,2])
Code List
7. Have you become very upset when your usual daily routine is disrupted?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
8. Have you been worried about the intensity of your relationship with those people closest to you, eg. that you are too strongly attached?
text
C0233481 (UMLS CUI [1,1])
C0522510 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0522510 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
Code List
8. Have you been worried about the intensity of your relationship with those people closest to you, eg. that you are too strongly attached?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
9. Have you experienced symptoms such as headaches, stomach-aches or nausea (or other) before leaving for work or other regular activity outside the home?
text
C1457887 (UMLS CUI [1,1])
C1706081 (UMLS CUI [1,2])
C1706081 (UMLS CUI [1,2])
Code List
9. Have you experienced symptoms such as headaches, stomach-aches or nausea (or other) before leaving for work or other regular activity outside the home?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
10. Do you find that you talk a lot in order to keep people close to you?
text
C1820711 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,2])
Code List
10. Do you find that you talk a lot in order to keep people close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
11. Have you been especially concerned about where people close to you are going when you are separated from them, eg. when you leave them to go to work or go out of the house?
text
C2699424 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
Code List
11. Have you been especially concerned about where people close to you are going when you are separated from them, eg. when you leave them to go to work or go out of the house?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
12. Have you experienced difficulty in sleeping alone at night, eg. is your sleep better if someone close to you is in the house?
text
C0235162 (UMLS CUI [1,1])
C0205171 (UMLS CUI [1,2])
C0205171 (UMLS CUI [1,2])
Code List
12. Have you experienced difficulty in sleeping alone at night, eg. is your sleep better if someone close to you is in the house?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
13. Have you noticed that you are better able to go off to sleep if you can hear the voices of people you are close to or the sound of the TV or the radio?
text
C0184578 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0004309 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C0004309 (UMLS CUI [1,3])
Code List
13. Have you noticed that you are better able to go off to sleep if you can hear the voices of people you are close to or the sound of the TV or the radio?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
14. Have you become very distressed when thinking about being away from people that are close to you?
text
C0231303 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
Code List
14. Have you become very distressed when thinking about being away from people that are close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
15. Have you suffered from nightmares or dreams about being away from home?
text
C0028084 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C0439787 (UMLS CUI [1,3])
C0013117 (UMLS CUI [2,1])
C0442519 (UMLS CUI [2,2])
C0439787 (UMLS CUI [2,3])
C0442519 (UMLS CUI [1,2])
C0439787 (UMLS CUI [1,3])
C0013117 (UMLS CUI [2,1])
C0442519 (UMLS CUI [2,2])
C0439787 (UMLS CUI [2,3])
Code List
15. Have you suffered from nightmares or dreams about being away from home?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
16. Have you been worrying a lot about people close to you coming to serious harm, for example, meeting with a car accident, or suffering from a fatal illness?
text
C0233481 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C4061918 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C4061918 (UMLS CUI [1,3])
Code List
16. Have you been worrying a lot about people close to you coming to serious harm, for example, meeting with a car accident, or suffering from a fatal illness?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
17. Have you become very upset with changes to your usual daily routine if they interfere with your contact with persons close to you?
text
C3887804 (UMLS CUI [1,1])
C2372028 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C2372028 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
Code List
17. Have you become very upset with changes to your usual daily routine if they interfere with your contact with persons close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
18. Have you been worrying a lot about people you care about leaving you?
text
C1821461 (UMLS CUI [1,1])
C0558204 (UMLS CUI [1,2])
C0558204 (UMLS CUI [1,2])
Code List
18. Have you been worrying a lot about people you care about leaving you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
19. Have you found that you sleep better if the lights are on in the house or in the bedroom?
text
C0184578 (UMLS CUI [1,1])
C0392223 (UMLS CUI [1,2])
C0392223 (UMLS CUI [1,2])
Code List
19. Have you found that you sleep better if the lights are on in the house or in the bedroom?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
20. Have you tried to avoid being at home alone especially when people close to you are out?
text
C0870186 (UMLS CUI [1,1])
C0205171 (UMLS CUI [1,2])
C0442519 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,4])
C0205171 (UMLS CUI [1,2])
C0442519 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,4])
Code List
20. Have you tried to avoid being at home alone especially when people close to you are out?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
21. Have you suffered from sudden bouts of anxiety or panic attacks (eg. sudden shaking, sweating, shortness of breath, pounding heart) when thinking about leaving people close to you or about them leaving you?
text
C0003467 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0558204 (UMLS CUI [1,3])
C0086769 (UMLS CUI [2,1])
C1821461 (UMLS CUI [2,2])
C0558204 (UMLS CUI [2,3])
C1821461 (UMLS CUI [1,2])
C0558204 (UMLS CUI [1,3])
C0086769 (UMLS CUI [2,1])
C1821461 (UMLS CUI [2,2])
C0558204 (UMLS CUI [2,3])
Code List
21. Have you suffered from sudden bouts of anxiety or panic attacks (eg. sudden shaking, sweating, shortness of breath, pounding heart) when thinking about leaving people close to you or about them leaving you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
22. Have you found that you get anxious if you do not speak to people that are close to you on the telephone regularly, eg. daily?
text
C0003467 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0039457 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
Code List
22. Have you found that you get anxious if you do not speak to people that are close to you on the telephone regularly, eg. daily?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
23. Have you been afraid that you would not be able to cope or could not go on if someone you cared about left you?
text
C0015726 (UMLS CUI [1,1])
C0582154 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0558204 (UMLS CUI [1,4])
C0582154 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,3])
C0558204 (UMLS CUI [1,4])
Code List
23. Have you been afraid that you would not be able to cope or could not go on if someone you cared about left you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
24. Have you suffered from sudden bouts of anxiety or panic attacks (eg. sudden shaking, sweating, shortness or breath, pounding heart) when separated from people close to you?
text
C0003467 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C0086769 (UMLS CUI [2,1])
C1821461 (UMLS CUI [2,2])
C0443299 (UMLS CUI [2,3])
C1821461 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C0086769 (UMLS CUI [2,1])
C1821461 (UMLS CUI [2,2])
C0443299 (UMLS CUI [2,3])
Code List
24. Have you suffered from sudden bouts of anxiety or panic attacks (eg. sudden shaking, sweating, shortness or breath, pounding heart) when separated from people close to you?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
25. Have you been worrying a lot about possible events that may separate you from those close to you eg. because of work requirements?
text
C0233481 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,4])
C0441471 (UMLS CUI [1,2])
C0443299 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,4])
Code List
25. Have you been worrying a lot about possible events that may separate you from those close to you eg. because of work requirements?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
26. Have people close to you mentioned that you ‘talk a lot’?
text
C1820711 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C1821461 (UMLS CUI [1,2])
Code List
26. Have people close to you mentioned that you ‘talk a lot’?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
Item
27. Have you been worrying that your relationships with some people are so close that it may cause them problems?
text
C0233481 (UMLS CUI [1,1])
C1821461 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,3])
C1821461 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,3])
Code List
27. Have you been worrying that your relationships with some people are so close that it may cause them problems?
CL Item
This happens very often (This happens very often)
CL Item
This happens fairly often (This happens fairly often)
CL Item
This happens occasionally (This happens occasionally)
CL Item
This has never happened (This has never happened)
No comments