ID
41303
Description
Terluin, B.. (2012). Four-Dimensional Symptom Questionnaire (4DSQ) . Measurement Instrument Database for the Social Science. Retrieved 12.08.2020 from www.midss.ie Key references: Terluin B, Van Rhenen W, Schaufeli WB, De Haan M. The Four-Dimensional Symptom Questionnaire (4DSQ): measuring distress and other mental health problems in a working population. Work and Stress 2004; 18(3): 187-207. Terluin B, Van Marwijk HWJ, Adèr HJ, De Vet HCW, Penninx BWJH, Hermens MLM, Van Boeijen CA, Van Balkom AJLM, Van der Klink JJL, Stalman WAB. The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization. BMC Psychiatry 2006; 6:34. Terluin B, Brouwers EPM, van Marwijk HWJ, Verhaak PFM, van der Horst HE. Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ) and the Hospital Anxiety and Depression Scale (HADS). BMC Fam Pract 2009; 10:58. Primary use / Purpose: The 4DSQ is a self-report questionnaire to assess distress, depression, anxiety and somatization. It is mainly used in primary care. The 4DSQ helps to differentiate between normal distress and psychiatric disorder. Background: Many health care problems in primary care are stress-related (distress) and do not represent true psychiatric disorder (irrespective of whether DSM-IV criteria for depressive or anxiety disorders are fulfilled). Indiscriminate application of DSM-IV criteria in the primary care setting produces many false positive diagnoses confusing patients and misleading professionals. In health care practice the 4DSQ can be used to: - help patients acknowledge mental health issues when presenting with physical complaints, - assess the overall severity of the mental health problems, - detect depressive and anxiety disorders severe enough to require specific treatment (antidepressants or cognitive behavioral therapy), - monitor patients' progress under treatment. Psychometrics: The 4DSQ has been extensively tested for reliability and validity. Reliability is high (coefficients generally >.80). Factorial, critirion and concurrant validity has been confirmed. Web link to tool: Four-Dimensional Symptom Questionnaire (4DSQ) Other Information: The 4DSQ is free for non-commercial use. Available language versions: English, Dutch, French, German, Polish, Turkish Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.167 Scoring: "no" = score 0 "sometimes" = score 1 "regularly" or more often = score 2 Distress: sum the items 17, 19, 20, 22, 25, 26, 29, 31, 32, 36, 37, 38, 39, 41, 47, 48 Interpretation: moderately elevated if > 10, strongly elevated if > 20 Depression: sum the items 28, 30, 33, 34, 35, 46 Interpretation: moderately elevated if > 2, strongly elevated if > 5 Anxiety: sum the items 18, 21, 23, 24, 27, 40, 42, 43, 44, 45, 49, 50 moderately elevated if > 8, strongly elevated if > 12 Somatisation: sum the items 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 moderately elevated if > 10, strongly elevated if > 20
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Versions (1)
- 8/12/20 8/12/20 -
Copyright Holder
Terluin, B.
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August 12, 2020
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License
Creative Commons BY-NC 4.0
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Measurement Instrument Database for the Social Science (MIDSS)
Four-Dimensional Symptom Questionnaire (4DSQ)
- StudyEvent: ODM
Description
During THE PAST WEEK, did you suffer from:
Alias
- UMLS CUI-1
- C2987125
- UMLS CUI-2
- C1457887
Description
pain in the abdomen or stomach area
Data type
text
Alias
- UMLS CUI [1]
- C0000737
Description
tingling in the fingers
Data type
text
Alias
- UMLS CUI [1]
- C0850630
Description
pressure or a tight feeling in the chest
Data type
text
Alias
- UMLS CUI [1]
- C0438716
- UMLS CUI [2]
- C0232292
Description
pain in the chest
Data type
text
Alias
- UMLS CUI [1]
- C0008031
Description
feeling down or depressed
Data type
text
Alias
- UMLS CUI [1]
- C0344315
Description
sudden fright for no reason
Data type
text
Alias
- UMLS CUI [1,1]
- C0015726
- UMLS CUI [1,2]
- C1276802
Description
worry
Data type
text
Alias
- UMLS CUI [1]
- C0233481
Description
disturbed sleep
Data type
text
Alias
- UMLS CUI [1]
- C0037317
Description
a vague feeling of fear
Data type
text
Alias
- UMLS CUI [1]
- C0015726
Description
lack of energy
Data type
text
Alias
- UMLS CUI [1]
- C4048330
Description
trembling when with other people
Data type
text
Alias
- UMLS CUI [1,1]
- C0040822
- UMLS CUI [1,2]
- C0021797
Description
anxiety or panic attacks
Data type
text
Alias
- UMLS CUI [1]
- C0086769
- UMLS CUI [2]
- C0003467
Description
During THE PAST WEEK, did you feel:
Alias
- UMLS CUI-1
- C2987125
- UMLS CUI-2
- C1527305
Description
During THE PAST WEEK, did you feel:
Alias
- UMLS CUI-1
- C2987125
- UMLS CUI-2
- C1527305
Description
that everything is meaningless
Data type
text
Alias
- UMLS CUI [1]
- C2364167
Description
that you just can't do anything anymore
Data type
text
Alias
- UMLS CUI [1]
- C0023380
Description
that life is not worth while
Data type
text
Alias
- UMLS CUI [1]
- C0518214
Description
that you can no longer take any interest in the people and things around you
Data type
text
Alias
- UMLS CUI [1]
- C4062511
Description
that you can't cope anymore
Data type
text
Alias
- UMLS CUI [1]
- C0582154
Description
that you would be better off if you were dead
Data type
text
Alias
- UMLS CUI [1]
- C0438696
Description
that you can't enjoy anything anymore
Data type
text
Alias
- UMLS CUI [1,1]
- C0018592
- UMLS CUI [1,2]
- C0205160
Description
that there is no escape from your situation
Data type
text
Alias
- UMLS CUI [1]
- C0870509
Description
that you can't face it anymore
Data type
text
Alias
- UMLS CUI [1]
- C0150041
Description
During THE PAST WEEK, did you:
Alias
- UMLS CUI-1
- C2987125
Description
no longer feel like doing anything
Data type
text
Alias
- UMLS CUI [1]
- C0023380
Description
have difficulty in thinking clearly
Data type
text
Alias
- UMLS CUI [1]
- C0423994
Description
have difficulty in getting to sleep
Data type
text
Alias
- UMLS CUI [1]
- C0037317
Description
have any fear of going out of the house alone
Data type
text
Alias
- UMLS CUI [1,1]
- C0015726
- UMLS CUI [1,2]
- C0205171
- UMLS CUI [1,3]
- C0442519
Description
During THE PAST WEEK:
Alias
- UMLS CUI-1
- C2987125
Description
did you easily become emotional
Data type
text
Alias
- UMLS CUI [1]
- C0849912
Description
were you afraid of anything when there was really no need for you to be afraid
Data type
text
Alias
- UMLS CUI [1]
- C0015726
Description
were you afraid to travel on buses, streetcars/ trams, subways or trains
Data type
text
Alias
- UMLS CUI [1]
- C0424164
Description
were you afraid of becoming embarrassed when with other people
Data type
text
Alias
- UMLS CUI [1,1]
- C0015726
- UMLS CUI [1,2]
- C0021797
Description
did you ever feel as if you were being threatened by unknown danger
Data type
text
Alias
- UMLS CUI [1,1]
- C1527305
- UMLS CUI [1,2]
- C5204742
Description
did you ever think
Data type
text
Alias
- UMLS CUI [1]
- C0438696
Description
did you ever have fleeting images of any upsetting event(s) that you have experienced
Data type
text
Alias
- UMLS CUI [1]
- C0563128
Description
did you ever have to do your best to put aside thoughts about any upsetting event(s)
Data type
text
Alias
- UMLS CUI [1,1]
- C0558066
- UMLS CUI [1,2]
- C0009967
Description
did you have to avoid certain places because they frightened you
Data type
text
Alias
- UMLS CUI [1,1]
- C0178494
- UMLS CUI [1,2]
- C0442504
Description
did you have to repeat some actions a number of times before you could do something else
Data type
text
Alias
- UMLS CUI [1]
- C0237831
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- StudyEvent: ODM
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