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The Anxiety Status Inventory (ASI) of Zung
Overview:
The Anxiety Status Inventory (ASI) was developed by Zung as a rating instrument for anxiety disorders. 20 affective and somatic symptoms associated with anxiety are graded by an observer based on patient interview.
|Affective and Somatic Symptoms of Anxiety |Interview Guide |
|anxiousness |Do you feel nervous and anxious? |
|fear |Have you ever felt afraid? |
|panic |How easily do you get upset? Ever have panic spells or feel like it? |
|mental disintegration |Do you ever feel like you are falling apart? Going to pieces? |
|apprehension |Have you ever felt uneasy? or that something terrible was going to happen?|
|tremors |Have you had times when you felt yourself trembling? shaking? |
|body aches and pains |Do you have headaches? neck or back pains? |
|easy fatigability weakness |How easily do you get tired? Ever have spells of weakness? |
|restlessness |Do you find yourself restless and can't sit still? |
|palpitation |Have you ever felt that your heart was running away? |
|dizziness |Do you have dizzy spells? |
|faintness |Do you have fainting spells? or feel like it? |
|dyspnea |Ever have trouble with your breathing? |
|paresthesias |Ever have feelings of numbness and tingling in your fingertips? or around |
| |your mouth? |
|nausea and vomiting |Do you ever feel sick to your stomach or feel like vomiting? |
|urinary frequency |How often do you need to empty your bladder? |
|sweating |Do you ever get wet clammy hands? |
|face flushing |Do you ever feel your face getting hot and blushing? |
|insomnia |How have you been sleeping? (in implementation: Do you have problems |
| |sleeping?) |
|nightmares |Do you have dreams that scare you? |
|Severity of observed or reported responses |Points |
|none |1 |
|mild |2 |
|moderate |3 |
|severe |4 |
Interpretation:
� minimum severity score: 20
� maximum severity score: 80
� The higher the score the greater the symptoms associated with anxiety.
The ASI index converts the raw score by dividing the raw score by 80 then multiplying by 100.
References:
Zung WWK. A rating instrument for anxiety disorders. Psychosomatics. 1971; 12: 371-379.
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