Cognitive Symptom Management
When you are feeling down in the dumps, feeling pain, or having other unpleasant symptoms, how often do you do the following: (please circle one number for each question)
Score the number circled for each item. If more than one consecutive number is circled, score as the lower number (less management). If the numbers are not consecutive, do not score the item. The scale score is the mean of the six items. If more than two items are missing answers, set the value of the score for this scale to missing. Scores range from 0 to 5, with a higher score indicating more practice of these techniques.
Tested on 1129 subjects with chronic disease. N=51 for test-retest.
Source of Psychometric Data
Stanford Chronic Disease Self-Management Study. Psychometrics reported in: Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, pp.24,38.
This scale was modified from the Medical Outcomes Study. This is a behavior change scale to find out if people are practicing any cognitive stress reduction (pain reduction) techniques. We chose to measure these specific techniques as they are the ones we teach in our Chronic Disease Self-Management Program. Reprinted with permission, Duke University Press.
Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, pp.24,38
Stewart AL, Hays RD, & Ware JE, Health Perceptions, energy/fatigue, and health distress measures, in Stewart AL & Ware JE, Measuring Functioning and Well-Being: The Medical Outcomes Study Approach. Durham NC: Duke University Press, pp. 143-172.
To download this scale and scoring instructions, right click the link below with your mouse and "Save as" to you hard disk or desktop (for Windows), or double click (Mac):