Zung self rating anxiety scale 2025

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The scale has demonstrated reliability, with alpha values of . 91 for the depression subscale, . 84 for the anxiety subscale, and . 90 for the stress subscale.
The scale produces raw scores between 20 and 80, however Zung [4] recommended converting these to Index Scores (which ranged between 25 and 100) by the simple process of multiplying by 1.25. Zungs recommended cut-off for identifying adults with depressive disorder was index scores of 50 and over.
2044 Normal Range. 4559 Mild to Moderate Anxiety Levels. 6074 Marked to Severe Anxiety Levels. 75 and above Extreme Anxiety Levels.
The total score for the HADS-A can range from 0 to 21. The following guidelines are recommended for the interpretation of scores: 07 for normal or no anxiety, 810 for mild anxiety, 1114 for moderate anxiety, and 1221 for severe anxiety.
The Zung Self-Rating Anxiety Scale (SAS; Zung, 1971) is a 20-item self-report questionnaire measuring anxiety symptoms over the past week. Participants are asked to rank each item on a 4-point Likert scale (1 None or a little of the time to 4 Most of the time).
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