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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 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).
The Zung Self-Rating Depression Scale is a short self-administered survey to quantify the depressed status of a patient. There are 20 items on the scale that rate the four common characteristics of depression: the pervasive effect, the physiological equivalents, other disturbances, and psychomotor activities.
The STAI is among the most widely researched and widely used measures of general anxiety, and is available in many different languages. Many use the STAI in rheumatologic conditions. This measure is relatively brief to administer and does not require costly or time consuming scoring or interpretation procedures.
Reliability and Validity The Zung Self-Rating Depression Scale has fairly good reliability.
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2044 Normal Range. 4559 Mild to Moderate Anxiety Levels. 6074 Marked to Severe Anxiety Levels. 75 and above Extreme Anxiety Levels.
Validity and Reliability The internal consistency reliability coefficient was . 80 and the correlation rating with the Fear Survey for Adults with Mental ation was 0.40, . 44 with the PIMRA Anxiety Subscale, and 0.30 with the Taylor Manifest Anxiety Scale.

zung anxiety scale pdf