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Each item is scored on a Likert scale ranging from 1 to 4. A total score is derived by summing the individual item scores and ranges from 20 to 80. Most people with depression score between 50 and 69, while a score of 70 and above indicates severe depression.
The Zung Self-Rating Anxiety Scale (SAS) was designed by William WK Zung to quantify the level of anxiety for patients experiencing anxiety related symptoms. The self-administered test has 20 questions.
The Zung Self-Rating Depression Scale (SDS) is a 20-item measure, with each item rated on a 4-point scale. It requires approximately 5\u201310 minutes to complete. Ranges for mild to moderate depression, moderate to severe depression, and severe depression are 50\u201359, 60\u201369, and over 70, respectively (Zung, 1967).
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.
Reliability and Validity The Zung Self-Rating Depression Scale has fairly good reliability. Zung has reported a split-half reliability of 0.73. An alpha coefficient of 0.68 was obtained by DeForge and Sobal (1988), however 0.82 was reported by DeJonghe & Baneke (1989) and Leung, Lee, Lue, & Tang (1989).
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The Carroll rating scales (CRS) was developed as a self rating instrument for depression, closely matching the information content and specific items of the Hamilton rating scales (HRS). The CRS was found to have acceptable face validity and reliability.
SDS scores are classified as normal (<50), mild depression (50 to 59), moderate to marked major depression (60 to 69), and severe to extreme major depression (>70). The raw score can be converted to an SDS Index score by multiplying the raw score times 1.25.
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 total raw scores range from 20\u201380....The "Anxiety Index" score can then be used on this scale below to determine the clinical interpretation of one's level of anxiety: 20\u201344 Normal Range. 45\u201359 Mild to Moderate Anxiety Levels. 60\u201374 Marked to Severe Anxiety Levels. 75 and above Extreme Anxiety Levels.
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.

zung self rating anxiety scale reliability and validity