The anxious-depressive attack severity scale: development and initial validation and reliability

Table 3 Original items of the Anxious-Depressive Attack Severity Scale

1	Have the sudden unpleasant emotions occurred without any triggering events? How severe are the abrupt emotions in the anxious-depressive attack? (Diagnostic Criteria B-1)
2	Did your past memories automatically come out following the emotional attacks? How do those memories come back to you? Which better reflects your experience; 1. a memory comes back to you slowly or 2. your memories come out one after another? And if you want to stop remembering that memory, can you stop it? (Diagnostic Criteria B-2)
3	Did you have unpleasant emotions while remembering such past events? How severe was the emotional distress? (Diagnostic Criteria B-3)
4	Did you take any action to avoid such painful experiences? (Diagnostic Criteria B-4)
5	How frequent were your anxious-depressive attacks in the last two weeks? (ADA frequency)
6	What was the average duration of your anxious-depressive attacks during the last two weeks? (ADA duration)
7	What was the average severity of the overall anxious-depressive attacks in the last two weeks (considering the subjective pain and impairment in life)? (severity of the overall ADA)

Items 1, 2, 3, and 7 are rated on a 4-point Likert scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe); item 4 is rated on a 5-point Likert scale (0 = none, 1 = coping by oneself, 2 = coping with others, 3 = coping by substance intake or escape behavior, 4 = aggressive behavior, substance dependence, or other); item 5 is rated on a 4-point Likert scale (0 = none, 1 = once or twice a week, 2 = three or four times a week, and 3 = five or more times a week); item 6 is rated on a 4-point Likert scale (0 = none, 1 = within 60 min, 2 = 60 to 180 min, and 3 = 180 min or more). Before the implementation of ADAS, ADA can be explained as follows: some people suddenly feel sad (negative feelings) and then recollect unpleasant memories of the past, leading to pain, despite the lack of a triggering event. The symptoms that are manifested are known as anxious-depressive attack.

ISSN: 1751-0759