This is a modified version of the Medical Outcomes Study health distress scale. We use 4 of the original 6 items, and changed the wording slightly. Items should be scrambled among other items using the same response categories, if possible (e.g., Energy/Fatigue scale).
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Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.25,52-53.
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