Brief Symptom Inventory
BSI
The efficient Brief Symptom Inventory® instrument provides patient-reported data to support clinical decision-making at intake and during the course of treatment in multiple settings. Use BSI® to help assess patients and objectively support care management decisions. Guidance on using this test in your telepractice.- Age range:
- Individuals 13 years and older
- Reading Level:
- 6th grade
- Publication date:
- 1993
- Qualification level:
- B
- Completion time:
- 8–10 minutes (53 items; 5-point rating scale)
- Administration:
- Paper-and-pencil, CD, or computer administration
- Scoring options:
- Q-global® web-based, Q Local™ Software, Mail-in and manual
- Report Options:
- Interpretive, Profile, and Progress Reports
- Norms:
- Adult nonpatients, Adult psychiatric outpatients, Adult psychiatric inpatients, Adolescent nonpatients
- Telepractice:
- Guidance on using this test in your telepractice
Psychologists, psychiatrists, physicians, nurses, and other healthcare professionals can use the BSI instrument to measure patient progress during and after treatment to monitor change. BASI also provides outcomes measurement for treatment programs and providers through aggregated patient information.
Benefits
- Assess patients at intake for psychological problems.
- Objectively support care management decisions.
- Measure patient progress during and after treatment to monitor change.
- Provide outcomes measurement for treatment programs and providers through aggregated patient information.
Features
The BSI instrument provides an overview of a patient's symptoms and their intensity at a specific point in time.
- Takes 8-10 minutes to complete, making it well-suited for repeated administrations over time to evaluate patient progress.
- The Global Severity Index helps quantify a patient's severity-of-illness and provides a single composite score for measuring the outcome of a treatment program.
- The reliability, validity, and utility of the BSI instrument have been tested in more than 400 research studies.
- Nine Symptom Scales are scored: Somatization (SOM), Obsessive Compulsive (O-C), Interpersonal Sensitivity (I-S), Depression (DEP), Anxiet (ANX), Hostility (HOS), Phobi Anxiety (PHOB), Paranoid Ideation (PAR), and Psychoticism (PSY).
- Includes three Global Indices: Global Severity Index (GSI), Positive Symptoms Distress Index (PSDI) and Positive Symptom Total (PST).
Sample Reports
Profile Report: presents raw and normalized T scores for each of the nine Primary Symptom Dimensions and the three Global Indices.
Interpret Report: provides a narrative overview of the client's symptoms at the global level and specific statements describing the individual symptom scale scores.
Progress Report: monitors a client’s progress over time.
The following resources are available for BSI.
Case Studies
- Measuring Both Sides of the Transplant Equation: Psychological Tests Help Evaluate Organ Recipients and Donors
- Medically oriented psychological tests help improve care for breast surgery candidates
Q-global Training Series
Frequently asked questions follow. Click on a question to see the response.
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The BSI Interpretive and Profile Reports provide information on all three adult normative groups: nonpatient, psychiatric outpatient, and psychiatric inpatient. The BSI Profile Report graphically displays the data using the norm group of your choice. The BSI Interpretive Report graphically displays the data using the nonpatient norms. The other T scores are listed below this profile graph.
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See Table 13 in the BSI manual.
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The BSI assessment is available in Spanish and French for Canada. Forms for the Spanish version are available for use with the MICROTEST Q system and hand-scoring. Forms for the French for Canada version are available for use with hand-scoring only.
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The SCL-90 assessment is an unnormed precursor to the SCL-90-R assessment. The original SCL-90 anxiety scale did not work and its obsessive-compulsive scale was very weak. After the assessment was revised, norms were developed for the revised assessment (SCL-90-R), and the BSI assessment was developed from that. Most research has been conducted using the SCL-90-R and BSI instruments.

