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This brief self-report screening measure is intended to flag the possible presence of neurotic symptoms. The Heck-Hess Express Neurosis Diagnostic Method (BFB) can be used to support initial triage and determine whether a more comprehensive clinical assessment is warranted.
Developed by Hess and Hoeck, it consists of 40 items and typically takes about 4 minutes to complete. Items sample common somatic and psychological complaints and are scored to provide an overall index of symptom burden.
The Heck-Hess Express Neurosis Diagnostic Method (BFB) is best interpreted as a rapid screener rather than a standalone diagnostic instrument. Results should be integrated with clinical interview findings and other relevant information, with attention to population and cultural-linguistic factors that may affect interpretation.