Kessler Psychological Distress Scale (K6) Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
- Never
- Rarely
- Sometimes
- Often
- Always
- Never
- Rarely
- Sometimes
- Often
- Always
Kessler Psychological Distress Scale (K6) Test - Description and methodology of the test
For people who want a structured way to consider difficult emotional experiences, the Kessler Psychological Distress Scale (K6) Test provides a focused starting point. This psychological distress test helps respondents examine patterns associated with non-specific distress and decide what questions about their wellbeing may deserve closer attention. It is suited to anyone who wants an organized perspective on the experiences addressed by the questionnaire.
What This Assessment Explores
Non-specific psychological distress is the focus: difficult emotional experiences that do not identify one disorder.
Six questions address nervousness, hopelessness, restlessness, effort, sadness, and worthlessness. Together, the K6 questionnaire's items contribute to one overall distress result, not separate diagnoses.
The item themes show how the result relates to these experiences:
- Emotional tension reflects nervousness or fidgety restlessness.
- Hopelessness captures discouragement and difficulty imagining positive change.
- Effort and energy indicate whether ordinary activities feel unusually hard to manage.
- Mood and self-worth reflect sadness and feelings of worthlessness.
Psychological Distress Scale ranges from 6-30 and assesses distress during the past 30 days. Displayed bands are Low distress (6-12), Moderate distress (13-24), and High distress (25-30). Higher scores indicate more severe distress and possible mental health problems; lower scores indicate little or no distress. The result describes intensity, not cause.
Methodology and Evidence Base
Each item uses an ordered frequency response, moving from the least frequent experience to the most frequent. Answer choices use categories such as “None of the time” to “All of the time” or “Never” to “Always.” The questionnaire produces the displayed result, but its scoring is presented without an answer-by-answer aggregation or point-assignment rule.
The questionnaire is an online version using K6 content, whereas the cited studies concern the published K6 instrument. Kessler and colleagues introduced K6 in 2002 as a brief measure of non-specific psychological distress. Relevant K6 screening research includes Furukawa's 2003 examination of K6 alongside K10 in Australian survey data, and a 2010 study by Kessler and colleagues evaluated its screening performance across the WHO World Mental Health survey initiative. Those findings support the relevance of the source instrument, but they do not directly validate every feature of this online scoring format.
Because responses are self-reported, current circumstances, recall, self-awareness, and willingness to disclose can influence the result; it indicates reported distress but cannot establish its cause.
- Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959-976. 10.1017/S0033291702006074
- Furukawa, T. A., Kessler, R. C., Slade, T., & Andrews, G. (2003). The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33(2), 357-362. 10.1017/S0033291702006700
- Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., Furukawa, T. A., Gureje, O., Hinkov, H., Hu, C.-Y., Lara, C., Lee, S., Mneimneh, Z., Myer, L., Oakley-Browne, M., Posada-Villa, J., Sagar, R., Viana, M. C., & Zaslavsky, A. M. (2010). Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO World Mental Health (WMH) survey initiative. International Journal of Methods in Psychiatric Research, 19(S1), 4-22. 10.1002/mpr.310
Updated: