Questionnaire for Studying Attitudes Toward Illness and Treatment Test - the question form

Questions: 22 · 5 minutes
1. I believe that a necessary condition for reducing or eliminating neurotic symptoms is gaining a deep understanding of myself.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Applies completely
2. The anxiety I often feel is so strong that only doctors and a medical facility can make me feel safe.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Applies completely
3. I want to learn about modern methods for treating neuroses at a well-known medical institution.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Applies completely
4. My health condition is so severe that I probably will not be able to function normally for some time.
1 – Not at all true
2 – Not true
3 – Somewhat not true
4 – Somewhat true
5 – True
6 – Completely true
5. I hope that during treatment I will learn to cope on my own with the difficulties I have had up to now at work or in my studies.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Completely applies
6. I sought help from a medical facility because my doctors recommended it.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Completely applies
7. I think that being here will give me an opportunity to meet new interesting people and have new, unusual experiences.
1 – Does not fit at all
2 – Does not fit
3 – Rather does not fit
4 – Rather fits
5 – Fits
6 – Fits completely
8. I know very well which treatment method can help me, and I hope it will be used here.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Fully applies
9. Honestly, I would not have decided to start treatment if it were not for pressure from my family.
1 – Does not fit at all
2 – Does not fit
3 – Rather does not fit
4 – Rather fits
5 – Fits
6 – Fits perfectly
10. I want to start learning as soon as possible how to establish and maintain contact with other people.
1 – Not true of me at all
2 – Not true of me
3 – Somewhat not true of me
4 – Somewhat true of me
5 – True of me
6 – Completely true of me
11. I expect that the specialists will finally identify the true nature and causes of my symptoms.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Applies completely
12. I strongly hope that the doctors will eliminate the symptoms that cause me distress.
1 – Not at all true for me
2 – Not true for me
3 – Somewhat not true for me
4 – Somewhat true for me
5 – True for me
6 – Completely true for me
13. Above all, I want to understand what, in my attitude toward work or study, is making it harder for me to succeed.
1 – Does not apply at all
2 – Does not apply
3 – Somewhat does not apply
4 – Somewhat applies
5 – Applies
6 – Completely applies
14. I am seeking treatment because a distressing life situation I have been in recently has made me feel cut off from real life.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Completely applies
15. I believe that understanding and analyzing my attitudes, reactions, and relationships with others will help me improve the interpersonal contacts that have not been working out for me.
1 – Completely not true of me
2 – Not true of me
3 – Rather not true of me
4 – Rather true of me
5 – True of me
6 – Completely true of me
16. I believe that during my treatment here, I will learn to manage my symptoms on my own.
1 – Does not fit at all
2 – Does not fit
3 – Mostly does not fit
4 – Mostly fits
5 – Fits
6 – Fits me perfectly
17. I would like help in getting my close ones to change how they relate to me.
1 – Not at all true of me
2 – Not true of me
3 – Mostly not true of me
4 – Mostly true of me
5 – True of me
6 – Completely true of me
18. I feel a strong need to retreat to a safe place to escape the distressing worries and concerns that trouble me.
1 - Does not apply at all
2 - Does not apply
3 - Rather does not apply
4 - Rather applies
5 - Applies
6 - Applies completely
19. I have experienced too many hurts and injustices in life not to expect the help I deserve.
1 – Completely untrue of me
2 – Not true of me
3 – Somewhat untrue of me
4 – Somewhat true of me
5 – True of me
6 – Completely true of me
20. I hope that treatment will restore my energy and effectiveness in my activities (work, studies).
1 – Does not apply at all
2 – Does not apply
3 – Mostly does not apply
4 – Mostly applies
5 – Applies
6 – Applies completely
21. Because I have been given many diagnoses, often contradictory, I would like to feel confident about the true nature of my illness.
1 – Does not apply at all
2 – Does not apply
3 – Rather does not apply
4 – Rather applies
5 – Applies
6 – Completely applies
22. I hope that professionals can help make my interactions with other people easier for me and more satisfying.
1 – Not at all true
2 – Not true
3 – Rather not true
4 – Rather true
5 – True
6 – Completely true
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