Secondary Gain From Illness Scale Test
In about 8 minutes, see how hidden benefits of being unwell may affect recovery. Get clear insight to target blocks, build motivation, and guide focused therapy goals.
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08:30
Scale Explorer
How the Scales are Structured
DATA-BASED USER COHORTS
Who Usually Takes This Test?
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE
What You’ll See After You Finish the Test
Benchmarking
See How You Compare
Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.
Below is a preview of the benchmarks we use to place your score in context.
Autonomy (A)
Average
3
Normal range
2.5 — 3.5
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Ways to Recover (WtR)
Average
3.3
Normal range
2.7 — 4
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Recovery Cost (RC)
Average
2.1
Normal range
1.6 — 2.7
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Recovery Resources (RR)
Average
3.1
Normal range
2.6 — 3.6
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Simulation (S)
Average
2.3
Normal range
1.7 — 2.8
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Conformity (C)
Average
3.1
Normal range
2.6 — 3.6
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Triggers of Somatization (ToS)
Average
2.8
Normal range
2.3 — 3.3
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Regression (R)
Average
2.5
Normal range
1.9 — 3.1
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
Overall level of secondary gain from illness (Olosgfi)
Average
3.7
Normal range
3.1 — 4.2
min.
1
max.
5
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Once you complete the test, your result will appear here so you can see where you land.
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CLEAR ANSWERS TO COMMON QUESTIONS
Frequently Asked Questions
Any questions left?
What does this questionnaire measure?
It screens for potential psychological benefits linked to being ill that can reduce motivation for recovery. It highlights patterns that may maintain or worsen symptoms.
What kinds of benefits are assessed?
It covers factors such as increased attention, reduced demands, avoidance of difficult situations, and permission to rest. These factors may operate outside of conscious awareness.
How long does it take and how many items are included?
Completion time is about 8 minutes. The questionnaire includes 40 items.
How should items be answered?
Select the response that best reflects typical thoughts, feelings, or behaviors rather than a single recent event. If unsure, choose the closest option and avoid overthinking.
How should results be used?
Results are intended to support clinical formulation and treatment planning by identifying barriers and usable resources. They are not a medical diagnosis and should be interpreted alongside clinical information.
WHAT THE TEST MEASURES
About This Assessment
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Secondary Gain From Illness Scale Test
This self-report measure examines potential psychological and interpersonal reinforcements that may be associated with maintaining illness-related behaviors. The Secondary Gain From Illness Scale is intended to support clinical case formulation by identifying perceived benefits of illness (e.g., increased attention, relief from demands) that could influence motivation for change.
It consists of 40 items and typically takes about 8 minutes to complete. Results are best interpreted in context and used to guide collaborative discussion and treatment planning rather than as a standalone indicator of intent or malingering. The Secondary Gain From Illness Scale may be useful as part of a broader assessment when exploring barriers to recovery and factors that may sustain health-related difficulties.
Author: k-d-williams
Literature: Kroenke, K. Patients presenting with somatic complaints: Epidemiology, psychiatric comorbidity and management. International Journal of Methods in Psychiatric Research. 2003.; Friedman, W. J. The benefits of suffering and the costs of well being: Secondary gains and losses. Journal of Psychosomatic Research. 2000.
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