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.
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.
Benchmarking
See How You Compare
Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Below is a preview of how scores are typically distributed across each scale.
Autonomy (A)
Autonomy (A)
Average
3
Normal range
2.5 — 3.5
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Ways to Recover (WtR)
Ways to Recover (WtR)
Average
3.3
Normal range
2.7 — 4
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Recovery Cost (RC)
Recovery Cost (RC)
Average
2.1
Normal range
1.6 — 2.7
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Recovery Resources (RR)
Recovery Resources (RR)
Average
3.1
Normal range
2.6 — 3.6
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Simulation (S)
Simulation (S)
Average
2.3
Normal range
1.7 — 2.8
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Conformity (C)
Conformity (C)
Average
3.1
Normal range
2.6 — 3.6
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Triggers of Somatization (ToS)
Triggers of Somatization (ToS)
Average
2.8
Normal range
2.3 — 3.3
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Regression (R)
Regression (R)
Average
2.5
Normal range
1.9 — 3.1
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Overall level of secondary gain from illness (Olosgfi)
Overall level of secondary gain from illness (Olosgfi)
Average
3.7
Normal range
3.1 — 4.2
min.
1
max.
5
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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SAMPLE QUESTIONS
Example Questions From the Test
The questionnaire consists of two parts. The first part describes the period when a person is ill. The second part reflects the recovery process. Please recall your experience interacting with individuals who are ill for long periods or who become ill frequently and, based on that experience, indicate your opinion using the statements provided below.
- No, completely disagree
- More likely no than yes
- Hard to say
- More likely yes than no
- Yes, completely agree
- No, strongly disagree
- Rather no than yes
- Difficult to answer
- Rather yes than no
- Yes, strongly agree
- No, completely disagree
- Rather no than yes
- Difficult to answer
- Rather yes than no
- Yes, completely agree
WHAT THE TEST MEASURES
About This Assessment
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Secondary Gain From Illness Scale Test - Symptoms and Signs
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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