The instrument consists of 25 items.
Subscales:
(1) depression: items 1, 3, 7, 8, 20, 23
(2) anxiety: items 4, 5, 9, 10, 11, 17, 22
(3) anger: items 18, 19, 24
Scoring:
(1) total number of all items indicated
(2) the number of items in each of the 3 subscales: depression (6), anger (3) and anxiety (7)
Interpretation:
• Persons who showed a suboptimal response to stress had a higher incidence of coronary artery disease, mental illness, and suicide.