Kuisioner kesepian

Skala Kesepian DeJong Gierveld

1. I experience a general sense of emptiness (EL)

Yes
More or less
No
2. I miss having people around me (EL)
Yes
More or less
No
3. I often feel rejected (EL)
Yes
More or less
No
4. There are plenty of people i can rely on when i have problemms (SL)
Yes
More or less
No
5. There are many people i can trust completely (SL)
Yes
More or less
No
6. There ara enough people i feel close to (SL)
Yes
More or less
No

To score responses and interpret the results:

There are negatively (1-3) and positively (4-6) worded items. On the
negatively worded items, the neutral and positive answers are scored as
“1”. Therefore, on questions 1-3 score Yes=1, More or less=1, and
No=0. On the positively worded items, the neutral and negative answers are
scored as “1”. Therefore, on questions 4-6, score Yes=0, More or less=1,
and No=1. This gives a possible range of scores from 0 to 6, which can be
read as follows: (Least lonely) 0 , 6 (Most lonely)
Sumber: J. De Jong Gierveld dan T. Van Tilburg, Research on
Aging 2006 , 28 , 582-598
Nyc loneliness scale
Items in Revised UCLA Loneliness Scale (R-UCLA)a and Three-Item Loneliness Scale

R-UCLA Loneliness Scale

Directions: Indicate how often you feel the way described in each of the following statements. Circle
one number for each.

Statement Never Rarely Sometimes Often

1. I feel in tune with the people around me. b 1 2 3 4

2. I lack companionship. 1 2 3 4

3. There is no one I can turn to. 1 2 3 4

4. I do not feel alone.b 1 2 3 4

5. I feel part of a group of friends. b 1 2 3 4

6. I have a lot in common with the people around me. b 1 2 3 4

7. I am no longer close to anyone. 1 2 3 4

8. My interests and ideas are not shared by those around 1 2 3 4

me.

9. I am an outgoing person.b 1 2 3 4

10. There are people I feel close to.b 1 2 3 4

11. I feel left out. 1 2 3 4

12. My social relationships are superficial. 1 2 3 4

13. No one really knows me well. 1 2 3 4

14. I feel isolated from others. 1 2 3 4

15. I can find companionship when I want it.b 1 2 3 4

16. There are people who really understand me. b 1 2 3 4

17. I am unhappy being so withdrawn. 1 2 3 4

18. People are around me but not with me. 1 2 3 4

19. There are people I can talk to.b 1 2 3 4

 20. There are people I can turn to.b 1 2 3 4

Three-Item Loneliness Scale

Lead-in and questions are read to respondent.

The next questions are about how you feel about different aspects of your life. For each one, tell me
how often you feel that way.

Question Hardly Some of the Often

Ever Time

First, how often do you feel that you lack 1 2 3

companionship: Hardly ever, some of the time, or often?

How often do you feel left out: Hardly ever, some of the 1 2 3

time, or often?

How often do you feel isolated from others? (Is it hardly 1 2 3

ever, some of the time, or often?)

NOTE: For both scales, the score is the sum of all items.
a
Russell, Peplau, and Cutrona (1980).
b
Item should be reversed before scoring.

Scoring : Items that are asterisked should be reversed (i.e., 1=4, 2=3, 3=3 , 4=1), and the
scores for each item then summed together . higher scores indicate greater degrees of
loneliness.
Copyright 1994 by daniel w . russell.Reprinted with permission.

Skala ide bunuh diri

SCORING SIQ QUISIONER
The Suicidal Ideation Questionnaire-JR (SIQ-JR; Reynolds, 1987) is a self-report measure
developed specifically for young adolescents that requires approximately five to eight minutes to
complete. It can be group or individually administered. The SIQ-JR is composed of 15
items that are scored on a seven-point scale ranging from 0 (I never had this thought) to 6
(almost every day). Each item addresses a specific suicidal cognition (e.g., “1 thought about how
others would feel if I killed myself.” “I thought about how I would kill myself.” “I thought that
killing myself would solve my problems.“), and evaluates the frequency of the cog&ions during
the past month. The SIQ-JR is scored in a pathological direction, with higher scores indicating
greater severity of suicidal ideation.