Schwartz Outcome Scale

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Schwartz Outcome Scale

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About Schwartz Outcome Scale

Scale Name

Schwartz Outcome Scale

Author Details

Michael A. Schwartz

Translation Availability

English

Background/Description

The Schwartz Outcome Scale (SOS-10), originally developed by Michael A. Schwartz and colleagues, is a 10-item self-report questionnaire designed to measure general psychological well-being in adults, particularly in clinical settings. It assesses overall functioning and quality of life, focusing on emotional, relational, and existential aspects without being tied to specific theoretical orientations. This atheoretical approach allows its use by practitioners from various disciplines (e.g., psychiatrists, social workers, psychologists) and orientations (e.g., CBT, psychodynamic).

The SOS-10 is normed on diverse samples, including inpatient, outpatient, college counseling, and non-patient community and college populations. Items are rated on a 7-point Likert scale (0 = “Never” to 6 = “All or nearly all of the time”), with higher scores indicating better psychological well-being (range: 0–60). It has been correlated with longer outcome measures like the Outcome Questionnaire-45 (OQ-45) and validated against scales such as Beck’s Hopelessness Scale, PANAS, and Personality Assessment Inventory. The SOS-10 is used in clinical psychology, psychiatry, and research to monitor therapy progress, with administration recommended before each session.

Administration, Scoring and Interpretation

  • Obtain the scale from authorized sources, such as Blais et al. (1999) or Young et al. (2003) publications, ensuring ethical use permissions.
  • Explain the purpose to respondents, noting that it assesses general well-being to support therapy, emphasizing anonymity and using clear, non-judgmental language.
  • Provide instructions, asking respondents to rate their agreement with statements about their psychological state over the past week, using the 7-point Likert scale.
  • Approximate time for completion is 2-3 minutes, given the 10-item format.
  • Administer in a clinical or research setting, using paper or digital formats, ensuring a private environment. Oral administration may be used for respondents with reading difficulties.

Reliability and Validity

The SOS-10 has excellent internal consistency, with Cronbach’s alpha ranging from 0.90 to 0.96 across studies. Test-retest reliability is not reported, but stability is inferred to be high based on similar well-being measures (r ≈ 0.80-0.90 over weeks). Convergent validity is supported by a strong negative correlation with the OQ-45 (r = -0.84), and correlations with related constructs such as Beck’s Hopelessness Scale (negative), PANAS (positive subscales positive, negative subscales negative), and Personality Assessment Inventory (various subscales in predicted directions).

Discriminant validity is evidenced by weaker correlations with unrelated constructs. Criterion validity is demonstrated by its ability to differentiate clinical (inpatient/outpatient) from non-clinical samples, with norms: non-patients (45.3), outpatients (33.28), inpatients (25.57). Factor analyses are not detailed, but the scale’s unidimensional focus on well-being supports construct validity. The reliable change index is 8, indicating meaningful therapeutic progress.

Available Versions

10-Items

Reference

Blais, M. A., Lenderking, W. R., Baer, L., deLorell, A., Peets, K., Leahy, L., & Burns, C. (1999). Development and initial validation of a brief mental health outcome measure. Journal of personality assessment73(3), 359-373.

Lambert, M. J., Christensen, E. R., & DeJulio, S. S. (1983). The assessment of psychotherapy outcome. (No Title).

Important Link

Scale File:

Frequently Asked Questions

What does the Schwartz Outcome Scale measure?
It measures general psychological well-being and functioning.

Who can use the scale?
Practitioners from various disciplines assessing clients in therapy.

How long does the scale take to complete?
It takes about 2-3 minutes.

Is the scale specific to certain groups?
It targets adults in clinical or non-clinical settings.

Can the scale inform interventions?
Yes, it monitors therapeutic progress with a reliable change index of 8.

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