Neurotic Symptom Score (NSS) - A New Scoring System For Death Related Mental Health Research
Extent of the presence of symptoms related to the phenomenon of death is required to measure when someone wishes to evaluate this phenomenons impact. For that purpose, the research conducted in Bangladesh in the year 2003 on the impact and the variation of impact of the conception of death needed such measurement to evaluate the impact on the Muslims of Bangladesh. Thus symptoms described in the DSM-IV of the APA were taken in a checklist mainly from the sections that are related to adjustment problems, stress, and death. Number of symptoms present in a subject was assessed by the number of checkmarks given by the subject himself/herself on the checklist form containing the list of symptoms. This number was named as the Neurotic Symptom Score (NSS) for that subject. So simply, the self-declared number of the neurotic symptoms in a specific situation (stress of death) is the NSS for a specific subject.
The score can be ranging from zero to thirty-eight depending on the extent of presence of the following symptoms (for the last two weeks at least)
1. Depressed mood
2. Diminished interest in all
3. Change of appetite with the change in body weight without any physical illness
4. Insomnia or hypersomnia
5. Fatigue or loss of energy
6. Feeling of worthlessness
7. Excessive or inappropriate guilt
8. Diminished ability to think
9. Diminished ability to concentrate
10. Indecisiveness
11. Recurrent thoughts of death
12. Suicidal ideation, plans, or attempts
13. Low self-esteem
14. Feeling of hopelessness
15. Palpitation
16. Sweating
17. Trembling
18. Shortness of breath or smothering sensation
19. Trouble swallowing
20. Chest pain or discomfort
21. Nausea or abdominal distress
22. Dizziness
23. Unsteady feeling or faintness
24. Depersonalization or derealization
25. Fear of going crazy
26. Fear of dying
27. Numbness or tingling sensation
28. Flashes or chills
29. Agoraphobia
30. Specific phobia
31. Avoidant behavior significantly interfering with social life
32. Obsessive thoughts
33. Compulsive activity
34. Excessive anxiety or worry, sometimes out of control
35. Restlessness
36. Irritability
37. Muscle tension or ache
38. Trouble falling or staying asleep
The checklist mentioning the above symptoms were provided to 150 Muslims of Bangladesh. After they check-marked and returned the form, the scores (number of check-marked symptoms) were tabulated and used for the research. Finally it yielded a good result that was also statistically significant. When the research was submitted to the supervising University's academic board in Spain it was graded as an "excellent" research.
About the Author:
Dr. Mohammad Samir Hossain PhD is a researcher teacher of Psychiatry and a Psychotherapist in Bangladesh. He is renowned for his educational and research activity in mental health sector nationally and internationally. The Dictionary of International Biography cites his brief biography starting from its 33rd edition. One of the best educational institutions involved with his educational activity is the Harvard Medical School of USA. Visit his personal web site at http://www.samirhossain.org
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