DIAGNOSTIC REPORT
(Example)
Client’s Name: Ann Generic
Date of Report: 01/16/2013
REFERRAL QUESTION/REASON FOR TESTING:
Mrs. Generic was referred by The Mission Group for evaluation concerning the appropriateness of her participation in a mission trip to rural India. The summer trip will consist of a 3-week excursion into remote villages with a team of 10 others. Living accommodations for the team will likely be primitive and possibly changing with little notice.
ASSESSMENTS ADMINISTERED:
Examinee Biography
IPIP-NEO
Symptom Questionnaire (SQ)
Depression, Anxiety, and Stress Scales (DASS)
Clinical Anxiety Scale (CAS)
EXAMINEE BACKGROUND:
Mrs. Generic, a 45-year-old, married Caucasian female, works as a secretary in a medical office. She lives with her husband and 3 children. She is of normal height, slightly overweight, and looks younger than her age. She dresses neatly and maintains a well-groomed appearance. Mrs. Generic is very outgoing and friendly. She has a warm smile and remained attentive during the initial interview. She enjoys and values performing her work to the best of her abilities. She gains a sense of pride in accomplishing her tasks well. Her family relationships appear to have little conflict. She reports that she, her husband, and children generally get along well. Her outside friendships are limited, mainly consisting of her co-workers. Mrs. Generic reports that these friendships are not very close. Mrs. Generic reports that she suffers from diabetes, which is successfully managed by medication. Her obesity mildly affects her mobility and energy levels. She recently began taking an antidepressant under her physician’s direction. This is reportedly in response to circumstantial mood disruptions related to her menstrual cycle.
SUMMARY OF TEST RESULTS:
IPIP-NEO
The IPIP-NEO is an assessment used to estimate a person’s level on each of the 5 broad personality trait domains, and 30 sub-domains of the Five-Factor Model. It consists of 300 items. Answers are provided according to a 5 point Likert-type scale. The numerical scores represent a percentile estimate above other subjects of the same sex and age. Scores lower than 30 for a trait or sub-domain are characterized as “low;” scores between 30 and 70 are identified as “average;” and scores above 70 are labeled “high.”
The following chart reports Mrs. Generic’s IPIP-NEO scores.
| Extraversion | 90 | Agreeableness | 87 | Conscientiousness | 98 | Neuroticism | 16 | Openness to Experience | 7 |
| Friendliness | 98 | Trust | 33 | Self-Efficacy | 93 | Anxiety | 5 | Imagination | 1 |
| Gregariousness | 91 | Morality | 93 | Orderliness | 94 | Anger | 34 | Artistic Interest | 10 |
| Assertiveness | 87 | Altruism | 93 | Dutifulness | 83 | Depression | 6 | Emotionality | 64 |
| Activity Level | 49 | Cooperation | 67 | Achievement-Striving | 97 | Self-Consciousness | 8 | Adventurousness | 34 |
| Excitement-Seeking | 38 | Modesty | 79 | Self-Discipline | 96 | Immoderation | 99 | Intellect | 22 |
| Cheerfulness | 91 | Sympathy | 84 | Cautiousness | 76 | Vulnerability | 5 | Liberalism | 8 |
Symptom Questionnaire (SQ)
The SQ is a 92-item instrument for measuring four aspects of psychopathology: depression, anxiety, somatization, and anger-hostility. Subjects respond to a descriptive word or phrase with true/false and yes/no answers. Mrs. Generic’s score was 6 on the relaxation component of the anxiety/relaxed sub-scale, which was above average compared with the non-clinical sample. Her score was 5 for the depression/contented sub-scale, reflecting that she compared with the average of the non-clinical sample. Mrs. Generic’s score of 7 for the somatic/somatic well-being sub-scale was slightly above average for the clinical sample. Her score of 7 on the hostility/friendly sub-scale was slightly above the non-clinical sample mean for the friendly component.
Depression, Anxiety, and Stress Scales (DASS)
The DASS is a 42-item instrument that measures depression, anxiety, and stress within the past week prior to its administration. Each scale is composed of 14 primary symptoms. Subjects respond to statements on a 4 point Likert-type scale according to the degree to which that statement was experienced. Mrs. Generic’s depression and anxiety scores were well below the mean for the non-clinical samples, 2 and 1 respectively. Her score of 13 for the stress sub-scale was elevated for the non-clinical sample, but compared far below the average of the clinical sample.
Clinical Anxiety Scale (CAS)
The CAS is a 25-item instrument that measures the degree of clinical anxiety. Higher scores indicate increased anxiety. This instrument has a clinical cutoff score of 30 (+5). Mrs. Generic’s score was 18.
PSYCHOLOGICAL IMPRESSIONS:
Mrs. Generic is a friendly, outgoing person. She is verbally expressive, and has a rich vocabulary. She is open, cooperative, and capable of interacting with others in a socially appropriate manner. She views herself as genuinely caring, responsible, and friendly.
Mrs. Generic is internally motivated and guided by her Christian faith. External motivation stems from her extraverted personality. She prefers to be in the company of others and finds extended time alone emotionally difficult. She values actions of service toward others. She enjoys helping others and offering support to those with physical needs. This should make her an asset to the mission team.
Results of the IPIP-NEO (Extraversion, Agreeableness, and Neuroticism domains), the SQ (Depression, Anxiety, and Anger-Hostility sub-scales), the DASS (Depression and Anxiety sub-scales), and the CAS (Anxiety scale) support that Mrs. Generic is generally extraverted, suggests that she enjoys new social settings, and that her life is not greatly hindered by depression or anxiety.
She is likely to express a positive mood and enthusiasm that is encouraging to those around her. She seems to be an agreeable individual who is considerate of others and values group harmony. She finds interpersonal conflict more difficult to manage than environmental stressors. She may also easily feel intimidated by others and adopt a passive stance when faced with conflictual situations.
She is relatively free of depression and anxiety and is likely to maintain a sense of emotional stability and calmness even in challenging environments. This is supported by the results of the SQ (Anxiety/Relaxed and Depression/Contented sub-scales), the DASS (Depression and Anxiety sub-scales), and the CAS (Depression and Anxiety scales).
Her level of emotional reactivity is low indicating that she may possess personal resources that allow her to effectively cope with stressful situations. Mrs. Generic tends to be calm and able to regulate her emotions. She is not adverse to adventurous activities, which indicates that Mrs. Generic may be reasonably comfortable with the unfamiliar conditions involved in an environment as might be expected on the mission trip.
Her unusually high score on the Neuroticism (Immoderation sub-domain) of the IPIP-NEO suggests that Mrs. Generic has difficulty resisting some cravings and urges. This was consistent with information gathered during the initial interview, wherein Mrs. Generic reported she has difficulty controlling her eating habits. This appears to be constrained to that aspect of her life; otherwise, she reports an organized and disciplined existence.
Mrs. Generic scored slightly above the average of the clinical sample on the SQ (Somatic/Somatic Well-Being sub-scale). This may be explained as Mrs. Generic reported experiencing numerous and chronic physical complaints related to obesity, hypothyroidism, and diabetes. She indicated that her physical complaints have basis in medically verified physical conditions.
The elevated score on the DASS (Stress sub-scale) is indicative of situational stressors of the past week. Affecting this score may be that Mrs. Generic reports she has experienced menstruation during the past week and typically notes increased irritability and feelings of being stressed associated with this event.
CONCLUSIONS AND RECOMMENDATIONS:
Mrs. Generic is a 45-year-old female who was referred for evaluation concerning her appropriateness for participation in a mission trip to a challenging environment. She is married with 3 children and is employed as a secretary at a medical office.
Mrs. Generic was provided with a battery of psychological assessments, which included the Examinee Biography, IPIP-NEO, Symptom Questionnaire (SQ), Depression, Anxiety, and Stress Scales (DASS), and the Clinical Anxiety Scale (CAS).
Based on the results of the assessments, it is the conclusion of this examiner that Mrs. Generic is an acceptable candidate for participation in the mission trip for the following reasons:
- Mrs. Generic possesses personal qualities that will support her adaptation to the challenging mission environment and participation on the mission team.
- Mrs. Generic is not unduly encumbered by anxious or depressive conditions that would be heightened by the challenging mission environment.
- Mrs. Generic is likely to engage positively with the mission team in a mutually beneficial relationship.
