SHE - Short Term Hormone Effect Scale
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Scheme for evaluation:  The "Short-term Hormonal Effects" (SHE) scale

Once the SHE questionnaire is completed by the women, the following form can be used for an evaluation by hand (or computerized).The scoring scheme of the SHE scale is simple: The questionnaire has for each of the 15 items an option to check one of 5 boxes (coding points 1…5). If a question does not apply, the code “0” (not applicable) might be used.

Write the coding points of each of the items into the form below. The composite scores for each of the five domains are based on adding up the scores of the items of the respective domains. The total composite score (total score) is the sum of the five domain scores. The five domains, i.e. psychological disorders, hormonal effects, menstrual problems, sexual problems, and abdominal complaints, and their corresponding question numbers are detailed in the form.

This form explains how the total sum-score and the sum-scores of the subscales are determined: Add up the points from each of the three items belonging to one of the subscales (indicated by a blank field with dots) to get the sum-score for the respective domains.The “total score” is the sum of the five domain-scores.

 

 5 domains

 

Psych.
Disorders

Hormonal
Effects

Menstrual Problems

Sexual
Problems

Abdominal
Symptoms

1.  Depressive mood …………………..

….

 

 

 

 

2.  Feeling worried ……………………..

….

 

 

 

 

3.  Restlessness, irritability …………...

….

 

 

 

 

4.  Increased appetite …………………

 

….

 

 

5.  Weight gain …………………………

 

….

 

 

6.  Swelling extremities ……………….

 

….

 

 

7.  Painful mens………………………..

 

 

….

 

8.  Premenstrual complaints …………

 

 

….

 

9.  Strong menstr. bleeding ………….

 

 

….

 

10.Less sexual fantasies ……………..

 

 

….

 

11.Less satisfaction sex ………………

 

 

….

 

12.Reduced sexual arousal ………….

 

 

….

 

13.Abdominal pain ……………………

 

 

 

….

14. Cyclic bleeding guts/bladder ……

 

 

 

….

15.Cramps guts/bladder …………….

 

 

 

….

Domain scores (sum of 3 items)

…..

…..

…..

…..

….

Total Score:

 

 

 

 

 

 

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