Objective: The status of patients and research subjects is usually con
sidered in terms of self-reported symptoms. Measures seldom include di
sturbances in a conscious sense of the self. An additional brief measu
re of the sense of current self-regard is desirable, since a conscious
lapse in an integrated self-concept may occur under stressful circums
tances. The authors constructed and tested such a measure. Method: Cli
nical interviews had indicated five common experiences that occurred m
ore frequently as complaints during stress-induced regressions in the
sense of she self as a functioning mind-body agency. An anchored five-
item scale, the Self-Regard Questionnaire, was constructed and tested
with 79 subjects who were in the midst of grief from the death of a sp
ouse. Data analyses included checks on the internal coherence of quest
ionnaire scale scores and their association with symptom, personality,
and social desirability measures. Results: The five-item Self-Regard
Questionnaire was completed quickly, in less than a minute, and led to
internally consistent and unique data. Low levels of overall self-reg
ard were correlated with higher levels of distress and predicted prolo
nged distress. Conclusions: These results suggest that the questionnai
re is a useful, quick, and easy-to-score self-report tool for assessin
g, and reassessing over time, current experiences of the self. The fiv
e questions may also be useful to clinicians who evaluate patients in
contexts other than research.