ZSDS·Depression

Zung Self-Rating Depression Scale

A 20-item scale that gauges the severity of depressive symptoms. It combines positively and negatively worded items.

Clinical review

Berk Mete, MSc reviewed this page

Clinical Psychologist · BPS Graduate Member #763717

Last updated: July 14, 2026

In one minute

The Zung Self-Rating Depression Scale is a self-report tool that briefly reviews the emotional, physical and cognitive symptoms linked to depression over the past week. Its purpose is not to make a diagnosis but to give you a sense of the level of low mood. Elevated results suggest that talking with a specialist may be helpful.

How it works in 3 steps

  1. You respond: You mark the items while thinking about how you have felt over the past week.
  2. A total is produced: Your answers turn into a total score that falls into a level range.
  3. It is interpreted: The score is read not on its own but together with the context of your life.

Who it informs

It is informative for adults who have felt tired, unmotivated or low for a long time and who notice changes in their sleep and appetite.

When professional support helps

A scale never makes a diagnosis on its own. If your results worry you, or if symptoms are affecting your daily life, sleep, or relationships, planning an assessment session with a clinical psychologist is the healthiest next step. If symptoms are intense, seeking support without delay is recommended.

What does the ZSDS measure?

This scale looks at several facets of depression together: sadness, loss of interest, changes in sleep and appetite, low energy and pessimism about the future. In this way it makes visible whether your symptoms affect only your mood or also your body and your day-to-day functioning.

The result gives a level that summarises the overall picture for that week. When one week is compared with another, it also offers a sense of the direction a person is heading in.

How is it scored?

Each item is scored according to how often the symptom occurs and the scores are summed; some items are written so that they are reverse-scored. The total falls into ranges classified as normal, mild-to-moderate, moderate-to-severe and severe.

Items
20
Score range
080
Administration
Self / observer report

What do the score bands mean?

The ranges below are a general frame. No band makes a diagnosis on its own; a result only becomes meaningful when a clinical psychologist interprets it alongside your life story.

ScoreGeneral interpretation
2049Normal range
5059Mild-to-moderate depression
6069Moderate-to-severe depression
7080Severe depression

Limitation: It is a screening tool; a scale never makes a diagnosis of depression on its own. If there is a physical illness, some items may inflate the result, so high scores should be clarified in a conversation with a specialist.

Psychometrics and source

Developed by Zung (1965), it is widely used in the international literature and has a validated Turkish form as a screening tool.

Original source: Zung, W.W.K. (1965). A self-rating depression scale.

How is this scale used at Mete Psikoloji?

At Mete Psikoloji, scales like this one are used to support the first assessment consultation and to track change over the course of your support. Your scores are always recorded and followed in your personal portal; your clinical psychologist interprets them together with you, taking your history into account. Clients seen online complete and view their scales in the portal, and clients seen in person are followed in the same portal.

Related reading

Did your result give you pause?

A scale is only a starting point. By planning an assessment session with our clinical psychologists, you can consider your result alongside the context of your life.