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Scrupulosity PIOS

The Penn Inventory of Scrupulosity (PIOS), developed by Jonathan S. Abramowitz and colleagues in 2002, is a self-report questionnaire designed to assess religious and moral obsessions and compulsions, especially in the context of OCD.

3 minutes to complete

Eligibility

The PIOS can be completed by adults or adolescents who can understand the questionnaire, regardless of clinical diagnosis, to assess scrupulosity symptoms.

Questions for Scrupulosity PIOS

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Questions

1.

I worry I must act morally at all times or I will be punished

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
2.

I feel guilty about immoral thoughts I have had

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
3.

I feel urges to confess sins over and over again

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
4.

I fear I have acted inappropriately without realizing it

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
5.

I fear I will act immorally

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
6.

I am afraid of having sexual thoughts

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
7.

Feeling guilty interferes with my ability to enjoy things I would like to enjoy

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
8.

Immoral thoughts come into my head and I can’t get rid of them

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
9.

I must try hard to avoid having certain immoral thoughts

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
10.

I worry that I might have dishonest thoughts

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
11.

I am afraid of having immoral thoughts

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
12.

I am very worried that things I did may have been dishonest

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
13.

I am afraid my behavior is unacceptable to God

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
14.

I worry about Heaven and Hell

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
15.

I am afraid my thoughts are unacceptable to God

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
16.

I worry I will never have a good relationship with God

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
17.

I am afraid that I will disobey God’s rules/laws

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly
18.

I worry that God is upset with me

The answer should be a single choice:
  1. Never
  2. Rarely / almost never
  3. Sometimes
  4. Often
  5. Constantly

Scoring

Scale Score
Never 0
Rarely / almost never 1
Sometimes 2
Often 3
Constantly 4

Interpretation

Score Range Interpretation
Fear of God (0–48) Higher scores suggest more concern about divine punishment or relationship with God.
Fear of Sin (0–24) Higher scores reflect more concern about committing sins or moral failures

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Here are some FAQs and additional information
on Scrupulosity PIOS

What does the PIOS measure?

The PIOS measures scrupulosity, which is psychological discomfort or distress about moral or religious issues, often seen in obsessive-compulsive disorder.

Who can use the PIOS?

The PIOS can be used by researchers and clinicians to assess scrupulosity symptoms in adults and adolescents who understand the questionnaire.

How is the PIOS scored?

Each of the 18 items is rated from 0 (never) to 4 (constantly), with higher total scores indicating greater scrupulosity.

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