Appendix Table A.2.

Internalizing symptom scale component questions

Prompt: How much do you agree or disagree with each of the following statements? Response options: 1 (Disagree) - 5 (Agree)

Depressive Affect

Life often seems meaningless.

The future often seems hopeless.

I enjoy life as much as anyone. (reverse coded)

It feels good to be alive. (reverse coded)

Self-esteem

I take a positive attitude toward myself.

I feel I am a person of worth, on an equal plane with others.

I am able to do things as well as most other people.

On the whole. I’m satisfied with myself.

Self-derogation

I feel I do not have much to be proud of.

Sometimes I think I am no good at all.

I feel that I can’t do anything right.

I feel that my life is not very useful.

Loneliness

A lot of times I feel lonely.

I often feel left out of things.

I often wish I had more good friends.