> ## Documentation Index > Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt > Use this file to discover all available pages before exploring further. # MSPSS — Multidimensional Scale of Perceived Social Support > How supported a client feels, and by whom. 12 items across three sources — significant other, family and friends — scored 12–84 with no diagnostic cutoff. The MSPSS measures something most instruments skip: not what is wrong, but what a client has around them. It asks how supported they feel by a significant other, by their family, and by their friends, and it reports each separately. ## What it measures Perceived social support — the client's own sense of who is there, not a headcount of who exists. Twelve statements rated on a seven-point agreement scale, grouped into three sources of four items each: * **Significant other** — items 1, 2, 5 and 10 * **Family** — items 3, 4, 8 and 11 * **Friends** — items 6, 7, 9 and 12 Perceived support is the variable that predicts outcome, which is why the instrument asks how it feels rather than how it looks from outside. A client with a large family can score low on the family subscale, and that is the finding, not an error. ## When to use it * **Intake**, when you are building a picture of what the client is working with rather than only what they are working on. * **Adjustment difficulties, depression and anxiety**, where isolation is often doing more work than the presenting problem. * **Chronic illness and health psychology**, where it is widely used. * **Before and after a change in circumstances** — a move, a separation, a bereavement, leaving a job. It sits well alongside a symptom measure. Run it with the [PHQ-9](/clinical-templates/screening/phq-9) and you can see whether a low mood is tracking a thin support system or something else. ## How clients fill it Two to three minutes. The stem sets up the scale, then twelve statements, each with the same seven options: 1. Very Strongly Disagree 2. Strongly Disagree 3. Mildly Disagree 4. Neutral 5. Mildly Agree 6. Strongly Agree 7. Very Strongly Agree The wording is warm and unclinical — "There is a special person who is around when I am in need" — which makes it one of the easier instruments to hand someone early in the work. ## How Rivet scores it Each option scores its own number, 1 through 7. There are no reverse-scored items. * **Total** — the sum of all twelve items. Range 12–84. * **Each subscale** — the sum of its four items. Range 4–28. Rivet reports the total and all three subscales. ## Bands | Total | Perceived support | Per-item mean | | ----- | ----------------- | ------------- | | 12–35 | Low | ≤ 2.9 | | 36–60 | Moderate | 3.0–5.0 | | 61–84 | High | ≥ 5.1 | The canonical interpretation is a per-item average on the 1–7 scale rather than the raw sum, which is why the mean is given alongside. The bands are the sum-equivalents of those means. **There is no diagnostic cutoff.** The MSPSS is a continuous descriptive measure. A low band is not a positive screen for anything — it is a description of the client's situation, and what it points at is usually an intervention rather than a diagnosis. ## Reading the subscales The subscales are the reason to run this rather than a single support question. A total in the moderate band can hide a client who feels well supported by friends and not at all by family, and those two situations call for different work. Look at the spread before the total. A flat profile across all three sources reads differently from one deep gap. ## When NOT to use it * **As a severity or outcome measure on its own.** It describes context, not distress. Pair it with a symptom measure. * **As a substitute for asking.** The subscale that comes back low is the start of a conversation, not the conclusion of one. * **Where the three sources do not map to the client's life.** The "significant other" items assume a particular kind of relationship. For some clients — recently bereaved, recently separated, or without that relationship by choice — those four items measure absence rather than support, and the total will read low for a reason the total cannot explain. ## MSPSS vs RFL-12 Both come up in crisis formulation and they measure different things. The MSPSS measures perceived support available now, from three sources — a significant other, family, and friends. The [RFL-12](/clinical-templates/crisis/rfl-12) measures protective *beliefs*: reasons a person holds for staying alive. Someone can have strong reasons for living and almost no one to call, and the reverse happens too. Reading the MSPSS by subscale is where its value is — knowing that friends score high and family scores low changes who a [safety plan](/clinical-templates/crisis/safety-plan) names. Neither is a risk measure. Both describe what is available to build on once risk has been established elsewhere. ## Is it free to use? **Yes.** Free clinical and research use, and widely cited. ## Citation Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). "The Multidimensional Scale of Perceived Social Support." *Journal of Personality Assessment*, 52(1): 30–41. Free for clinical and research use, widely cited. Rivet preserves the canonical item wording verbatim — the published bands only apply to the published wording. ## Related articles The depression measure this most often runs beside — symptoms on one side, support on the other. When to screen, and choosing between measures that overlap. Finding this one in the library and getting it to your client.