Evidence-based assessment/Pediatric Symptom Checklist

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The Pediatric Symptom Checklist (PSC) is a 35-question psychological assessment tool designed to evaluate and identify cognitive, emotional, and behavioral problems in children and adolescents.

Scoring and interpretation[edit | edit source]

Question breakdown[edit | edit source]

The PSC and Y-PSC include three subscales, the questions of which evaluate a given symptom set:[1]

  • Attention problems subscale: questions 4, 7, 8, 9, and 14
    • A score of 7 or higher on this subscale indicates significant impairments in attention.
  • Internalizing problems subscale: questions 11, 13, 19, 22, and 27
    • A score of 5 or higher on this subscale indicates significant symptoms of anxiety and depression.
  • Externalizing problems subscale: questions 16, 29, 31, 32, 33, 34, and 35
    • A score of 7 or higher on this subscale indicates significant problems with conduct.

Scoring[edit | edit source]

Scoring the PSC is based on a 0-2 scale, with each question being scored as follows based on responses:

  • 0 points: 0, meaning "never"
  • 1 point: 1, meaning "sometimes"
  • 2 points: 2, meaning "often"

Cutoffs[edit | edit source]

Scores are summed to yield the total score. Cutoff scores vary based on the measure format and on age:[1]

  • PSC:
    • For children ages 4 and 5, a score of 24 or higher indicates significant psychological impairment.
    • For children ages 6 to 16, a score of 28 or higher indicates significant psychological impairment.
  • Y-PSC:

-For adolescents of all ages, a score of 30 or higher indicates significant psychological impairment.

  • PSC-17:
    • For children of all ages, a score of 15 or higher indicates significant psychological impairment.
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