The Pediatric Emotional Distress Scale (PEDS) can be used to rapidly evaluate the behavior of a child who has experienced a traumatic event. It consists of 21 items (17 general behavior, 4 event specific) rated by the parent or guardian. The authors are from The Citadel, Medical University of South Carolina, and Utah State University.
NOTE: Dr Saylor (at The Citadel) should be contacted for additional instructions in the instrument's use.
Patient selection: Child with a major trauma or stress in the past year. The target ages in the evaluation studies has been 2-10 years of age.
Observations of the child: 21 items
Responses |
Points |
almost never |
1 |
sometimes |
2 |
often |
3 |
very often |
4 |
total score =
= SUM(points for all 21 items)
total score for 17-item PEDS =
= SUM(points for the first 17 items)
Subscores:
(1) anxious, withdrawal (6): items 7, 8, 9, 14, 15, 16
(2) fearful (5): 3, 4, 5, 6, 10
(3) acting out (6): 1, 2, 11, 12, 13, 17
(4) traumatic event related: 18, 19, 20, 21
Interpretation:
• minimum total score 21
• maximum total score: 84
• minimum 17-item score: 17
• maximum 17-item score: 68
• The higher the scores, the greater the child's distress.
Scale |
Cut-Off Scores (Overall) |
anxious, withdrawn |
> 9.5 (>= 10) |
acting out |
> 13.5 (>= 14) |
fearful |
> 8.5 (>= 9) |
total PEDS (17 item) |
> 27.5 (>= 28) |
from Table 7, page 78; only whole numbers are used in scoring
percent of maximal score) =
= ((score) – (number of items)) / (3 * (number of items)) * 100%
Performance:
• The overall alpha coefficient for the first 17 items was 0.85)
• Parenteral evaluations correlated with total scores.
• Test-retest reliability at 6 weeks ranged from 0.55 to 0.61.
• The level of maternal education affected the choice of cut-off scores, with lower cut-off scores for mothers with high school educations and higher scores for mothers with more education (see Table 7, page 78)..
Specialty: Psychiatry
ICD-10: ,