Description

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anxious, withdrawn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)..

 


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