Scribd Logo
Upload

Welcome to Scribd!

  • 783 views

    PSC 17

    Uploaded by

    -Yohanes Firmansyah-
    The Pediatric Symptom Checklist-17 (PSC-17) is a caregiver-completed screening tool for behavioral and mental health disorders in children. It assesses 17 symptoms across three scales: internalizing, attention, and externalizing. Higher scores indicate an increased likelihood of a disorder. A 2007 study found the PSC-17 performed reasonably well compared to a longer assessment, with sensitivity ranging from 31-73% depending on the disorder. While not diagnostic, the PSC-17 is a useful screening tool to help primary care providers identify children who would benefit from further mental health evaluation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PSC 17

    Uploaded by

    -Yohanes Firmansyah-
    783 views2 pages
    The Pediatric Symptom Checklist-17 (PSC-17) is a caregiver-completed screening tool for behavioral and mental health disorders in children. It assesses 17 symptoms across three scales: internalizing, attention, and externalizing. Higher scores indicate an increased likelihood of a disorder. A 2007 study found the PSC-17 performed reasonably well compared to a longer assessment, with sensitivity ranging from 31-73% depending on the disorder. While not diagnostic, the PSC-17 is a useful screening tool to help primary care providers identify children who would benefit from further mental health evaluation.

    Original Description:

    Hh

    Original Title

    PSC-17

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The Pediatric Symptom Checklist-17 (PSC-17) is a caregiver-completed screening tool for behavioral and mental health disorders in children. It assesses 17 symptoms across three scales: internalizing, attention, and externalizing. Higher scores indicate an increased likelihood of a disorder. A 2007 study found the PSC-17 performed reasonably well compared to a longer assessment, with sensitivity ranging from 31-73% depending on the disorder. While not diagnostic, the PSC-17 is a useful screening tool to help primary care providers identify children who would benefit from further mental health evaluation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    783 views2 pages

    PSC 17

    Uploaded by

    -Yohanes Firmansyah-
    The Pediatric Symptom Checklist-17 (PSC-17) is a caregiver-completed screening tool for behavioral and mental health disorders in children. It assesses 17 symptoms across three scales: internalizing, attention, and externalizing. Higher scores indicate an increased likelihood of a disorder. A 2007 study found the PSC-17 performed reasonably well compared to a longer assessment, with sensitivity ranging from 31-73% depending on the disorder. While not diagnostic, the PSC-17 is a useful screening tool to help primary care providers identify children who would benefit from further mental health evaluation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Pediatric Symptom Checklist-17 (PSC-17)

    Caregiver Completing this Form: ___________________ Date: _____________________


    Name of Child: _______________________

    Please mark under the heading that


    For Office Use
    best fits your child

    SOME-
    NEVER OFTEN I A E
    TIMES

    1. Fidgety, unable to sit still


    2. Feels sad, unhappy
    3. Daydreams too much
    4. Refuses to share
    5. Does not understand other people’s feelings
    6. Feels hopeless
    7. Has trouble concentrating
    8. Fights with other children
    9. Is down on him or herself
    10. Blames others for his or her troubles
    11. Seems to be having less fun
    12. Does not listen to rules
    13. Acts as if driven by a motor
    14. Teases others
    15. Worries a lot
    16. Takes things that do not belong to him or her
    17. Distracted easily
    (scoring totals)

    Scoring: Suggested Screen Cutoff:


     Fill in unshaded box on right with: “Never” = 0, PSC-17 - I ≥ 5
    “Sometimes” = 1, “Often” = 2 PSC-17 - A ≥ 7
     Sum the columns. PSC-17 - E ≥7
    PSC17 Internalizing score is sum of column I Total Score ≥ 15
    PSC17 Attention score is sum of column A Higher Scores can indicate an increased
    PSC17 Externalizing score is sum of column E likelihood of a behavioral health disorder
    PSC-17 Total Score is sum of I, A, and E columns being present.

    PSC-17 may be freely reproduced.


    Created by W Gardner and K Kelleher (1999), and based on PSC by M Jellinek et al. (1988)
    Formatted by R Hilt, inspired by Columbus Children’s Research Institute formatting of PSC-17 13
    PSC-17 Scoring

    The PSC-17 can help primary care providers assess the likelihood of finding any mental
    health disorder in their patient. The brief and easy to score PSC-17 has fairly good mental
    health screening characteristics, even when compared with much longer instruments like the
    CBCL (Child Behavior Checklist by T. Achenbach).

    A 2007 study in primary care offices compared use of the PSC-17 to simultaneous use of the
    CBCL in 269 children aged 8-15, showing reasonably good performance of its three
    subscales compared to similar subscales on the CBCL. The gold standard here was a K-
    SADS diagnosis, which is a standardized psychiatric interview diagnosis. These comparison
    statistics are summarized below, with positive and negative predictive values shown based
    on different presumed prevalence (5 or 15%) of the disorders. Providers should notice that
    despite its good performance relative to longer such measures, it is not a foolproof diagnostic
    aide. For instance the sensitivity for this scale only ranges from 31% to 73% depending on
    the disorder in this study:

    Sensitiv- Specific- PPV PPV NPV


    K-SADS Screen NPV 5%
    ity ity 5% 15% 15%

    PSC-17 Attention 0.58 0.91 0.25 0.53 0.98 0.92


    ADHD
    CBCL Attention 0.68 0.90 0.26 0.55 0.98 0.94
    PSC-17 Internalizing 0.52 0.74 0.10 0.26 0.97 0.90
    Anxiety
    CBCL Internalizing 0.42 0.88 0.13 0.38 0.97 0.90
    PSC-17 Internalizing 0.73 0.74 0.13 0.33 0.98 0.94
    Depression
    CBCL Internalizing 0.58 0.87 0.19 0.44 0.98 0.92
    PSC-17 Externalizing 0.62 0.89 0.23 0.50 0.98 0.93
    Externalizing
    CBCL Externalizing 0.46 0.95 0.33 0.62 0.97 0.91
    PSC-17 Total 0.42 0.86 0.14 0.35 0.97 0.89
    Any Diagnosis
    CBCL Total 0.31 0.96 0.29 0.58 0.96 0.89

    W Gardner, A Lucas, DJ Kolko, JV Campo “Comparison of the PSC-17 and Alternative Mental Health Screens in
    an At-Risk Primary Care Sample” JAACAP 46:5, May 2007, 611-618

    PSC-17 Internalizing score positive if ≥ 5


    PSC-17 Externalizing score positive if ≥ 7
    PSC-17 Attention score positive if ≥7
    PSC-17 Total score positive if ≥15

    “Attention” diagnoses can include: ADHD, ADD


    “Internalizing” diagnoses can include: Any anxiety or mood disorder
    “Externalizing” diagnoses can include: Conduct disorder, Oppositional Defiant Disorder,
    adjustment disorder with disturbed conduct or mixed disturbed mood and conduct

    14

    You might also like