The Child PTSD Symptom Scale (CPSS) Part I 2025

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The CPSS-SR-5 is a modified version of Child PTSD Symptom Scale self-report (CPSS-SR) for DSM-5. The 20 PTSD symptom items are rated on a 5-point scale of frequency and severity from 0 (not at all) to 4 (6 or more times a week /severe). The 7 functioning items are rated on yes/no.
Scoring. The total severity score ranges from 0 to 80 and is calculated by summing the ratings of the first 20 items. The CPSS-5-I also yields subscale scores for intrusion (Items 15), avoidance (Items 67), changes in cognition and mood (Items 814), and increased arousal and reactivity (Items 1520).
CPSS Scoring and Interpretation. For scoring severity of PTSD symptoms, each of the first 17 items is rated on a scale from 0 to 3, with total score ranging from 0 to 51 by adding them up. Items 1-5 are re-experiencing symptoms, items 6-12 are avoidance symptoms, and items 13-17 are hyperarousal symptoms.
The symptoms of loss of interests, restricted range of affect, detachment from loved ones, and avoidance of thoughts or feelings related to the trauma manifest in young children but are consistently ranked as some of the least frequent among the PTSD symptoms (15).
A normative percentile of 50 is indicative of an average score for someone who does not have PTSD, whereas a PTSD percentile of 50 is indicative of an average score for someone who is currently in care for PTSD.
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The PTSD Checklist for DSM-5 (PCL-5) assessment is not meant for an acute trauma and is administered to assess PTSD symptoms experienced over the past month. This screening tool is indicated for children ages 7 or above, which spans a wider age range than does the PHQ-9.
Signs and symptoms Reliving the event over and over in thought or in play. Nightmares and sleep problems. Becoming very upset when something triggers memories of the event. Lack of positive emotions. Intense ongoing fear or sadness. Irritability and angry outbursts.

ptsd symptom scale pdf