PTSD Symptom Checklist for Parents, YCPC Test - the question form
Questions: 30 · 6 minutes
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1. Does your child have intrusive memories of the trauma? Does your child recall them spontaneously?
Not at all
Once a week or less / from time to time
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
2. Has your child reenacted the traumatic event in play with dolls or toys (for example, scenes that resemble what happened during the trauma), either alone or with other children?
Not at all
Once a week or less / occasionally
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
3. Has your child had more nightmares since the trauma occurred?
Not at all
Once a week or less / occasionally
2–4 times a week / about half the time
5 or more times a week / almost all the time
Every day
4. Does your child act as if the traumatic event were happening again, even though it is not? Your child may seem as if they are back in the traumatic situation, lose touch with reality, and this is usually easy to notice when it happens.
Not at all
Once a week or less / once in a while
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
5. Since the trauma, has he ever seemed numb or “spaced out,” and did not respond when you tried to get his attention?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
6. Is your child upset when reminded of the event?
Not at all
Once a week or less / once in a while
2–4 times per week / half the time
5 or more times per week / almost always
Every day
7. Does your child have physical distress (e.g., rapid heartbeat, trembling, sweating, shortness of breath, stomachache, nausea) when reminded of the event?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
8. Does your child try to avoid conversations that may remind them of the trauma (for example, leaving or changing the subject when someone talks about what happened)?
Not at all
Once a week or less / sometimes
2–4 times a week / half the time
5 or more times a week / almost always
Every day
9. Has your child tried to avoid things or places that remind them of the trauma?
Not at all
Once a week or less / some of the time
2–4 times a week / half the time
5 or more times a week / almost always
Every day
10. Does your child have difficulty remembering everything that happened (the details)? Has your child blocked out parts of the memory?
Not at all
Once a week or less / occasionally
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
11. Has he lost interest in activities he enjoyed before the trauma?
Not at all
Once per week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
12. Since the trauma, has your child been less emotionally responsive (less facial expression) than before the trauma?
Not at all
Once per week or less / occasionally
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
13. Has your child lost hope for the future (belief in the future)? For example, not believing that tomorrow will be fun, or that anything good will ever happen.
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
14. Since the trauma, has your child become more distant or emotionally withdrawn from family members, relatives, or friends?
Not at all
Once a week or less / sometimes
2–4 times a week / half the time
5 or more times a week / almost always
Every day
15. Since the trauma, has your child had more difficulty falling asleep or sleeping poorly?
Not at all
Once a week or less / from time to time
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
16. Has your child become more irritable, with outbursts of anger or frequent tantrums?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
17. Since the trauma, has your child had difficulty concentrating?
Not at all
Once a week or less / sometimes
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
18. Is he/she often on guard, expecting that something bad might happen (for example, looking around fearfully)?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
19. Has your child been much more easily startled than before the trauma (for example, by a sudden noise or if someone approaches unexpectedly)?
Not at all
Once a week or less / some of the time
2–4 times a week / half the time
5 or more times a week / almost always
Every day
20. Has your child become more physically aggressive since the trauma (e.g., likes to hit, kick, bite, or break things)?
Not at all
Once a week or less / sometimes
2–4 times per week / half the time
5 or more times per week / almost always
Every day
21. Has your child been literally unable to leave your side since the trauma?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
22. Night terrors started or got worse (different from nightmares; children may scream during sleep, cannot be awakened, and do not remember the episode the next day).
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
23. Since the trauma, has your child lost previously acquired skills (e.g., toilet training, language skills, or motor skills such as pressing buttons or zipping a zipper)?
Not at all
Once a week or less / sometimes
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
24. Since the trauma, has the child developed any new fears that do not seem related to the trauma (e.g., being alone in the bathroom or fear of the dark)?
Not at all
Once a week or less / sometimes
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
25. How often have the symptoms you identified above interfered with your child’s functioning in the following areas? Did the symptoms mainly interfere when the child was with you, disrupt your relationship, or make you feel upset or irritable?
Almost never / never
Some of the time
Half of the days
More than half of the days
Every day
26. Did these symptoms interfere with the child getting along with brothers and sisters and make them upset or irritable?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
27. Have these symptoms interfered with the child’s relationship with the teacher in class more than usual?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
28. Have these symptoms affected how things have generally been going in their relationships with friends at preschool, school, or with neighborhood children?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
29. Have these symptoms made it harder than usual to take your child to public places (for example, to a grocery store or restaurant)?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
30. Do you think this behavior has caused your child to feel upset?
Almost never / never
For some time
Half the days
More than half the days
Every day
1. Has your child had intrusive memories of the trauma? Do they come to mind on their own?
Not at all
Once a week or less / occasionally
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
2. Does your child reenact the traumatic event in play with dolls or toys (for example, acting out scenes that resemble what happened), alone or with other children?
Not at all
Once per week or less / occasionally
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
3. Has your child had more nightmares since the trauma occurred?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
4. Does your child ever act as if the traumatic event is happening again, even though it is not? Your child may seem as if they are back in the traumatic situation, lose touch with what is real, and it is fairly easy to notice when this happens.
Not at all
Once a week or less / sometimes
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
5. Since the trauma, has she sometimes seemed “numb” or in a daze, as if she were frozen and did not respond even when you tried to get her attention?
Not at all
Once a week or less / once in a while
2–4 times a week / half the time
5 or more times a week / almost always
Every day
6. Does she get upset when reminded of the event?
Not at all
Once per week or less / sometimes
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
7. Does your child have physical distress (e.g., rapid heartbeat, trembling, sweating, shortness of breath, stomachache, nausea) when reminded of the event?
Not at all
Once per week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
8. Does your child try to avoid conversations that might remind them of the trauma (for example, walking away or changing the subject when someone talks about what happened)?
Not at all
Once a week or less / sometimes
2 to 4 times a week / about half the time
Five or more times a week / almost always
Every day
9. Does your child try to avoid things or places that remind them of the trauma?
Not at all
Once a week or less / occasionally
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
10. Has your child had difficulty remembering important parts of what happened (details)? Has your child had blocked memories?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
11. Has your child lost interest in activities they used to enjoy before the trauma?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
12. Since the trauma, has your child felt less emotionally responsive (less facial expression) than before the trauma?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
13. Has your child lost hope for the future (belief in the future)? For example, not believing that tomorrow will be fun, or that anything good will ever happen?
Not at all
Once a week or less / from time to time
2–4 times a week / half the time
5 or more times a week / almost always
Every day
14. Since the trauma, has your child become more distant or emotionally detached from family members, relatives, or friends?
Not at all
Once a week or less / once in a while
2–4 times a week / half the time
5 or more times a week / almost always
Every day
15. Since the trauma, has your child had more difficulty falling asleep or sleeping poorly?
Not at all
Once a week or less / sometimes
2–4 times per week / half the time
5 or more times per week / almost always
Every day
16. Has your child become more irritable, with anger outbursts or frequent tantrums?
Not at all
Once a week or less / some of the time
2–4 times a week / about half the time
5 or more times a week / almost all the time
Every day
17. Since the trauma, has your child had difficulty concentrating?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
18. Is she often on guard, as if something bad might happen (for example, looking around fearfully)?
Not at all
Once a week or less / occasionally
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
19. Has your child been much more easily startled than before the trauma (for example, by a sudden noise or if someone approaches unexpectedly)?
Not at all
Once a week or less / some of the time
2–4 times per week / half the time
5 or more times per week / almost always
Every day
20. Has your child become more physically aggressive since the trauma (e.g., enjoys hitting, kicking, biting, or breaking things)?
Not at all
Once a week or less / occasionally
2–4 times a week / about half the time
5 or more times a week / almost always
Every day
21. Has she been clingy and stayed very close to you since the trauma?
Not at all
Once a week or less / occasionally
2–4 times a week / half the time
5 or more times a week / almost always
Every day
22. Night terrors started or got worse? (Night terrors differ from nightmares in that children often scream in their sleep, cannot be awakened, and do not remember them the next day.)
Not at all
Once per week or less / occasionally
2–4 times per week / about half the time
5 or more times per week / almost always
Every day
23. Since the trauma, has your child lost skills they had previously acquired (e.g., toilet training, speech, or motor skills such as pressing buttons or zipping a zipper)?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
24. Since the trauma, has the child developed any new fear that does not seem related to the trauma (e.g., being alone in the bathroom or fear of the dark)?
Not at all
Once a week or less / occasionally
2–4 times per week / half the time
5 or more times per week / almost always
Every day
25. How often have the symptoms you endorsed above interfered with your child's functioning in the following areas? Have the symptoms mainly interfered when your child was with you, disrupted your relationship, or caused you to feel upset or irritable?
Almost never / never
Some of the time
About half the days
More than half the days
Every day
26. Have these symptoms made it difficult for the child to live with brothers and sisters, and caused them to feel upset or irritable?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
27. Have these symptoms interfered with the child’s relationship with their teacher in class more than usual?
Almost never/never
Some of the time
Half the days
More than half the days
Every day
28. Have these symptoms affected her overall relationships with friends at daycare, school, or with neighborhood children?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
29. Have these symptoms made it harder than usual to take her to public places (for example, going to a grocery store or a restaurant)?
Almost never / never
Some of the time
Half the days
More than half the days
Every day
30. Do you think this behavior has caused your child to feel upset?
Almost never / never
Some of the time
Half the days
More than half the days
Every day