Trauma Simptom Ceklist

Trauma Symptom Check-list 33 and 40 (TSC-33 and TSC-40)
John Briere, Ph.D. and Marsha Runtz, Ph.D.
Please note: Use of this scale is limited to professional researchers. The TSC-40 is a research
measure, not a clinical test. It is not intended as, nor should it be used as, a self-test.
CITATIONS FOR MEASURE:
Briere, J., & Runtz, M. (1989). The Trauma Symptom Checklist (TSC 33): Early data on a new
scale. Journal of Interpersonal Violence, 4, 151-163.
Elliott, D.M., & Briere, J. (1992). Sexual abuse trauma among professional women: Validating
The Trauma Symptom Checklist 40 (TSC 40). Child Abuse & Neglect, 16, 391 398.
TYPE OF POPULATION: Adults
COST: None
WHAT IT MEASURES: The TSC-40 is a research measure that evaluates symptomatology in

adults associated with childhood or adult traumatic experiences. It measures aspects of
posttraumatic stress and other symptom clusters found in some traumatized individuals. It does
not measure all criteria of PTSD, and should not be used as a complete measure of that construct.
The TSC-40 is a revision of the earlier TSC-33 (Briere & Runtz, 1989). Those requiring a
validated psychological test of posttraumatic response, using a similar format, should consider
the Trauma Symptom Inventory - 2 (TSI-2) or (for evaluation of a specific trauma) the Detailed
Assessment of Posttraumatic Stress (DAPS).
MEASURE PROCEDURE AND CONTENT: The TSC-40 is a 40-item self- report instrument
consisting of six subscales: Anxiety, Depression, Dissociation, Sexual Abuse Trauma Index
(SATI), Sexual Problems,, and Sleep Disturbance, as well as a total score. Each symptom item is
rated according to its frequency of occurrence over the prior two months, using a four point scale
ranging from 0 ("never") to 3 ("often"). The TSC-40 requires approximately 10-15 minutes to
complete, and can be scored in approximately 5-10 minutes.
PSYCHOMETRIC PROPERTIES SUMMARY: Studies using the TSC-40 indicate that it is a

relatively reliable measure (subscale alphas typically range from mid .60s to high .70s, with
alphas for the full scale averaging around .90. The TSC-40 and its predecessor, the TSC-33,
have predictive validity with reference to a wide variety of traumatic experiences. Google TSC-
40 for research using this measure.
GENERAL COMMENTS: The TSC-40 is a research instrument only. It is freely available to

researchers. No additional permission is required for use or reproduction of this measure. See
http://www.johnbriere.com for more information. The TSC-40 (below) is in Word format to
allow cutting and pasting, and reformatting.
SUBSCALE COMPOSITION AND SCORING FOR THE TSC-40
The score for each subscale is the sum of the relevant items, listed below. The TSC-40 total
score contains several items not included in subscales.
Dissociation: 7, 14, 16, 25, 31, 38

Anxiety: 1, 4, 10, 16, 21, 27, 32, 34, 39
Depression: 2, 3, 9, 15, 19, 20, 26, 33, 37
SATI (Sexual Abuse Trauma Index): 5,7,13,21,25,29,311
Sleep Disturbance: 2, 8, 13, 19, 22, 28
Sexual Problems: 5, 9, 11, 17, 23, 29, 35, 40
TSC-40 total score: 1-40
1
SATI items are those that most clearly identified sexual abuse survivors in early research on
this measure. This scale should not be used to attempt to identify those who have or have not
been sexually abused. It merely seeks to evaluate the relative presence of symptoms often
associated with sexual abuse.
NOTE: Because this is a research measure, and not normed on the general population, there are
no cut-offs for clinical elevations.
TSC-40
How often have you experienced each of the following in the last two months?
0 = Never 3 = Often
1. Headaches 0 1 2 3
2. Insomnia (trouble getting to sleep) 0 1 2 3
3. Weight loss (without dieting) 0 1 2 3
4. Stomach problems 0 1 2 3
5. Sexual problems 0 1 2 3
6. Feeling isolated from others 0 1 2 3
7. "Flashbacks" (sudden, vivid, distracting memories) 0 1 2 3
8. Restless sleep 0 1 2 3
9. Low sex drive 0 1 2 3
10. Anxiety attacks 0 1 2 3
11. Sexual overactivity 0 1 2 3
12. Loneliness 0 1 2 3
13. Nightmares 0 1 2 3
14. "Spacing out" (going away in your mind) 0 1 2 3
15. Sadness 0 1 2 3
16. Dizziness 0 1 2 3
17. Not feeling satisfied with your sex life 0 1 2 3
18. Trouble controlling your temper 0 1 2 3
19. Waking up early in the morning and can't get back
0 1 2 3
to sleep
20. Uncontrollable crying 0 1 2 3
21. Fear of men 0 1 2 3
22. Not feeling rested in the morning 0 1 2 3
23. Having sex that you didn't enjoy 0 1 2 3
24. Trouble getting along with others 0 1 2 3
25. Memory problems 0 1 2 3
26. Desire to physically hurt yourself 0 1 2 3
27. Fear of women 0 1 2 3
28. Waking up in the middle of the night 0 1 2 3
29. Bad thoughts or feelings during sex 0 1 2 3
30. Passing out 0 1 2 3
31. Feeling that things are "unreal” 0 1 2 3
32. Unnecessary or over-frequent washing 0 1 2 3
33. Feelings of inferiority 0 1 2 3
34. Feeling tense all the time 0 1 2 3
35. Being confused about your sexual feelings 0 1 2 3
36. Desire to physically hurt others 0 1 2 3
37. Feelings of guilt 0 1 2 3
38. Feelings that you are not always in your body 0 1 2 3
39. Having trouble breathing 0 1 2 3
40. Sexual feelings when you shouldn't have them 0 1 2 3

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Trauma Symptom Check-list 33 and 40 (TSC-33 and TSC-40)

John Briere, Ph.D. and Marsha Runtz, Ph.D.

CITATIONS FOR MEASURE:

TYPE OF POPULATION: Adults

WHAT IT MEASURES: The TSC-40 is a research measure that evaluates symptomatology in

PSYCHOMETRIC PROPERTIES SUMMARY: Studies using the TSC-40 indicate that it is a

GENERAL COMMENTS: The TSC-40 is a research instrument only. It is freely available to

Dissociation: 7, 14, 16, 25, 31, 38

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