• Trauma Symptom Checklist - 40

    Trauma Symptom Checklist - 40

  • Date of Birth*
     - -
  • Today's Date*
     - -
  • Stage of Treatment*

  • How often have you experienced each of the following in the last month? Please read the symptom listed then answer 0-3, 0 being the least often and 3 being the most often. (Briere & Runtz, 1989)

  • 1. Headaches*
  • 2. Insomnia*
  • 3. Weight loss (without dieting)*
  • 4. Stomach problems*
  • 5. Sexual problems*
  • 6. Feeling isolated from others*
  • 7. "Flashbacks" (sudden, vivid, distracting memories)*
  • 8. Restless sleep*
  • 9. Low sex drive*
  • 10. Anxiety Attacks*
  • 11. Sexual overactivity*
  • 12. Loneliness*
  • 13. Nightmares*
  • 14. "Spacing out" (going away in your mind)*
  • 15. Sadness*
  • 16. Dizziness*
  • 17. Not feeling satisfied with your sex life*
  • 18. Trouble controlling your temper*
  • 19. Waking up early in the morning*
  • 20. Uncontrollable crying*
  • 21. Fear of men*
  • 22. Not feeling rested in the morning*
  • 23. Having sex that you didn't enjoy*
  • 24. Trouble getting along with others*
  • 25. Memory problems*
  • 26. Desire to physically hurt yourself*
  • 27. Fear of women*
  • 28. Waking up in the middle of the night*
  • 29. Bad thoughts or feelings during sex*
  • 30. Passing out*
  • 31. Feeling that things are "unreal"*
  • 32. Unnecessary or over-frequent washing*
  • 33. Feeling of inferiority*
  • 34. Feeling tense all the time*
  • 35. Being confused about your sexual feelings*
  • 36. Desire to physically hurt others*
  • 37. Feelings of guilt*
  • 38. Feeling that you are not always in your body*
  • 39. Having trouble breathing*
  • 40. Sexual feelings when you shouldn't have them*

  • Trauma Symptom Checklist – 40 (Briere & Runtz, 1989) Subscale composition and scoring for the TSC-40:

    The score for each subscale is the sum of the relevant items 

    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, 31 

    Sleep Disturbance – 2, 8, 13, 19, 22, 28 

    Sexual Problems – 5, 9, 11, 17, 23, 29, 35, 40 

    TSC Total Score: 1-40 

    Important Note: This measure assesses trauma-related problems in seceral categories. According to John Briere, PhD “The TSC-40 is a research instrument only. Use of this scale is limited to professional researchers. It is not intended as, nor should it be used as, a self-test under any circumstances.” For a more current version of the measure, which can be used for clinical purposes (and for which there is a fee), consider the Trauma Symptom Inventory – contact Psychological Assessment Resources at 800-331-8378. The TSC-40 is freely available to researchers. No additional permission is required for use or reproduction of this measure, although the following citation is needed: Briere, J.N. & Runtz, M.G. (1989). The Trauma Symptom Checklist (TSC-33): Early data on a new scale. Journal of Interpersonal Violence, 4, 151-163. For further information on the measure, go to www.johnbriere.com. 

  • Should be Empty: