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Paediatric Index of Emotional Distress (PI-ED)

A brief and easy-to-use self rating scale that screens children and young people for emotional distress.

  • Age Range: 8-16 years
  • Administration: Individual
  • Timed: 5-10 minutes

Based on the popular Hospital Anxiety & Depression Scale (HADS) , the Paediatric Index of Emotional Distress (PI-ED) is a valid and reliable self-rating scale that screens children and young people for emotional distress.

The PI-ED assesses psychological distress using one brief questionnaire, comprising 14 questions that are presented on one page. It asks children and young people about their symptoms of anxiety and depression. A concrete cut-off score then clearly identifies individuals most in need of further clinical assessment and intervention.

The individual assessment is suitable for administration by a range of clinical and educational professionals along with researchers assessing emotional disorders in children as an index of clinical change. The PI-ED is the only measure of its kind designed for use with both children that have physical health problems (i.e. those in paediatric clinics and hospitals) and children in a normal population.

Standardised on over 1100 children in the UK within educational and clinical settings, the PI-ED uses language and concepts that are both appropriate for the understanding of children and young people and that minimise stress while completing the questionnaire. It is also suitable for children with reading difficulties or English as an Additional Language (EAL), as the items can be either read or translated for them.

Why use the PI-ED?

  • It is the only UK-standardised measure of emotional distress that is psychometrically robust in a large non-clinical and clinical sample
  • The PI-ED facilitates the early identification of mental health problems and aids referral to appropriate services with clear cut-off scores to indicate increased risk of psychological distress
  • It is ideal for use as a screening measure, an index of clinical change and as an outcome measure
  • Quick and easy to administer, the PI-ED is briefer than comparable measures, easy to score and simple to interpret with clear cut off scores
  • Highly cost effective – as a single measure of emotional distress it removes the need for separate measures of anxiety and depression or different measures for different ages.


Complete Set contains:

  • Manual
  • Record Forms (100)

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