Trauma Symptom Inventory (TSI) for DSM-IV - PTSD: National Center for PTSD
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Trauma Symptom Inventory (TSI) for DSM-IV

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Trauma Symptom Inventory (TSI) for DSM-IV

Briere, 1996


The TSI is a global measure of trauma sequelae; items are not keyed to a specific traumatic event. It is a 100-item self-report measure of posttraumatic stress and other psychological sequelae of traumatic events. Respondents are asked to rate how often each symptom has happened to them in the past six months. Items are rated on a 4-point frequency scale ranging from 0 ("never") to 3 ("often").

The TSI has 10 clinical scales that assess a variety of symptom domains related to trauma: Anxious Arousal, Depression, Anger/Irritability, Intrusive Experiences, Defensive Avoidance, Dissociation, Sexual Concerns, Dysfunctional Sexual Behavior, Impaired Self-reference, and Tension Reduction Behavior. The TSI also includes three validity scales that may be useful in identifying response tendencies that would invalidate the test results. These scales assess Atypical Responses, Response Level (very low reporting), and Inconsistent Responses.

The TSI contains items that correspond to DSM-IV symptom criteria (B, C, and D) for PTSD, but does not specifically assess these criteria. Raw scale scores are converted to T scores for the 10 clinical scales and the 3 validity scales based on a normative sample (with separate norms based on gender and age). A computer scoring program is available from the test publisher. The TSI is recommended for measuring a variety of trauma-related symptoms in clinical or research settings.

Sample Item

"Pushing painful memories out of your mind." (Respondents are asked to rate the frequency of the item in the last six months).


Briere, J. (1995). Trauma Symptom Inventory Professional Manual. Odessa, FL: Psychological Assessment Resources.

Briere, J. (1996). Psychometric review of Trauma Symptom Inventory (TSI). In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 381-383). Lutherville, MD: Sidran Press.

Additional Reviews

Orsillo (2001) (PDF) p. 294.

Orsillo, Susan M. (2001). Measures for acute stress disorder and posttraumatic stress disorder. In M.M. Antony & S.M. Orsillo (Eds.), Practitioner's guide to empirically based measures of anxiety (pp. 255-307). New York: KluwerAcademic/Plenum. PTSDpubs ID 24368

Norris and Hamblen (2004) (PDF) p. 86.

Norris, Fran H. & Hamblen, Jessica L. (2004). Standardized self-report measures of civilian trauma and PTSD. In J.P. Wilson, T.M. Keane & T. Martin (Eds.), Assessing psychological trauma and PTSD (pp. 63-102). New York: Guilford Press. PTSDpubs ID 18638

To Obtain Scale

Psychological Assessment Resources
Box 998
Odessa, FL 33556
Phone: (800) 331-8378

Available for purchase at http://www.parinc.comLink will take you outside the VA website. VA is not responsible for the content of the linked site.

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Measure availability: We provide information on a variety of measures assessing trauma and PTSD. These measures are intended for use by qualified mental health professionals and researchers. Measures authored by National Center staff are available as direct downloads or by request. Measures developed outside of the National Center can be requested via contact information available on the information page for the specific measure.

PTSD Information Voice Mail: (802) 296-6300
Also see: VA Mental Health