The Parenting Stress Inventory, Fourth Edition, Short Form (PSI-4-SF)

CPP Cohort 1

The Parenting Stress Inventory, Fourth Edition, Short Form (PSI-4-SF)* is a caregiver-report questionnaire used to assess magnitude of stress in the parent-child system using a 4-point Likert scale.  Domains assessed include parental distress, parent-child dysfunctional interaction, difficult child (how easy or difficult the caregiver perceives the child). A total stress percentile is also obtained in the PSI-4-SF.

Descriptive Statistics:  Pre- and post-treatment assessment measure means and standard deviations for each subscale of the PSI-4-SF are listed in the table below, as well as the range of possible scores and clinically significant range for each subscale.

PSI-4-SF Subscales: Descriptive Statistics

Repeated Measures: Paired t-tests were conducted to examine pre-post group mean differences on PSI-4-SF subscales and total stress scores.  Analyses showed statistically significant improvement in difficult child and total stress.  Please see the table and graph below for more information on these analyses.

PSI-4-SF Subscales: Paired t-tests

PSI-4-SF Pre-Post Treatment Mean Subscale and Total Stress Scores

*p < .05, **p < .01, ***p < .001

Individual Clinically-Significant Change:

At pre-treatment, 22 clients had PSI Total Stress Percentile scores at or above the clinical cut-off of 85.  No clients were missing post-treatment data for this scale.  Analysis showed that the PSI Total Stress Percentile score for 18 of these 22 clients (82%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 14 clients had PSI Parental Distress Percentile scores at or above the clinical cut-off of 85.  No clients were missing post-treatment data for this scale.  Analysis showed that the PSI Parental Distress Percentile score for 9 of these 14 clients (64%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 11 clients had PSI Parent-Child Relationship Dysfunction Percentile scores at or above the clinical cut-off of 85.  No clients were missing post-treatment data for this scale.  Analysis showed that the PSI Parent-Child Relationship Dysfunction Percentile score for 6 of these 11 clients (55%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 21 clients had PSI Difficult Child Percentile scores at or above the clinical cut-off of 85.  No clients were missing post-treatment data for this scale.  Analysis showed that the PSI Difficult Child Percentile score for 16 of these 21 clients (76%) decreased to non-clinically significant levels by post-treatment.

* Abidin, R. R. (2012). Parenting stress index (4th ed.). Lutz, FL: PAR. http://www4.parinc.com/Products/Product.aspx?ProductID=PSI-4:SF

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