Revision and Psychometric Testing of the Barton Hospital Picture Test

The Barton Hospital Picture Test (BHPT) is an instrument designed to elicit self-reports of stress in hospitalized children. This article reports two studies. The results of Study 1 were used to revise the pictures. Study 2 determined the reliability and validity of the revised BHPT. The revised BHPT has construct validity demonstrated by differences in total stress scores in the expected direction between hospitalized and community (well) children. The instrument has acceptable test-retest, interrater, and internal consistency reliability.