Objectives To investigate the reliability and validity of the Tibetan version of the Huaxi Emotional Distress Index（HEI） in the Tibetan population. Methods Using convenient sampling， a total of 500 Tibetans were surveyed with the Tibetan version of the HEI from October 2018 to December 2018. The exploratory factor analysis and Cronbach's α coefficient analysis were performed to analyze the reliability and validity of the scale. Results In the validity analysis， two factors were extracted from the scale， namely "emotional pain" and "negative concept"， explaining 67.8% variance accumulatively； In the reliability analysis， the Cronbach's alpha coefficient is 0.89（ ＞0.7） for all nine items of the scale， 0.87 and 0.77（ both ＞ 0.7） for "emotional pain" factor（ Item 1-7） and "negative concept" factor（ Item 8-9）. Conclusions The Tibetan version of the HEI scale has high structural validity and intrinsic reliability among the Tibetan population， which can be helpful in the rapid screening of emotional problems.