Below is a list of problems that people sometimes experience after a stressful event. Please read each one carefully and select the option that indicates how much you have been bothered by that problem in the past month:
1. Repeated, disturbing, and unwanted memories of the stressful experience?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
2. Repeated, disturbing dreams of the stressful experience?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were reliving it)?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
4. Feeling very upset when something reminded you of the stressful experience?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
5. Having strong physical reactions when something reminded you of the stressful experience (e.g., heart pounding, trouble breathing, sweating)?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
6. Avoiding memories, thoughts, or feelings related to the stressful experience?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
7. Avoiding external reminders of the stressful experience (e.g., people, places, conversations, activities, objects, or situations)?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
8. Trouble remembering important parts of the stressful experience?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
9. Having strong negative beliefs about yourself, others, or the world (e.g., "I am bad," "No one can be trusted," "The world is completely dangerous")?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
10. Blaming yourself or others for the stressful experience or what happened after it?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
12. Loss of interest in activities that you used to enjoy?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
13. Feeling distant or cut off from other people?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
14. Trouble experiencing positive feelings (e.g., being unable to feel happiness or have loving feelings for people close to you)?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
15. Irritable behavior, angry outbursts, or acting aggressively?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
16. Taking too many risks or doing things that could cause you harm?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
17. Being "superalert" or watchful on guard?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
18. Feeling jumpy or easily startled?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
19. Having difficulty concentrating?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
20. Trouble falling or staying asleep?
0 - Not at all 1 - A little bit 2 - Moderately 3 - Quite a bit 4 - Extremely
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