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. Author manuscript; available in PMC: 2019 Oct 1.
Published in final edited form as: Acad Emerg Med. 2018 Oct;25(10):1098–1106. doi: 10.1111/acem.13513
In the past month, how much were you bothered by…
Repeated, disturbing, and unwanted memories of the stressful experience? Repeated, disturbing memories, thoughts, or images of the experience?
Repeated, disturbing dreams of the stressful experience? Repeated, disturbing dreams of the experience?
Suddenly acting or feeling as if the stressful experience were actually happening again (as if you were actually back there reliving it)? Suddenly acting or feeling as if the experience were happening again (as if you were reliving it)?
Feeling very upset when something reminded you of the stressful experience? Feeling very upset when something reminded you of the experience?
Having physical reactions when something reminded you of the stressful experience (e.g., heart pounding, trouble breathing, sweating)? Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of the experience?
Avoiding memories, thoughts, or feelings related to the stressful experience? Avoid thinking about or talking about the experience or avoid having feelings related to it?
Avoiding external reminders of the stressful experience (e.g., people, places, conversations, activities, objects, or situations)? Avoid activities or situations because they remind you of the experience?
Trouble remembering important parts of the stressful experience? Trouble remembering important parts of the experience?
Having strong negative beliefs about yourself, other people, or the world (e.g., having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? Feeling as if your future will somehow be cut short?
Blaming yourself or someone else strongly for the stressful experience or what happened after it?
Having strong negative feelings such as fear, horror, anger, guilt, or shame?
Loss of interest in activities that you used to enjoy? Loss of interest in things that you used to enjoy?
Feeling distant or cut off from other people? Feeling distant or cut off from other people?
Having trouble experiencing positive feelings (e.g., being unable to have loving feelings for those close to you, or feeling emotionally numb)? Feeling emotionally numb or being unable to have loving feelings for those close to you?
Feeling irritable or angry or acting aggressively? Feeling irritable or having angry outbursts?
Taking too many risks or doing things that cause you harm?
Being “super alert” or watchful or on guard? Being “super alert” or watchful on guard?
Feeling jumpy or easily startled? Feeling jumpy or easily startled?
Having difficulty concentrating? Having difficulty concentrating?
Trouble falling or staying asleep? Trouble falling or staying asleep?