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. 2022 Oct 1;19(19):12559. doi: 10.3390/ijerph191912559
Survey Questionnaires
Socio-Demographic Response Options
1 Sex Men Women
2 COVID-19 status No Yes
3 Remote Psychological Care-seeking No Yes
Major Depression Episode Response Options
Subjects had experienced the symptoms in in the past twelve months. Always Nearly always Sometimes Rarely Never
1 Sadness or depressed mood? 1 2 3 4 5
2 Discouraged because of how things were going in your life?
3 Loss of interest or pleasure?
4 Feeling worthlessness or not good enough?
5 Recurrent thoughts of death?
6 Indecisiveness or diminished ability to concentrate?
7 Significant weight loss when not dieting or weight gain?
8 Insomnia or hypersomnia
9 Psychomotor agitation or retardation?
10 Fatigue or loss of energy?
11 Symptoms causing impairment in social, occupational, or other important areas of functioning?
Generalized Anxiety Response Options
Subjects had felt anxious in the past two weeks. Total absence of the symptom Total presence of the symptom
1 I have felt nervous or on edge. 0 1 2 3 4 5 6 7 8 9 10
2 I have felt unable to control my worrying.
3 I have felt so restless it was hard to keep still.
4 I have had trouble relaxing.
5 I have felt afraid something awful could happen.
Posttraumatic Stress Disorder Response Options
Adapted Life Events Checklist No Yes
Experience of violence in past six months.
1 Have you been a victim of physical violence (being attacked, hit, slapped, kicked, beaten up) 0 1
2 Was this physical abuse inflicted by a family member or your partner?
3 Have you been a victim of emotional violence (insults, humiliation, screaming, dismissing, or similar experiences)
4 Was this physical abuse inflicted by a family member or your partner?
5 Have you been a victim of sexual violence (unwanted touching, sexual act through force, or threat of harm to maintain unwanted sexual activity)?
6 Was this physical abuse inflicted by a family member or your partner?
7 Have you been a victim of sexual harassment (e.g., soliciting intimate/physical contact in exchange for academic or work achievements, feeling continuous verbal-or-via-online threatened)?
8 Have you been a victim of violence, assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, or bomb), kidnapped, or blackmailed?
9 Has any relative been a victim of this kind of violence: assault with a weapon, threatened, kidnapped, severe assaulted, blackmailed, sexual assaulted, or murdered?
10 Have you witnessed violence inflicted on another person (hitting, intimidating, humiliating, etc.)
11 Was this violence in your family (e.g., from father to son, from any person to your partner, etc.?
Please, choose the most severe event to answer the next questions.
Bothersome symptoms in the past month. Response Options
Reexperiencing Not al all Slightly Moderately Quit a lot Extremely
B1. Repeated, disturbing, and unwanted memories of the stressful experience? 0 1 2 3 4
B2 Repeated, disturbing dreams of the stressful experience?
B3 Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?
B4 Feeling very upset when something reminded you of the stressful experience?
B5 Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?
Avoidance
C1 Avoiding memories, thoughts, or feelings related to the stressful experience?
C2 Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?
Negative Alterations in Cognitions and Mood
D1 Trouble remembering important parts of the stressful experience?
D2 Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?
D3 Blaming yourself or someone else for the stressful experience or what happened after it?
D4 Having strong negative feelings such as fear, horror, anger, guilt, or shame?
D5 Loss of interest in activities that you used to enjoy?
D6 Feeling distant or cut off from other people?
D7 Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you?
Hyperarousal
E1 Irritable behavior, angry outbursts, or acting aggressively?
E2 Taking too many risks or doing things that could cause you harm?
E3 Being “superalert” or watchful or on guard?
E4 Feeling jumpy or easily startled?
E5 Having difficulty concentrating?
E6 Trouble falling or staying asleep?
Less/more-than-a-month-response Response Options
1 How long have the symptoms been bothering you? Less than More than a month
1 2