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Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
Instructions: Below is a list of problems that people sometimes have in response to a very stressful experience. Please read each problem carefully and then circle one of the numbers to the right to indicate how much you have been bothered by that problem in the past month.
PCL-5 Assessment
*
0
Not at All
1
A Little Bit
2
Moderately
3
Quite a Bit
4
Extremely
1. Repeated, disturbing, and unwanted memories of the stressful experience?
2. Repeated, disturbing dreams of the stressful experience?
3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?
4. Feeling very upset when something reminded you of the stressful experience?
5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?
6. Avoiding memories, thoughts, or feelings related to the stressful experience?
7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?
8. Trouble remembering important parts of the stressful experience?
9. 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)?
10. Blaming yourself or someone else for the stressful experience or what happened after it?
11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?
12. Loss of interest in activities that you used to enjoy?
13. Feeling distant or cut off from other people?
14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?
15. Irritable behavior, angry outbursts, or acting aggressively?
16. Taking too many risks or doing things that could cause you harm?
17. Being “superalert” or watchful or on guard?
18. Feeling jumpy or easily startled?
19. Having difficulty concentrating?
20. Trouble falling or staying asleep?
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Beck Depression Inventory (BDI-II)
Instructions: This questionnaire consists of 21 groups of statements. Please read each group of statements carefully, and then select the one statement in each group that best describes the way you have been feeling during the last two weeks, including today. If several statements in the group seem to apply equally well, select the highest number for that group.
1. Sadness
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0 - I do not feel sad.
1 - I feel sad much of the time.
2 - I am sad all the time.
3 - I am so sad or unhappy that I can't stand it.
2. Pessimism
*
0 - I am not discouraged about the future.
1 - I feel more discouraged about the future than I used to be.
2 - I do not expect things to work out for me.
3 - I feel my future is hopeless and will only get worse.
3. Past Failure
*
0 - I do not feel like a failure.
1 - I have failed more than I should have.
2 - As I look back, all I see a lot of failures.
3 - I feel I am a total failure as a person.
4. Loss of Pleasure
*
0 - I get as much pleasure as I ever did from the things I enjoy.
1 - I don't enjoy things as much as I used to.
2 - I get very little pleasure from the things I used to enjoy.
3 - I can't get any pleasure from the things I used to enjoy.
5. Guilty Feelings
*
0 - I don't feel particularly guilty
1 - I feel guilty over many things I have done or should have done.
2 - I feel quite guilty most of the time.
3 - I feel guilty all of the time.
6. Punishment Feelings
*
0 - I don't feel I am being punished.
1 - I feel I may be punished.
2 - I expect to be punished.
3 - I feel I am being punished.
7. Self-Dislike
*
0 - I feel the same about myself as ever.
1 - I have lost confidence in myself.
2 - I am disappointed with myself.
3 - I dislike myself.
8. Self-Criticalness
*
0 - I don't criticize or blame myself more than usual.
1 - I am more critical of myself than I used to be.
2 - I criticize myself for all my faults.
3 - I blame myself for everything bad that happens.
9. Suicidal Thoughts or Wishes
*
0 - I don't have any thoughts of killing myself.
1 - I have thoughts of killing myself, but I would not carry them out.
2 - I would like to kill myself.
3 - I would kill myself if I had the chance.
10. Crying
*
0 - I don't cry any more than I used to.
1 - I cry more than I used to.
2 - I cry over every little thing.
3 - I feel like crying, but I can't.
11. Agitation
*
0 - I am no more restless or wound up than usual.
1 - I feel more restless or wound up than usual.
2 - I am so restless or agitated that it's hard to stay still.
3 - I am so restless or agitated that I have to keep moving or doing something.
12. Loss of Interest
*
0 - I have not lost interest in other people or activities.
1 - I am less interested in other people or things than before.
2 - I have lost most of my interest in other people or things.
3 - It's hard to get interested in anything.
13. Indecisiveness
*
0 - I make decisions about as well as ever.
1 - I find it more difficult to make decisions than usual.
2 - I have much greater difficulty in making decisions than I used to.
3 - I have trouble making any decisions.
14. Worthlessness
*
0 - I do not feel that I am worthless.
1 - I don't consider myself as worthwhile and useful as I used to.
2 - I feel more worthless as compared to other people.
3 - I feel utterly worthless.
15. Loss of Energy
*
0 - I have as much energy as ever.
1 - I have less energy than I used to have
2 - I don't have enough energy to do very much.
3 - I don't have enough energy to do anything.
16. Changes in Sleeping Pattern
*
0 - I have not experienced any change in my sleeping pattern.
1a - I sleep somewhat more than usual.
1b - I sleep somewhat less than usual.
2a - I sleep a lot more than usual.
2b - I sleep a lot less than usual.
3a - I sleep most of the day.
3b - I wake up 1-2 hours early and can't get back to sleep.
17. Irritability
*
0 - I am no more irritable than usual.
1 - I am more irritable than usual.
2 - I am much more irritable than usual.
3 - I am irritable all the time.
18. Changes in Appetite
*
0 - I have not experienced any change in my appetite.
1a - My appetite is somewhat less than usual.
1b - My appetite is somewhat more than usual.
2a - My appetite is much less than before.
2b - My appetite is much greater than usual.
3a - I have no appetite at all.
3b - I crave food all the time.
19. Concentration Difficulty
*
0 - I can concentrate as well as ever.
1 - I can't concentrate as well as usual.
2 - It's hard to keep my mind on anything for very long.
3 - I find I can't concentrate on anything.
20. Tiredness or Fatigue
*
0 - I am no more tired or fatigued than usual.
1 - I get more tired or fatigued more easily than usual.
2 - I am too tired or fatigued to do a lot of the things I used to do.
3 - I am too tired or fatigued to do most of the things I used to do.
21. Loss of Interest in Sex
*
0 - I have not noticed any recent change in my interest in sex.
1 - I am less interested in sex than I used to be.
2 - I am much less interested in sex now.
3 - I have lost interest in sex completely.
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