PCL-5

Below is a list of problems that people sometimes have in response to a very stressful experience.

Please read each problem carefully and ensure your answer indicates how much you have been bothered by that problem in the past month.

Name Required

NHS number

Contact number Required

Group / course name Required

Today's date Required

In the past month, how much were you bothered by:

Repeated, disturbing, and unwanted memories of the stressful experience? Required

Repeated, disturbing dreams of the stressful experience? Required

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? Required

Feeling very upset when something reminded you of the stressful experience? Required

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? Required

Avoiding memories, thoughts, or feelings related to the stressful experience? Required

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? Required

Trouble remembering important parts of the stressful experience? Required

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)? Required

Blaming yourself or someone else for the stressful experience or what happened after it? Required

Having strong negative feelings such as fear, horror, anger, guilt, or shame? Required

Loss of interest in activities that you used to enjoy? Required

Feeling distant or cut off from other people? Required

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? Required

Irritable behaviour, angry outbursts, or acting aggressively? Required

Taking too many risks or doing things that could cause you harm? Required

Being 'super-alert' or watchful or on guard? Required

Feeling jumpy or easily startled? Required

Having difficulty concentrating? Required

Trouble falling or staying asleep? Required

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