Download:
pdf |
pdfDAVIDSON TRAUMA SCALE
by Jonathan R.T. Davidson, M.D.
Please identify the trauma that is most disturbing to you.
____________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________
Each of the following questions asks you about a specific symptom. For
each question, consider how often in the last week the symptom troubled
you and how severe it was. In the two boxes beside each question, write a
number from 0 - 4 to indicate the frequency and severity of the symptom.
1.
Have you ever had painful images, memories, or thoughts of the event?
2.
Have you ever had distressing dreams of the event?
3.
Have you felt as though the event was recurring? Was it as if you were reliving it?
4.
Have you been upset by something that reminded you of the event?
5.
Have you been physically upset by reminders of the event? (This includes
sweating, trembling, racing heart, shortness of breath, nausea, or diarrhea.)
6.
Have you been avoiding any thoughts or feelings about the event?
7.
Have you been avoiding doing things or going into situations that remind you of
the event?
8.
Have you found yourself unable to recall important parts of the event?
9.
Have you had difficulty enjoying things?
FREQUENCY
0 = Not At All
1 = Once Only
2 = 2 – 3 Times
3 = 4 – 6 Times
4 = Every Day
10. Have you felt distant or cut off from other people?
11. Have you been unable to have sad or loving feelings?
12. Have you found it hard to imagine having a long life span and fulfilling your goals?
13. Have you had trouble falling asleep or staying asleep?
14. Have you been irritable or had outbursts of anger?
15. Have you had difficulty concentrating?
16. Have you felt on edge, been easily distracted, or had to stay “on guard”?
17. Have you been jumpy or easily startled?
Copyright © 1996, Multi-Health Systems Inc. All rights reserved. In the United States, P.O. Box 950, North Tonawanda, NY 14120-0950, 1-800-456-3003.
In Canada, 3770 Victoria Park Ave., Toronto, ON M2H 3M6, 1-800-268-6011, 1-416-492-2627, Fax 1-416-492-3343.
0
1
2
3
4
=
=
=
=
=
SEVERITY
Not At All Distressing
Minimally Distressing
Moderately Distressing
Markedly Distressing
Extremely Distressing
File Type | application/pdf |
File Title | DTS for Lori.pmd |
Author | kim.black |
File Modified | 2003-10-02 |
File Created | 2003-10-02 |