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1DVBCPTS1 ;ALB ISC/THM-ATTACHMENT A FOR POST TRAUMATIC STRESS DISORDER ; 12/27/90 1:06 PM
2 ;;2.7;AMIE;;Apr 10, 1995
3EN S PG=0,DVBAX="Attachment A for Post-Traumatic Stress Disorder" W @IOF,!?(IOM-$L(DVBAX)\2),DVBAX,! S DVBAX="DSM-III-R Diagnostic Criteria for PTSD" W ?(IOM-$L(DVBAX)\2),DVBAX,!!!
4 F I=0:1 S LY=$T(TXT+I) Q:LY["END" W $P(LY,";;",2),!
5 D EN1 G Q
6 ;
7EN1 F I=0:1 S LY=$T(SECTB+I) Q:LY["END"!(LY="") W $P(LY,";;",2),! I $Y>55 D HD2^DVBCPTCK
8Q K I,LY,DVBAX Q
9 ;
10TXT ;;A. The veteran has experienced an event that is outside the range of usual
11 ;;human experience and that would be markedly distressing to almost anyone,
12 ;;e.g., serious threat to one's life or physical integrity; serious threat
13 ;;to one's children, spouse, or other close relatives and friends; sudden
14 ;;destruction of one's home or community; seeing another person who has
15 ;;recently been or being, seriously injured or killed as the result of an
16 ;;accident or physical violence.
17 ;;END
18 ;;
19SECTB ;;
20 ;;B. The traumatic event is persistently re-experienced in at least one of the
21 ;; following ways:
22 ;;
23 ;;
24 ;; 1. recurrent and intrusive distressing recollections of the event
25 ;;
26 ;; 2. recurrent distressing dreams of the event
27 ;;
28 ;; 3. sudden acting or feeling as if the traumatic event were recurring
29 ;; (includes a sense of reliving the experience, illusions, hallucinations
30 ;; and dissociative [flashback] episodes, even those that occur upon waking
31 ;; or when intoxicated)
32 ;;
33 ;; 4. intense psychological distress at exposure to events that symbolize or
34 ;; resemble an aspect of the traumatic event, including anniversaries of
35 ;; the trauma.
36 ;;
37 ;;C. Persistent avoidance of stimuli associated with the trauma or numbing of
38 ;; general responsiveness (not present before the trauma), as indicated by
39 ;; at least three of the following:
40 ;;
41 ;;
42 ;; 1. efforts to avoid thoughts or feelings associated with the trauma
43 ;;
44 ;; 2. efforts to avoid activities or situations that arouse recollections
45 ;; of the trauma
46 ;;
47 ;; 3. inability to recall an important aspect of the trauma (psychogenic
48 ;; amnesia)
49 ;;
50 ;; 4. markedly diminished interest in significant activities
51 ;;
52 ;; 5. feeling of detachment or estrangement from others
53 ;;
54 ;; 6. restricted range of affect, e.g., unable to have love feelings
55 ;;
56 ;; 7. sense of a foreshortened future, e.g., does not expect to hava a
57 ;; career, marriage, or children or a long life.
58 ;;
59 ;;
60 ;;
61 ;;
62 ;;D. Persistent symptoms of increased arousal (not present before the trauma),
63 ;; as indicated by at least two of the following:
64 ;;
65 ;;
66 ;; 1. difficulty falling or staying asleep
67 ;;
68 ;; 2. irritability or outbursts of anger
69 ;;
70 ;; 3. difficulty concentrating
71 ;;
72 ;; 4. hypervigilance
73 ;;
74 ;; 5. exaggerated startle response
75 ;;
76 ;; 6. physiologic reactivity upon exposure to events that symbolize or
77 ;; resemble an aspect of the traumatic event (e.g., a woman who was
78 ;; raped in an elevator breaks out in a sweat when entering any elevator)
79 ;;END
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