VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCPTS1.m

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Mathematica

DVBCPTS1 ;ALB ISC/THM-ATTACHMENT A FOR POST TRAUMATIC STRESS DISORDER ; 12/27/90 1:06 PM
;;2.7;AMIE;;Apr 10, 1995
EN 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,!!!
F I=0:1 S LY=$T(TXT+I) Q:LY["END" W $P(LY,";;",2),!
D EN1 G Q
;
EN1 F I=0:1 S LY=$T(SECTB+I) Q:LY["END"!(LY="") W $P(LY,";;",2),! I $Y>55 D HD2^DVBCPTCK
Q K I,LY,DVBAX Q
;
TXT ;;A. The veteran has experienced an event that is outside the range of usual
;;human experience and that would be markedly distressing to almost anyone,
;;e.g., serious threat to one's life or physical integrity; serious threat
;;to one's children, spouse, or other close relatives and friends; sudden
;;destruction of one's home or community; seeing another person who has
;;recently been or being, seriously injured or killed as the result of an
;;accident or physical violence.
;;END
;;
SECTB ;;
;;B. The traumatic event is persistently re-experienced in at least one of the
;; following ways:
;;
;;
;; 1. recurrent and intrusive distressing recollections of the event
;;
;; 2. recurrent distressing dreams of the event
;;
;; 3. sudden acting or feeling as if the traumatic event were recurring
;; (includes a sense of reliving the experience, illusions, hallucinations
;; and dissociative [flashback] episodes, even those that occur upon waking
;; or when intoxicated)
;;
;; 4. intense psychological distress at exposure to events that symbolize or
;; resemble an aspect of the traumatic event, including anniversaries of
;; the trauma.
;;
;;C. Persistent avoidance of stimuli associated with the trauma or numbing of
;; general responsiveness (not present before the trauma), as indicated by
;; at least three of the following:
;;
;;
;; 1. efforts to avoid thoughts or feelings associated with the trauma
;;
;; 2. efforts to avoid activities or situations that arouse recollections
;; of the trauma
;;
;; 3. inability to recall an important aspect of the trauma (psychogenic
;; amnesia)
;;
;; 4. markedly diminished interest in significant activities
;;
;; 5. feeling of detachment or estrangement from others
;;
;; 6. restricted range of affect, e.g., unable to have love feelings
;;
;; 7. sense of a foreshortened future, e.g., does not expect to hava a
;; career, marriage, or children or a long life.
;;
;;
;;
;;
;;D. Persistent symptoms of increased arousal (not present before the trauma),
;; as indicated by at least two of the following:
;;
;;
;; 1. difficulty falling or staying asleep
;;
;; 2. irritability or outbursts of anger
;;
;; 3. difficulty concentrating
;;
;; 4. hypervigilance
;;
;; 5. exaggerated startle response
;;
;; 6. physiologic reactivity upon exposure to events that symbolize or
;; resemble an aspect of the traumatic event (e.g., a woman who was
;; raped in an elevator breaks out in a sweat when entering any elevator)
;;END