II. Mnemonic: DREAMS

  1. Detachment (alexithymia) and numb emotionally
  2. Reexperiencing the Event (Nightmares, Flashbacks)
  3. Event with emotional effects (distress, unsafe, fear)
  4. Avoidance (reminder places, activities or people)
  5. Month duration or longer
  6. Sympathetic hyperactivity (Insomnia, irritability)
  7. Lange (2000) Am Fam Physician 62:1035-40 [PubMed]

III. Diagnosis: Validated screening tools

  1. SPAN (Startle, Physiologic Arousal, Anger, Numb)
    1. Based on Davidson Trauma Scale
    2. Self rating scale with 17 questions
    3. SPAN scale is sold by Multi-Health Systems, Inc
    4. Meltzer-Brody (2004) Obstet Gynecol 104:770-6 [PubMed]

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