Instruction SVL-22

Everyone has experienced more or less shocking events in their life.

Do you remember in your life a negative, shocking event that happened more than a month ago
and that continues to disturb you?

Disturbance can be understood as recurring dreams about the event, a sudden reaction or
feeling as if the event is happening again, many things that are reminiscent of the event,
avoiding activities or situations that evoke memories of the event, suffering from insomnia,
concentration problems and / or depressed feelings.

If you remember such an event, we ask you to complete this questionnaire.

The Shock Processing List (revised version)

Below is a list of pronounced and people do after a very traumatic event . Consider the
event you experienced, review each statement, and indicate to what extent this
statement has applied to you in the past seven days . If it didn't appear, circle 'Not at
all'.

In the past 7 days, how have these statements applied to you in relation to the event
you experienced?

1 I thought about it without wanting to. 1 Not at all

2 Rarely
3 Sometimes
4 Often

2 I took care not to get upset when I thought about it

or was reminded of it. 1 Not at all
2 Rarely
3 Sometimes
4 Often
3 I tried to put it out of my mind. 1 Not at all
2 Rarely
3 Sometimes
4 Often

4 I felt irritated and angry. 1 Not at all

2 Rarely
3 Sometimes
4 Often

5 I had a hard time staying asleep. 1 Not at all

2 Rarely
3 Sometimes
4 Often

6 At times I had strong feelings about it. 1 Not at all

2 Rarely
3 Sometimes
4 Often

7 I dreamed about it. 1 Not at all

2 Rarely
3 Sometimes
4 Often

8 I kept away from things that reminded me. 1 Not at all

2 Rarely
3 Sometimes
4 Often
9 I felt like it didn't happen, like it wasn't real. 1 Not at all
2 Rarely
3 Sometimes
4 Often

10 I was tense and terrified. 1 Not at all

2 Rarely
3 Sometimes
4 Often

11 I tried not to talk about it. 1 Not at all

2 Rarely
3 Sometimes
4 Often

12 Pictures of it popped into my mind. 1 Not at all

2 Rarely
3 Sometimes
4 Often

13 Other things reminded me over and over again. 1 Not at all

2 Rarely
3 Sometimes
4 Often

14 I found myself acting or feeling like I did at the

1 Not at all
time.
2 Rarely
3 Sometimes
4 Often

15 I had a hard time falling asleep. 1 Not at all

2 Rarely
3 Sometimes
4 Often
16 I knew I still had a lot of feelings about it, but I 1 Not at all
 didn't take it into account.
2 Rarely
3 Sometimes
4 Often

17 I tried not to think about it. 1 Not at all

2 Rarely
3 Sometimes
4 Often
18 I had trouble concentrating. 1 Not at all
2 Rarely
3 Sometimes
4 Often

19 Things that reminded me caused me physical

reactions, such as sweating, breathing difficulties,
nausea, or palpitations. 1 Not at all
2 Rarely
3 Sometimes
4 Often

20 Every memory brought back the feelings. 1 Not at all

2 Rarely
3 Sometimes
4 Often
21 I was vigilant and on my guard. 1 Not at all
2 Rarely
3 Sometimes
4 Often
22 My feeling about it was numb, as it were. 1 Not at all
2 Rarely
3 Sometimes
4 Often