Tsi

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TSI a 100-item measure of

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posttraumatic stress and other psychological sequelae of traumatic events. The TSI measures acute and chronic traumatic symptomatology including: effects of rape; spouse abuse; physical assault; combat; major accidents; natural disasters; and the lasting results of childhood abuse and other early traumatic events.

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If total Missing sum is

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10> should be considered invalid

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Response Level (RL)

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High-defensiveness, general under endorsement response set, or a need to appear unusually sx-free

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Atypical Response (ATR)

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Least commonly endorsed and most unusual or bizarre items; High scores reflect psychosis or extreme distress, a over endorsement response set, or an attempt to appear disturbed or dysfunctional ; check for SA; d/n interpret >90

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Inconsistent Response (INC)

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High scores represent unusually inconsistent responses; random responding, attention/concentration problems, or reading/language difficulties

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Anxious Arousal (AA)

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Measures symptoms of anxiety, those associated with posttraumatic hyperarousal (jumpiness, tension) DSM-IV PTSD, ASD or other Anxiety spectrum d/o; GAD; panic d/o

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Depression (D)

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Depressive sx, both mood state (sadness) and depressive cognitive distortions (hopelessness)

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Anger/Irritability (AI)

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Self-reported anger/irritable affect; associated angry cognitions and bx

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Intrusive Experiences (IE)

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Intrusive sxs associated with PTSD; flashbacks, nightmares, intrusive thoughts

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Sexual Concerns (SC)

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Self-reported sexual distress; sexual dissatisfaction, sexual dysfunction, unwanted sexual thoughts/feelings

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Dissociation (DIS)

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Dissociative sxs; depersonalization, derealization, out-of-body experiences, psychic numbing

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Defensive Avoidance (DA)

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Posttraumatic avoidance both cognitive (pushing painful thoughts out of thoughts or memories) and bx (avoidance of stimuli reminiscent of traumatic event)

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Dysfunctional Sexual Bx (DSB)

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sexual bx that is somehow dysfunctional; indiscriminant quality,potential for self-harm, or inappropriate use to accomplish nonsexual goals

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Tension Reduction Behavior (TRB)

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Tendency to turn external methods of recuing internal tension/distress, such as self-mutilation, angry outbursts, manipulative bx, and suicide threats

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Impaired Self-Reference (ISR)

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Problems in the “self” domain; identity confusion, self-other disturbance, lack of self-support

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AA and DIS

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high scores likely to report reduced or altered contact with the external environment, uncertain sense of their internal experience and/or identity, may have a difficult time understanding or expressing feelings or other internal events, little self-understanding or ability to predict their own reactions and behavior in certain circumstances (e.g. during stress). When a major stressor has produced an acute stress disorder, overwhelmed by trauma.