02Published measure

Symptoms after a difficult experience

Privately choose the experience that troubles you most. Items 1: 9 and 16: 18 refer to the past month; items 10: 15 ask how you typically feel, think about yourself, and relate to others. You do not need to describe what happened or enter personal details.

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Psychometric Foundation and Rigor

Scientific Framework of the Instrument

Understand how this instrument is structured, its scoring rubrics, and the empirical research validating its methodology.

Evaluated Dimensions

The International Trauma Questionnaire (ITQ) evaluates two distinct diagnostic constructs according to the World Health Organization ICD-11 framework.

PTSD Core: Re-experiencing in the present, deliberate avoidance of internal/external reminders, and persistent perception of current threat with functional impairment.

Disturbances in Self-Organization (DSO): Affect dysregulation, persistent negative self-concept (feelings of worthlessness or being permanently broken), and relational difficulties.

ICD-11 Diagnostic Algorithms

The ITQ requires a score of 2 or higher (Moderately) on at least one symptom per cluster plus confirmed functional impairment.

Score Level / Criteria Psychometric Interpretation
PTSD Meets PTSD criteria Simultaneous presence of re-experiencing, avoidance, and sense of threat with daily life impairment.
Complex PTSD Meets CPTSD criteria Meets full PTSD criteria plus all three clusters of Disturbances in Self-Organization (DSO).
Sub-threshold No clinical profile Reported symptoms do not reach the threshold for an ICD-11 trauma diagnosis.

Frequently Asked Questions

What is the difference between PTSD and Complex PTSD?

PTSD centers on the core triad of re-experiencing, avoidance, and hyperarousal. Complex PTSD typically arises from prolonged or inescapable trauma and adds pervasive difficulties in affect regulation, self-concept, and relationships.

Do I have to describe my trauma in the questionnaire?

No. You simply identify a difficult experience in your own mind and report your symptoms over the past month. No narrative text is requested or stored.

Does this questionnaire provide a formal medical diagnosis?

No. The ITQ is a standardized clinical screener. A definitive diagnosis requires a structured clinical interview with a qualified mental health clinician.

What if I experience emotional distress while answering?

You can stop or exit at any moment. The tool is completely private, and immediate crisis support contacts are accessible at the bottom of the page.

Scientific Evidence and Citations

  • Cloitre, M., Shevlin, M., et al. (2018). The International Trauma Questionnaire: development of a self-report measure of ICD-11 PTSD and complex PTSD. Acta Psychiatrica Scandinavica, 138(6), 536-546.
    View publication (DOI)