Appendix P: The International Trauma Questionnaire (ITQ)

Instructions: Please identify the experience that troubles you most and answer the questions in relation to this experience.

Brief description of the experience:

When did the experience occur? (circle one)

Less than 6 months ago
6 to 12 months ago
1 to 5 years ago
5 to 10 years ago
10 to 20 years ago
More than 20 years ago

Below are a number of problems that people sometimes report in response to traumatic or stressful life events. Please read each item carefully, then circle one of the numbers to the right to indicate how much you have been bothered by that problem in the past month.

	A little bit	Moderately	Quite a bit	Extremely
P1. Having upsetting dreams that replay part of the experience or are clearly related to the experience?	1	2	3	4
P2. Having powerful images or memories that sometimes come into your mind in which you feel the experience is happening again in the here and now?	1	2	3	4
P3. Avoiding internal reminders of the experience (for example, thoughts, feelings, or physical sensations)?	1	2	3	4
P4. Avoiding external reminders of the experience (for example, people, places, conversations, objects, activities, or situations)?	1	2	3	4
P5. Being ‘super-alert’, watchful, or on guard?	1	2	3	4
P6. Feeling jumpy or easily startled?	1	2	3	4

In the past month have the above problems:	A little bit	Moderately	Quite a bit	Extremely
P7. Affected your relationships or social life?	1	2	3	4
P8. Affected your work or ability to work?	1	2	3	4
P9. Affected any other important part of your life such as parenting, or school or college work, or other important activities?	1	2	3	4

How true is this of you?	A little bit	Moderately	Quite a bit	Extremely
C1. When I am upset, it takes me a long time to calm down.	1	2	3	4
C2. I feel numb or emotionally shut down.	1	2	3	4
C3. I feel like a failure.	1	2	3	4
C4. I feel worthless.	1	2	3	4
C5. I feel distant or cut off from people.	1	2	3	4
C6. I find it hard to stay emotionally close to people.	1	2	3	4

In the past month, have the above problems in emotions, in beliefs about yourself and in relationships:	A little bit	Moderately	Quite a bit	Extremely
C7. Created concern or distress about your relationships or social life?	1	2	3	4
C8. Affected your work or ability to work?	1	2	3	4
C9. Affected any other important parts of your life such as parenting, or school or college work, or other important activities?	1	2	3	4

Source: Cloitre, M., Shevlin M., Brewin, C.R., Bisson, J.I., Roberts, N.P., Maercker, A., Karatzias, T., & Hyland, P. (2018). The International Trauma Questionnaire: Development of a self-report measure of ICD-11 PTSD and Complex PTSD. Acta Psychiatrica Scandinavica, 139, 536-546.

ITQ: Scoring and interpretation