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, Le diagnostic d'état de stress post-traumatique ne peut être posé qu'un mois après l'exposition à un ou des événement(s) traumatique(s). Lorsque l'exposition est plus récente (3 jours à 1 mois)

, Les critères s'appliquent aux enfants plus vieux que 6 ans, aux adolescents et aux adultes. Le manuel décrit des critères spécifiques pour les enfants plus jeunes décrits en italique ci-dessous, Critères diagnostics

A. , Exposition à la mort effective ou à une menace de mort, à des blessures graves, ou à la violence sexuelle

, Être témoin direct d'un ou de plusieurs événements traumatiques survenus à d'autres personnes ; et chez l'enfant de moins de 6 ans, en particulier des adultes proches qui prennent soin de l'enfant. NB être témoin direct n'inclut pas les événements dont l'enfant a été témoin seulement par des médias électroniques

, Apprendre qu'un ou plusieurs événements traumatiques sont arrivés à un membre de la famille proche ou un ami proche (à un parent prenant soin de l'enfant chez l'enfant de moins de 6 ans)

, Note : Le critère A4 ne s'applique pas à l'exposition par le biais des médias électroniques, de la télévision, de films images, sauf quand elles surviennent dans le contexte d'une activité professionnelle, Vivre une exposition répétée ou extrême aux caractéristiques aversives du ou des événements traumatiques (par exemple, les premiers intervenants ou les policiers)

, Note : Chez les enfants âgés de plus de 6 ans, il peut s'agir d'un jeu répétitif dans lequel des thèmes ou des aspects de l'événement traumatique sont exprimés ; NB, chez l'enfant de moins de 6 ans, les souvenirs spontanés et envahissants ne laissent pas nécessairement apparaitre la détresse et peuvent s'exprimer, B. Présence d'un (ou plusieurs) des symptômes envahissants suivants associés à un ou plusieurs événements traumatiques, et ayant débuté après la survenue du ou des événements traumatiques en cause : 1. Souvenirs répétitifs, involontaires et envahissants du ou des événements traumatiques provoquant un sentiment de détresse

, Note : Chez les enfants, 1. Augmentation nette de la fréquence des états émotionnels négatifs, Rêves répétitifs provoquant un sentiment de détresse dans lesquels le contenu et/ou l'affect du rêve sont liés aux événements traumatiques

, Réduction nette de l'intérêt pour des activités importantes ou bien réduction de la participation de ces activités

, Comportement traduisant un retrait social

, Réduction persistante de l'expression des émotions positives

, débutant ou s'aggravant après la survenue du ou des événements traumatiques, comme en témoignent deux (ou plus) des manifestations suivantes : 1. Incapacité de se rappeler un aspect important du ou des événements traumatiques (typiquement en raison d'une amnésie dissociative et non d'autres facteurs tels que traumatisme crânien, D. Altérations négatives des cognitions et de l'humeur associées à un ou plusieurs événements traumatiques

, Croyances ou attentes négatives persistantes et exagérées concernant soimême, d'autres, ou le monde (par exemple, « Je suis mauvais, Le monde entier est dangereux

, Distorsions cognitives persistantes à propos de la cause ou des conséquences d'un ou plusieurs événements traumatiques qui poussent le sujet à se blâmer ou à blâmer d'autres personnes

, État émotionnel négatif persistant

, Réduction nette de l'intérêt pour des activités importantes ou bien réduction de la participation à ces mêmes activités

, Sentiment de détachement d'autrui ou de devenir étranger par rapport aux autres

, Incapacité persistante d'éprouver des émotions positives (par exemple, incapacité à éprouver du bonheur, de la satisfaction ou des sentiments affectueux)

E. , Altérations marquées de l'éveil et de la réactivité associées à un ou plusieurs événements traumatiques, débutant ou s'aggravant après la survenue du ou des événements traumatiques, comme en témoignent deux (ou plus) des manifestations suivantes (critère D chez l'enfant de moins de 6 ans) : 1

, autodestructeur ; (pas un critère chez l'enfant de moins de 6 ans), Comportement irréfléchi ou

. Hypervigilance,

, Réaction de sursaut exagérée

, Problèmes de concentration

, Plusieurs fois par an Oui Non Si plusieurs, durée entre 1 ere et dernière agression (en mois) : ? mois Si oui, pénétration durant l'agression : Cautionne l'agression : Oui Non Extrafamilial inconnu, Oui Non Pas de déni : Oui Non Multidisciplinaire : Oui Non Foyer : Oui Non Famille d'accueil : Oui Non Autre : Oui Non Présence parentale : Père : Oui Non Mère : Oui Non SERMENT D'HIPPOCRATE

, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux. Je respecterai toutes les personnes, leur autonomie et leur volonté

, J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité

, Même sous la contrainte, je ne ferai pas usage de mes connaissances contre les lois de l'humanité

, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences

, Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire

, Admis dans l'intimité des personnes, je tairai les secrets qui me seront confiés

, Reçu à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs

, Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément

, Je préserverai l'indépendance nécessaire à l'accomplissement de ma mission

, Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses ; que je sois déshonoré et méprisé si j'y manque