The rater scored this item incorrectly. The intensity rating should be Pronounced. The Severity score should be: 3 Severe / markedly elevated. The trauma relatedness rating of Probable is correct.

Rationale: Brian reported “pronounced” difficulties with concentration. He is incapable of concentrating on certain things, like reading or schoolwork, even with effort. However, with other things, like the interview, he is generally able to concentrate on, albeit with effort. He reported that he experiences these difficulties with concentration 50% of the time; according to the key, this frequency is also in the “pronounced” range. Therefore, his severity score is a “3: Severe/markedly elevated.” When asked about problems with concentration in relation to the index event, Brian stated “…I noticed them when I got back.” Therefore, trauma-relatedness was coded as “probable.”