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As they investigate, they find evidence of domestic abuse on a distressing scale, but the truth, "things you wouldn't want to believe", keeps slipping out of their grasp.
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Participants were then asked to dwell on their image and to rate how vivid (real) it felt to them and how distressing it was (scales described below).
Participants were then asked to dwell on their memory and rate how distressing the memory was (scale described below).
The most distressing symptom on the symptom scales was fatigability (Mean 35.2 [95% CI 31.38-39.18]).
The most distressing symptom on the symptom scales was fatigability (Mean 35.2 [95% CI 31.38-39.18]) followed by sleep disturbance and pain (Table 2).
To assess tolerability, patients rated 8 symptoms, the taste of the lavage solution, and the ease of preparation on a 5-point scale (1: easy; 5: distressing).
"I think abuse, especially on this scale, is subconsciously too distressing an idea for people to engage with," says Lambert. "People don't want to think that it's true and that can translate as 'I don't believe you'.
They were then asked how distressing the image was on a scale of 0 (not at all) to 100 (extremely).
They were asked how distressing the memory was on a scale of 0 (not at all) to 100 (extremely).
For patients in either group there are a maximum of eleven satisfaction ratings on one scale, but no potentially distressing interviews or assessments.
Each item is rated on a five-point Likert scale from 0 (not at all distressing) to 5 (very much distressing), indicating how much the patient suffers subjectively from these illness aspects.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com