{
  "assessmentTests": {
    "complex_ptsd_screener": {
      "name": "複雜創傷與關係模式自查",
      "desc": "這是一份基於創傷知情理念的自我反思問卷，關注長期或反覆創傷、童年虐待、囚禁、家庭暴力、人口販賣等經歷後可能出現的模式。涵蓋經典創傷反應，以及情緒調節、自我價值感和人際關係方面更深層的變化——這些變化使複雜性創傷後壓力症候群有別於單一事件創傷反應。",
      "recommendation": "你的複雜創傷反應特徵",
      "questions": [
        {
          "question": "關於曾經長期反覆發生在我身上的事情，那些記憶會毫無預警地湧現。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我會做與生命中某段反覆受傷或被虐待時期相關的夢。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "有些時刻，我感覺自己彷彿又回到了曾經長期經歷的那個處境中。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "當某些事物讓我想起生命中某段漫長的艱難時期時，我的身體會有強烈反應——心跳加速、胸口發緊或僵住。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我儘量避免去想生命中那段長期反覆受傷或被虐待的時光。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我會刻意避開那些讓我想起生命中某段漫長艱難時期的人、地方或情境。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "對於生命中那段漫長的艱難時期，有些部分我很難清晰地記起。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我會用分散注意力或讓自己忙碌的方式，來回避與長期經歷的某件事相關的感受。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "即使是現在，即使在通常安全的環境中，我仍覺得必須保持警惕。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我很容易受驚或感到緊張不安，程度似乎與周圍實際發生的事情不相稱。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我很難放鬆下來，好像內心總有一部分在為可能出問題的事做準備。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "即使沒有明顯的理由，我也會掃視房間、環境或人群，尋找危險的跡象。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我的情緒可以很快從平靜變得難以承受，而且很難讓自己平復下來。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "一些小事就能引發強烈的情緒反應，感覺比當下的情況所需要的要大得多。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我有時會感到情感麻木或封閉，好像完全無法觸及自己的感受。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "一旦我感到不安，即使我想平靜下來也很難做到。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "因為我經歷過的事情，我覺得自己從根本上是有缺陷的、受損的，或者與其他人不同。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我內心深處有一種與過去經歷相關的羞恥感，即使那些事情不是我的錯。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "在某種程度上，我相信發生在我身上的事是我的錯。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我覺得自己不配擁有美好的事物或得到他人的善待。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我發現很難與人親近，即使是我在乎的人。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我很難信任別人，即使他們沒有給我任何不信任的理由。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我避免與人親近，因為我預期會受到傷害、控制或失望。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        },
        {
          "question": "我感覺與其他人脫節，好像我是一個局外人在旁觀。",
          "options": [
            {
              "icon": "🚫",
              "label": "從不",
              "desc": "我沒有這種經歷"
            },
            {
              "icon": "🤔",
              "label": "有時",
              "desc": "偶爾發生"
            },
            {
              "icon": "📍",
              "label": "經常",
              "desc": "時常發生"
            },
            {
              "icon": "🔴",
              "label": "幾乎總是",
              "desc": "對我來說是持續的困擾"
            }
          ]
        }
      ],
      "dimensions": {
        "re_experiencing": {
          "name": "重新體驗",
          "desc": "關於長期困難時期的記憶、夢境或重歷感在身體或心理上不請自來地出現的頻率。",
          "high": "這裡的高分表明，一段長期困難的經歷不斷以你無法選擇的方式重新浮現，透過記憶、夢境或彷彿回到當時的瞬間。這是對反覆或持續痛苦的一種有據可查的反應，不是軟弱的表現，在適當的支持下往往會緩解。",
          "low": "這裡的低分表明，與長期困難時期相關的不想要的記憶或閃回般的瞬間並不經常出現，或者出現時並沒有佔據太多空間。",
          "icon": "🌩️",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        },
        "avoidance": {
          "name": "迴避",
          "desc": "你花費多少精力來避開與長期困難時期相關的想法、感受、人或地方。",
          "high": "這裡的高分表明，你正在努力迴避與長期困難時期相關的提醒，無論是人、地方、話題還是你自己的感受。這種本能作為一種讓自己感到更安全的方式是可以理解的，但隨著時間推移，它可能會比必要的程度更多地限制日常生活。",
          "low": "這裡的低分表明，你通常能夠思考或遇到與長期困難時期相關的提醒，而不需要刻意迴避它們。",
          "icon": "🚪",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        },
        "sense_of_current_threat": {
          "name": "當前威脅感",
          "desc": "你的身體和神經系統是否在當下保持警覺，即使在通常安全的情況下。",
          "high": "這裡的高分表明，你的身體可能比當前情況所需要的更加緊繃地防備危險，表現為過度警覺、容易受驚，或者即使在安全的環境中也難以放鬆警惕。這是對長期或反覆威脅的一種公認的神經系統反應，在適當的支持下可以平復。",
          "low": "這裡的低分表明，你身體的警報系統總體上是平靜的，沒有太多過度警覺或難以放鬆的情況。",
          "icon": "⚡",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        },
        "affect_dysregulation": {
          "name": "情緒調節困難",
          "desc": "你的情緒反應感覺有多穩定或多難以承受，以及一旦不安後你對自我平復有多少控制力。",
          "high": "較高的得分表明,你的情緒波動可能比自己能應對的範圍更大、更快,或者會完全\"關閉\"。這是ICD-11在\"自我組織紊亂\"類別下歸納的三種模式之一,也是複雜性創傷後壓力症候群(Complex PTSD)區別於創傷後壓力症候群(PTSD)的特徵。這是長期或反覆壓力下神經系統習得的一種模式,而不是性格缺陷,創傷知情的支持通常能有效改善它。",
          "low": "較低的得分表明,你通常能夠感受自己的情緒而不被其淹沒,並且在情緒波動後能讓自己重新平靜下來。",
          "icon": "🌊",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        },
        "negative_self_concept": {
          "name": "消極自我概念",
          "desc": "對自己受損、毫無價值或應受責備的持續信念，這種信念可能在長期或反覆的虐待後根深蒂固。",
          "high": "這裡的高分表明你可能承載著深層、持久的羞恥感、無價值感或自責，這些與長期或反覆的虐待經歷有關，即使那些事情從來都不是你的錯。這是複雜性創傷後壓力症候群核心的三種模式之一，在經歷過這類創傷後非常常見，而且在適當的支持下確實可以改變。",
          "low": "這裡的低分表明你的自我價值感總體上保持穩定，沒有與困難經歷相關的持續羞恥感或自責。",
          "icon": "🪞",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        },
        "disturbed_relationships": {
          "name": "關係障礙",
          "desc": "長期或反覆的不當對待可能在多大程度上影響了你與他人建立親密關係或信任他人的能力。",
          "high": "這裡的高分表明你可能很難與人親近或信任他人，即使是那些沒有給你任何不信任理由的人。這是長期遭受不當對待後的常見模式，尤其是當施害者本應是保護你的人時。這是複雜性創傷後壓力症候群核心的三種模式之一，而人際關係，包括治療關係，往往是療愈發生的地方。",
          "low": "這裡的低分表明你通常能夠與生活中的人建立親密感和信任感。",
          "icon": "💔",
          "science": "Cloitre, M., Garvert, D.W., Brewin, C.R., Bryant, R.A., & Maercker, A. (2013). \"Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis.\" European Journal of Psychotraumatology, 4(1). See also World Health Organization, ICD-11: Complex post-traumatic stress disorder (6C58)."
        }
      },
      "results": {
        "minimal": {
          "name": "極輕微的複雜性創傷症狀",
          "desc": "你的回答顯示，這項測驗所關注的模式——重新體驗創傷、迴避行為、保持警覺，以及情緒調節、自我價值感或人際關係方面的變化——目前並沒有以干擾你生活的方式出現。無論你曾經歷過怎樣長期或反覆的困難，它們似乎並沒有在此刻主導你的自我認知或人際關係。",
          "recommendation": "繼續保持有效的做法：穩定的日常作息、值得信賴的人際關係，以及持續關注自己的壓力狀態和自我價值感。如果將來情況有所變化，這類測驗值得再做一次。"
        },
        "mild": {
          "name": "輕度複雜性創傷症狀",
          "desc": "你的回答顯示出一些明顯的模式——浮現的記憶、對自己更苛刻的態度，或是情緒失控或與他人疏離的時刻。對許多人來說，這是承載艱難過往的可控部分，尤其是在多一些自我關懷和人際連線的情況下。",
          "recommendation": "當情緒波動或記憶突然襲來時，簡單的接地技巧會有所幫助。同時也值得留意你與親近之人相處的模式，如果自我批評的想法或人際關係的緊張感開始變得沉重，可以向你信任的人或心理諮商師傾訴。"
        },
        "moderate": {
          "name": "中度複雜性創傷症狀",
          "desc": "你的回答顯示出一種模式，這種模式出現得足夠頻繁，已經影響到你的日常生活，無論是你的安全感、人際關係，還是你對自己的看法。這是一個明確的訊號，表明接受受過複雜創傷訓練的專業人士的支持可能會有所幫助。",
          "recommendation": "考慮與接受過複雜創傷或依附取向訓練的治療師交談。認知加工療法（CPT）、眼動脫敏與再加工療法（EMDR）以及分階段創傷治療（在處理記憶之前先建立安全感和穩定性）都是領先的循證方法，許多治療師現在專門從事複雜創傷或關係創傷的治療。尋求幫助是務實的下一步，而不是最後的手段。"
        },
        "high": {
          "name": "顯著的複雜創傷症狀",
          "desc": "你的回答顯示出一種頻繁且影響深遠的模式，涉及你的記憶、安全感、情緒調節、自我價值感和人際關係。獨自承擔這一切令人精疲力竭，但情況不必一直如此。",
          "recommendation": "儘快聯絡有複雜創傷經驗的心理健康專業人士是一個重要的下一步。分階段創傷治療、EMDR和認知加工療法（CPT）都非常有效，這些模式無論感覺多麼根深蒂固，在正確的支持下都是可以治療的。如果你正處於危機中，請聯絡你所在地區的危機熱線或急救服務。"
        }
      }
    }
  },
  "testNames": {
    "complex-ptsd-screener": "複雜創傷與關係模式檢查"
  }
}