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Assesses severity of Post-Acute Withdrawal Syndrome (PAWS) in patients recovering from alcohol use disorder. PAWS refers to a constellation of persistent protracted withdrawal symptoms that occur after acute alcohol withdrawal has resolved (typically 2–8 weeks post-cessation), lasting weeks to months. Symptoms include: anxiety, cognitive fog, sleep disturbances, mood instability, fatigue, reduced stress tolerance, and craving. Severity is associated with relapse risk. Used in addiction medicine and outpatient recovery contexts.
1. Mood Instability / Emotional Dysregulation (irritability, mood swings, emotional hypersensitivity)
2. Anxiety / Heightened Stress Response (difficulty tolerating normal stress, hypervigilance)
3. Cognitive Impairment (memory problems, difficulty concentrating, decision-making difficulty)
4. Sleep Disturbance (insomnia, vivid dreams, unrefreshing sleep)
5. Fatigue / Anhedonia (low energy, inability to experience pleasure, emotional flatness)
6. Physical Symptoms (fine tremor, coordination problems, headache, sensitivity to stress or light)
7. Alcohol Craving (frequency and intensity of urges to drink)
8. Social Withdrawal / Difficulty with Relationships (isolation, interpersonal hypersensitivity)
9. Pain Sensitivity / Somatic Complaints (musculoskeletal ache, sensory hypersensitivity)
10. Overall Functional Impairment (ability to work, maintain relationships, manage daily tasks)
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