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Validation with rigorous psychometric testing has confirmed the internal consistency, test-retest reliability, convergent validity, known-groups validity, and scoring structure of the instrument

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After these steps, the following reliable approaches can help treat the sting and minimize your discomfort

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Coding changed from the use of ICD-9 diagnoses to ICD-10 diagnoses to match the recent DSM5 update in 2013, enumerating many more diagnoses