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Warning Notice This is a U.S. Government computer system, which may be accessed and used only for authorized Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action. All information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Such information includes sensitive data encrypted to comply with confidentiality and privacy requirements. Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to these terms. There is no right of privacy in this system.
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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Clinician-Administered Rating Scale for Mania

970 Shared Subjects

N/A
Clinical Assessments
Mania
11/25/2015
carsm01
11/25/2015
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project record_id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY carsm_date
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query carsm_1 Integer Recommended 1. Elevated/Euphoric Mood 0::5 0=Absent; 1=Slight, e.g. good spirits, more cheerful than others, of questionable clinical significance; 2=Mild, but definitely elevated or expansive mood, overly optimistic and somewhat out of proportion to one's circumstances; 3=Moderate, mood and outlook clearly out of proportion to circumstances; 4=Severe, clear quality of euphoric mood; 5=Extreme, clearly exhausted, extreme feelings of well being, inappropriate laughter and/or singing
Query carsm_2 Integer Recommended 2. Irritability/Aggressiveness 0::5 0=Absent; 1=Slight, occasional annoyance, questionable clinical significance; 2=Mild, somewhat argumentative, quick to express annoyance with patients, staff or interviewer, occasionally irritable during interview; 3=Moderate, often swears, loses temper, threatening, excessive irritation around certain topics, room seclusion may be required, frequently irritable during interview; 4=Severe, occasionally assaultive, may throw objects, damage property, limit setting necessary, excessive and inappropriate irritation, restraints may be required, interview had to be stopped due to excessive irritability; 5= Extreme, episodes of violence against persons or objects, physical restraint required
Query carsm_3 Integer Recommended 3. Hypermotor Activity 0::5 0= Absent; 1 = Slight increase, of doubtful clinical significance; 2 = Mild, occasional pacing, unable to sit quietly in chair; 3 = Moderate, frequent pacing on unit, unable to remain seated; 4 = Marked, almost constant moving or pacing about; 5 = Extreme, continuous signs of hyperactivity such that the patient must be restrained to avoid exhaustion.
Query carsm_4 Integer Recommended 4. Pressured Speech 0::5 0 = Absent; 1 = Slight increase, of doubtful clinical significance; 2 = Mild, noticeably more verbose than normal, but conversation is not strained; 3 = Moderate, so verbose that conversation is strained; some difficulty interrupting patient's speech; 4 = Marked, patient's conversation is so rapid that conversation is difficult to maintain, markedly difficult to interrupt speech; 5 = Extreme, speech is so rapid or continuous that patient cannot be interrupted.
Query carsm_5 Integer Recommended 5. Flight of Ideas/Racing Thoughts 0::5 0 = Absent; 1 = Slight, occasional instances of doubtful clinical significance; 2 = Mild, occasional instances of abrupt change in the topic with little impairment in understandable or patient reports occasional racing thoughts; 3 = Moderate, frequent instances with some impairment in understandability or patient reports frequent racing thoughts which are disruptive or distressing to the patient; 4 = Severe, very frequent instances with definite impairment; 5 = Extreme, most of speech consists of rapid changes in topic which are difficult to follow.
Query carsm_6 Integer Recommended 6. Distractibility 0::5 0 = Absent; 1 = Slight, of doubtful clinical significance; 2 = Mild, present but does not interfere with task or conversation; 3 = Moderate, some interference with conversation or task; 4 = Severe, frequent interference with conversation or task; 5 = Extreme, unable to focus patient's attention on task or conversation.
Query carsm_7 Integer Recommended 7. Grandiosity 0::5 0 = Absent; 1 = Slightly increased self-esteem or confidence, but of questionable clinical significance; 2 = Mild, definitely inflated self-esteem or exaggeration of abilities somewhat out of proportion to circumstances; 3 = Moderate, inflated self-esteem clearly out of proportion to circumstances, borderline delusional intensity; 4 = Severe, clear grandiose delusion(s); 5 = Extreme, preoccupied with and/or acts on the basis of grandiose delusions.
Query carsm_8 Integer Recommended 8. Decreased Need for Sleep 0::5 0 = Absent; 1 = Up to 1 hour less sleep than usual; 2 = Up to 2 hour less sleep than usual; 3 = Up to 3 hour less sleep than usual; 4 = Up to 4 hour less sleep than usual; 5 = 4 or more hours less sleep than usual.
Query carsm_9 Integer Recommended 9. Excessive Energy 0::5 0 = Absent; 1 = Slightly more energy, of questionable significance; 2 = Definite increase in activity level or less fatigued than usual, does not hinder functioning; 3 = Clearly more active than normal with little or no fatigue, occasional interference with functioning; 4 = Much more active than usual with little fatigue and clear interference with normal functioning; 5 = Extreme, active all day long with little or no fatigue or need for sleep.
Query carsm_10 Integer Recommended 10. Poor Judgement 0::5 0 = Absent; 1 = Slight, but of questionable clinical significance (i.e, increased phone calling, occasional intrusiveness); 2 = Mild, but definite examples (i.e. somewhat intrusive, sexually provocative, inappropriate singing); 3 = Moderate, assumes tasks or responsibilities without proper training, financial indiscretions, buying sprees within financial limits, frequent intrusiveness; 4 = Severe, sexual promiscuity, hyper-sexuality, extremely intrusive behavior, places self in significant economic difficulty; 5 = Extreme, continuous intrusive behavior requiring limit setting, excessive phone calling at all hours, antisocial behavior, excessive involvement in activities without regard to consequences.
Query carsm_11 Integer Recommended 11. Disordered Thinking 0::5 0 = Absent; 1 = Occasional instances which are of doubtful clinical significance; 2 = A few definite instances, but little or no impairment in understandability; 3 = Frequent instances and may have some impairment in understandability; 4 = Severe, very frequent instances with marked impairment in understandability; 5 = Extreme, most or all of speech is distorted, making it impossible to understand what the patient is talking about.
Query carsm_12 Integer Recommended 12. Delusions 0::5 0 = Absent; 1 = Suspected or likely; 2 = Definitely present but not fully convicted, including referential or persecutory ideas without full conviction; 3 = Definitely present with full conviction but little if any influence on behavior; 4 = Delusion has significant effect upon patient's thoughts, feelings, or behavior (e.e, preoccupied with belief that others are trying to harm him/her.); 5 = Actions based on delusion have major impact on patients or others (i.e., stops eating due to belief that food s poisoned, strikes others due to beliefs that others are trying to harm him/her.).
Query carsm_13 Integer Recommended 13. Hallucinations 0::5 0 = Absent; 1 = Suspected or likely; 2 = Present, but subject is generally aware that it may be his/her imagination and can ignore it; 3 = Definitely present with full conviction, but with little if any influence on behavior; 4 = Hallucinations have significant effect on patient's thoughts, feelings, or actions (e.g., locks doors to avoid imaginary pursuers); 5 = Actions based on hallucinations have major impact on patient or others (e.g., patient converses with voices so much that it interferes with normal functioning).
Query carsm_14 Integer Recommended 14. Orientation 0::5 0 = Absent; 1 = Slight impairment but of doubtful clinical significance (i.e., misses date by one day); 2 = Mild, but definite impairment (i.e., unsure about orientation to place or time, or some impairment in a few aspects of recent or remote memory); 3 = Moderate (i.e., confused about where he is or cannot remember many important events in his life); 4 = Severe (disoriented or gross impairment in memory); 5 = Extreme (i.e., thoroughly disoriented to time, place, person and/or is unable to recall numerous important events in his/her life).
Query carsm_15 Integer Recommended 15. Insight 0::4 0 = Insight is present (i.e., patient admits illness, behavior change and need for treatment); 1 = Partial insight is present (i.e., patient feels he/she may possibly be ill or needs treatment, but is unsure); 2 = Patient admits behavior change, illness or need for treatment but attributes it to non-delusional or plausible external factors (i.e., marital conflict, job difficulties, stress); 3 = Patient admits behavior change, illness or need for treatment but gives delusional explanations (i.e., being controlled by external forces, dying of cancer, etc.); 4 = Complete lack of insight. Patient denies behavior change, illness or need for treatment.
Query carsm_score1 Integer Recommended Subscale 1 Score (Items 1-10): [carsm_1] + [carsm_2] + [carsm_3] + [carsm_4] + [carsm_5] + [carsm_6] + [carsm_7] + [carsm_8] + [carsm_9] + [carsm_10]
Query carsm_score2 Integer Recommended Subscale 2 Score (Items 11-15): [carsm_11] + [carsm_12] + [carsm_13] + [carsm_14] + [carsm_15]
Query carsm_totalscore Integer Recommended CARSM Total Score [carsm_score1] + [carsm_score2]
Query cars12 Integer Recommended If delusions present, specify type: 1;2 1=Mood-Congruent; 2=Mood-Incongruent
Query cars13 Integer Recommended If hallucinations present, specify type: 1;2 1=Mood-Congruent; 2=Mood-Incongruent
Query visitid Integer Recommended MetaTrial Visit ID System variable: unique code for each type of visit -use to merge files
Query week Float Recommended Week in level/study 99=week 10-week 14
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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