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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Adult Separation Anxiety Questionnaire

1,374 Shared Subjects

Adult Separation Anxiety Questionnaire - ASA-27
Clinical Assessments
Anxiety
06/06/2018
asa01
06/06/2018
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
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
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
asa1 Integer Recommended 1. Have you felt more secure at home when you are with people that are close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa2 Integer Recommended 2. Have you experienced difficulty in staying away from home for several hours at a time? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa3 Integer Recommended 3. Have you been carrying around something in your purse or wallet that gives you a sense of security or comfort? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa4 Integer Recommended 4. Have you experienced extreme stress before leaving home to go on a long trip? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa5 Integer Recommended 5. Have you suffered from nightmares or dreams about being separated from someone close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa6 Integer Recommended 6. Have you experienced extreme stress before leaving someone close to you when going away on a trip? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa7 Integer Recommended 7. Have you become very upset when your usual daily routine is disrupted? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa8 Integer Recommended 8. Have you been worried about the intensity of your relationship with those people closest to you, eg. that you are too strongly attached? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa9 Integer Recommended 9. Have you experienced symptoms such as headaches, stomach-aches or nausea (or other) before leaving for work or other regular activity outside the home? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa10 Integer Recommended 10. Do you find that you talk a lot in order to keep people close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa11 Integer Recommended 11. Have you been especially concerned about where people close to you are going when you are separated from them, eg. when you leave them to go to work or go out of the house? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa12 Integer Recommended 12. Have you experienced difficulty in sleeping alone at night, eg. is your sleep better if someone close to you is in the house? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa13 Integer Recommended 13. Have you noticed that you are better able to go off to sleep if you can hear the voices of people you are close to or the sound of the TV or the radio? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa14 Integer Recommended 14. Have you become very distressed when thinking about being away from people that are close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa15 Integer Recommended 15. Have you suffered from nightmares or dreams about being away from home? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa16 Integer Recommended 16. Have you been worrying a lot about people close to you coming to serious harm, for example, meeting with a car accident, or suffering from a fatal illness? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa17 Integer Recommended 17. Have you become very upset with changes to your usual daily routine if they interfere with your contact with persons close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa18 Integer Recommended 18. Have you been worrying a lot about people you care about leaving you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa19 Integer Recommended 19. Have you found that you sleep better if the lights are on in the house or in the bedroom? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa20 Integer Recommended 20. Have you tried to avoid being at home alone especially when people close to you are out? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa21 Integer Recommended 21. Have you suffered from sudden bouts of anxiety or panic attacks (eg. Sudden shaking, sweating, shortness of breath, pounding heart) when thinking about leaving people close to you or about them leaving you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa22 Integer Recommended 22. Have you found that you get anxious if you do not speak to people that are close to you on the telephone regularly, eg. daily? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa23 Integer Recommended 23. Have you been afraid that you would not be able to cope or could not go on if someone you cared about left you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa24 Integer Recommended 24. Have you suffered from sudden bouts of anxiety or panic attacks (eg. Sudden shaking, sweating, shortness or breath, pounding heart) when separated from people close to you? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa25 Integer Recommended 25. Have you been worrying a lot about possible events that may separate you from those close to you eg. because of work requirements? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa26 Integer Recommended 26. Have people close to you mentioned that you "talk a lot"? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asa27 Integer Recommended 27. Have you been worrying that your relationships with some people are so close that it may cause them problems? 0::3 0= This has never happened; 1= This happens occasionally; 2= This happens fairly often; 3= This happens very often
asamean Float Recommended Adult Separation Anxiety Mean 0::3 mean
asatotal Integer Recommended Adult Separation Anxiety Total 0::81 total
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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