|
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 |
|
|
date_of_interview_contact, date_psychhx, visit_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.
|
age |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender, sex |
Query
|
cfmh_chd_bipolar |
Integer |
|
Recommended |
Does (did) the subject have a Bipolar Disorder? |
1;0;999;9
|
0 = No; 1 = Yes
|
bpever |
Query
|
bponset |
Integer |
|
Recommended |
How old was the subject at the first onset of symptoms of Bipolar Disorder? (specify age in years) |
|
|
|
Query
|
bpdx |
Integer |
|
Recommended |
How old was the subject when she/he was first diagnosed with Bipolar Disorder? (specify age in years) |
|
|
|
Query
|
mini_dd3 |
Integer |
|
Recommended |
Differential Diagnosis: Does the patient code positive for current and/or past manic episode? |
0;1
|
0=No; 1=Yes
|
manever |
Query
|
manic_age |
Integer |
|
Recommended |
Manic and Hypomania Age of Onset |
|
-9=Unknown
|
manage |
Query
|
macnumep |
Integer |
|
Recommended |
Total number of episodes of manic syndrome, including current |
|
99 = too numerous or indistinct to count; -9=Unknown
|
mancount |
Query
|
mini_dd1 |
Integer |
|
Recommended |
Differential Diagnosis: Does the patient code positive for current and/or past major depressive episode? |
0;1
|
0=No; 1=Yes
|
mddever |
Query
|
dage |
Integer |
|
Recommended |
Age at onset of first MDE (major depressive episode) |
|
-9=Unknown
|
mddage |
Query
|
p2i6 |
Integer |
|
Recommended |
Major Depressive Episode - Best estimate of number of episodes |
|
96 = too numerous for form; -9 = number unknown
|
mddcount |
Query
|
dt1p |
Integer |
|
Recommended |
Ever had psychotic symptoms |
0;1
|
0=No; 1=Yes
|
psylife |
Query
|
hallud |
Integer |
|
Recommended |
Hallucinations |
0;1; -9
|
0=No; 1=Yes; -9=unknown
|
psytype_hall |
Query
|
delusd |
Integer |
|
Recommended |
Delusions |
0;1
|
0=No; 1=Yes
|
psytype_delus |
Query
|
psytype_disord |
Integer |
|
Recommended |
Thought disorder (e.g., tangentiality, loose associations, neologisms, thought blocking) |
0;1
|
1 = Checked; 0 = Unchecked
|
|
Query
|
psytype_disorg |
Integer |
|
Recommended |
Disorganized/bizarre thought process and/or behavior |
0;1
|
1 = Checked; 0 = Unchecked
|
|
Query
|
psymood_congruent |
Integer |
|
Recommended |
Mood-congruent (e.g., grandiose delusions during manic episode, delusion of guilt during depressive episode, derogatory auditory hallucinations during depressive episode) |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
psymood_incongruent |
Integer |
|
Recommended |
Mood-incongruent (e.g., paranoid or persecutory delusions during manic or depressive episode) |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
hpl_02 |
Integer |
|
Recommended |
Age at first psychotic symptoms, e.g. delusions, hallucinations, thought disorder |
|
in years
|
psyfirst |
Query
|
psydep |
Integer |
|
Recommended |
How many depressive psychotic episodes has the subject had (lifetime)? (number of episodes) |
|
|
|
Query
|
psymanmix |
Integer |
|
Recommended |
How many manic and/or mixed psychotic episodes has the subject had (lifetime)? (number of episodes) |
|
|
|
Query
|
psyconfident |
Integer |
|
Recommended |
How confident is the rater in the approximation of number of psychotic mood episodes? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
hospever |
Integer |
|
Recommended |
Has the subject ever been hospitalized for psychiatric reasons including substance use (lifetime)? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
age_1st_hosp |
Integer |
|
Recommended |
Age at first psychiatric hospitalization (years) |
|
|
hospage |
Query
|
hospcount |
Integer |
|
Recommended |
How many psychiatric hospitalizations has the subject had (lifetime)? (number of episodes) |
|
|
a4_number_of_past_psychiatric_, ph_6 |
Query
|
ectever |
Integer |
|
Recommended |
Has the subject ever received an ECT? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
brnins |
Integer |
|
Recommended |
Has the subject had any brain insults accompanied by loss of consciousness (lifetime)? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
brninscount |
Integer |
|
Recommended |
Total number of brain insults (e.g., traumatic brain injury, hypoxia) accompanied by any loss of consciousness in lifetime |
|
|
|
Query
|
consduration |
Integer |
|
Recommended |
The longest duration of loss of consciousness in lifetime (specify duration in seconds) |
|
|
|
Query
|
suicisev |
Integer |
|
Recommended |
Rate the most severe suicidal tendencies in lifetime (please choose only one, the highest rating) |
1::7;9
|
1 = Absent; 2 = Thoughts of dying, but no suicidal thoughts; 3 = Occasional thoughts of suicide, no plans; 4 = Often thought about suicide or has thought of a specific method; 5 = Had a plan or made a suicidal gesture (i.e., an attempt without intent to die); 6 = Made preparations for a potentially serious suicide attempt 7 = Suicide attempt with definite intent to die or be potentially medically harmful; 9 = Unknown
|
|
Query
|
suiciever |
Integer |
|
Recommended |
Has the subject ever attempted suicide (include 'true' suicide attempts and/or suicide gestures)? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
suicatmpt |
Query
|
sheehan_11 |
Integer |
|
Recommended |
11. Over your lifetime, how many times did you attempt suicide? |
|
|
ph_9, suicicount |
Query
|
suiciage |
Integer |
|
Recommended |
How old was the subject during the most severe suicide attempt? (specify age in years) |
|
|
|
Query
|
suicimode_drug |
Integer |
|
Recommended |
suicide Drug overdose |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_cut |
Integer |
|
Recommended |
suicide Cutting |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_firearm |
Integer |
|
Recommended |
suicide Firearm use/shooting |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_hang |
Integer |
|
Recommended |
suicide Hanging |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_jump |
Integer |
|
Recommended |
suicide Jumping |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_burn |
Integer |
|
Recommended |
suicide Immolation/burning |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_drown |
Integer |
|
Recommended |
suicide Drowning |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suicimode_other |
Integer |
|
Recommended |
suicide Other |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
suiciintend |
Integer |
|
Recommended |
Did the subject intend to end his life/die during the most severe suicide attempt? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
use_cannabis |
Integer |
|
Recommended |
does the parent think the subject has ever used cannabis |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
canever |
Query
|
canage |
Integer |
|
Recommended |
How old was the subject during first use of cannabis? (specify age in years) |
|
|
|
Query
|
canbefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use cannabis? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
canafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use cannabis? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
cansyn |
Integer |
|
Recommended |
Has the subject ever used synthetic cannabis (e.g., 'K2', 'spice', 'mojo')? |
0;1;2;3;9
|
1 = Yes; 0 = No; 2 = Yes, in the last 12 months;3 = Yes, but not in the last 12 months;9 = Unknown
|
|
Query
|
cansynbefore |
Integer |
|
Recommended |
Did the subject use synthetic cannabis before age 18? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
|
canlast |
Date |
|
Recommended |
When was the last time the subject used cannabis? Approximate date |
|
|
|
Query
|
canconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
canprescribe_pre |
Integer |
|
Recommended |
Canibis Prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
canprescribe_nonpre |
Integer |
|
Recommended |
Canibis Non-prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
use_stimulants |
Integer |
|
Recommended |
does the parent think the subject has ever used stimulants |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
stimever |
Query
|
first_use_age_stimulants |
Integer |
|
Recommended |
How old were you when you FIRST used Stimulants? PX031201_First_Use_Age_Stimulants |
1::99
|
Age in years
|
stimage |
Query
|
stimbefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use stimulants? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
stimafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use stimulants? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
stimlast |
Date |
|
Recommended |
When was the last time the subject used stimulants? Approximate date |
|
|
|
Query
|
stimconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
stimprescribe_pre |
Integer |
|
Recommended |
Stimulants Prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
stimprescribe_nonpre |
Integer |
|
Recommended |
Stimulants Non-prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
use_cocaine |
Integer |
|
Recommended |
does the parent think the subject has ever used cocaine |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
cocaineever |
Query
|
first_use_age_cocaine |
Integer |
|
Recommended |
How old were you when you FIRST used Cocaine or Crack? PX031201_First_Use_Age_Cocaine |
1::99
|
Age in years
|
cocaineage |
Query
|
cocainebefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use cocaine? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
cocaineafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use cocaine? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
cocainelast |
Date |
|
Recommended |
When was the last time the subject used cocaine? Approximate date |
|
|
|
Query
|
cocaineconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
use_halluc |
Integer |
|
Recommended |
does the parent think the subject has ever used hallucinogens |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
hallever |
Query
|
subus33 |
Integer |
|
Recommended |
Age at first treatment or hospitalization for substance use (in years) |
|
|
hallage |
Query
|
hallbefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use hallucinogens? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
hallafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use hallucinogens? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
halllast |
Date |
|
Recommended |
When was the last time the subject used hallucinogens? Approximate date |
|
|
|
Query
|
hallconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
use_opiods |
Integer |
|
Recommended |
does the parent think the subject has ever used opiods |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
opiever |
Query
|
opiage |
Integer |
|
Recommended |
Age during first use of opioids? (specify age in years) |
|
|
|
Query
|
opibefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use opioids? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
opiafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use opioids? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
opilast |
Date |
|
Recommended |
When was the last time the subject used opioids? Approximate date |
|
|
|
Query
|
opiconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
opiprescribe_pre |
Integer |
|
Recommended |
Opioid Prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
opiprescribe_nonpre |
Integer |
|
Recommended |
opioid Non-prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
use_other |
Integer |
|
Recommended |
does the parent think the subject has ever used other substances |
0 :: 2
|
0 = No information; 1 = No; 2 = Yes
|
subothever |
Query
|
subothage |
Integer |
|
Recommended |
Age during first use of other substances? (specify age in years) |
|
|
|
Query
|
subothbefore |
Integer |
|
Recommended |
Before age 18 how many times did the subject use other substances? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
subothafter |
Integer |
|
Recommended |
After age 18 how many times did the subject use other substances? (please check only one) |
1::6;9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
subothlast |
Date |
|
Recommended |
When was the last time the subject used other substances? Approximate date |
|
|
|
Query
|
subothconfident |
Integer |
|
Recommended |
How confident is the rater in the date approximation? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
subothprescribe_pre |
Integer |
|
Recommended |
Other substance Prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
Query
|
subothprescribe_nonpre |
Integer |
|
Recommended |
Other substance Non-prescribed |
1;0
|
1 = Checked; 0 = Unchecked
|
|
|
date_menst_psychhx |
String |
30
|
Recommended |
First date of the last menstrual cycle (females only) |
|
|
|
Query
|
aller |
Integer |
|
Recommended |
Allergies, Medications |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
midihist_002 |
Integer |
|
Recommended |
Allergies- Other |
1;2;9;-999
|
1=No History; 2=Yes; 9=Not evaluated; -999= Don't know/Missing Data
|
alleroth |
Query
|
heent |
String |
10
|
Recommended |
Heent exam |
normal; abnormal; other
|
|
|
Query
|
cardio_disorder |
Integer |
|
Recommended |
Cardiovascular Disorder (Heart, Vessels) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
cardio |
Query
|
mhxa1c |
Integer |
|
Recommended |
Coronary artery disease |
0;1; -9
|
0=No; 1=Yes; -9 =NK
|
coronary |
Query
|
lhq_hyp |
Integer |
|
Recommended |
Hypertension |
0;1; -7;-9
|
0=No; 1=Yes; -7=Refused; -9=Unknown
|
hypert |
Query
|
cardiooth |
Integer |
|
Recommended |
Other Cardio |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
mhx005a |
Integer |
|
Recommended |
History of: Renal disorder |
1::3;9
|
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated
|
renal, renal_dis |
Query
|
hepat |
Integer |
|
Recommended |
Hepatitis |
1;0;-7; -9
|
0=No; 1=Yes;-7=Refused; -9 =unknown
|
|
Query
|
mhx007aa |
Integer |
|
Recommended |
History of: Pulmonary disorder |
1::3;9
|
1=No; 2=Yes; 3=Yes, Inactive;9=not evaluated
|
pulmon |
Query
|
gastro |
Integer |
|
Recommended |
Gastrointestinal Disorder (Stomach, Bowels) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
muscul |
Integer |
|
Recommended |
Musculoskeletal Disorder (Muscles, Joints, Spine) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
neuro_dis |
Integer |
|
Recommended |
Neurologic Disorder (Brain, Spinal Cord, Peripheral Nerves) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
neuro |
Query
|
mhx013a |
Integer |
|
Recommended |
History of: Dermatologic disorder |
1::3;9
|
1=No; 2=Yes;9=not evaluated
|
derma |
Query
|
mhmetabe |
Integer |
|
Recommended |
Metabolic Disorder |
1::4;-9;9
|
1=No history 2=Yes, excludes;3=Yes, does not exclude; -9 =unknown;4=Yes; 9=not evaluated
|
meta |
Query
|
baseline_k_005 |
Integer |
|
Recommended |
Has she/he ever been to a doctor for any of these things…Diabetes /Diabetes |
0;1; -888; -999;-7
|
0=No; 1=Yes; -888=Not Applicable; -999=Missing/NK; -7=Refused //Now I'd like to ask you about your child's use of health services during the past year and throughout his/her whole life.
|
diabetes, diabetes_dis |
Query
|
mdga10 |
Integer |
|
Recommended |
Diagnosed with: Hyperlipidemia |
0;1; -9
|
0=No; 1=Yes; -9=unknown
|
hyperlip |
Query
|
cfmh_othr_obesity |
Integer |
|
Recommended |
Obesity |
1;0
|
0 = No; 1 = Yes
|
obesity |
Query
|
metaoth |
Integer |
|
Recommended |
Other |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
hemato |
Integer |
|
Recommended |
Hematologic Disorder (Blood Disorders) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
endoc |
Integer |
|
Recommended |
Endocrine Disorder (Thyroid gland, Adrenal glands, etc.) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
genit_dis |
Integer |
|
Recommended |
Genitourinary Disorder (Bladder, Reproductive System) |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
genit |
Query
|
medprob_inf |
String |
50
|
Recommended |
Infectious Disease: Is there any known abnormality in this area |
No;Yes;Don't Know
|
|
infectious |
Query
|
phystrau |
Integer |
|
Recommended |
Physical Trauma |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
psqb12 |
Integer |
|
Recommended |
Child ever had surgery |
0::2; 9
|
0 = No; 1 = Yes; 2 = Do not know; -9 = Missing value
|
surgery |
Query
|
baseline_k_003 |
Integer |
|
Recommended |
Cancer |
0;1;-888;-999
|
0=No; 1=Yes; -888=Not Applicable; -999=Missing;
|
cancer |
Query
|
szsadbp |
Integer |
|
Recommended |
Does the subject have Schizophrenia, Schizoaffective Disorder, or Psychotic Bipolar Disorder? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
szsadbponset |
Integer |
|
Recommended |
How old was the subject at the first symptom onset of SZ, SAD, or Psychotic BD? (specify age in years) |
|
specify age in years
|
|
Query
|
szsadbpdx |
Integer |
|
Recommended |
How old was the subject when she/he was first
diagnosed with SZ, SAD, or Psychotic BD? (specify age in years) |
|
specify age in years
|
|
Query
|
psytype_cata |
Integer |
|
Recommended |
Catatonia |
0;1
|
1 = Checked; 0 = Unchecked
|
|
Query
|
onset_type |
Integer |
|
Recommended |
What was the type of onset of psychotic symptoms?
(Acute onset: less than 6 months from first psychotic symptoms to frank psychosis onset; Insidious onset: more than 6 months from first psychotic symptoms to frank psychosis onset) |
1::3
|
1 = Acute; 2 = Insidious; 3 = Unknown
|
|
Query
|
lt_co_psy |
Integer |
|
Recommended |
What has the lifetime course of psychotic symptoms been? (please check only one) |
1::4
|
1 = Episodic; 2 = Chronic; 3 = With both episodic and chronic features; 4 = Unknown
|
|
Query
|
lt_du_psy |
Float |
|
Recommended |
What has the lifetime duration of psychotic
symptoms been? (specify in months)
(Indicate total cumulative duration of psychotic symptoms in lifetime) |
|
specify in months
|
|
Query
|
psyconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to
lifetime psychotic symptoms?
(please answer for all subjects; check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
lt_co_dep |
Integer |
|
Recommended |
What has the lifetime course of depressive symptoms been? (please check only one) |
1::4
|
1 = Episodic; 2 = Chronic; 3 = With both episodic and chronic features; 4 = Unknown
|
|
Query
|
lt_du_dep |
Float |
|
Recommended |
What has the lifetime duration of depressive symptoms been? (specify in months) |
|
specify in months
|
|
Query
|
lt_co_man |
Integer |
|
Recommended |
What has the lifetime course of manic symptoms been? (please check only one): |
1::4
|
1 = Episodic; 2 = Chronic; 3 = With both episodic and chronic features; 4 = Unknown
|
|
Query
|
lt_du_man |
Float |
|
Recommended |
What has the lifetime duration of manic symptoms
been? (specify in months) |
|
specify in months
|
|
Query
|
mix_ever |
Integer |
|
Recommended |
Has the subject ever had Mixed Episode? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
mix_age |
Integer |
|
Recommended |
How old was the subject at the time of first mixed
episode? (specify age in years) |
|
specify age in years
|
|
Query
|
mix_count |
Integer |
|
Recommended |
How many mixed episodes has the subject had
(lifetime)? (number of episodes) |
|
number of episodes
|
|
Query
|
mixcount_many |
Integer |
|
Recommended |
Too many to count flag |
1
|
1 = Too many to count
|
|
Query
|
moodconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to
lifetime mood symptoms?
(please answer for all subjects; check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
lt_psymood |
Integer |
|
Recommended |
Did the subject have overlapping psychotic and mood symptoms in lifetime? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
lt_overall |
Integer |
|
Recommended |
The overall course of illness manifested predominantly with (Please check only one) (lifetime) |
1::4
|
1 = Psychotic Symptoms; 2 = Mood Symptoms; 3 = Both; 4 = NA
|
|
Query
|
interconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to
interrelated mood and psychotic symptoms?
(please answer for all subjects; check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
alcever |
Integer |
|
Recommended |
Has the subject ever drunk alcohol? |
0;1;9
|
1 = Yes; 0 = No; 9 = Unknown
|
|
Query
|
alcage |
Integer |
|
Recommended |
Age during first use of alcohol?
(specify age in years) |
|
specify age in years
|
|
Query
|
alcbefore |
Integer |
|
Recommended |
Before age 18, how many times did the subject use alcohol? (please check only one) |
1::6; 9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
alcafter |
Integer |
|
Recommended |
After age 18, how many times did the subject use alcohol? (please check only one) |
1::6; 9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
alclast |
Date |
|
Recommended |
When was the last time the subject used alcohol? Approximate date |
|
MM/DD/YYYY Approximate date
|
|
Query
|
alcconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to alcohol use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
canbefore15 |
Integer |
|
Recommended |
Before age 15, how many times did the subject use cannabis? (please check only one) |
1::6; 9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
canbetween |
Integer |
|
Recommended |
Between ages 15 and 18, how many times did the subject use cannabis? (please check only one): |
1::6; 9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
Query
|
cansynage |
Integer |
|
Recommended |
Age during first use of synthetic cannabis? (specify
age in years) |
|
specify age in years
|
|
Query
|
cansyntimes |
Integer |
|
Recommended |
How many times did the subject use synthetic cannabis? (please check only one) |
1::6; 9
|
1 = None; 2 = 1-4 times; 3 = 5-10 times; 4 = 11-50 times; 5 = 51-100 times; 6 = >100 times; 9 = Unknown
|
|
|
cansynlast |
Date |
|
Recommended |
When was the last time the subject used synthetic
cannabis? Approximate date |
|
MM/DD/YYYY Approximate date
|
|
Query
|
canconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to cannabis use? (check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
stimconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to stimulants use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
cocaineconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to cocaine use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
hallconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to hallucinogens use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
opiconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to opioids use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
subothconfident_b2 |
Integer |
|
Recommended |
How confident is the rater in the data pertinent to other substance use? (please check only one) |
1::3
|
1 = Very confident; 2 = Moderately confident; 3 = Not confident
|
|
Query
|
psyhx3 |
Integer |
|
Recommended |
Percentage of time past year was subject depressed |
1::6; 90
|
1=0 -20%;2=21 -40%; 3=41 -60%;4=61 -80%; 5=81 -100%; 6=Unknown
|
|
Query
|
ppsyh_8 |
Integer |
|
Recommended |
Percentage of time past year was subject manic or hypomanic |
1::5; 6
|
1=0-20%; 2=20-40%; 3=40-60%; 4=60-80%; 5=80-100%; 6=Unknown
|
|
Query
|
manic_hypoeps |
Integer |
|
Recommended |
Manic and Hypomania Total Number of Hypomanic Episodes |
|
-99=N/A ; 88= Missing ; 77= Refused; -1=NK
|
|
Query
|
epino |
Integer |
|
Recommended |
Number of MDEs |
|
|
|
Query
|
week |
Float |
|
Recommended |
Week in level/study |
|
99=week 10-week 14
|
|
Query
|
i1a |
Integer |
|
Recommended |
How old was the subject at the first onset of any psychiatric illness? (specify age in years) |
|
|
|
Query
|
i7 |
Integer |
|
Recommended |
Has any member of your family ever been
hospitalized for a psychiatric problem or a nervous breakdown? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i8 |
Integer |
|
Recommended |
Has any member of your family taken medicines to treat a psychiatric problem? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i9 |
Integer |
|
Recommended |
Has any member of your family lived in a group home or supervised housing? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i10 |
Integer |
|
Recommended |
Does any member of your family receive SSI or disability benefits? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i11 |
Integer |
|
Recommended |
Is any member of your family odd or eccentric? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i11a |
Integer |
|
Recommended |
Is he/she withdrawn? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i11b |
Integer |
|
Recommended |
Does he/she talk to himself/herself? |
0;1;9
|
0=No;1=Yes, 9=NK
|
|
Query
|
i12a |
Integer |
|
Recommended |
Number of first degree relatives with a probable schizophrenia/bipolar spectrum disorders (DSM-IV Axis I and Axis II): schizophrenia, schizoaffective disorder, bipolar disorders, major depressive disorder, cluster A and cluster B personality disorders. |
|
|
|
Query
|
i12b |
Integer |
|
Recommended |
Number of second degree relatives (e.g. grandparents, grandchildren, aunts, uncles,) with a probable schizophrenia/bipolar spectrum disorders (DSM-IV Axis I and Axis II): schizophrenia, schizoaffective disorder, bipolar disorders, major depressive disorder, cluster A and cluster B personality disorders. |
|
|
|
Query
|
i12c |
Integer |
|
Recommended |
Number of third degree relatives (e.g. great- grandparents) with a probable schizophrenia/bipolar spectrum disorders (DSM-IV Axis I and Axis II): schizophrenia, schizoaffective disorder, bipolar disorders, major depressive disorder, cluster A and cluster B personality disorders. |
|
|
|
|
mania_range1 |
String |
20
|
Recommended |
Duration of Manic Episode 1 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range2 |
String |
20
|
Recommended |
Duration of Manic Episode 2 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range3 |
String |
20
|
Recommended |
Duration of Manic Episode 3 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range4 |
String |
20
|
Recommended |
Duration of Manic Episode 4 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range5 |
String |
20
|
Recommended |
Duration of Manic Episode 5 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range6 |
String |
20
|
Recommended |
Duration of Manic Episode 6 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range7 |
String |
20
|
Recommended |
Duration of Manic Episode 7 |
|
mm/yyyy - mm/yyyy
|
|
|
mania_range8 |
String |
20
|
Recommended |
Duration of Manic Episode 8 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range1 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 1 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range2 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 2 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range3 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 3 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range4 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 4 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range5 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 5 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range6 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 6 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range7 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 7 |
|
mm/yyyy - mm/yyyy
|
|
|
hypomania_range8 |
String |
20
|
Recommended |
Duration of Hypomanic Episode 8 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range1 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 1 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range2 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 2 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range3 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 3 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range4 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 4 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range5 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 5 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range6 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 6 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range7 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 7 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range8 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 8 |
|
mm/yyyy - mm/yyyy
|
|
|
mdd_range9 |
String |
20
|
Recommended |
Duration of Major Depressive Episode 9 |
|
mm/yyyy - mm/yyyy
|
|
|
dysthymia_1 |
String |
20
|
Recommended |
Duration of Dysthymic Episode 1 |
|
mm/yyyy - mm/yyyy
|
|
|
dysthymia_2 |
String |
20
|
Recommended |
Duration of Dysthymic Episode 2 |
|
mm/yyyy - mm/yyyy
|
|
|
dysthymia_3 |
String |
20
|
Recommended |
Duration of Dysthymic Episode 3 |
|
mm/yyyy - mm/yyyy
|
|
Query
|
psychosis_no |
Integer |
|
Recommended |
Number of Psychotic Episodes |
|
96 = too numerous for form; 99 = number unknown
|
|
|
psychosis_range1 |
String |
20
|
Recommended |
Duration of Psychotic Episode 1 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range2 |
String |
20
|
Recommended |
Duration of Psychotic Episode 2 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range3 |
String |
20
|
Recommended |
Duration of Psychotic Episode 3 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range4 |
String |
20
|
Recommended |
Duration of Psychotic Episode 4 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range5 |
String |
20
|
Recommended |
Duration of Psychotic Episode 5 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range6 |
String |
20
|
Recommended |
Duration of Psychotic Episode 6 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range7 |
String |
20
|
Recommended |
Duration of Psychotic Episode 7 |
|
mm/yyyy - mm/yyyy
|
|
|
psychosis_range8 |
String |
20
|
Recommended |
Duration of Psychotic Episode 8 |
|
mm/yyyy - mm/yyyy
|
|
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
|
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
siteid |
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
form |
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
visitnum |
Query
|
prevlifemedhist |
Float |
|
Recommended |
Lifetime Total Exposure |
|
Total Lifetime Exposure Measure of Anti-Psychiatric Drugs, measured in grams
|
|
|
frstpsychdt |
Date |
|
Recommended |
Date of the subject�s first episode of psychosis? |
|
MM/DD/YYYY
|
|
|
psychtrtdt |
Date |
|
Recommended |
Date of first treatment for Psychosis? |
|
MM/DD/YYYY
|
|
|
recentepisode_psy |
Date |
|
Recommended |
Date of most recent episode or exacerbation of psychosis? |
|
MM/DD/YYYY
|
|
|
a_4a_date_of_the_subject_s_mos |
Date |
|
Recommended |
Date of the subject's most recent hospitalization |
|
MM/DD/YYYY
|
|
|
suicatmpdt |
Date |
|
Recommended |
suicide attempt, Most Recent Date: |
|
MM/DD/YYYY
|
|
|
chf_method1 |
String |
250
|
Recommended |
1st suicide attempt method |
|
|
suicatmptmthd |
Query
|
cssrs_base_13 |
Integer |
|
Recommended |
Baseline. Que 13 - Suicidal Behavior: Interrupted Attempt |
|
0=No; 1=Yes; -9=Missing/NA/NK
|
suicatmpintrp |
|
intrpatmpdt |
Date |
|
Recommended |
suicide interrupted attempt If yes, Most Recent Date: |
|
MM/DD/YYYY
|
|
|
cssrs_base_13b |
String |
1,000
|
Recommended |
Baseline. Que 13b - Suicidal Behavior: Interrupted attempt description |
|
|
intrpatmptmthd |
Query
|
sblw02 |
Integer |
|
Recommended |
Suicidal Behavior Last Week: Aborted Attempt |
|
0=No; 1=Yes
|
abrtatmpt |
|
abortatmpdt |
Date |
|
Recommended |
suicide aborted If yes, Most Recent Date: |
|
MM/DD/YYYY
|
|
|
cssrs_base_14b |
String |
250
|
Recommended |
Baseline. Que 14b - Suicidal Behavior: Aborted attempt description |
|
|
abrtatmptmthd |
Query
|
injectmed |
Integer |
|
Recommended |
Have you received an injectable medication in the past 90 days? (If yes, record on Concomitant Medications/Therapy log) |
|
1=Yes; 0=No
|
|
Query
|
stopmed |
Integer |
|
Recommended |
Has the subject stopped any medications (i.e. pills, vitamins, topical, patches, etc)in the past 4 weeks? (If yes, record on Concomitant Medications/Therapy log) |
|
1=Yes; 0=No
|
|
Query
|
prevalac |
Integer |
|
Recommended |
Have you ever taken Valacyclovir or Acyclovir? |
|
1=Yes; 0=No
|
|
Query
|
elig_23 |
Integer |
|
Recommended |
Suicidal |
0;1
|
0=No; 1=Yes
|
aemarksuicid |
|
respondent |
String |
20
|
Recommended |
Respondent |
Mother;Father;Parent;Guardian;Teacher;Child;Self;Caregiver;Partner;Other
|
|
|
Query
|
su1 |
Integer |
|
Recommended |
Prior to this hospitalization, have you gone anywhere or seen anyone for mental health services
or alcohol/drug use treatment - a physician, social worker, drug or alcohol detox clinic, a
hospital, or any other community agency or professional? |
0;1
|
0= No; 1= Yes
|
psychhist_mentalhealth |
Query
|
hx_psymeds |
Integer |
|
Recommended |
Have you ever been prescribed psychiatric medication? |
0; 1
|
0= No; 1= Yes
|
psychhist_psycmeds |
Query
|
anytherapy |
Integer |
|
Recommended |
Any psychotherapy for anxiety, depression, ADHD, or other emotional or behavioral difficulties |
0;1
|
0 = No; 1 = Yes
|
psychhist_therapy_curr |
Query
|
past_therapy |
Integer |
|
Recommended |
In the past have you ever been in talk therapy or counseling for emotional problems? |
0;1
|
0=No; 1=Yes
|
psychhist_therapy_past |
Query
|
asap10e |
Integer |
|
Recommended |
outside clinicians/services: Psychiatric hospitalization for patient |
0;1; 88
|
0 = No;1 = Yes; 88= No information
|
psychhist_hosp_psyc |
Query
|
cfmh_chd_depression |
Integer |
|
Recommended |
Does (did) the Child have Depression? |
1;0;999
|
0 = No; 1 = Yes
|
psychhist_dep |
Query
|
bipolar |
Integer |
|
Recommended |
Bipolar Disorder |
0 :: 1; -9
|
0=Not Selected; 1=Selected; -9=Missing (Question not answered)
|
psychhist_bipolar |
Query
|
anxiety_yes |
Integer |
|
Recommended |
Any Anxiety Disorder is Present |
0;1
|
0 = No; 1 = Yes
|
psychhist_anxietydis |
Query
|
cdiag_ocd |
Integer |
|
Recommended |
Child current diagnosis: OCD |
0;1
|
0=No; 1=Yes
|
psychhist_ocd |
Query
|
cfmh_chd_schizo |
Integer |
|
Recommended |
Does (did) the Participant have Schizophrenia? |
0::2;999; -7
|
0 = No; 1 = Yes; 2=Probable;-7=Refused; 999=NA/NK/missing
|
psychhist_schiz |
Query
|
baseline_k_014 |
Integer |
|
Recommended |
An eating disorder, like anorexia or bulimia? |
0::3; -888; -999
|
0=No; 1=Yes; -888=Not Applicable; -999=Missing;2=Current; 3=Both Current and Lifetime
|
psychhist_eatingdis |
Query
|
adhd_diagnosis |
Integer |
|
Recommended |
Attention Deficit Disorder: Formal diagnosis |
0;1;-7;-8;-9
|
0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply
|
psychhist_adhd |
Query
|
tourettes_formaldiagnosis |
Integer |
|
Recommended |
Tourette's syndrome: Formal diagnosis |
0; 1; -7; -8; -9
|
0 = No; 1 = Yes; -7 = Don't know; -8 = Refused to answer; -9 = Does not apply
|
psychhist_tourettes |
Query
|
trichotillomania |
Integer |
|
Recommended |
Trichotillomania |
0;1
|
0=No; 1=Yes
|
psychhist_trich |
Query
|
dph00a6 |
Integer |
|
Recommended |
History of substance abuse |
0;1
|
0=No; 1=Yes
|
psychhist_substanceabuse |
Query
|
impact_trauma |
Integer |
|
Recommended |
Past traumatic experiences (abuse or other) |
0;1;-99;88;77
|
0= No ; 1= Yes ; -99= N/A ; 88= Missing ; 77= Refused
|
psychhist_trauma |
Query
|
w1_m_cu_learning |
Integer |
|
Recommended |
health at interview - learning disability history |
0;1; -888; -999
|
0 = No; 1 = Yes; -999 = missing; -888 = not applicable
|
psychhist_learningdis |
|
anxiety_notes |
String |
300
|
Recommended |
Notes |
|
|
psychhist_anxietydis_list |
|
fam_hx_psy |
String |
300
|
Recommended |
Please describe your family history of emotional difficulties and/or psychiatric treatment. |
|
|
psychhist_relative_text |
Query
|
psychhist_behaviorprob |
Integer |
|
Recommended |
Have you ever been diagnosed with Behavioral or conduct problems? |
0;1
|
0=no; 1=yes
|
|
Query
|
psychhist_neurodamage |
Integer |
|
Recommended |
Have you ever been diagnosed with Significant neurological damage? |
0;1
|
0=no; 1=yes
|
|
Query
|
psychhist_relative |
Integer |
|
Recommended |
Do you have a first degree relative who has been diagnosed with a psychiatric disorder? |
0;1
|
0=no; 1=yes
|
|
|
diagnoses_1 |
String |
4,000
|
Recommended |
List all diagnosis here |
|
|
p_diagnosis |
|
p_manic |
Integer |
|
Recommended |
Has the participant ever had manic episode? |
0::1
|
0=No; 1=Yes
|
|
|
p_manic_1 |
String |
2,000
|
Recommended |
How many total manic episodes across the lifetime? |
|
|
|
|
p_manic_2 |
String |
2,000
|
Recommended |
How many of these manic episodes were associated with hospitalization? |
|
|
|
|
p_manic_3 |
String |
2,000
|
Recommended |
How many manic episodes in the past five years? |
|
|
|
|
p_manic_4 |
String |
2,000
|
Recommended |
How many manic episodes in the past year? |
|
|
|
|
p_manic_5 |
String |
2,000
|
Recommended |
Age of onset of first manic episode: |
|
|
|
|
p_manic_6 |
String |
2,000
|
Recommended |
Age of most recent manic episode: |
|
|
|
|
p_depress |
Integer |
|
Recommended |
Has the participant ever had depressive episode? |
0::1
|
0=No; 1=Yes
|
|
|
p_depress_1 |
String |
2,000
|
Recommended |
How many total depressive episodes across the lifetime? |
|
|
|
|
p_depress_2 |
String |
2,000
|
Recommended |
How many of these depressive episodes were associated with hospitalization? |
|
|
|
|
p_depress_3 |
String |
2,000
|
Recommended |
How many depressive episodes in the past five years? |
|
|
|
|
p_depress_4 |
String |
2,000
|
Recommended |
How many depressive episodes in the past year? |
|
|
|
|
p_depress_5 |
String |
2,000
|
Recommended |
Age of onset of first depressive episode: |
|
|
|
|
p_depress_6 |
String |
2,000
|
Recommended |
Age of most recent depressive episode: |
|
|
|
|
cepisp |
String |
500
|
Recommended |
Current diagnosis specify |
|
|
ph_1 |
|
a1_ad1a_o |
String |
300
|
Recommended |
Specify other person suspected diagnosis |
|
|
ph_2 |
|
fh_1 |
Integer |
|
Recommended |
Family history of psychiatric disorder other than schizophrenia (OPCRIT 14) |
0;1
|
0=No; 1=Yes
|
|
|
fh_2 |
Integer |
|
Recommended |
Family history of schizophrenia (OPCRIT 13) |
0;1
|
0 = No; 1 = Yes
|
|
|
pmh3 |
Integer |
|
Recommended |
Diagnostic Interview for Psychoses (DIP) Diagnosis |
0;1
|
0=Schizoaffective disorder; 1=Schizophrenia
|
ph_3 |
|
pmh4 |
Integer |
|
Recommended |
Age when schizoaffective disorder or schizophrenia symptoms were first noticed (years) |
|
|
ph_4 |
|
pmh7 |
Integer |
|
Recommended |
Duration of illness since symptoms were first noticed (years) |
|
|
ph_7 |
|
pmh8 |
Integer |
|
Recommended |
Duration of illness schizoaffective disorder or schizophrenia since diagnosis (years) |
|
|
ph_8 |
|
pmh5 |
Integer |
|
Recommended |
Age when definitive diagnosis was made (years) |
|
|
ph_5 |
|
hhb_psy_rx_yn |
Integer |
|
Recommended |
Does/did the patient take medication to treat Psychiatric Illness [hhb_psy]? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_oth_ds_u_bip |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_bip] |
|
hhb_psy_rx_ds_u_bip = 4
|
|
|
hhb_psy_rx_fq_bip |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_bip] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_rx_an_fq_bip |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_bip] |
|
hhb_psy_rx_fq_bip = 5
|
|
|
hhb_psy_rx_oth_fq_bip |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_bip] |
|
hhb_psy_rx_fq_bip = 6
|
|
|
hhb_psy_rx_c_yn_bip |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_bip] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_bip |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_bip] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_bip_b |
Integer |
|
Recommended |
Does/Did the participant take another medication to treat Bipolar Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_bip_b |
String |
100
|
Recommended |
Name of Secondary Medication for Treating Bipolar Disorder |
|
|
|
|
hhb_psy_rx_rt_bip_b |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_bip_b] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_bip_b |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_bip_b] |
|
hhb_psy_rx_rt_bip_b = 5
|
|
|
hhb_psy_rx_name |
String |
100
|
Recommended |
Name of Medication to treat Psychiatric Illness [hhb_psy] |
|
|
|
|
hhb_psy_rx_ds_num_bip_b |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_bip_b] |
|
|
|
|
hhb_psy_rx_ds_u_bip_b |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_bip_b] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_oth_ds_u_bip_b |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_bip_b] |
|
hhb_psy_rx_ds_u_bip_b = 4
|
|
|
hhb_psy_rx_fq_bip_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_bip_b] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_rx_an_fq_bip_b |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_bip_b] |
|
hhb_psy_rx_fq_bip_b = 5
|
|
|
hhb_psy_rx_oth_fq_bip_b |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_bip_b] |
|
hhb_psy_rx_fq_bip_b = 6
|
|
|
hhb_psy_rx_c_yn_bip_b |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_bip_b] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_bip_b |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_bip_b] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn_bip |
Integer |
|
Recommended |
Does/Did the participant use any other interventions besides medications to treat Bipolar Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_bip |
Integer |
|
Recommended |
Which intervention does/did the participant use to treat Bipolar Disorder? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_rx_rt |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_oth_inter_bip |
String |
200
|
Recommended |
Other Intervention for Bipolar Disorder |
|
hhb_psy_inter_bip = 4
|
|
|
hhb_psy_inter_fq_bip |
Integer |
|
Recommended |
Frequency for [hhb_psy_inter_bip] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn_bip |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_bip] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_bip |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_bip] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn_bip_b |
Integer |
|
Recommended |
Does/Did the participant use another intervention besides medications to treat Bipolar Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_bip_b |
Integer |
|
Recommended |
Which secondary intervention does/did the participant use to treat Bipolar Disorder? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_bip_b |
String |
200
|
Recommended |
Other Secondary Intervention for Bipolar Disorder |
|
hhb_psy_inter_bip_b = 4
|
|
|
hhb_psy_inter_fq_bip_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_inter_bip_b] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn_bip_b |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_bip_b] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_bip_b |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_bip_b] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_oth_rt |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name] |
|
hhb_psy_rx_rt = 5
|
|
|
hhb_psy_notes_bip |
String |
4,000
|
Recommended |
Notes on Bipolar Disorder |
|
if none, write ''n/a''
|
|
|
hhb_psy_yn_adhd |
Integer |
|
Recommended |
Attention Deficit Hyperactivity Disorder (ADHD) |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_desc_yn_adhd |
Integer |
|
Recommended |
Has this (ADHD) already been described in this form? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_dur_adhd |
Integer |
|
Recommended |
Duration of ADHD |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_c_yn_adhd |
Integer |
|
Recommended |
Does the patient still have ADHD? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_l_sxs_adhd |
Integer |
|
Recommended |
When were the last symptoms of the patient's ADHD? |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_adhd |
Integer |
|
Recommended |
Does/Did the patient take medication to treat their ADHD? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_adhd |
String |
100
|
Recommended |
Name of Medication for Treating ADHD |
|
|
|
|
hhb_psy_rx_rt_adhd |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_adhd] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_adhd |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_adhd] |
|
hhb_psy_rx_rt_adhd = 5
|
|
|
hhb_psy_rx_ds_num |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name] |
|
|
|
|
hhb_psy_rx_ds_num_adhd |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_adhd] |
|
|
|
|
hhb_psy_rx_ds_u_adhd |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_adhd] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_oth_ds_u_adhd |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_adhd] |
|
hhb_psy_rx_ds_u_adhd = 4
|
|
|
hhb_psy_rx_fq_adhd |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_adhd] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_rx_an_fq_adhd |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_adhd] |
|
hhb_psy_rx_fq_adhd = 5
|
|
|
hhb_psy_rx_oth_fq_adhd |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_adhd] |
|
hhb_psy_rx_fq_adhd = 6
|
|
|
hhb_psy_rx_c_yn_adhd |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_adhd] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_adhd |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_adhd] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_adhd_b |
Integer |
|
Recommended |
Does/Did the participant take another medication to treat ADHD? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_adhd_b |
String |
100
|
Recommended |
Name of Secondary Medication for Treating ADHD |
|
|
|
|
hhb_psy_rx_ds_u |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_rt_adhd_b |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_adhd_b] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_adhd_b |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_adhd_b] |
|
hhb_psy_rx_rt_adhd_b = 5
|
|
|
hhb_psy_rx_ds_num_adhd_b |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_adhd_b] |
|
|
|
|
hhb_psy_rx_ds_u_adhd_b |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_adhd_b] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_oth_ds_u_adhd_b |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_adhd_b] |
|
hhb_psy_rx_ds_u_adhd_b = 4
|
|
|
hhb_psy_rx_fq_adhd_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_adhd_b] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_rx_an_fq_adhd_b |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_adhd_b] |
|
hhb_psy_rx_fq_adhd_b = 5
|
|
|
hhb_psy_rx_oth_fq_adhd_b |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_adhd_b] |
|
hhb_psy_rx_fq_adhd_b = 6
|
|
|
hhb_psy_rx_c_yn_adhd_b |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_adhd_b] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_adhd_b |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_adhd_b] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_oth_ds_u |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name] |
|
hhb_psy_rx_ds_u = 4
|
|
|
hhb_psy_inter_yn_adhd |
Integer |
|
Recommended |
Does/Did the participant use any other interventions besides medications to treat ADHD? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_adhd |
Integer |
|
Recommended |
Which intervention does/did the participant use to treat ADHD? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_adhd |
String |
200
|
Recommended |
Other Intervention for ADHD |
|
hhb_psy_inter_adhd = 4
|
|
|
hhb_psy_inter_fq_adhd |
Integer |
|
Recommended |
Frequency fpr [hhb_psy_inter_adhd] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn_adhd |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_adhd] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_adhd |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_adhd] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn_adhd_b |
Integer |
|
Recommended |
Does/Did the participant use another intervention besides medications to treat ADHD? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_adhd_b |
Integer |
|
Recommended |
Which secondary intervention does/did the participant use to treat ADHD? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_adhd_b |
String |
200
|
Recommended |
Other Secondary Intervention for ADHD |
|
hhb_psy_inter_adhd_b = 4
|
|
|
hhb_psy_inter_fq_adhd_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_inter_adhd_b] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_rx_fq |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_inter_c_yn_adhd_b |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_adhd_b] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_adhd_b |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_adhd_b] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_notes_adhd |
String |
4,000
|
Recommended |
Notes on ADHD |
|
if none, write ''n/a''
|
|
|
hhb_psy_rx_an_fq |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name] |
|
hhb_psy_rx_fq = 5
|
|
|
hhb_psy_rx_oth_fq |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name] |
|
hhb_psy_rx_fq = 6
|
|
|
hhb_psy_rx_c_yn |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_taken |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name]last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_b |
Integer |
|
Recommended |
Does/did the participant take another medication to treat Psychiatric Illness [hhb_psy]? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_b |
String |
100
|
Recommended |
Name of Secondary Medication to treat Psychiatric Illness [hhb_psy] |
|
|
|
|
hhb_psy_rx_rt_b |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_b] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_b |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_b] |
|
hhb_psy_rx_rt_b = 5
|
|
|
hhb_psy_rx_ds_num_b |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_b] |
|
|
|
|
hhb_psy_rx_ds_u_b |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_b] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_oth_ds_u_b |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_b] |
|
hhb_psy_rx_ds_u_b = 4
|
|
|
hhb_psy_rx_fq_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_b] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_yn |
Integer |
|
Recommended |
Has the participant been diagnosed with psychiatric illnesses before? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_an_fq_b |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_b] |
|
hhb_psy_rx_fq_b = 5
|
|
|
hhb_psy_rx_oth_fq_b |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_b] |
|
hhb_psy_rx_fq_b = 6
|
|
|
hhb_psy_rx_c_yn_b |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_b] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_b |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_b] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn |
Integer |
|
Recommended |
Does/Did the participant use any other interventions besides medications to treat Psychiatric Illness [hhb_psy]? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter |
Integer |
|
Recommended |
Which intervention does/did the participant use to treat Psychiatric Illness [hhb_psy]? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter |
String |
200
|
Recommended |
Other Intervention to treat Psychiatric Illness [hhb_psy] |
|
hhb_psy_inter = 4
|
|
|
hhb_psy_inter_fq |
Integer |
|
Recommended |
Frequency for [hhb_psy_inter] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy |
Integer |
|
Recommended |
Psychiatric Illness Diagnosis |
1::15
|
1= Schizophrenia; 2= Schizoaffective Disorder, bipolar type; 3= Schizoaffective Disorder, depressive type; 4= Schizophreniform Disorder; 5= Psychosis NOS; 6= Major Depressive Disorder (MDD); 7= Persistent Depressive Disorder (Dysthymia); 8= Bipolar Disorder; 9= Substance Use Disorder; 10= Post-Traumatic Stress Disorder (PTSD); 11= Generalized Anxiety Disorder (GAD); 12= Panic Disorder; 13= Obsessive-Compulsive Disorder (OCD); 14= Attention Deficit Hyperactivity Disorder (ADHD); 15= Other
|
|
|
hhb_psy_inter_yn_b |
Integer |
|
Recommended |
Does/Did the participant use another intervention besides medications to treat Psychiatric Illness [hhb_psy]? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_b |
Integer |
|
Recommended |
Which secondary intervention does/did the participant use to treat Psychiatric Illness [hhb_psy]? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_b |
String |
200
|
Recommended |
Other Secondary Intervention to treat Psychiatric Illness [hhb_psy] |
|
hhb_psy_inter_b=4
|
|
|
hhb_psy_inter_fq_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_inter_b] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn_b |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_b] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_b |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_b] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_notes |
String |
4,000
|
Recommended |
Notes on Psychiatric Illness [hhb_psy] |
|
if none, write ''n/a''
|
|
|
hhb_psy_yn_mdd |
Integer |
|
Recommended |
Major Depressive Disorder |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_desc_yn_mdd |
Integer |
|
Recommended |
Has this (Major Depressive Disorder) already been described in this form? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_dur_mdd |
Integer |
|
Recommended |
Duration of Major Depressive Disorder |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_sub_use |
String |
100
|
Recommended |
Specify Substance Use |
|
hhb_psy = 9
|
|
|
hhb_psy_c_yn_mdd |
Integer |
|
Recommended |
Does the patient still have Major Depressive Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_l_sxs_mdd |
Integer |
|
Recommended |
When were the last symptoms of the patient's Major Depressive Disorder? |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_mdd |
Integer |
|
Recommended |
Does/Did the patient take medication to treat their Major Depressive Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_mdd |
String |
100
|
Recommended |
Name of Medication for Treating Major Depressive Disorder |
|
|
|
|
hhb_psy_rx_rt_mdd |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_mdd] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_mdd |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_mdd] |
|
hhb_psy_rx_rt_mdd = 5
|
|
|
hhb_psy_rx_ds_num_mdd |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_mdd] |
|
|
|
|
hhb_psy_rx_ds_u_mdd |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_mdd] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_rx_oth_ds_u_mdd |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_mdd] |
|
hhb_psy_rx_ds_u_mdd = 4
|
|
|
hhb_psy_rx_fq_mdd |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_mdd] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_other |
String |
200
|
Recommended |
Specify Other Psychiatric Illness Diagnosis |
|
hhb_psy = 15
|
|
|
hhb_psy_rx_an_fq_mdd |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_mdd] |
|
hhb_psy_rx_fq_mdd = 5
|
|
|
hhb_psy_rx_oth_fq_mdd |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_mdd] |
|
hhb_psy_rx_fq_mdd = 6
|
|
|
hhb_psy_rx_c_yn_mdd |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_mdd] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_mdd |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_mdd] last taken? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_mdd_b |
Integer |
|
Recommended |
Does/Did the participant take another medication to treat Major Depressive Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_mdd_b |
String |
100
|
Recommended |
Name of Secondary Medication for Treating Major Depressive Disorder |
|
|
|
|
hhb_psy_rx_rt_mdd_b |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_mdd_b] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_mdd_b |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_mdd_b] |
|
hhb_psy_rx_rt_mdd_b = 5
|
|
|
hhb_psy_rx_ds_num_mdd_b |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_mdd_b] |
|
|
|
|
hhb_psy_rx_ds_u_mdd_b |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_mdd_b] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|
|
hhb_psy_dur |
Integer |
|
Recommended |
Duration of Psychiatric Illness [hhb_psy] (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_oth_ds_u_mdd_b |
String |
20
|
Recommended |
Other Dose (unit) for [hhb_psy_rx_name_mdd_b] |
|
hhb_psy_rx_ds_u_mdd_b = 4
|
|
|
hhb_psy_rx_fq_mdd_b |
Integer |
|
Recommended |
Frequency for [hhb_psy_rx_name_mdd_b] |
1::6
|
1= Once a day; 2= Twice daily; 3= Three times daily; 4= Four times daily; 5= As needed; 6= Other
|
|
|
hhb_psy_rx_an_fq_mdd_b |
String |
100
|
Recommended |
Specify As Needed Dosing Schedule for [hhb_psy_rx_name_mdd_b] |
|
hhb_psy_rx_fq_mdd_b = 5
|
|
|
hhb_psy_rx_oth_fq_mdd_b |
String |
100
|
Recommended |
Other Frequency for [hhb_psy_rx_name_mdd_b] |
|
hhb_psy_rx_fq_mdd_b = 6
|
|
|
hhb_psy_rx_c_yn_mdd_b |
Integer |
|
Recommended |
Is this medication [hhb_psy_rx_name_mdd_b] currently being taken? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_l_tk_mdd_b |
Integer |
|
Recommended |
When was medication [hhb_psy_rx_name_mdd_b] last taken (approximately)? |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn_mdd |
Integer |
|
Recommended |
Does/Did the participant use any other interventions besides medications to treat Major Depressive Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_mdd |
Integer |
|
Recommended |
Which intervention does/did the participant use to treat Major Depressive Disorder? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_mdd |
String |
200
|
Recommended |
Other Intervention for Major Depressive Disorder |
|
hhb_psy_inter_mdd = 4
|
|
|
hhb_psy_inter_fq_mdd |
Integer |
|
Recommended |
Frequency of [hhb_psy_inter_mdd] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_c_yn |
Integer |
|
Recommended |
Does the patient still have Psychiatric Illness [hhb_psy]? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_c_yn_mdd |
Integer |
|
Recommended |
Is this intervention [hhb_psy_inter_mdd] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_mdd |
Integer |
|
Recommended |
When was the intervention [hhb_psy_inter_mdd] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_inter_yn_mdd_b |
Integer |
|
Recommended |
Does/Did the participant use another intervention besides medications to treat Major Depressive Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_mdd_b |
Integer |
|
Recommended |
Which secondary intervention does/did the participant use to treat Major Depressive Disorder? |
1::4
|
1= Therapy; 2= Electroconvulsive Therapy (ECT); 3= Transcranial Magnetic Stimulation (TMS); 4= Other
|
|
|
hhb_psy_oth_inter_mdd_b |
String |
200
|
Recommended |
Other Secondary Intervention for Major Depressive Disorder |
|
hhb_psy_inter_mdd_b = 4
|
|
|
hhb_psy_inter_fq_mdd_b |
Integer |
|
Recommended |
Frequency of [hhb_psy_oth_inter_mdd_b] |
1::6
|
1= Once a month; 2= Once every other week; 3= Once a week; 4= Twice a week; 5= Three times a week; 6= More than three times a week
|
|
|
hhb_psy_inter_c_yn_mdd_b |
Integer |
|
Recommended |
Is this intervention [hhb_psy_oth_inter_mdd_b] currently being received? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_inter_l_rec_mdd_b |
Integer |
|
Recommended |
When was the intervention [hhb_psy_oth_inter_mdd_b] last received? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_notes_mdd |
String |
4,000
|
Recommended |
Notes on Major Depressive Disorder |
|
if none, write ''n/a''
|
|
|
hhb_psy_yn_bip |
Integer |
|
Recommended |
Bipolar Disorder |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_l_sxs |
Integer |
|
Recommended |
When were the last symptoms of Psychiatric Illness [hhb_psy]? (approximately) |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_desc_yn_bip |
Integer |
|
Recommended |
Has this (Bipolar Disorder) already been described in this form? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_dur_bip |
Integer |
|
Recommended |
Duration of Bipolar Disorder |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_c_yn_bip |
Integer |
|
Recommended |
Does the patient still have Bipolar Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_l_sxs_bip |
Integer |
|
Recommended |
When were the last symptoms of the patient's Bipolar Disorder? |
1::10
|
1= Less than 1 month; 2= 1-6 months; 3= 6-12 months; 4= 1 year; 5= 2 years; 6= 3 years; 7= 4 years; 8= 5 years; 9= 6-10 years; 10= Greater than 10 years
|
|
|
hhb_psy_rx_yn_bip |
Integer |
|
Recommended |
Does/Did the patient take medication to treat their Bipolar Disorder? |
0;1
|
0= No; 1= Yes
|
|
|
hhb_psy_rx_name_bip |
String |
100
|
Recommended |
Name of Medication for Treating Bipolar Disorder |
|
|
|
|
hhb_psy_rx_rt_bip |
Integer |
|
Recommended |
Route of Administration for [hhb_psy_rx_name_bip] |
1::5
|
1= Oral; 2= Sublingual; 3= Injection; 4= Inhaled; 5= Other
|
|
|
hhb_psy_rx_oth_rt_bip |
String |
100
|
Recommended |
Other Route of Administration for [hhb_psy_rx_name_bip] |
|
hhb_psy_rx_rt_bip = 5
|
|
|
hhb_psy_rx_ds_num_bip |
Integer |
|
Recommended |
Dose (number) for [hhb_psy_rx_name_bip] |
|
|
|
|
hhb_psy_rx_ds_u_bip |
Integer |
|
Recommended |
Dose (unit) for [hhb_psy_rx_name_bip] |
1::4
|
1= Microgram (ug); 2= Milligram (mg); 3= Gram (g); 4= Other
|
|