|
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 |
Query
|
bulan1 |
Integer |
|
Recommended |
In the past 6 months, have you worried about being fat or becoming fat? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan1a |
Integer |
|
Recommended |
Would you say that you worry about this too much? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan1b |
Integer |
|
Recommended |
How often have you worried about this? Would you say: Every day several times a week.... at least once a week or at least once a month? |
1::5
|
1= Less than once a month; 2= 1-3 days a month; 3= 1-3 days a week; 4= 4-6 days a week; 5= Every day
|
|
Query
|
bulan2 |
Integer |
|
Recommended |
Do you spend a lot of time thinking about food or about eating? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3 |
Integer |
|
Recommended |
Have you gone on eating binges, when you ate a whole lot of food in a very short timelike a whole cake or two quarts of ice cream, or much more than you would usually eat? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3a |
Integer |
|
Recommended |
In the last 6 months, was there ever a period when you had an eating binge like that at least once a week? |
0; 2
|
0= No; 2= Yes
|
|
Query
|
bulan3b |
Integer |
|
Recommended |
How about twice a week? |
0; 2
|
0= No; 2= Yes
|
|
Query
|
bulan3c |
Integer |
|
Recommended |
Did you go on eating binges twice a week or more for as long as three months in a row? |
0; 2
|
0= No; 2= Yes
|
|
Query
|
bulan3d |
Integer |
|
Recommended |
When you thought about bingeing, about eating a lot of food, was it something you couldn't stop thinking about, that you just couldn't put out of your head? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3e |
Integer |
|
Recommended |
When you were on an eating binge and ate all that food, were you worried that you wouldn't be able to stop eating? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3f |
Integer |
|
Recommended |
Have you thought that bingeing was something you couldn't control? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3g |
Integer |
|
Recommended |
When you were on an eating binge, did you try to hide your eating from other people? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3h |
Integer |
|
Recommended |
Did you feel bad about yourself after you ate that way? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3i |
Integer |
|
Recommended |
Did you often make yourself sick or throw up after you binged like that? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3j |
Integer |
|
Recommended |
Did you often take medicines like laxatives or diet pills to keep from gaining weight? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3k |
Integer |
|
Recommended |
Did you often eat a lot less after you had binged or eaten a lot? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3l |
Integer |
|
Recommended |
How about putting yourself on a very strict diet so you wouldn't gain weight? Did you often do that? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
bulan3m |
Integer |
|
Recommended |
Did you exercise a lot to keep from gaining weight? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
|
Query
|
vtl007 |
Float |
|
Recommended |
Height in inches |
|
|
bulan4 |
Query
|
q20_1a |
Float |
|
Recommended |
Weight lbs |
|
Weight change greater than 30 percent from baseline will be flagged as an adverse event. Field should not be left blank. If missing, please use -7,-8, -9.
|
bulan5 |
Query
|
bulan6 |
Integer |
|
Recommended |
In the last 6 months, what was your lowest weight? |
|
pounds
|
|
Query
|
bulan7 |
Integer |
|
Recommended |
In the past 6 months, has your [CARETAKER] or others said that you are too thin? |
0; 2
|
0= No; 2= Yes
|
|
Query
|
pean01 |
Integer |
|
Recommended |
WAS HEIGHT MEASURED FOR STUDY? |
0; 2
|
0 = No; 2 = Yes
|
yean01 |
Query
|
pea001z |
Integer |
|
Recommended |
4. How tall is [he/she]? Centimeters |
|
cm
|
yea001z |
Query
|
pean02 |
Integer |
|
Recommended |
WAS WEIGHT MEASURED FOR STUDY? |
0; 2
|
0 = No; 2 = Yes
|
yean02 |
Query
|
fs_v2_current_weight |
Float |
|
Recommended |
Full Screener (Visit 2): How much does the subject weigh (lb) now? |
|
|
pea002l, yea002l |
Query
|
pea002k |
Integer |
|
Recommended |
How much does [he/she] weigh now? |
|
kg
|
yea002k |
Query
|
pea003l |
Integer |
|
Recommended |
In the last year - that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] - what was [his/her] lowest weight? |
|
lb
|
yea003l |
Query
|
pea003k |
Integer |
|
Recommended |
In the last year - that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] - what was [his/her] lowest weight? |
|
kg
|
yea003k |
Query
|
pean03 |
Integer |
|
Recommended |
WAS CHILD UNDERWEIGHT (? CHART WEIGHT FOR HEIGHT, AT TIME OF LOWEST WEIGHT IN PAST YEAR)? |
0; 2
|
0 = No; 2 = Yes
|
yean03 |
|
pea004 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Others worried that person is too thin in last year |
|
|
yea004 |
Query
|
pea004a |
Integer |
|
Recommended |
Now, what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], have you or anyone else worried that [he/she] was much too thin? |
0; 2
|
0 = No; 2 = Yes
|
yea004a |
Query
|
pean04 |
Integer |
|
Recommended |
WAS A * RESPONSE CODED IN NOTE 3 OR IN Q 4? |
0; 2
|
0 = No; 2 = Yes
|
yean04 |
Query
|
pea005 |
Integer |
|
Recommended |
Even though [[he/she] only weighed [NAME LOWEST WEIGHT]/you or other people worried [he/she] was too thin], did [he/she] say [he/she] was worried about being fat or becoming fat? |
0; 2
|
0 = No; 2 = Yes
|
yea005 |
Query
|
pea005a |
Integer |
|
Recommended |
Was there a time when [he/she] said [he/she] was worried nearly
every day about being fat or becoming fat? |
0; 2
|
0 = No; 2 = Yes
|
yea005a |
Query
|
pea005b |
Integer |
|
Recommended |
Did [he/she] say [he/she] sometimes worried about it so much that it was difficult for [him/her] to think about other things? |
0; 2
|
0 = No; 2 = Yes
|
yea005b |
Query
|
pea005c |
Integer |
|
Recommended |
Did [he/she] say that worrying about being fat or becoming fat made [him/her] try to keep [his/her] weight down? |
0; 2
|
0 = No; 2 = Yes
|
yea005c |
Query
|
pea005d |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] been worried about being fat or becoming fat? |
0; 2
|
0 = No; 2 = Yes
|
yea005d |
Query
|
pea006 |
Integer |
|
Recommended |
When [he/she] weighed the least in the last year, did [he/she] say [he/she] was overweight? |
0; 2
|
0 = No; 2 = Yes
|
yea006 |
Query
|
pea006a |
Integer |
|
Recommended |
Did [he/she] say [he/she] was too thin? |
0; 2
|
0 = No; 2 = Yes
|
yea006a |
Query
|
pea007 |
Integer |
|
Recommended |
Does [he/she] say [he/she] is overweight now? |
0; 2
|
0 = No; 2 = Yes
|
yea007 |
Query
|
pea007a |
Integer |
|
Recommended |
Does [he/she] say [he/she] is too thin? |
0; 2
|
0 = No; 2 = Yes
|
yea007a |
Query
|
pea008 |
Integer |
|
Recommended |
When [he/she] weighed the least in the last year, did ________ say that [his/her] low weight could cause any health problems for [him/her]? |
0; 2
|
0 = No; 2 = Yes
|
yea008 |
Query
|
pea009 |
Integer |
|
Recommended |
Does [he/she] say that what [he/she] weighs now could cause any health problems for [him/her]? |
0; 2
|
0 = No; 2 = Yes
|
yea009 |
|
pea010 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Often felt bad about self, felt fat/overweight |
|
|
yea010 |
Query
|
pea010a |
Integer |
|
Recommended |
Did [he/she] say that losing weight would be the most important thing [he/she] could do to feel better about [himself/herself]? |
0; 2
|
0 = No; 2 = Yes
|
yea010a |
Query
|
pea010b |
Integer |
|
Recommended |
Did [he/she] say [he/she] felt that way at the same time that [he/she] was at [his/her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea010b |
Query
|
pea010c |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has it seemed like [he/she] often felt bad about [himself/herself] because [he/she] thought [he/she] was fat or overweight? |
0; 2
|
0 = No; 2 = Yes
|
yea010c |
|
pea011 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Thought about eating food/all the time for periods in the past year |
|
|
yea011 |
Query
|
pea011a |
Integer |
|
Recommended |
When this happened, did [he/she] say that it was difficult for [him/her] to think about other things? |
0; 2
|
0 = No; 2 = Yes
|
yea011a |
Query
|
pea011b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] said there have been times when [he/she] thought about food or about eating almost all of the time? |
0; 2
|
0 = No; 2 = Yes
|
yea011b |
|
pea012 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Eating binge in the last year |
|
|
yea012 |
Query
|
pea012a |
Integer |
|
Recommended |
During an eating binge, did [he/she] eat a lot more than most [boys/ girls] [his/her] age would have for a meal? |
0; 2
|
0 = No; 2 = Yes
|
yea012a |
Query
|
pea012b |
Integer |
|
Recommended |
Did [he/she] eat this food in a very short time - say, in less than two hours? |
0; 2
|
0 = No; 2 = Yes
|
yea012b |
Query
|
pea012c |
Integer |
|
Recommended |
Did [he/she] say that [he/she] wasnt able to stop [himself/herself] from eating too much when [he/she] was on an eating binge? |
0::2
|
0 = No; 1= Sometimes/ Somewhat; 2 = Yes
|
yea012c |
Query
|
pea012d |
Integer |
|
Recommended |
In the last year, has there been a time when [he/she] had an eating binge at least twice a week? |
0; 2
|
0 = No; 2 = Yes
|
yea012d |
Query
|
pea012e |
Integer |
|
Recommended |
Did [he/she] have eating binges at least twice a week for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea012e |
Query
|
pea012f |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] had several eating binges? |
0; 2
|
0 = No; 2 = Yes
|
yea012f |
Query
|
pea013 |
Integer |
|
Recommended |
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/she] often refused to eat foods that [he/she] said would make [him/her] fat? |
0; 2
|
0 = No; 2 = Yes
|
yea013 |
Query
|
pea013a |
Integer |
|
Recommended |
Did [he/she] refuse to eat fattening foods on most days for at least three months? |
0; 2
|
0 = No; 2 = Yes
|
yea013a |
Query
|
pea013b |
Integer |
|
Recommended |
Did [he/she] refuse to eat fattening foods at the same time that [he/ she] was at [his/her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea013b |
Query
|
pea013c |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] often refused to eat foods that [he/ she] said were fattening? |
0; 2
|
0 = No; 2 = Yes
|
yea013c |
Query
|
pea014 |
Integer |
|
Recommended |
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/she] made [himself/herself] throw up? |
0; 2
|
0 = No; 2 = Yes
|
yea014 |
Query
|
pea014a |
Integer |
|
Recommended |
Has [he/she] made [himself/herself] throw up to lose weight or to keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea014a |
Query
|
pea014b |
Integer |
|
Recommended |
In the last year, was there a time when [he/she] made [himself/herself] throw up at least twice a week? |
0; 2
|
0 = No; 2 = Yes
|
yea014b |
Query
|
pea014c |
Integer |
|
Recommended |
Did [he/she] make [himself/herself] throw up at least twice a week for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea014c |
Query
|
pea014d |
Integer |
|
Recommended |
Did [he/she] make [himself/herself] throw up at the same time that [he/she] was [his/ her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea014d |
Query
|
pea014e |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] often made [himself/herself] throw up? |
0; 2
|
0 = No; 2 = Yes
|
yea014e |
Query
|
pea015 |
Integer |
|
Recommended |
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/she] taken any kind of pills or medicines to lose weight or to keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea015 |
|
pea015a |
String |
100
|
Recommended |
(pills or medicines to lose weight) What did [he/she] take? |
|
|
yea015a |
Query
|
pea015b |
Integer |
|
Recommended |
In the last year, was there a time when [he/she] took medicine to lose weight or to keep from gaining weight at least twice a week? |
0; 2
|
0 = No; 2 = Yes
|
yea015b |
Query
|
pea015c |
Integer |
|
Recommended |
Did [he/she] take the medication at least twice a week for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea015c |
Query
|
pea015d |
Integer |
|
Recommended |
Did [he/she] take medicine to lose weight or to keep from gaining weight at the same time that [[he/she] was [his/her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea015d |
Query
|
pea015e |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] often taken any kind of pills or medicines to lose weight or to keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea015e |
Query
|
pea016 |
Integer |
|
Recommended |
In the last year - that is, since [NAME CURRENT MONTH] of last year - has ________ done anything to make [himself/herself] go to the toilet a lot? |
0; 2
|
0 = No; 2 = Yes
|
yea016 |
|
pea016a |
String |
100
|
Recommended |
(go to the toilet a lot) What did [he/she] do? |
|
|
yea016a |
Query
|
pea016b |
Integer |
|
Recommended |
Did [he/she] do things to make [himself/herself] go to the toilet a lot because [he/she] wanted to lose weight or keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea016b |
Query
|
pea016c |
Integer |
|
Recommended |
Was there a time when [he/she] did something at least twice a week to make [himself/herself] go to the toilet a lot? |
0; 2
|
0 = No; 2 = Yes
|
yea016c |
Query
|
pea016d |
Integer |
|
Recommended |
Did [he/she] often do things like this for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea016d |
Query
|
pea016e |
Integer |
|
Recommended |
Did [he/she] do things to make [himself/ herself] go to the toilet a lot at the same time that [he/she] was [his/her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea016e |
Query
|
pea016f |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] done things to make [himself/herself] go to the toilet a lot? |
0; 2
|
0 = No; 2 = Yes
|
yea016f |
Query
|
pea016g |
Integer |
|
Recommended |
Has [he/she] done things to make [himself/herself] go to the toilet at least twice a week for the last four weeks? |
0; 2
|
0 = No; 2 = Yes
|
yea016g |
Query
|
pea017 |
Integer |
|
Recommended |
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/she] eaten no food at all for at least a full 24 hours? |
0; 2
|
0 = No; 2 = Yes
|
yea017 |
Query
|
pea017a |
Integer |
|
Recommended |
Did [he/she] say [he/she] did that to lose weight or to keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea017a |
Query
|
pea017b |
Integer |
|
Recommended |
Was there a time when [he/she] would eat no food at all at least two days a week? |
0; 2
|
0 = No; 2 = Yes
|
yea017b |
Query
|
pea017c |
Integer |
|
Recommended |
Did [he/she] eat no food at all about two days a week for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea017c |
Query
|
pea017d |
Integer |
|
Recommended |
Did [he/she] refuse to eat food like this at the same time that [he/she] was at [his/ her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea017d |
Query
|
pea017e |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] often eaten no food for a full 24 hours? |
0; 2
|
0 = No; 2 = Yes
|
yea017e |
Query
|
pea018 |
Integer |
|
Recommended |
In the last year (that is, since [NAME CURRENT MONTH] of last year), did [he/she] spend a lot of time exercising to lose weight or keep from gaining weight? |
0; 2
|
0 = No; 2 = Yes
|
yea018 |
Query
|
pea018a |
Integer |
|
Recommended |
Has [he/she] spent so much time exercising that it got in the way of doing other things? |
0; 2
|
0 = No; 2 = Yes
|
yea018a |
Query
|
pea018b |
Integer |
|
Recommended |
Was there a time when [he/she] spent so much time exercising that it got in the way of doing other things at least two days a week? |
0; 2
|
0 = No; 2 = Yes
|
yea018b |
Query
|
pea018c |
Integer |
|
Recommended |
Did [he/she] exercise like this for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yea018c |
Query
|
pea018d |
Integer |
|
Recommended |
Did [he/she] spend a lot of time exercising like this at the same time that [he/she] was [his/her] thinnest in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea018d |
Query
|
pea018e |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] spent so much time exercising that it often got in the way of doing other things? |
0; 2
|
0 = No; 2 = Yes
|
yea018e |
Query
|
pean05 |
Integer |
|
Recommended |
WERE ANY ? RESPONSES CODED IN Q 14 - 18? |
0; 2
|
0 = No; 2 = Yes
|
yean05 |
Query
|
pea019 |
Integer |
|
Recommended |
You told me that [he/she] [NAME ( ) RESPONSES IN Q 14 - 18]. In the last year, did [he/she] do things like this for at least three months? |
0; 2
|
0 = No; 2 = Yes
|
yea019 |
|
pea020 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Has started to menstruate |
|
|
yea020 |
Query
|
pea020a |
Integer |
|
Recommended |
Has she ever had regular menstrual periods? By regular, I mean every month for at least six months. |
0; 2
|
0 = No; 2 = Yes
|
yea020a |
Query
|
pea020b |
Integer |
|
Recommended |
Did she start to have regular monthly periods more than a year ago? |
0; 2
|
0 = No; 2 = Yes
|
yea020b |
Query
|
pea020c |
Integer |
|
Recommended |
In the last year, did she miss as many as three monthly periods in a row? |
0; 2
|
0 = No; 2 = Yes
|
yea020c |
Query
|
pea020d |
Integer |
|
Recommended |
When she missed her periods, was she her thinnest? |
0; 2
|
0 = No; 2 = Yes
|
yea020d |
Query
|
pea020e |
Integer |
|
Recommended |
Has she had a menstrual period in the last three months? |
0; 2
|
0 = No; 2 = Yes
|
yea020e |
Query
|
pea020f |
Integer |
|
Recommended |
Does she take the birth control pill? |
0; 2
|
0 = No; 2 = Yes
|
yea020f |
Query
|
pea020g |
Integer |
|
Recommended |
Has she taken it almost every month in the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea020g |
Query
|
pea020h |
Integer |
|
Recommended |
During the months when she wasnt taking the pill, did she have her menstrual period? |
0; 2
|
0 = No; 2 = Yes
|
yea020h |
Query
|
pea020i |
Integer |
|
Recommended |
When she missed her periods, was she very thin? |
0; 2
|
0 = No; 2 = Yes
|
yea020i |
Query
|
pea021y |
Integer |
|
Recommended |
You said that in the last year [[he/she] was thin/you or other people worried that [he/she] was too thin] and also that [he/she] [NAME ( ) SYMPTOMS IN Q 10 - 18]. How old was [he/she] the first time [he/she] was like that? |
|
66 = Whole Life, Always; years
|
yea021y |
Query
|
pea021z |
Integer |
|
Recommended |
(first time worried too thin) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN; grade
|
yea021z |
Query
|
pea021a |
Integer |
|
Recommended |
Was that more than a year ago - that is, before [[NAME EVENT]/ [NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yea021a |
Query
|
pea021b |
Integer |
|
Recommended |
Since that first time, was there ever a time when [[he/she] was not thin/you or other people did not worry that [he/she] was too thin] and [he/she] stopped [NAME ( ) SYMPTOMS IN Q 10 - 18]? |
0; 2
|
0 = No; 2 = Yes
|
yea021b |
Query
|
pea021c |
Integer |
|
Recommended |
Did that time when [[he/she] wasnt thin/you or other people didnt worry about [him/her] being too thin] last for two months or more? |
0; 2
|
0 = No; 2 = Yes
|
yea021c |
Query
|
pea021dy |
Integer |
|
Recommended |
You said that [[he/she] was thin/you or other people worried that [he/she] was too thin] and [he/she] [NAME ( ) SYMPTOMS IN Q 10 - 18] in the last year. How old was [he/she] when [he/she] started being this way this time? |
|
88 = Never Started Again; years
|
yea021dy |
Query
|
pea021dz |
Integer |
|
Recommended |
(worried too thin last year) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 88 = NEVER STARTED AGAIN; grade
|
yea021dz |
Query
|
pea021e |
Integer |
|
Recommended |
Did [he/she] start being that way again more than a year ago - that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yea021e |
Query
|
pea022y |
Integer |
|
Recommended |
You said that in the last year [he/she] [NAME [ ] SYMPTOMS IN Q 10 - 19 AND NOTE 5]. How old was [he/she] the first time [he/she] ever did things like that? |
|
66 = Whole Life, Always; years
|
yea022y |
Query
|
pea022z |
Integer |
|
Recommended |
(first time worried too thin) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN; grade
|
yea022z |
Query
|
pea022a |
Integer |
|
Recommended |
Was that more than a year ago - that is, before [[NAME EVENT]/ [NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yea022a |
Query
|
pea022b |
Integer |
|
Recommended |
Since that first time, was there ever a time when [he/she] did not do things like [NAME [ ] SYMPTOMS IN Q 10 - 19 AND NOTE 5]? |
0; 2
|
0 = No; 2 = Yes
|
yea022b |
Query
|
pea022c |
Integer |
|
Recommended |
Did that time when [he/she] didnt do these things last for two months or more? |
|
|
yea022c |
Query
|
pea022dy |
Integer |
|
Recommended |
You said that [he/she] was [NAME [ ] SYMPTOMS IN Q 10 - 19 AND NOTE 5] in the last year. How old was [he/she] when [he/she] started doing these things this time? |
|
|
yea022dy |
Query
|
pea022dz |
Integer |
|
Recommended |
(started doing these things in the last year) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
(44 = PRE-K, 55 = KINDERGARTEN, 88 = NEVER STARTED AGAIN; grade
|
yea022dz |
Query
|
pea022e |
Integer |
|
Recommended |
Did [he/she] start doing these things again more than a year ago - that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yea022e |
Query
|
pea023 |
Integer |
|
Recommended |
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with ________ because of the things [he/she] did to keep from gaining weight? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea023 |
Query
|
pea023a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yea023a |
Query
|
pea024 |
Integer |
|
Recommended |
At that time, did __________s doing things so [he/she] wouldnt gain weight keep [him/her] from doing things or going places with [you or [his/her] family/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea024 |
Query
|
pea024a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with[you or [his/her] family/[his/her] family]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yea024a |
Query
|
pea025 |
Integer |
|
Recommended |
At that time, did __________s eating or doing things so [he/she] wouldnt gain weight keep [him/her] from doing things or going places with other [children/ people [his/her] age]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea025 |
Query
|
pea025a |
Integer |
|
Recommended |
How often did the way [he/she] ate keep [him/her] from doing things or going places with other [children/people [his/her] age]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yea025a |
Query
|
pea026 |
Integer |
|
Recommended |
When the problems were worst, did [his/her] doing things to keep from gaining weight [make it difficult for [him/her] to do [his/her] schoolwork or cause problems with [his/her] grades/make it difficult for [him/her] to do [his/her] work]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea026 |
Query
|
pea026a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of the way [he/she] ate? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yea026a |
Query
|
pea027 |
Integer |
|
Recommended |
At that time, did [his/her] doing things to keep from gaining weight cause __________s [teachers/boss] to be annoyed or upset with [him/her]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea027 |
Query
|
pea027a |
Integer |
|
Recommended |
How often did [his/her] [teachers/boss] seem annoyed or upset with [him/her]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yea027a |
Query
|
pea028 |
Integer |
|
Recommended |
When the problems were worst, did it seem like the things [he/she] did to keep from gaining weight made [him/her] feel bad or made [him/her] feel upset? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yea028 |
Query
|
pea028a |
Integer |
|
Recommended |
How bad did [his/her] doing these things seem to make [him/her] feel? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yea028a |
Query
|
pea029 |
Integer |
|
Recommended |
In the last year - that is, since [NAME CURRENT MONTH] of last year - has ________ been to see someone at a hospital or a clinic or at their office because [he/ she] [NAME ( ) AND [ ] SYMPTOMS IN Q 10 - 19 AND NOTE 5]? |
0; 2
|
0 = No; 2 = Yes
|
yea029 |
Query
|
pea029a |
Integer |
|
Recommended |
Does [he/she] have an appointment set up to see someone because [he/she] does [this/these things]? |
0; 2
|
0 = No; 2 = Yes
|
yea029a |
|
mta_poc156a |
String |
100
|
Recommended |
IF YES, A. Who did [he/she] see? (doctor, psychiatrist, psychologist, etc.) |
|
|
pea030, yea030 |
|
mta_poc156b |
String |
100
|
Recommended |
B. What did the doctor say was wrong (What did [PERSON SEEN] say was the matter)? |
|
|
pea030a, yea030a |
Query
|
pea031 |
Integer |
|
Recommended |
Since [he/she] turned five years old, was there ever a time when you or other people were more worried about ________s weight or about things [he/she] was doing to keep from gaining weight than the last year? |
0; 2
|
0 = No; 2 = Yes
|
yea031 |
Query
|
pea031ay |
Integer |
|
Recommended |
How old was [he/she] when you or other people were most worried about this? (INTERVIEWER: IF MORE THAN ONE YEAR IS REPORTED, ASK: "During which single year of age was [he/she] the worst?" IF MORE THAN ONE YEAR STILL REPORTED, ENTER YOUNGEST AGE.) |
|
|
yea031ay |
Query
|
pea031az |
Integer |
|
Recommended |
(how old when other people most worried about this) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN; grade
|
yea031az |
|
paxcm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Disturbance in weight or shape experienced self-evaluation denial of the seriousness |
|
|
yaxcm |
|
pbucy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Binge eating compensatory behaviors twice a week for 3 months |
|
|
ybucy |
|
paxby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Intense fear of gaining or becoming fat |
|
|
yaxby |
|
pbucm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Binge eating compensatory behaviors twice a week for 3 months |
|
|
ybucm |
|
paxbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Intense fear of gaining or becoming fat |
|
|
yaxbm |
|
pbuby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Compensatory behavior |
|
|
ybuby |
|
paxcrity |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Parent/Youth Anorexia Nervosa Criteria Count - Past Year |
|
|
yaxcrity |
|
paxay |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Refusal to maintain body weight |
|
|
yaxay |
|
pbum |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). past month: diagnosis for bulemia |
|
|
ybum |
|
pbubm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Compensatory behavior |
|
|
ybubm |
|
paxcritm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Parent/Youth Anorexia Nervosa Criteria Count - Past Month |
|
|
yaxcritm |
|
paxam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Refusal to maintain body weight |
|
|
yaxam |
|
pbuay |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Recurrent episodes of binge eating |
|
|
ybuay |
|
peasymp |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Parent/Youth Eating Disorders Symptom Count |
|
|
yeasymp |
|
pbuam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Recurrent episodes of binge eating |
|
|
ybuam |
|
pbucrity |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Parent/Youth Bulimia Nervosa Criteria Count - Past Year |
|
|
ybucrity |
|
pbucritm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Parent/Youth Bulimia Nervosa Criteria Count - Past Month |
|
|
ybucritm |
|
pbuey |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Anorexia not positive |
|
|
ybuey |
|
paxdy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: amenorrhea |
|
|
yaxdy |
|
pbuem |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Anorexia not positive |
|
|
ybuem |
|
paxm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). past month: diagnosis for anorexia nervosa |
|
|
yaxm |
|
paxdm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: amenorrhea |
|
|
yaxdm |
|
pbudy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Self-evaluation influenced by weight |
|
|
ybudy |
|
paxcy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Year: Disturbance in weight or shape experienced self-evaluation denial of the seriousness |
|
|
yaxcy |
|
pbudm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Eating Disorders (EAT). Month: Self-evaluation influenced by weight |
|
|
ybudm |
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
discpver |
Query
|
pel001 |
Integer |
|
Recommended |
Was there ever a time when [he/she] wet the bed at night since [he/she] turned five years old? |
0;2
|
0 = No; 2 = Yes
|
yel001 |
|
pel001a |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). last year wet the bed at night (since turned five years old) |
|
|
yel001a |
Query
|
pel001b |
Integer |
|
Recommended |
In the last year, has [he/she] wet the bed three or more times? |
0;2
|
0 = No; 2 = Yes
|
yel001b |
Query
|
pel001c |
Integer |
|
Recommended |
In the last year, were there three months in a row when [he/she] wet the bed each month? |
0;2
|
0 = No; 2 = Yes
|
yel001c |
Query
|
pel001d |
Integer |
|
Recommended |
Did [he/she] wet the bed as often as twice a week for several weeks in a row? |
0;2
|
0 = No; 2 = Yes
|
yel001d |
Query
|
pel001e |
Integer |
|
Recommended |
Did [he/she] wet [his/her] bed this often for as long as three months? |
0;2
|
0 = No; 2 = Yes
|
yel001e |
Query
|
pel001f |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/her] bed twice a week or more? |
0;2
|
0 = No; 2 = Yes
|
yel001f |
Query
|
pel001g |
Integer |
|
Recommended |
Has [he/she] wet [his/her] bed two or more times in the last four weeks? |
0;2
|
0 = No; 2 = Yes
|
yel001g |
Query
|
pel001h |
Integer |
|
Recommended |
In the last four weeks, has [he/she] wet [his/her] bed at all? |
0;2
|
0 = No; 2 = Yes
|
yel001h |
Query
|
pel001i |
Integer |
|
Recommended |
In the last year, did [he/she] wet [his/her] bed as often as twice a month for three months in a row? |
0;2
|
0 = No; 2 = Yes
|
yel001i |
Query
|
pel001j |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/ her] bed two or more times? |
0;2
|
0 = No; 2 = Yes
|
yel001j |
Query
|
pel001k |
Integer |
|
Recommended |
In the last four weeks, has [he/she] wet [his/her] bed at all? |
0;2
|
0 = No; 2 = Yes
|
yel001k |
Query
|
pel001l |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/her] bed? |
0;2
|
0 = No; 2 = Yes
|
yel001l |
Query
|
pel002 |
Integer |
|
Recommended |
In the last year, has [he/she] suffered from any medical condition that made [him/ her] wet the bed during the night? |
0;2
|
0 = No; 2 = Yes
|
yel002 |
|
pel002a |
String |
100
|
Recommended |
What medical condition caused [him/her] to wet the bed at night? |
|
|
yel002a |
Query
|
pel002b |
Integer |
|
Recommended |
Did a doctor ever say that [he/she] wet the bed because of this medical condition? |
0;2
|
0 = No; 2 = Yes
|
yel002b |
Query
|
pel003 |
Integer |
|
Recommended |
Thinking about [his/her] whole life, has [he/she] ever gone a whole year without wetting the bed at night? |
0;2
|
0 = No; 2 = Yes
|
yel003 |
Query
|
pel003ay |
Integer |
|
Recommended |
Now you just told me that [he/she] didnt wet the bed at night for a whole year, but that in the last year [he/she] wet the bed again. How old was [he/she] when [he/she] started wetting the bed this time? |
|
88 = Never Started Again; years
|
yel003ay |
Query
|
pel003az |
Integer |
|
Recommended |
(last year wet the bed) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? CODE GRADE |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.; grade
|
yel003az |
Query
|
pel003b |
Integer |
|
Recommended |
Did [he/she] start wetting the bed again more than a year ago that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0;2
|
0 = No; 2 = Yes
|
yel003b |
Query
|
pel004 |
Integer |
|
Recommended |
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with __________ because [he/she] wet the bed? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel004 |
Query
|
pel004a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her] because [he/she] wet the bed? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel004a |
Query
|
pel005 |
Integer |
|
Recommended |
At that time, did wetting the bed keep __________ from doing things or going places with [you (or [his/her] family)/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel005 |
Query
|
pel005a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with [you (or [his/her] family)/[his/her] family]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel005a |
Query
|
pel006 |
Integer |
|
Recommended |
At that time, did wetting the bed keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel006 |
Query
|
pel006a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with other [children/people [his/her] age]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel006a |
Query
|
pel007 |
Integer |
|
Recommended |
When the problems were worst, did wetting the bed [make it difficult for [him/her] to do [his/her] schoolwork or cause problems with [his/her] grades/make it difficult for [him/her] to do [his/her] work]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel007 |
Query
|
pel007a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of this? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel007a |
Query
|
pel008 |
Integer |
|
Recommended |
At that time, did wetting the bed cause (blank) [teachers/boss] to be annoyed or upset with [him/her]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel008 |
Query
|
pel008a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because of this? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel008a |
Query
|
pel009 |
Integer |
|
Recommended |
When the problems were worst, did it seem like wetting the bed at night made __________ feel bad or made [him/her] feel upset? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel009 |
Query
|
pel009a |
Integer |
|
Recommended |
How bad did wetting the bed seem to make [him/her] feel? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel009a |
Query
|
pel010 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] been to see someone at a hospital or a clinic or at their office because [he/she] wets the bed at night? |
0; 2
|
0 = No; 2 = Yes
|
yel010 |
Query
|
pel010a |
Integer |
|
Recommended |
Does [he she] have an appointment set up to see someone because [he/she] wets the bed? |
0; 2
|
0 = No; 2 = Yes
|
yel010a |
Query
|
pel012 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] taken any medicine for bedwetting? |
0; 2
|
0 = No; 2 = Yes
|
yel012 |
|
pel012a |
String |
100
|
Recommended |
What is the name of the medicine? |
|
|
yel012a |
Query
|
pel013 |
Integer |
|
Recommended |
Since [he/she] turned five (INTERVIEWER: point out age five on whole life chart), was there ever a time when [he/she] wet [his/her] bed at night as often as twice a week or more? |
0; 2
|
0 = No; 2 = Yes
|
yel013 |
Query
|
pel013a |
Integer |
|
Recommended |
Did [he/she] wet [his/her] bed this often for as long as three months in a row? |
0; 2
|
0 = No; 2 = Yes
|
yel013a |
Query
|
pel013b |
Integer |
|
Recommended |
Did wetting the bed cause any serious problems for [him/her] at home, at school, or with [his/her] friends? |
0; 2
|
0 = No; 2 = Yes
|
yel013b |
Query
|
pel013c |
Integer |
|
Recommended |
Did wetting the bed seem to make [him/her] feel really unhappy or bother [him/her] a lot? |
0; 2
|
0 = No; 2 = Yes
|
yel013c |
Query
|
pel013d |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] wet the bed? |
0; 2
|
0 = No; 2 = Yes
|
yel013d |
Query
|
pel013ey |
Integer |
|
Recommended |
How old was [he/she] when [he/she] stopped wetting the bed? |
|
years
|
yel013ey |
Query
|
pel013ez |
Integer |
|
Recommended |
(stopped wetting the bed) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? CODE GRADE |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.; grade
|
yel013ez |
Query
|
pel013f |
Integer |
|
Recommended |
Before [he/she] was [NAME AGE IN E/NAME GRADE IN E], did [he/she] ever go a whole year without wetting the bed? |
0; 2
|
0 = No; 2 = Yes
|
yel013f |
Query
|
pel013gy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] started to wet the bed again? |
|
years
|
yel013gy |
Query
|
pel013gz |
Integer |
|
Recommended |
(started to wet the bed again) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? CODE GRADE |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.; grade
|
yel013gz |
|
pel014 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Ever wet pants during the day since age 5 |
|
|
yel014 |
Query
|
pel014a |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] wet [his/her] pants during the day? |
0; 2
|
0 = No; 2 = Yes
|
yel014a |
Query
|
pel014b |
Integer |
|
Recommended |
In the last year, has [he/she] wet [his/her] pants during the day three or more times? |
0; 2
|
0 = No; 2 = Yes
|
yel014b |
Query
|
pel014c |
Integer |
|
Recommended |
In the last year, were there three months in a row when [he/she] wet [his/her] pants during the day each month? |
0; 2
|
0 = No; 2 = Yes
|
yel014c |
Query
|
pel014d |
Integer |
|
Recommended |
In the last year, did [he/she] wet [his/her] pants twice a week for several weeks in a row? |
0; 2
|
0 = No; 2 = Yes
|
yel014d |
Query
|
pel014e |
Integer |
|
Recommended |
Did [he/she] wet [his/her] pants this often for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yel014e |
Query
|
pel014f |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/her] pants twice a week or more? |
0; 2
|
0 = No; 2 = Yes
|
yel014f |
Query
|
pel014g |
Integer |
|
Recommended |
Has [he/she] wet [his/her] pants two or more times in the last four weeks? |
0; 2
|
0 = No; 2 = Yes
|
yel014g |
Query
|
pel014h |
Integer |
|
Recommended |
In the last four weeks, has [he/she] wet [his/her] pants at all? |
0; 2
|
0 = No; 2 = Yes
|
yel014h |
Query
|
pel014i |
Integer |
|
Recommended |
In the last year, did [he/she] wet [his/her] pants as often as twice a month for three months in a row? |
0; 2
|
0 = No; 2 = Yes
|
yel014i |
Query
|
pel014j |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/ her] pants two or more times? |
0; 2
|
0 = No; 2 = Yes
|
yel014j |
Query
|
pel014k |
Integer |
|
Recommended |
In the last four weeks, has [he/she] wet [his/her] pants at all? |
0; 2
|
0 = No; 2 = Yes
|
yel014k |
Query
|
pel014l |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] wet [his/her] pants? |
0; 2
|
0 = No; 2 = Yes
|
yel014l |
Query
|
pel015 |
Integer |
|
Recommended |
In the last year, has [he/she] suffered from any medical condition that made [him/her] wet [his/her] pants during the day? |
0; 2
|
0 = No; 2 = Yes
|
yel015 |
|
pel015a |
String |
100
|
Recommended |
What medical condition caused [him/her] to wet [his/her] pants during the day? |
|
|
yel015a |
Query
|
pel015b |
Integer |
|
Recommended |
Did a doctor say that [he/she] wet [his/her] pants during the day because of this medical condition? |
0; 2
|
0 = No; 2 = Yes
|
yel015b |
Query
|
pel016 |
Integer |
|
Recommended |
Thinking about [his/her] whole life, has [he/she] ever gone a whole year without wetting [his/her] pants during the day? |
0; 2
|
0 = No; 2 = Yes
|
yel016 |
Query
|
pel016ay |
Integer |
|
Recommended |
How old was [he/she] when [he/she] started wetting [his/her] pants this time? |
|
88 = Never Started Again; years
|
yel016ay |
Query
|
pel016az |
Integer |
|
Recommended |
(last year started wetting) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A., 88 = Never Started Again; grade
|
yel016az |
Query
|
pel016b |
Integer |
|
Recommended |
Did [he/she] start wetting [his/her] pants during the day more than a year ago that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yel016b |
Query
|
pel017 |
Integer |
|
Recommended |
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with __________ because [he/she] wets [his/her] pants? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel017 |
Query
|
pel017a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her] because of this? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel017a |
Query
|
pel018 |
Integer |
|
Recommended |
At that time, did wetting [his/her] pants during the day keep __________ from doing things or going places with [you (or [his/her] family)/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel018 |
Query
|
pel018a |
Integer |
|
Recommended |
How often did wetting [his/her] pants keep [him/her] from doing things or going places with [you (or [his/her] family)/[his/her] family]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel018a |
Query
|
pel019 |
Integer |
|
Recommended |
At that time, did wetting [his/her] pants during the day keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel019 |
Query
|
pel019a |
Integer |
|
Recommended |
How often did wetting [his/her] pants seem to keep [him/her] from doing things or going places with other [children/people [his/her] age]? Would you say: a lot of the time, some of the time, or hardly ever? |
|
|
yel019a |
Query
|
pel020 |
Integer |
|
Recommended |
When the problems were worst, did wetting [his/her] pants during the day [make it difficult for [him/her] to do [his/her] schoolwork or cause problems with [his/her] grades/make it difficult for [him/her] to do [his/her] work]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel020 |
Query
|
pel020a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of this? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel020a |
Query
|
pel021 |
Integer |
|
Recommended |
At that time, did wetting [his/her] pants during the day cause (blank) [teachers/boss] to be annoyed or upset with [him/her]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel021 |
Query
|
pel021a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because of this? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel021a |
Query
|
pel022 |
Integer |
|
Recommended |
When the problems were worst, did it seem like wetting [his/her] pants during the day made _________ feel bad or made [him/her] feel upset? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel022 |
Query
|
pel022a |
Integer |
|
Recommended |
How bad did wetting [his/her] pants seem to make [him/her] feel? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel022a |
Query
|
pel023 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] been to see someone at a hospital or a clinic or at their office for help with any of these problems? IF YES, GO TO OPTIONAL DETAILS, NEXT |
0; 2
|
0 = No; 2 = Yes
|
yel023 |
Query
|
pel023a |
Integer |
|
Recommended |
Does [he she] have an appointment set up to see someone because [he/she] wets [his/her] pants during the day? |
0; 2
|
0 = No; 2 = Yes
|
yel023a |
|
cd126a |
String |
100
|
Recommended |
Who did you see? |
|
|
pel024, yel024 |
|
mta_psi007b |
String |
100
|
Recommended |
B. What did the doctor say was wrong (What did [PERSON SEEN] say was the matter)? |
|
|
pel024a, yel024a |
Query
|
pel025 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] taken any medicine for wetting [his/her] pants during the day? |
|
|
yel025 |
|
pel025a |
String |
100
|
Recommended |
(medicine for wetting) What is the name of the medicine? |
|
|
yel025a |
Query
|
pel026 |
Integer |
|
Recommended |
Since [he/she] turned five (INTERVIEWER: point out age five on whole life chart), did [he/she] ever wet [his/her] pants twice a week or more? |
|
|
yel026 |
Query
|
pel026a |
Integer |
|
Recommended |
Did [he/she] wet [his/her] pants this often for as long as three months? |
|
|
yel026a |
Query
|
pel026b |
Integer |
|
Recommended |
Did wetting [his/her] pants seem to cause any serious problems for [him/her] at home, at school, or with [his/ her] friends? |
0; 2
|
0 = No; 2 = Yes
|
yel026b |
Query
|
pel026c |
Integer |
|
Recommended |
Did wetting [his/her] pants seem to make [him/her] feel really unhappy or bother [him/her] a lot? |
|
|
yel026c |
Query
|
pel026d |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] wets [his/her] pants? |
0; 2
|
0 = No; 2 = Yes
|
yel026d |
Query
|
pel026ey |
Integer |
|
Recommended |
How old was [he/she] when [he/she] stopped wetting [his/her] pants? |
|
years
|
yel026ey |
Query
|
pel026ez |
Integer |
|
Recommended |
(stopped wetting) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.; grade
|
yel026ez |
Query
|
pel026f |
Integer |
|
Recommended |
Before [he/she] was [NAME AGE IN E/NAME GRADE IN E], did [he/she] ever go a whole year without wetting [his/her] pants? |
0; 2
|
0 = No; 2 = Yes
|
yel026f |
Query
|
pel026gy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] started wetting [his/her] pants again? |
|
years
|
yel026gy |
Query
|
pel026gz |
Integer |
|
Recommended |
(started wetting pants again) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.)
|
yel026gz |
|
pel027 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Had a bowel movement not in toilet since age 4 |
|
|
yel027 |
Query
|
pel027a |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] soiled [himself/herself]? |
0; 2
|
0 = No; 2 = Yes
|
yel027a |
Query
|
pel027b |
Integer |
|
Recommended |
In the last year, did [he/she] only soil [himself/herself] when [he/she] was physically sick and had diarrhea? |
0; 2
|
0 = No; 2 = Yes
|
yel027b |
Query
|
pel027c |
Integer |
|
Recommended |
In the last year, did [he/she] soil [himself/herself] every month for as long as six months? |
0; 2
|
0 = No; 2 = Yes
|
yel027c |
Query
|
pel027d |
Integer |
|
Recommended |
Did [he/she] soil [himself/herself] every month for as long as three months? |
0; 2
|
0 = No; 2 = Yes
|
yel027d |
Query
|
pel027e |
Integer |
|
Recommended |
Now what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] soiled [himself/herself]? |
0; 2
|
0 = No; 2 = Yes
|
yel027e |
Query
|
pel028 |
Integer |
|
Recommended |
In the last year, has [he/she] suffered from any medical condition that made [him/ her] soil [himself/herself]? |
0; 2
|
0 = No; 2 = Yes
|
yel028 |
|
pel028a |
String |
100
|
Recommended |
What medical condition caused [him/her] to soil [himself/herself]? |
|
|
yel028a |
Query
|
pel028b |
Integer |
|
Recommended |
Did a doctor ever say that [he/she] soiled [himself/herself] because of this medical condition? |
0; 2
|
0 = No; 2 = Yes
|
yel028b |
Query
|
pel029 |
Integer |
|
Recommended |
Thinking about [his/her] whole life, has [he/she] ever gone a whole year without soiling [himself/herself]? |
0; 2
|
0 = No; 2 = Yes
|
yel029 |
Query
|
pel029ay |
Integer |
|
Recommended |
How old was [he/she] when [he/she] started soiling [himself/herself] this time? |
|
88 = Never Started Again; years
|
yel029ay |
Query
|
pel029az |
Integer |
|
Recommended |
(last year started soiling) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A. 88 = NEVER STARTED AGAIN
|
yel029az |
Query
|
pel029b |
Integer |
|
Recommended |
Did [he/she] start soiling [himself/herself] more than a year ago that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0 = No; 2 = Yes
|
yel029b |
Query
|
pel030 |
Integer |
|
Recommended |
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]]get annoyed or upset with __________ because [he/she] soiled [himself/herself]? |
|
|
yel030 |
Query
|
pel030a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her] because of this? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel030a |
Query
|
pel031 |
Integer |
|
Recommended |
At that time, did soiling [himself/herself] keep ________ from doing things or going places with [you (or [his/her] family)/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel031 |
Query
|
pel031a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with [you (or [his/her] family)/[his/her] family]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel031a |
Query
|
pel032 |
Integer |
|
Recommended |
At that time, did soiling [himself/herself] keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel032 |
Query
|
pel032a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with other [children/people [his/her] age]? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel032a |
Query
|
pel033 |
Integer |
|
Recommended |
When the problems were worst, did soiling [himself/herself] [make it difficult for [him/her] to do [his/her] schoolwork or cause problems with [his/her] grades/make it difficult for [him/her] to do [his/her] work]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel033 |
Query
|
pel033a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of this? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel033a |
Query
|
pel034 |
Integer |
|
Recommended |
At that time, did soiling [himself/herself] cause (blank) [teachers/boss] to be annoyed or upset with [him/her]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel034 |
Query
|
pel034a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because of this? Would you say: a lot of the time, some of the time, or hardly ever? |
1::3
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
yel034a |
Query
|
pel035 |
Integer |
|
Recommended |
When the problems were worst, did it seem like soiling [himself/herself] made __________ feel bad or made [him/her] feel upset? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
yel035 |
Query
|
pel035a |
Integer |
|
Recommended |
How bad did soiling [himself/herself] seem to make [him/her] feel? Would you say: very bad, bad, or not too bad? |
1::3
|
1 = Not too bad; 2 = Bad; 3 = Very bad
|
yel035a |
Query
|
pel036 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] been to see someone at a hospital or a clinic or at their office because [he/she] soiled [himself/herself]? |
0; 2
|
0= No; 2= Yes
|
yel036 |
Query
|
pel036a |
Integer |
|
Recommended |
Did the doctor or person [he/she] saw say the problem was due to constipation? |
0; 2
|
0= No; 2= Yes
|
yel036a |
Query
|
pel036b |
Integer |
|
Recommended |
Does [he she] have an appointment set up to see someone because [he/she] soils [himself/herself]? |
0; 2
|
0= No; 2= Yes
|
yel036b |
|
mta_poa127a |
String |
100
|
Recommended |
IF YES, A. Who did [he/she] see? |
|
|
pel037, yel037 |
|
mta_poa127b |
String |
100
|
Recommended |
B. What did the doctor say was wrong (What did [PERSON SEEN] say what was the matter)? |
|
|
pel037a, yel037a |
Query
|
pel038 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has [he/she] taken any medicine because [he/she] soiled [himself/ herself]? |
0; 2
|
0= No; 2= Yes
|
yel038 |
|
pel038a |
String |
100
|
Recommended |
What is the name of the medicine? |
|
|
yel038a |
Query
|
pel039 |
Integer |
|
Recommended |
Since [he/she] turned four (INTERVIEWER: point out age four on whole life chart), was there ever a time when [he/she] soiled [himself/herself] as often as once a month? |
0; 2
|
0= No; 2= Yes
|
yel039 |
Query
|
pel039a |
Integer |
|
Recommended |
Did [he/she] soil [himself/herself] this often for as long as three months in a row? |
0; 2
|
0= No; 2= Yes
|
yel039a |
Query
|
pel039b |
Integer |
|
Recommended |
Did soiling [himself/herself] seem to cause any serious problems for [him/her] at home, at school, or with [his/ her] friends? |
0; 2
|
0= No; 2= Yes
|
yel039b |
Query
|
pel039c |
Integer |
|
Recommended |
Did soiling [himself/herself] seem to make [him/her] feel really unhappy or bother [him/her] a lot? |
0; 2
|
0= No; 2= Yes
|
yel039c |
Query
|
pel039d |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] soiled [himself/herself]? |
0; 2
|
0= No; 2= Yes
|
yel039d |
Query
|
pel039ey |
Integer |
|
Recommended |
How old was [he/she] when [he/she] stopped soiling [himself/herself]? |
|
years
|
yel039ey |
Query
|
pel039ez |
Integer |
|
Recommended |
(stopped started soiling) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.
|
yel039ez |
Query
|
pel039f |
Integer |
|
Recommended |
Before [he/she] was [NAME AGE IN E/NAME GRADE IN E], did [he/she] ever go a whole year without soiling [himself/herself]? |
0; 2
|
0= No; 2= Yes
|
yel039f |
Query
|
pel039gy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] started soiling [himself/herself] again? |
|
years
|
yel039gy |
Query
|
pel039gz |
Integer |
|
Recommended |
(started soiling again) IF AGE NOT KNOWN, ASK: What grade was [he/she] in? |
|
44 = PRE-K, 55 = KINDERGARTEN, 13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR, 16 = SENIOR, 17 = POST B.A. 88 = NEVER STARTED AGAIN
|
yel039gz |
|
pecay |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Repeated passage of feces |
|
|
yecay |
|
penndm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Not due to substance or medical condition |
|
|
yenndm |
|
pecam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Repeated passage of feces |
|
|
yecam |
|
pecm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). past month: diagnosis for encopresis |
|
|
yecm |
|
penncy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 5 years |
|
|
yenncy |
|
penncm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 5 years |
|
|
yenncm |
|
pendm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). past month: diagnosis for diurnal enuresis |
|
|
yendm |
|
penddy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Not due to substance or medical condition |
|
|
yenddy |
|
pennby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Frequency of twice a week for 3 months or distress |
|
|
yennby |
|
penddm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Not due to substance or medical condition |
|
|
yenddm |
|
pennbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Frequency of twice a week for 3 months or distress |
|
|
yennbm |
|
pendcy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 5 years |
|
|
yendcy |
|
pennay |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Repeated voiding |
|
|
yennay |
|
pendcm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 5 years |
|
|
yendcm |
|
pennam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Repeated voiding |
|
|
yennam |
|
pecdy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Not due to substance or medical condition |
|
|
yecdy |
|
pecdm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Not due to substance or medical condition |
|
|
yecdm |
|
pendby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Frequendy of twice a week for 3 months or distress |
|
|
yendby |
|
pennm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). past month: diagnosis for nocturnal enuresis |
|
|
yennm |
|
pendbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Frequendy of twice a week for 3 months or distress |
|
|
yendbm |
|
peccy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 4 years |
|
|
yeccy |
|
peccm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Age is at least 4 years |
|
|
yeccm |
|
penday |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Repeated voiding |
|
|
yenday |
|
pendam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Month: Repeated voiding |
|
|
yendam |
|
pecby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: One a month for 3 months |
|
|
yecby |
|
pecbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). One a month for 3 months |
|
|
yecbm |
|
penndy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Elimination Disorders (ELIM DIS). Year: Not due to substance or medical condition |
|
|
yenndy |
|
ppi001 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Pica (PICA). Ever eaten things that werent real food since age 4 |
|
|
ypi001 |
|
ppi001a |
String |
30
|
Recommended |
What did [he/she] eat that wasn't food? |
|
|
ypi001a |
Query
|
ppi002 |
Integer |
|
Recommended |
Since ________ turned four (INTERVIEWER: point out age four on whole life chart), was there ever a time when [he/she] often ate peeling paint or ashes or dirt or other things like that? |
0; 2
|
0= no; 2= yes
|
ypi002 |
|
ppi002a |
String |
30
|
Recommended |
What did [he/she] eat that wasn't food? |
|
|
ypi002a |
Query
|
ppi002b |
Integer |
|
Recommended |
Has there been a time in the last year when [he/she] ate things that weren't food as often as twice a week? |
0; 2
|
0= no; 2= yes
|
ypi002b |
Query
|
ppi002c |
Integer |
|
Recommended |
In the last year, did this problem of eating things that weren't food go on for as long as four weeks? |
0; 2
|
0= no; 2= yes
|
ypi002c |
Query
|
ppi002d |
Integer |
|
Recommended |
Now, what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] often eaten things that weren't food? |
0; 2
|
0= no; 2= yes
|
ypi002d |
Query
|
ppi002e |
Integer |
|
Recommended |
Some people believe that eating things that aren't food like this is good for them. Do people in [his/her] family believe that? |
0; 2
|
0= no; 2= yes
|
ypi002e |
Query
|
ppi002f |
Integer |
|
Recommended |
Is that the only reason [he/she] has given for eating things that aren't food? |
0; 2
|
0= no; 2= yes
|
ypi002f |
Query
|
ppi003y |
Integer |
|
Recommended |
Age when first ate things that werent food |
|
years
|
ypi003y |
Query
|
ppi003z |
Integer |
|
Recommended |
Grade when first ate things that werent food |
|
|
ypi003z |
Query
|
ppi003a |
Integer |
|
Recommended |
Was that more than a year ago - that is, [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0= no; 2= yes
|
ypi003a |
Query
|
ppi003b |
Integer |
|
Recommended |
Since that first time, was there ever a time when [he/she] did not eat things that weren't food? |
0; 2
|
0= no; 2= yes
|
ypi003b |
Query
|
ppi003c |
Integer |
|
Recommended |
Did that time when [he/she] didn't eat things that weren't food last for two months or more? |
0; 2
|
0= no; 2= yes
|
ypi003c |
Query
|
ppi003dy |
Integer |
|
Recommended |
You said that [he/she] ate things that weren't food in the last year. How old was [he/she] when eating things that weren't food began this time? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ypi003dy |
Query
|
ppi003dz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ypi003dz |
Query
|
ppi003e |
Integer |
|
Recommended |
Did [he/she] start to eat things that weren't food again more than a year ago - that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0= no; 2= yes
|
ypi003e |
Query
|
ppi004 |
Integer |
|
Recommended |
Time when eating things was worse, caretakers became upset/annoyed |
0; 2
|
0= no; 2= yes
|
ypi004 |
Query
|
ppi004a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARE- TAKERS]] get annoyed or upset with [him/her] because [he/she] did this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ypi004a |
Query
|
ppi005 |
Integer |
|
Recommended |
At that time, did eating things that werent food keep ________ from doing things or going places with [you or [his/her] family/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ypi005 |
Query
|
ppi005a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with [you or [his/her] family/[his/her] family]? Would you say: a lot |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ypi005a |
Query
|
ppi006 |
Integer |
|
Recommended |
Eating things that werent food prevented doing things with friends |
0; 2
|
0= no; 2= yes
|
ypi006 |
Query
|
ppi006a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ypi006a |
Query
|
ppi007 |
Integer |
|
Recommended |
Eating things that werent food caused problems with school/grades/work |
0; 2
|
0= no; 2= yes
|
ypi007 |
Query
|
ppi007a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of this? Would you say: very bad, bad, or not too bad? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Don't know
|
ypi007a |
Query
|
ppi008 |
Integer |
|
Recommended |
At that time, did eating things that werent food cause __________s [teachers/ boss] to be annoyed or upset with [him/her]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ypi008 |
Query
|
ppi008a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because [he/she] did this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ypi008a |
Query
|
ppi009 |
Integer |
|
Recommended |
Felt bad/upset about eating things that werent food |
0; 2
|
0= no; 2= yes
|
ypi009 |
Query
|
ppi009a |
Integer |
|
Recommended |
How bad did eating things that weren't food seem to make [him/her] feel? Would you say: very bad, bad, or not too bad? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Don't know
|
ypi009a |
Query
|
ppi010 |
Integer |
|
Recommended |
Been to see somone at a hospital/clinic/at work for help |
0; 2
|
0= no; 2= yes
|
ypi010 |
Query
|
ppi010a |
Integer |
|
Recommended |
Does [he/she] have an appointment set up to see someone because [he/she] eats things that aren't food? |
0; 2
|
0= no; 2= yes
|
ypi010a |
Query
|
ppi012 |
Integer |
|
Recommended |
Did [he/she] ever eat things that werent food after [he/she] turned four years old? (Interviewer: Point out age four on whole life chart.) |
0; 2
|
0= No; 2= Yes
|
ypi012 |
Query
|
ppi012a |
Integer |
|
Recommended |
Did [he/she] eat things that weren't food as often as twice a week? |
0; 2
|
0= no; 2= yes
|
ypi012a |
Query
|
ppi012b |
Integer |
|
Recommended |
Did [he/she] go on eating things that weren't food for more than four weeks? |
0; 2
|
0= no; 2= yes
|
ypi012b |
Query
|
ppi012c |
Integer |
|
Recommended |
Did eating things that weren't food cause any serious problems for [him/her] at home, at school, or with [his/ her] friends? |
0; 2
|
0= no; 2= yes
|
ypi012c |
Query
|
ppi012d |
Integer |
|
Recommended |
Did eating things that weren't food seem to make [him/ her] feel really unhappy or bother [him/her] a lot? |
0; 2
|
0= no; 2= yes
|
ypi012d |
Query
|
ppi012e |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] ate things that weren't food? |
0; 2
|
0= no; 2= yes
|
ypi012e |
Query
|
ppi012fy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] first started to eat things that weren't food? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ypi012fy |
Query
|
ppi012fz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ypi012fz |
Query
|
ppi012gy |
Integer |
|
Recommended |
When [he/she] stopped eating things that weren't food, how old was [he/she] then? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ypi012gy |
Query
|
ppi012gz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ypi012gz |
|
ptc001 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Any tics or movements that the person had to do |
|
|
ytc001 |
|
ptc001a |
String |
100
|
Recommended |
Please tell me about this. Can you show me the kind of movements [he/she] made? (DESCRIBE:) |
|
|
ytc001a |
Query
|
ptcn01 |
Integer |
|
Recommended |
WAS MORE THAN ONE TIC DESCRIBED IN Q 1A? |
0; 2
|
0= No; 2= Yes
|
ytcn01 |
Query
|
ptc001b |
Integer |
|
Recommended |
Has [he/she] had any other tics or movements? |
0; 2
|
0= No; 2= Yes
|
ytc001b |
|
ptc001c |
String |
30
|
Recommended |
Can you show me those other tics or movements? |
|
|
ytc001c |
|
ytc001d |
String |
30
|
Recommended |
Was there ever a time in the last year when you had these tics or movements many times a day? |
|
|
ptc001d |
|
ytc001e |
String |
30
|
Recommended |
In the last year, when you have had these tics or movements, have they happened almost every day? |
|
|
ptc001e |
|
ytc001f |
String |
30
|
Recommended |
Have you had these tics or movements for more than a year? |
|
|
ptc001f |
Query
|
ptc001g |
Integer |
|
Recommended |
In the last year, has [he/she] had these tics or move- ments for four weeks or longer? |
0; 2
|
0= No; 2= Yes
|
ytc001g |
|
ytc001h |
String |
30
|
Recommended |
During the last year, was there a time you didn't have these tics or movements for three months in a row or longer? |
|
|
ptc001h |
Query
|
ptc001i |
Integer |
|
Recommended |
During the last year, has [he/she] gone as long as two months without these tics or movements? |
0; 2
|
0= No; 2= Yes
|
ytc001i |
Query
|
ptc001j |
Integer |
|
Recommended |
Now what about the last four weeks? |
0; 2
|
0= No; 2= Yes
|
ytc001j |
|
ptc002 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Often made sounds/noises that couldnt be prevented |
|
|
ytc002 |
|
ptc002a |
String |
30
|
Recommended |
Please tell me about this. What [noises/words] did [he/she] [make/say]? (DESCRIBE:) |
|
|
ytc002a |
|
ytc002b |
String |
30
|
Recommended |
Was there ever a time in the last year when you made these noises or said these words many times a day? |
|
|
ptc002b |
|
ytc002c |
String |
30
|
Recommended |
In the last year, when you made these noises or said these words, did you do this almost every day? |
|
|
ptc002c |
|
ytc002d |
String |
30
|
Recommended |
Have you been making these noises or saying these words for more than a year? |
|
|
ptc002d |
Query
|
ptc002e |
Integer |
|
Recommended |
In the last year, has [he/she] made these noises or said these words for four weeks or longer? |
0; 2
|
0= No; 2= Yes
|
ytc002e |
|
ytc002f |
String |
30
|
Recommended |
During the last year, have you ever gone without making these noises or saying these words for three months in a row or longer ? |
|
|
ptc002f |
Query
|
ptc002g |
Integer |
|
Recommended |
During the last year, has [he/she] gone as long as two months without making these noises or saying these words? |
0; 2
|
0= No; 2= Yes
|
ytc002g |
|
ytc002h |
String |
30
|
Recommended |
Now, what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], have you made these noises or said these words? |
|
|
ptc002h |
Query
|
ptc003y |
Integer |
|
Recommended |
Age when started tics/movements |
|
|
ytc003y |
Query
|
ptc003z |
Integer |
|
Recommended |
Grade when started tics/movements |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytc003z |
Query
|
ptc003a |
Integer |
|
Recommended |
Was that more than a year ago - that is, before [[NAME EVENT]/ [NAME CURRENT MONTH] of last year]? |
0; 2
|
0= No; 2= Yes
|
ytc003a |
Query
|
ptc003b |
Integer |
|
Recommended |
Since that first time, was there ever a time when [he/she] did not [have tics or movements [he/she] seemed to have to make/make these noises or say these words [he/she] didn't want to]? |
0; 2
|
0= No; 2= Yes
|
ytc003b |
Query
|
ptc003c |
Integer |
|
Recommended |
Did that time when [he/she] didn't [have these tics or movements [he/she] seemed to have to make/make these noises or say these words [he/she] didn't want to] last for two months or more? |
0; 2
|
0= No; 2= Yes
|
ytc003c |
Query
|
ptc003dy |
Integer |
|
Recommended |
You said that [he/she] [had tics or movements [he/she] seemed to have to make/made noises or said words [he/she] didn't want to] in the last year. How old was [he/she] when [having tics or movements [he/she] seemed to have to make/making noises or saying words [he/she] didn't want to] began this time? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytc003dy |
Query
|
ptc003dz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytc003dz |
Query
|
ptc003e |
Integer |
|
Recommended |
Did [he/she] start to [have these tics or movements [he/she] seemed to have to make/make these noises or say these words [he/she] didn't want to] again more than a year ago - that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0= No; 2= Yes
|
ytc003e |
Query
|
ptc004 |
Integer |
|
Recommended |
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with ________ because [he/she] was [having these tics or movements/making these noises or saying these words]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ytc004 |
Query
|
ptc004a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARE- TAKERS]] get annoyed or upset with [him/her] because of this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Don't know
|
ytc004a |
Query
|
ptc005 |
Integer |
|
Recommended |
At that time, did [having these tics or movements/making these noises or saying these words] keep ________ from doing things or going places with [you or [his/ her] family/[his/her] family]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ytc005 |
Query
|
ptc005a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with [you or his/her family/his/her family]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Don't know
|
ytc005a |
Query
|
ptc006 |
Integer |
|
Recommended |
At that time, did [having these tics or movements/making these noises or saying these words] keep [him/her] from doing things or going places with other [children/ people [his/her] age]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ytc006 |
Query
|
ptc006a |
Integer |
|
Recommended |
How often did this keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Don't know
|
ytc006a |
Query
|
ptc007 |
Integer |
|
Recommended |
When the problems were worst, did [having these tics or movements/making these noises or saying these words][make it difficult for ________ to do [his/her] schoolwork or cause problems with [his/her] grades/make it difficult for ________ to do [his/her] work]? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ytc007 |
Query
|
ptc007a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because of this? Would you say: very bad, bad, or not too bad? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Dont know
|
ytc007a |
Query
|
ptc008 |
Integer |
|
Recommended |
Tics/movements caused teachers/bosses to become annoyed/upset |
|
|
ytc008 |
Query
|
ptc008a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because of this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ytc008a |
Query
|
ptc009 |
Integer |
|
Recommended |
When the problems were worst, did it seem like [having these tics or movements/ making these noises or saying these words] made [him/her] feel bad or made [him/ her] feel upset? |
0::2
|
0= No; 1= Sometimes/ Somewhat; 2= Yes
|
ytc009 |
Query
|
ptc009a |
Integer |
|
Recommended |
How bad did this seem to make [him/her] feel? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Dont know
|
ytc009a |
Query
|
ptc010 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has ________ been to see someone at a hospital or a clinic or at their office because [he/she] [had tics or movements/made these noises or said these words]? |
|
|
ytc010 |
Query
|
ptc010a |
Integer |
|
Recommended |
Does [he/she] have an appointment set up to see someone because of this? |
0; 2
|
0= No; 2= Yes
|
ytc010a |
Query
|
ptc012 |
Integer |
|
Recommended |
Taken any medication for Tics or Tourettes syndrome in past year |
|
|
ytc012 |
|
ptc012a |
String |
30
|
Recommended |
What is the name of the medicine? |
|
|
ytc012a |
Query
|
ptc013 |
Integer |
|
Recommended |
Was there ever a time when [he/she] did the things I just asked you about things like having tics or jerky movements that [he/she] couldnt keep from doing or making certain noises that [he/she] didnt want to make or saying words that [he/ she] didnt really want to say? |
0; 2
|
0= No; 2= Yes
|
ytc013 |
|
ptc013a |
String |
30
|
Recommended |
I want to ask you some questions about that time. Can you remember what [he/she] did? Can you show me now? (DESCRIBE): |
|
|
ytc013a |
Query
|
ptc013b |
Integer |
|
Recommended |
Did [he/she] make these tics or movements or noises several times a day, most days? |
0; 2
|
0= No; 2= Yes
|
ytc013b |
Query
|
ptc013c |
Integer |
|
Recommended |
Did [he/she] make these tics or movements or noises for four weeks or longer? |
0; 2
|
0= No; 2= Yes
|
ytc013c |
Query
|
ptc013d |
Integer |
|
Recommended |
Did making these tics or movements or noises cause any serious problems for [him/her] at home, at school, or with [his/ her] friends? |
0; 2
|
0= No; 2= Yes
|
ytc013d |
Query
|
ptc013e |
Integer |
|
Recommended |
Did making these tics or movements or noises seem to make [him/her] really unhappy or bother [him/her] a lot? |
0; 2
|
0= No; 2= Yes
|
ytc013e |
Query
|
ptc013f |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] made these tics or movements or noises? |
0; 2
|
0= No; 2= Yes
|
ytc013f |
Query
|
ptc013gy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] first started to make these tics or movements or noises? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytc013gy |
Query
|
ptc013gz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytc013gz |
Query
|
ptc013hy |
Integer |
|
Recommended |
When [he/she] stopped doing this, how old was [he/she] then? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytc013hy |
Query
|
ptc013hz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytc013hz |
|
pttcbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Many times a day, nearly every day for at least 4 weeks |
|
|
yttcbm |
|
pttcay |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Single or multiple motor and/or vocal tics |
|
|
yttcay |
|
pmvtfy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Never met Tourettes Disorder |
|
|
ymvtfy |
|
pttcam |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Single or multiple motor and/or vocal tics |
|
|
yttcam |
|
pmvtfm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Never met Tourettes Disorder |
|
|
ymvtfm |
|
ptouby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Many times a day every day or intermittently for more than one year |
|
|
ytouby |
|
pttcfy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Never met Tourettes or Chronic Motor or Vocal Tic Disorder |
|
|
yttcfy |
|
panyticy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Any tic disorder |
|
|
yanyticy |
|
ptoubm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Many times a day every day or intermittently for more than one year |
|
|
ytoubm |
|
pttcfm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Never met Tourettes or Chronic Motor or Vocal Tic Disorder |
|
|
yttcfm |
|
panyticm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Any tic disorder |
|
|
yanyticm |
|
ptcsymp |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Parent/Youth Tic Disorders Symptom Count |
|
|
ytcsymp |
|
ptccrity |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Parent/Youth Tic Disorders Criteria Count - Past Year |
|
|
ytccrity |
|
pmvty |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Diagnosis for chronic motor or vocal tic disorder |
|
|
ymvty |
|
ptcw |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Tic disorder lifetime |
|
|
ytcw |
|
ptccritm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Parent/Youth Tic Disorders Criteria Count - Past Month |
|
|
ytccritm |
|
pmvtm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Diagnosis for chronic motor or vocal tic disorder |
|
|
ymvtm |
|
pttcm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). past month: diagnosis for transient tic disorder |
|
|
yttcm |
|
pmvta |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Single or multiple motor or vocal tis, but not both |
|
|
ymvta |
|
pmvtby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Many times a day every day or intermittently for more than one year |
|
|
ymvtby |
|
ptoum |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Diagnosis for tourettes disorder |
|
|
ytoum |
|
pmvtbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Month: Many times a day every day or intermittently for more than one year |
|
|
ymvtbm |
|
ptoua |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). multiple motor and one or more vocal tics |
|
|
ytoua |
|
pttcby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Tic Disorders (TIC). Year: Many times a day, nearly every day for at least 4 weeks |
|
|
yttcby |
|
ptr001 |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). In whole life ever had habbit of pulling out hair eventhough they didnt want to |
|
|
ytr001 |
Query
|
ptr001a |
Integer |
|
Recommended |
Did [he/she] pull out so much hair that people could notice that [his/ her] hair was missing? |
0; 2
|
0= No; 2= Yes
|
ytr001a |
Query
|
ptr002 |
Integer |
|
Recommended |
Had this habbit of pulling hair out in past year |
0; 2
|
0= No; 2= Yes
|
ytr002 |
Query
|
ptr002a |
Integer |
|
Recommended |
In the last year, did [he/she] pull out so much hair that people could notice that [his/her] hair was missing? |
0; 2
|
0= No; 2= Yes
|
ytr002a |
Query
|
ptr002b |
Integer |
|
Recommended |
At that time, did [he/she] usually seem very tense or nervous right before [he/she] pulled out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr002b |
Query
|
ptr002c |
Integer |
|
Recommended |
What about when [he/she] would try not to pull out [his/ her] hair? Would [he/she] usually seem very tense or nervous then? |
0; 2
|
0= No; 2= Yes
|
ytr002c |
Query
|
ptr002d |
Integer |
|
Recommended |
Did pulling out [his/her] hair usually seem to make [him/her] feel less tense or nervous? |
0::2
|
0=NO;1=SOMETIMES/SOMEWHAT;2=YES
|
ytr002d |
Query
|
ptr002e |
Integer |
|
Recommended |
Did [he/she] say that it made [him/her] feel good to pull out [his/her] hair? |
0::2
|
0=NO;1=SOMETIMES/SOMEWHAT;2=YES
|
ytr002e |
Query
|
ptr002f |
Integer |
|
Recommended |
Now, what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] pulled out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr002f |
Query
|
ptr003y |
Integer |
|
Recommended |
Age when first pulled hair out, years |
|
|
ytr003y |
Query
|
ptr003z |
Integer |
|
Recommended |
Grade when first pulled hair out |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytr003z |
Query
|
ptr003a |
Integer |
|
Recommended |
Was that more than a year ago - that is, before [[NAME EVENT]/ [NAME CURRENT MONTH] of last year]? |
0; 2
|
0= No; 2= Yes
|
ytr003a |
Query
|
ptr003b |
Integer |
|
Recommended |
Since that first time, was there ever a time when [he/she] did not pull out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr003b |
Query
|
ptr003c |
Integer |
|
Recommended |
Did that time when [he/she] wasn't pulling out [his/her] hair last for two months or more? |
0; 2
|
0= No; 2= Yes
|
ytr003c |
Query
|
ptr003dy |
Integer |
|
Recommended |
You said that [he/she] pulled out [his/her] hair in the last year. How old was [he/she] when pulling out [his/her] hair began this time? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytr003dy |
Query
|
ptr003dz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytr003dz |
Query
|
ptr003e |
Integer |
|
Recommended |
Did [he/she] start pulling out [his/her] hair again more than a year ago - that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]? |
0; 2
|
0= No; 2= Yes
|
ytr003e |
Query
|
ptr004 |
Integer |
|
Recommended |
Caretakers became upset/annoyed by habbit of pulling hair out |
0; 2
|
0= No; 2= Yes
|
ytr004 |
Query
|
ptr004a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARE- TAKERS]] get annoyed or upset with [him/her] because [he/she] did this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ytr004a |
Query
|
ptr005 |
Integer |
|
Recommended |
Pulling out hair prevented doing things with family |
0; 2
|
0= No; 2= Yes
|
ytr005 |
Query
|
ptr005a |
Integer |
|
Recommended |
How often did doing this keep [him/her] from doing things or going places with [you or [his/her] family/[his/her] family]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ytr005a |
Query
|
ptr006 |
Integer |
|
Recommended |
Pulling out hair prevented doing thing with peers |
0; 2
|
0= No; 2= Yes
|
ytr006 |
Query
|
ptr006a |
Integer |
|
Recommended |
How often did doing this keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ytr006a |
Query
|
ptr007 |
Integer |
|
Recommended |
Pulling out hair made schoolwork difficult |
0; 2
|
0= No; 2= Yes
|
ytr007 |
Query
|
ptr007a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [school- work/work] because [he/she] did this? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Dont know
|
ytr007a |
Query
|
ptr008 |
Integer |
|
Recommended |
Pulling out hair caused teachers/boss to become annoyed |
0; 2
|
0= No; 2= Yes
|
ytr008 |
Query
|
ptr008a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because [he/she] did this? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time; 7 = Refuse to answer; 9 = Dont know
|
ytr008a |
Query
|
ptr009 |
Integer |
|
Recommended |
Felt very bad/upset about pulling out of hair |
0; 2
|
0= No; 2= Yes
|
ytr009 |
Query
|
ptr009a |
Integer |
|
Recommended |
How bad did this seem to make [him/her] feel? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad; 7 = Refuse to answer; 9 = Dont know
|
ytr009a |
Query
|
ptr010 |
Integer |
|
Recommended |
In the last year that is, since [[NAME EVENT]/[NAME CURRENT MONTH] of last year] has ________ been to see someone at a hospital or a clinic or at their office because [he/she] has pulled out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr010 |
Query
|
ptr010a |
Integer |
|
Recommended |
Does [he/she] have an appointment set up to see someone because [he/she] pulls out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr010a |
Query
|
ptr011 |
Integer |
|
Recommended |
Name, position, address of person seen for help (OPTIONAL) |
0; 2
|
0= No; 2= Yes
|
ytr011 |
|
ptr011a |
String |
30
|
Recommended |
SOMEONE WAS SEEN, ASK: What did the person [he/she] saw say was the matter? |
|
|
ytr011a |
Query
|
ptr012 |
Integer |
|
Recommended |
Did [he/she] ever pull out [his/her] hair after [he/she] turned four years old (INTERVIEWER: point out age four on whole life chart)? |
0; 2
|
0= No; 2= Yes
|
ytr012 |
Query
|
ptr012a |
Integer |
|
Recommended |
When [he/she] pulled out [his/her] hair was it because [he/she] seemed to feel very nervous or tense if [he/she] didn't pull it out? |
0; 2
|
0= No; 2= Yes
|
ytr012a |
Query
|
ptr012b |
Integer |
|
Recommended |
Did [he/she] pull out [his/her] hair like this for four weeks or longer? |
0; 2
|
0= No; 2= Yes
|
ytr012b |
Query
|
ptr012c |
Integer |
|
Recommended |
Did pulling out [his/her] hair cause any serious prob- lems for [him/her] at home, at school, or with [his/her] friends? |
0; 2
|
0= No; 2= Yes
|
ytr012c |
Query
|
ptr012d |
Integer |
|
Recommended |
Did pulling out [his/her] hair this way seem to make [him/her] feel really unhappy or bother [him/her] a lot? |
0; 2
|
0= No; 2= Yes
|
ytr012d |
Query
|
ptr012e |
Integer |
|
Recommended |
Did [he/she] ever see a doctor, counselor, or some other person like that because [he/she] pulled out [his/her] hair? |
0; 2
|
0= No; 2= Yes
|
ytr012e |
Query
|
ptr012fy |
Integer |
|
Recommended |
How old was [he/she] when [he/she] first started to pull out [his/her] hair? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytr012fy |
Query
|
ptr012fz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytr012fz |
Query
|
ptr012gy |
Integer |
|
Recommended |
When [he/she] stopped pulling out [his/her] hair, how old was [he/she] then ? |
|
66 = WHOLE LIFE, ALWAYS ; 88 = NEVER STARTED AGAIN
|
ytr012gy |
Query
|
ptr012gz |
Integer |
|
Recommended |
AGE NOT KNOWN, ASK: What grade was [he/she] in? |
1::17;44;55
|
44 = PRE-K, 55 = KINDERGARTEN,13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,16 = SENIOR, 17 = POST B.A.
|
ytr012gz |
|
ptry |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). past year: diagnosis for trichotillomania |
|
|
ytry |
|
ptrw |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Trichotillomania lifetime |
|
|
ytrw |
|
ptrcy |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Year: Pleasure, gratification, or relief |
|
|
ytrcy |
|
ptrm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). past month: diagnosis for trichotillomania |
|
|
ytrm |
|
ptrcrity |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Parent/Youth Trichotillomania Criteria Count - Past Year |
|
|
ytrcrity |
|
ptrcm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Month: Pleasure, gratification, or relief |
|
|
ytrcm |
|
ptrsymp |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Parent/Youth Trichotillomania Symptom Count |
|
|
ytrsymp |
|
ptrcritm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Parent/Youth Trichotillomania Criteria Count - Past Month |
|
|
ytrcritm |
|
ptrby |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Year: Tension before pulling or when resisting |
|
|
ytrby |
|
ptrbm |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Month: Tension before pulling or when resisting |
|
|
ytrbm |
|
ptray |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Year: Pulling out hair - noticeable loss |
|
|
ytray |
|
ptram |
String |
30
|
Recommended |
Module B: Miscellaneous Disorders - Trichotillomania (TRI). Month: Pulling out hair - noticeable loss |
|
|
ytram |
|
ppt001 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Ever almost died in natural disaster |
|
|
ypt001 |
|
ppt002 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been in a situation where they thought someone was going to be killed or hurt b |
|
|
ypt002 |
|
ppt003 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been attacked or badly beaten by someone |
|
|
ypt003 |
|
ppt004 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been upset by someone forcing a sexual act on them |
|
|
ypt004 |
Query
|
ppt004a |
Integer |
|
Recommended |
Has [he/she] ever been attacked sexually or raped? |
0; 2
|
0= No; 2= Yes
|
ypt004a |
|
ppt005 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been threatened with a weapon |
|
|
ypt005 |
|
ppt006 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been in a bad accident |
|
|
ypt006 |
|
ppt007 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Besides tv or movies, ever seen someone killed or hurt badly |
|
|
ypt007 |
|
ppt008 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been upset by seeing a dead body or pictures of one |
|
|
ypt008 |
|
ppt009 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Something from Q1-8 has happened to you more than once |
|
|
ypt009 |
Query
|
ppt009a |
Integer |
|
Recommended |
Has [he/she] talked about any of those things in the last year? |
0; 2
|
0= No; 2= Yes
|
ypt009a |
|
ppt010 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Situations in Q1-8 happened at the same time |
|
|
ypt010 |
Query
|
ppt010a |
Integer |
|
Recommended |
Has [he/she] talked about any of those things in the last year? |
0; 2
|
0= No; 2= Yes
|
ypt010a |
|
ppt010te |
String |
30
|
Recommended |
What happened to [him/her]? |
|
|
ypt010te |
|
ppt011 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Often thought about what happened/you saw in past four weeks |
|
|
ypt011 |
|
ppt012 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Was very afraid when event happened |
|
|
ypt012 |
|
ppt013 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Felt helpless/bad about not being able to stop event |
|
|
ypt013 |
|
ppt014 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). When even happened felt crazy/didnt know what to do next |
|
|
ypt014 |
|
ppt015 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Traumatic event happened in the last four weeks |
|
|
ypt015 |
|
ppt016 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Tried not to think about event but still did |
|
|
ypt016 |
Query
|
ppt016a |
Integer |
|
Recommended |
Did [he/she] say that [he/she] thought about it a lot even when [he/she] was (at [school/work] or when [he/she] was) doing things with other people? |
0::2
|
0= No; 1=Sometimes/ Somewhat; 2= Yes
|
ypt016a |
Query
|
ppt016b |
Integer |
|
Recommended |
Did thinking about [TRAUMATIC EVENT] seem to upset [him/her] a lot? |
0::2
|
0= No; 1=Sometimes/ Somewhat; 2= Yes
|
ypt016b |
Query
|
ppt016c |
Integer |
|
Recommended |
Now, what about the last four weeks? Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]], has [he/she] said that [he/she] often thinks about [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt016c |
|
ppt017 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Played games that mirror traumatic event in past four weeks |
|
|
ypt017 |
Query
|
ppt017a |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] played these games? |
0; 2
|
0= No; 2= Yes
|
ypt017a |
Query
|
pptn01 |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] played these games? |
0; 2
|
0= No; 2= Yes
|
yptn01 |
|
ppt018 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Had problems sleeping in past four weeks |
|
|
ypt018 |
Query
|
ppt018a |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], has [he/she] had problems falling asleep or staying asleep? |
0; 2
|
0= No; 2= Yes
|
ypt018a |
Query
|
ppt018b |
Integer |
|
Recommended |
Does [he/she] have more trouble sleeping than [he/she] used to ... before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt018b |
|
ppt019 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Had nightmares in past four weeks |
|
|
ypt019 |
Query
|
ppt019a |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], has [he/she] had a lot of nightmares? |
0::2
|
0= No; 1=Sometimes/ Somewhat; 2= Yes
|
ypt019a |
Query
|
ppt019b |
Integer |
|
Recommended |
Were these nightmares about [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt019b |
|
ppt020 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Found self reliving what happened in event in last four weeks |
|
|
ypt020 |
Query
|
ppt020a |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], has ________ ever said that [he/ she] felt like [he/she] was reliving what happened ... that [he/she] felt like [[TRAUMATIC EVENT]/it] was happening all over again? |
0; 2
|
0= No; 2= Yes
|
ypt020a |
|
ppt021 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Reminded of event by certain things in last four weeks |
|
|
ypt021 |
Query
|
ppt021a |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], has [he/she] said that there have been certain things that usually made [him/her] remember [[TRAUMATIC EVENT]/it]? |
0; 2
|
0= No; 2= Yes
|
ypt021a |
Query
|
ppt021b |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], when [he/she] was reminded of [[TRAUMATIC EVENT]/it] would [he/she] seem very nervous or upset? |
0; 2
|
0= No; 2= Yes
|
ypt021b |
Query
|
ppt021c |
Integer |
|
Recommended |
[In the last year/Since [TRAUMATIC EVENT]], when these things reminded [him/her] of [[TRAUMATIC EVENT]/what happened], would [he/she] start to sweat or feel like [he/she] was going to faint? |
0; 2
|
0= No; 2= Yes
|
ypt021c |
Query
|
ppt021d |
Integer |
|
Recommended |
Has this happened in the last four weeks? |
0; 2
|
0= No; 2= Yes
|
ypt021d |
|
ppt022 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Tried very hard in last four weeks not to think/talk/hear about event |
|
|
ypt022 |
Query
|
ppt022a |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] tried very hard not to think or hear or talk about [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt022a |
|
ppt023 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Stopped doing activities that would be reminders of event in past four weeks |
|
|
ypt023 |
Query
|
ppt023a |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] not gone places or done things that might make [him/her] think about TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt023a |
|
ppt024 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Avoided people that would be reminders of the event in past four weeks |
|
|
ypt024 |
Query
|
ppt024a |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] tried to keep away from people who might remind [him/her] of [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt024a |
Query
|
pptn02 |
Integer |
|
Recommended |
NOTE 2: WAS A * RESPONSE CODED FOR Q 23 - 24? |
0; 2
|
0= No; 2= Yes
|
yptn02 |
|
ppt025 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Cant remember parts of traumatic event in last four weeks |
|
|
ypt025 |
Query
|
ppt025a |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] said that there are parts of what happened that [he/she] can't remember even when [he/she] tries? |
0; 2
|
0= No; 2= Yes
|
ypt025a |
|
ppt026 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Felt less interested in things in past four weeks |
|
|
ypt026 |
Query
|
ppt026a |
Integer |
|
Recommended |
Was that a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt026a |
Query
|
ppt026b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] seemed less interested in things that [he/she] used to enjoy? |
0; 2
|
0= No; 2= Yes
|
ypt026b |
|
ppt027 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Felt separate from others/unable to fit in past four weeks |
|
|
ypt027 |
Query
|
ppt027a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt027a |
Query
|
ppt027b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] said [he/ she] felt separate or far away from other people? |
0; 2
|
0= No; 2= Yes
|
ypt027b |
|
ppt028 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Cant feel strong feelings like love/hate for people in last four weeks |
|
|
ypt028 |
Query
|
ppt028a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt028a |
Query
|
ppt028b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has it seemed like [he/ she] had no strong feelings one way or the other towards other people? |
0; 2
|
0= No; 2= Yes
|
ypt028b |
|
ppt029 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Stopped thinking about future in past four weeks |
|
|
ypt029 |
Query
|
ppt029a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt029a |
Query
|
ppt029b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] talked less about the future? |
0; 2
|
0= No; 2= Yes
|
ypt029b |
|
ppt030 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Lost temper/been irritable/grouchy in past four weeks |
|
|
ypt030 |
Query
|
ppt030a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt030a |
Query
|
ppt030b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] lost [his/ her] temper or been very irritable or grouchy? |
0; 2
|
0= No; 2= Yes
|
ypt030b |
|
ppt031 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been hard to concentrate on things in past four weeks |
|
|
ypt031 |
Query
|
ppt031a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt031a |
Query
|
ppt031b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has it seemed very hard for [him/her] to keep [his/her] mind on things? |
0; 2
|
0= No; 2= Yes
|
ypt031b |
|
ppt032 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been jumpy/nervous at noises or people touching them in past four weeks |
|
|
ypt032 |
Query
|
ppt032a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt032a |
Query
|
ppt032b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] been very jumpy or nervous like this? |
0; 2
|
0= No; 2= Yes
|
ypt032b |
|
ppt033 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Jumped at sudden noises/when people speak in past four weeks |
|
|
ypt033 |
Query
|
ppt033a |
Integer |
|
Recommended |
Was this a change from how [he/she] was before [TRAUMATIC EVENT]? |
0; 2
|
0= No; 2= Yes
|
ypt033a |
Query
|
ppt033b |
Integer |
|
Recommended |
Now, what about the last four weeks? (Since [[NAME EVENT]//the beginning of/the middle of/the end of [LAST MONTH]]), has [he/she] often jumped at sudden noises? |
0; 2
|
0= No; 2= Yes
|
ypt033b |
|
ppt034 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Bothered by things in Q16-33 for as long as a month |
|
|
ypt034 |
Query
|
ppt034a |
Integer |
|
Recommended |
Was [he/she] bothered by these things for two days or longer? |
0; 2
|
0= No; 2= Yes
|
ypt034a |
Query
|
ppt034b |
Integer |
|
Recommended |
Was [he/she] bothered by most of these things for three months or longer? |
0; 2
|
0= No; 2= Yes
|
ypt034b |
|
ppt035 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). How soon after event did problems start occurring |
|
|
ypt035 |
|
ppt036 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Caretakers been bothered by behavior in past four weeks |
|
|
ypt036 |
Query
|
ppt036a |
Integer |
|
Recommended |
How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARE- TAKERS]] get annoyed or upset with [him/her] because [he/she] was like that? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
ypt036a |
|
ppt037 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Behavior prevents spending time with family |
|
|
ypt037 |
Query
|
ppt037a |
Integer |
|
Recommended |
How often did being like that keep [him/her] from doing things or going places with [you or [his/her] family/[his/her] family? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
ypt037a |
|
ppt038 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Behavior prevents spending time with peers |
|
|
ypt038 |
Query
|
ppt038a |
Integer |
|
Recommended |
How often did being like that keep [him/her] from doing things or going places with other [children/people [his/her] age]? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
ypt038a |
|
ppt039 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Feel bad/upset about behavior |
|
|
ypt039 |
Query
|
ppt039a |
Integer |
|
Recommended |
How bad were the problems [he/she] had with [his/her] [schoolwork/ work] because [he/she] was like that? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad
|
ypt039a |
|
ppt040 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Behavior has made schoolwork/grades hard in last four weeks |
|
|
ypt040 |
Query
|
ppt040a |
Integer |
|
Recommended |
How often [were/was] [his/her] [teachers/boss] annoyed or upset with [him/her] because [he/she] was like that? |
1::3;7;9
|
1 = Hardly ever; 2 = Some of the time; 3 = A lot of the time
|
ypt040a |
|
ppt041 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Behavior caused teachers/boss to become angry |
|
|
ypt041 |
Query
|
ppt041a |
Integer |
|
Recommended |
How bad did being like that seem to make [him/her] feel? |
1::3;7;9
|
1 = Not too bad; 2 = Bad ; 3 = Very bad
|
ypt041a |
|
ppt042 |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Been to see someone for help since traumatic event |
|
|
ypt042 |
Query
|
ppt042a |
Integer |
|
Recommended |
Does [he/she] have an appointment set up to see someone because of the way [he/she] has felt or acted? |
0; 2
|
0= No; 2= Yes
|
ypt042a |
|
pptd4m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Hypervigilance |
|
|
yptd4m |
|
pptb4m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Intense psychological distress at cues |
|
|
yptb4m |
|
pptd3y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Difficulty concentrating |
|
|
yptd3y |
|
pptb3y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Acting or feeling as event recurring |
|
|
yptb3y |
|
pptd3m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Difficulty concentrating |
|
|
yptd3m |
|
pptb3m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Acting or feeling as event recurring |
|
|
yptb3m |
|
pptey |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Duration more than 1 month |
|
|
yptey |
|
pptd2y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Irritability or outbursts of anger |
|
|
yptd2y |
|
pptb2y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Recurrent distressing dreams of event |
|
|
yptb2y |
|
pptem |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Duration more than 1 month |
|
|
yptem |
|
pptd2m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Irritability or outbursts of anger |
|
|
yptd2m |
|
ppt3y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneYear: With delayed onset |
|
|
ypt3y |
|
pptb2m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Recurrent distressing dreams of event |
|
|
yptb2m |
|
ppt3m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneMonth: With delayed onset |
|
|
ypt3m |
|
pptdy |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Persistent symptoms of increased arousal |
|
|
yptdy |
|
pptd1y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Difficulty sleeping |
|
|
yptd1y |
|
pptb1y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Recurrent intrusive distressing recollections |
|
|
yptb1y |
|
pptc7y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Sense of foreshortened future |
|
|
yptc7y |
|
pptdm |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Persistent symptoms of increased arousal |
|
|
yptdm |
|
pptd1m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Difficulty sleeping |
|
|
yptd1m |
|
ppt2y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneYear: Chronic |
|
|
ypt2y |
|
pptb1m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Recurrent intrusive distressing recollections |
|
|
yptb1m |
|
pptc7m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Sense of foreshortened future |
|
|
yptc7m |
|
ppt2m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneMonth: Chronic |
|
|
ypt2m |
|
pptcy |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Avoidance of stimuli associated and numbing of responsiveness |
|
|
yptcy |
|
pptc6y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Restricted range of affect |
|
|
yptc6y |
|
pptcm |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Avoidance of stimuli associated and numbing of responsiveness |
|
|
yptcm |
|
ppt1y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneYear: Acute |
|
|
ypt1y |
|
pptc6m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Restricted range of affect |
|
|
yptc6m |
|
ppt1m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). OneMonth: Acute |
|
|
ypt1m |
|
pptby |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Trauma persistently reexperienced |
|
|
yptby |
|
pptc5y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Detachment or estrangement |
|
|
yptc5y |
|
pptbm |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Trauma persistently reexperienced |
|
|
yptbm |
|
pptc5m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Detachment or estrangement |
|
|
yptc5m |
|
pptay |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Exposure |
|
|
yptay |
|
pptc4y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Diminished interest in activities |
|
|
yptc4y |
|
pptam |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Exposure |
|
|
yptam |
|
pptc4m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Diminished interest in activities |
|
|
yptc4m |
|
ppty |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). past year: diagnosis for post traumatic stress disorder |
|
|
ypty |
|
pptc3y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Inability to recall |
|
|
yptc3y |
|
pptm |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). past month: dianosis for post traumatic stress disorder |
|
|
yptm |
|
pptc3m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Inability to recall |
|
|
yptc3m |
|
pptc2y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Avoid activities, places, or people |
|
|
yptc2y |
|
ppta2y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Response involved fear, helplessness, or horror |
|
|
ypta2y |
|
pptc2m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Avoid activities, places, or people |
|
|
yptc2m |
|
ppta2m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Response involved fear, helplessness, or horror |
|
|
ypta2m |
|
pptcrity |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Parent/Youth Post Traumatic Stress Disorder Criteria Count - Last Year |
|
|
yptcrity |
|
pptc1y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Avoid thoughts, feelings, or conversations |
|
|
yptc1y |
|
pptcritm |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Parent/Youth Post Traumatic Stress Disorder Criteria Count - Last Month |
|
|
yptcritm |
|
ppta1y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Experienced, witnessed, or confronted event |
|
|
ypta1y |
|
pptc1m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Avoid thoughts, feelings, or conversations |
|
|
yptc1m |
|
ppta1m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Experienced, witnessed, or confronted event |
|
|
ypta1m |
|
pptsymp |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Parent/Youth Post Traumatic Stress Disorder Symptom Count |
|
|
yptsymp |
|
pptd5y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Exaggerated startle response |
|
|
yptd5y |
|
pptb5y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Physiological reactivity to cues |
|
|
yptb5y |
|
pptd5m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Exaggerated startle response |
|
|
yptd5m |
|
pptb5m |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Month: Physiological reactivity to cues |
|
|
yptb5m |
|
pptd4y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Hypervigilance |
|
|
yptd4y |
|
pptb4y |
String |
30
|
Recommended |
Module A: Post-Traumatic Stress Disorder (PTSD). Year: Intense psychological distress at cues |
|
|
yptb4y |
Query
|
assbdic |
String |
5
|
Recommended |
Assessment Point |
D;14;E;24;LB;36;72;96;120; 9; B; 3; 7; 144; 168;192; C
|
D=MTA baseline assessment; 14=MTA 14 month assessment; E=MTA early termination assessment; B = MTA Pre-Baseline Screening Assessment (579/579); 09 = MTA 9 Month Assessment (530/530); 24=MTA 24 month assessment; LB=LNCG baseline assessment; 36=MTA and LNCG 3 year assessment; 72=MTA and LNCG 6 year assessment; 96=MTA and LNCG 8 year assessment; 03 = MTA 3 Month Assessment (438/687);120=MTA and LNCG 10 year assessment; 7= 7th Grade Assessment (221/276); 144 = MTA & LNCG 12 Month Assessment (578/578); 168 = MTA & LNCG 14 Month Assessment (585/585); 192 = MTA & LNCG 16 Month Assessment (505/505); C = MTA Pre-Baseline Screening Assessment (78/78)
|
assdiscp |
|
cp_relationship |
String |
100
|
Recommended |
Contact person: Relationship |
|
|
reldiscp |
|
partrel_sp |
String |
100
|
Recommended |
Please specify: respondent's partner/spouse relationship to child |
|
|
partner |
|
strtx1 |
String |
250
|
Recommended |
Treatment received |
|
|
actdiscp |
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
sitenum, siteold |
Query
|
sjtyp |
Integer |
|
Recommended |
Subject type |
1;2
|
1=MTA randomized trial subject; 2=Local normative comparison group (LNCG) subject
|
|
Query
|
days_baseline |
Integer |
|
Recommended |
Days since baseline |
|
|
|