5 Data Dictionary
Variables marked “checkbox” appear in the full dataset as: 0 = No, 1 = Yes
5.1 Enrollment Information
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
familyid | Family ID | text | number | |
a_demosubject | Proband check: (Proband of the following assessment data) | 1, 01 Proband/Patient | 4, 04 Sibling of an existing proband | dropdown | autocomplete |
a_site_id | Site | 1, 1 Maine | 2, 2 Ohio | 3, 3 Rhode Island | 4, 4 Pennsylvania | 5, 5 Maryland | 6, 6 Colorado | dropdown | autocomplete |
a_csex | Proband’s sex? | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_addircphase___1 | ADDIRC Phase (Select all that apply) | 1, Phase 1 | checkbox | |
a_addircphase___2 | ADDIRC Phase (Select all that apply) | 2, Phase 2 | checkbox | |
a_addircphase___3 | ADDIRC Phase (Select all that apply) | 3, Phase 3 | checkbox | |
a_addircphase___4 | ADDIRC Phase (Select all that apply) | 4, Phase 4 | checkbox | |
a_admitdaystoconsent | Admit days to Consent | calc | ||
age | Proband’s age in years at initial (First) admission | calc |
5.2 Intake Demographic Medical Form
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystodemo | Admit days to Demo | calc | ||
a_demomarital | Marital Status of Parent/Caregiver Informant | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_race___1 | Child’s race | 1, American Indian or Alaskan Native | checkbox | |
a_race___2 | Child’s race | 2, Native Hawaiian or Other Pacific Islander | checkbox | |
a_race___3 | Child’s race | 3, Black or African American | checkbox | |
a_race___4 | Child’s race | 4, Asian | checkbox | |
a_race___5 | Child’s race | 5, White | checkbox | |
a_race___6 | Child’s race | 6, Other {raceother:icons} | checkbox | |
a_ethnicity | Child’s ethnicity | 0, Not Hispanic/Latino | 1, Hispanic/Latino | 9999, Missing | dropdown | autocomplete |
a_lang | Child’s primary language | 1, English | 2, Other {langother:icons} | 9999, Missing | radio | |
a_reside | Where does child currently live | 1, Family home | 2, Crisis unit | 3, Residential facility/Group home | 4, Independently | 5, Other {resideother:icons} | 9999, Missing | radio | |
a_sex1 | Household member 1: Sex | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_marital1 | Household member 1: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation1 | Household member 1: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_sex2 | Household member 2: Sex | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_marital2 | Household member 2: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation2 | Household member 2: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_income | Total Household Income | 1, Less than $20,000 | 2, $21,000 to $35,000 | 3, $36,000 to $50,000 | 4, $51,000 to $65,000 | 5, $66,000 to $80,000 | 6, $81,000 to $100,000 | 7, $101,000 to $130,000 | 8, $131,000 to $160,000 | 9, Over $160,000 | 9999, Missing | dropdown | autocomplete |
a_fhighedu | What is the <u>first parent/guardian’s</u> highest level of education attained? | 1, Less than 8th grade | 2, Some high school | 3, Finished high school (or equivalent) | 4, Some college or AA degree | 5, Bachelor’s degree (BA, BS) | 6, Post-graduate degree | 9999, Missing do not wish to provide | dropdown | autocomplete |
a_mhighedu | What is the <u>second parent/guardian’s</u> highest level of education attained? | 1, Less than 8th grade | 2, Some high school | 3, Finished high school (or equivalent) | 4, Some college or AA degree | 5, Bachelor’s degree (BA, BS) | 6, Post-graduate degree | 9999, Missing do not wish to provide | dropdown | autocomplete |
a_genetictest | Has the child had genetic testing? | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_sigresult | Were there significant results? | 0, No | 1, Yes | 8888, Not applicable | 9999, Unsure / Missing | dropdown | autocomplete |
a_sigresultyes___1 | What were the results? | 1, Fragile X | checkbox | |
a_sigresultyes___2 | What were the results? | 2, Down Syndrome | checkbox | |
a_sigresultyes___3 | What were the results? | 3, Tuberous Sclerosis | checkbox | |
a_sigresultyes___4 | What were the results? | 4, Landau Kleffner Syndrome | checkbox | |
a_sigresultyes___5 | What were the results? | 5, Rett’s Syndrome | checkbox | |
a_sigresultyes___6 | What were the results? | 6, NF1 | checkbox | |
a_sigresultyes___7 | What were the results? | 7, Other {sigresultother:icons} | checkbox | |
a_dasthma | Asthma | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dallergiesenviro | Allergies - Environmental | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dallergiesfood | Allergies - Food | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dallergiesdrug | Allergies - Drug | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dblooddisorder | Blood disorders/Anemia | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dceliac | Celiac disease | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dconcussion | Concussion/head injury | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dconstipation | Constipation | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_ddiabetes | Diabetes | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_ddiarrhea | Diarrhea | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_ddental | Dental Problems | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dearinfect | Ear infections | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dencopresis | Encopresis | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_denuresis | Enuresis | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dulcer | Gastric ulcer | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dgerd | GERD | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dhepatitis | Hepatitis | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dheadaches | Headaches | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dhearloss | Hearing loss | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dhyperthyroid | Hyperthyroid | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dhypothyroid | Hypothyroid | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dibd | IBD | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dibs | IBS | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dpica | Ingesting poisons or other non-nutritive substances (Pica) | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dfever | Suffered high prolonged fever | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dseizures | Seizures or convulsions | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dabpain | Severe abdominal pain | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dtics | Tics/Tourettes | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_durinary | Urinary problems/infections | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_dvisualprob | Visual/eye problems | 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing | radio | |
a_colorblind | Is your child colorblind? | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_adm_factors___1 | In your opinion, why does your child need this hospitalization? Check all that apply | 1, New or worsening physical aggression toward others | checkbox | |
a_adm_factors___2 | In your opinion, why does your child need this hospitalization? Check all that apply | 2, New or worsening property destruction | checkbox | |
a_adm_factors___3 | In your opinion, why does your child need this hospitalization? Check all that apply | 3, New or worsening verbal aggression (example: threats to harm others) | checkbox | |
a_adm_factors___4 | In your opinion, why does your child need this hospitalization? Check all that apply | 4, New or worsening self-injury (examples: biting, hitting, head banging, etc.) | checkbox | |
a_adm_factors___5 | In your opinion, why does your child need this hospitalization? Check all that apply | 5, Suicidal statements | checkbox | |
a_adm_factors___6 | In your opinion, why does your child need this hospitalization? Check all that apply | 6, Suicide attempts | checkbox | |
a_adm_factors___7 | In your opinion, why does your child need this hospitalization? Check all that apply | 7, Homicidal statements | checkbox | |
a_adm_factors___8 | In your opinion, why does your child need this hospitalization? Check all that apply | 8, Decrease in daily functioning skills ( examples: communication skills, self-care) | checkbox | |
a_adm_contr___1 | In your opinion, what do you think contributed to this admission? | 1, Change of school | checkbox | |
a_adm_contr___2 | In your opinion, what do you think contributed to this admission? | 2, Medication change | checkbox | |
a_adm_contr___3 | In your opinion, what do you think contributed to this admission? | 3, Loss/inadequate services in school | checkbox | |
a_adm_contr___4 | In your opinion, what do you think contributed to this admission? | 4, Bullying | checkbox | |
a_adm_contr___5 | In your opinion, what do you think contributed to this admission? | 5, Loss/inadequate in-home services | checkbox | |
a_adm_contr___6 | In your opinion, what do you think contributed to this admission? | 6, Emotional Trauma/Abuse | checkbox | |
a_adm_contr___7 | In your opinion, what do you think contributed to this admission? | 7, Change in outpatient provider | checkbox | |
a_adm_contr___8 | In your opinion, what do you think contributed to this admission? | 8, Physical Trauma/Abuse | checkbox | |
a_adm_contr___9 | In your opinion, what do you think contributed to this admission? | 9, Medical issues (Examples: Recent illness, recent surgery, chronic illness) | checkbox | |
a_adm_contr___10 | In your opinion, what do you think contributed to this admission? | 10, Sexual Trauma/Abuse | checkbox | |
a_adm_contr___11 | In your opinion, what do you think contributed to this admission? | 11, Death of a loved one | checkbox | |
a_adm_contr___12 | In your opinion, what do you think contributed to this admission? | 12, Family stress or crisis | checkbox | |
a_adm_contr___13 | In your opinion, what do you think contributed to this admission? | 13, Other {adm_contr_other:icons} | checkbox | |
a_admitlife | Number of psychiatric hospitalizations in child’s lifetime (not including current admission): | text | number | |
a_admit2mo | Number of psychiatric hospitalizations the past 2 months (not including current admission): | text | number | |
a_crisis2mo | Number of in-home crisis evaluations in the past 2 months: | text | number | |
a_er2mo | Number of ER visits for behavioral crisis in the past 2 months: | text | ||
a_police2mo | Number of police contacts for behavioral crisis in the past 2 months: | text | number | |
a_ddxautism | Has the child ever been diagnosed with an autism spectrum disorder? | 0, No | 1, Yes | 9999, Missing/Unsure | dropdown | autocomplete |
a_dxautismyes | If yes, what is your best understanding of the child’s Autism related diagnosis? | 1, Autistic Disorder | 2, Autism Spectrum Disorder (ASD) | 3, Asperger’s Syndrome | 4, Pervasive Developmental Disorder (PDD-NOS) | dropdown | autocomplete |
a_hxtrauma___0 | Does the child have a history of trauma | 0, None | checkbox | |
a_hxtrauma___1 | Does the child have a history of trauma | 1, Physical abuse | checkbox | |
a_hxtrauma___2 | Does the child have a history of trauma | 2, Sexual abuse | checkbox | |
a_hxtrauma___3 | Does the child have a history of trauma | 3, Emotional abuse | checkbox | |
a_fambipolar | Bipolar disorder | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_fambipolarfullsib | Bipolar: # Full sibs with diagnosis | text | number | |
a_bipolarhalfsib | Bipolar: # Half sibs with diagnosis | text | number | |
a_bipolarparents___1 | Bipolar: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_bipolarparents___2 | Bipolar: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famdep | Depression | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_depfullsib | Depression: # Full sibs with diagnosis | text | number | |
a_dephalfsib | Depression: # Half sibs with diagnosis | text | number | |
a_depparents___1 | Depression: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_depparents___2 | Depression: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famschiz | Psychosis or Schizophrenia | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_schizparents___1 | Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_schizparents___2 | Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famanx | Anxiety | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_anxfullsib | Anxiety: # Full sibs with diagnosis | text | number | |
a_anxhalfsib | Anxiety: # Half sibs with diagnosis | text | number | |
a_anxparents___1 | Anxiety: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_anxparents___2 | Anxiety: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famocd | Obsessive Compulsive Disorder (OCD) | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_ocdparents___1 | OCD: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_ocdparents___2 | OCD: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famptsd | PTSD | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_ptsdfullsib | PTSD: # Full sibs with diagnosis | text | number | |
a_ptsdhalfsib | PTSD: # Half sibs with diagnosis | text | number | |
a_ptsdparents___1 | PTSD: Please indicate the family member(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_ptsdparents___2 | PTSD: Please indicate the family member(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famadhd | Attention deficit hyperactivity disorder (ADHD) | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_adhdparents___1 | ADHD: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_adhdparents___2 | ADHD: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famodd | Oppositional Defiant Disorder | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_oddparents___1 | Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_oddparents___2 | Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famconduct | Conduct Disorder | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_conductparents___1 | Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_conductparents___2 | Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_fameat | Eating Disorder | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_eatparents___1 | Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_eatparents___2 | Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famasd | Autism Spectrum Disorder | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_asdparents___1 | Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_asdparents___2 | Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famtourette | Tourette Syndrome | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_touretteparents___1 | Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_touretteparents___2 | Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_fammr | Intellectual disability or mental retardation | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_mrparents___1 | Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_mrparents___2 | Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famlearn | Learning disability | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_learnfullsib | Learning disability: # Full sibs with diagnosis | text | number | |
a_learnhalfsib | Learning disability: # Half sibs with diagnosis | text | number | |
a_learnparents___1 | Learning disability: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_learnparents___2 | Learning disability: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famseizure | Seizure disorder/epilepsy | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_seizureparents___1 | Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_seizureparents___2 | Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_fampalsy | Cerebral Palsy | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_palsyparents___1 | Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_palsyparents___2 | Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_famgeneticdis | Genetic disorders | 0, No | 1, Yes | 9999, Unsure / Missing | dropdown | autocomplete |
a_geneticdisparents___1 | Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis | 1, Bio Mom | checkbox | |
a_geneticdisparents___2 | Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis | 2, Bio Dad | checkbox | |
a_sex3 | Household member 3: Sex | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_marital3 | Household member 3: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation3 | Household member 3: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_adhdfullsib | ADHD: # Full sibs with diagnosis | text | number | |
a_adhdhalfsib | ADHD: # Half sibs with diagnosis | text | number | |
a_sex4 | Household member 4: Sex | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_marital4 | Household member 4: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation4 | Household member 4: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_sex5 | Household member 5: Sex | 0, Male | 1, Female | 9999, Missing | dropdown | autocomplete |
a_marital5 | Household member 5: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation5 | Household member 5: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_sex6 | Household member 6: Sex | 0, Female | 1, Male | 9999, Missing | dropdown | autocomplete |
a_marital6 | Household member 6: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation6 | Household member 6: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_ocdfullsib | OCD: # Full sibs with diagnosis | text | number | |
a_ocdhalfsib | OCD: # Half sibs with diagnosis | text | number | |
a_eatfullsib | Eating Disorder: # Full sibs with diagnosis | text | number | |
a_eathalfsib | Eating Disorder: # Half sibs with diagnosis | text | number | |
a_asdfullsib | Autism Spectrum Disorder: # Full sibs with diagnosis | text | number | |
a_asdhalfsib | Autism Spectrum Disorder: # Half sibs with diagnosis | text | number | |
a_geneticdisfullsib | Genetic disorders: # Full sibs with diagnosis | text | number | |
a_geneticdishalfsib | Genetic disorders: # Half sibs with diagnosis | text | number | |
a_mrfullsib | Intellectual disability or mental retardation: # Full sibs with diagnosis | text | number | |
a_mrhalfsib | Intellectual disability or mental retardation: # Half sibs with diagnosis | text | number | |
a_palsyfullsib | Cerebral Palsy: # Full sibs with diagnosis | text | number | |
a_palsyhalfsib | Cerebral Palsy: # Half sibs with diagnosis | text | number | |
a_schizfullsib | Psychosis or Schizophrenia: # Full sibs with diagnosis | text | ||
a_schizhalfsib | Psychosis or Schizophrenia: # Half sibs with diagnosis | text | ||
a_oddfullsib | Oppositional Defiant Disorder: # Full sibs with diagnosis | text | number | |
a_oddhalfsib | Oppositional Defiant Disorder: # Half sibs with diagnosis | text | number | |
a_conductfullsib | Conduct Disorder: # Full sibs with diagnosis | text | number | |
a_conducthalfsib | Conduct Disorder: # Half sibs with diagnosis | text | number | |
a_seizurefullsib | Seizure disorder / epilepsy: # Full sibs with diagnosis | text | number | |
a_seizurehalfsib | Seizure disorder / epilepsy: # Half sibs with diagnosis | text | number | |
a_sex7 | Household member 7: Sex | 0, Female | 1, Male | 9999, Missing | dropdown | autocomplete |
a_marital7 | Household member 7: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation7 | Household member 7: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_sex8 | Household member 8: Sex | 0, Female | 1, Male | 9999, Missing | dropdown | autocomplete |
a_marital8 | Household member 8: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation8 | Household member 8: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_adm_factors_most | Select the ONE problem that you think is the most important reason for this hospitalization | 1, New or worsening physical aggression toward others | 2, New or worsening property destruction | 3, New or worsening verbal aggression (example: threats to harm others) | 4, New or worsening self-injury (examples: biting, hitting, head banging, etc.) | 5, Suicidal statements | 6, Suicide attempts | 7, Homicidal statements | 8, Decrease in daily functioning skills ( examples: communication skills, self-care) | dropdown | autocomplete |
a_sex9 | Household member 9: Sex | 0, Female | 1, Male | 9999, Missing | dropdown | autocomplete |
a_marital9 | Household member 9: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation9 | Household member 9: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_tourettefullsib | Tourette Syndrome: # Full sibs with diagnosis | text | number | |
a_tourettehalfsib | Tourette Syndrome: # Half sibs with diagnosis | text | number | |
a_sex10 | Household member 10: Sex | 0, Female | 1, Male | 9999, Missing | dropdown | autocomplete |
a_marital10 | Household member 10: Marital Status | 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing | dropdown | autocomplete |
a_relation10 | Household member 10: Relationship | 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing | dropdown | autocomplete |
a_demorespondent | Parent / Caregiver Informant | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
a_age1 | Household member 1: Age (years) | text | number | |
a_age2 | Household member 2: Age (years) | text | number | |
a_age3 | Household member 3: Age (years) | text | number | |
a_age4 | Household member 4: Age (years) | text | number | |
a_age5 | Household member 5: Age (years) | text | number | |
a_age6 | Household member 6: Age (years) | text | number | |
a_age7 | Household member 7: Age (years) | text | number | |
a_age8 | Household member 8: Age (years) | text | number | |
a_age9 | Household member 9: Age (years) | text | number | |
a_age10 | Household member 10: Age (years) | text | number |
5.3 Diagnostic Behavioral Summary
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_comorbiddx___0 |
|
0, No Co-Morbid Diagnoses | checkbox | |
s_comorbiddx___1 |
|
1, Intellectual Disability | checkbox | |
s_comorbiddx___2 |
|
2, Attention Deficit/Hyperactivity Disorder | checkbox | |
s_comorbiddx___3 |
|
3, Tourette’s Disorder | checkbox | |
s_comorbiddx___4 |
|
4, Persistent Motor or Vocal Tic Disorder | checkbox | |
s_comorbiddx___5 |
|
5, Unspecified Tic Disorder | checkbox | |
s_comorbiddx___6 |
|
6, Schizophrenia Spectrum | checkbox | |
s_comorbiddx___7 |
|
7, Unspecified Schizophrenia Spectrum and other Psychotic Disorder | checkbox | |
s_comorbiddx___8 |
|
8, Bipolar I | checkbox | |
s_comorbiddx___9 |
|
9, Bipolar II | checkbox | |
s_comorbiddx___10 |
|
10, Major Depressive Disorder | checkbox | |
s_comorbiddx___11 |
|
11, Unspecified Depressive Disorder | checkbox | |
s_comorbiddx___12 |
|
12, Separation Anxiety | checkbox | |
s_comorbiddx___13 |
|
13, Specific Phobia | checkbox | |
s_comorbiddx___14 |
|
14, Social Anxiety Disorder | checkbox | |
s_comorbiddx___15 |
|
15, Generalized Anxiety Disorder | checkbox | |
s_comorbiddx___16 |
|
16, Unspecified Anxiety Disorder | checkbox | |
s_comorbiddx___17 |
|
17, Obsessive-Compulsive Disorder | checkbox | |
s_comorbiddx___18 |
|
18, Trichotillomania | checkbox | |
s_comorbiddx___19 |
|
19, Reactive Attachment Disorder | checkbox | |
s_comorbiddx___20 |
|
20, Posttraumatic Stress Disorder | checkbox | |
s_comorbiddx___21 |
|
21, Pica | checkbox | |
s_comorbiddx___22 |
|
22, Oppositional Defiant Disorder | checkbox | |
s_comorbiddx___23 |
|
23, Intermittent Explosive Disorder | checkbox | |
s_comorbiddx___24 |
|
24, Disruptive Mood Dysregulation Disorder | checkbox | |
s_comorbiddx___25 |
|
25, Unspecified Disruptive Behavior Disorder | checkbox | |
s_comorbiddx___26 |
|
26, Mood Dysregulation Disorder | checkbox | |
s_comorbiddx___27 |
|
27, Avoidant Food Intake | checkbox | |
s_comorbiddx___28 |
|
28, Unspecified Bipolar Disorder | checkbox | |
s_comorbiddx___29 |
|
29, Unspecified OCD or Related Disorder | checkbox | |
s_comorbiddx___30 |
|
30, Alcohol Use Disorder | checkbox | |
s_comorbiddx___31 |
|
31, Drug Use Disorder | checkbox | |
s_comorbiddx___32 |
|
32, Unspecified Alcohol Use Disorder | checkbox | |
s_comorbiddx___33 |
|
33, Unspecified Drug Use Disorder | checkbox | |
s_comorbiddx___34 |
|
34, Conduct Disorder | checkbox | |
s_comorbiddx___35 |
|
35, Other <br> {comorbiddxother:icons} | checkbox | |
s_anyaxis3 | Any Axis III diagnoses? | 0, No | 1, Yes | 9999, Missing | dropdown | autocomplete |
s_axis3a | Axis III1. ICD-10 code | text | ||
s_axis3b | Axis III2. ICD-10 code | text | ||
s_axis3c | Axis III3. ICD-10 code | text | ||
s_axis3d | Axis III4. ICD-10 code | text | ||
s_anomaly | Does the child have a known genetic condition or anomaly? | 0, No | 1, Yes | 8888, N/A | 9999, Missing | dropdown | autocomplete |
s_anomalyyes___1 | If yes, check applicable: | 1, Fragile X | checkbox | |
s_anomalyyes___2 | If yes, check applicable: | 2, Down Sydrome | checkbox | |
s_anomalyyes___3 | If yes, check applicable: | 3, Tuberous Sclerosis | checkbox | |
s_anomalyyes___4 | If yes, check applicable: | 4, Landau Kleffner Syndrome | checkbox | |
s_anomalyyes___5 | If yes, check applicable: | 5, Rett’s Syndrome | checkbox | |
s_anomalyyes___6 | If yes, check applicable: | 6, NF1 | checkbox | |
s_anomalyyes___7 | If yes, check applicable: | 7, Other (specify) | checkbox | |
s_adositems___1 | These items must be used to make the final ASD diagnosis: | 1, ADOS-2 Classification | checkbox | |
s_adositems___2 | These items must be used to make the final ASD diagnosis: | 2, Review of RBS-R | checkbox | |
s_adositems___3 | These items must be used to make the final ASD diagnosis: | 3, Review of SCQ; Is SCQ Score greater than or equal to 12 | checkbox | |
s_adositems___4 | These items must be used to make the final ASD diagnosis: | 4, ADOS was missed - psychiatrist diagnosed | checkbox | |
s_finadxitems___0 | Check any additional items used to make final diagnosis | 0, None | checkbox | |
s_finadxitems___1 | Check any additional items used to make final diagnosis | 1, Review of child’s history | checkbox | |
s_finadxitems___2 | Check any additional items used to make final diagnosis | 2, Clinical notes/chart review | checkbox | |
s_finadxitems___3 | Check any additional items used to make final diagnosis | 3, Unit observation by ADOS tester | checkbox | |
s_finadxitems___4 | Check any additional items used to make final diagnosis | 4, Caregiver interview, which can include clarification of item(s) on a study measure | checkbox | |
s_adosmodule | ADOS-2 Module Used: | 1, 1 | 2, 2 | 3, 3 | 4, 4 | 9999, Missing | radio | |
s_dxbxfinaldx | Final Diagnosis | 0, Non-ASD | 1, ASD/Autism | 9999, Missed | radio | |
s_dasd | Double ASD | calc | ||
s_dxbxasda___0 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: | 0, 0 None of the A criteria | checkbox | |
s_dxbxasda___1 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: | 1, 1 Deficits in social-emotional reciprocity | checkbox | |
s_dxbxasda___2 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: | 2, 2 Deficits in nonverbal communicative behaviors used for social interaction | checkbox | |
s_dxbxasda___3 | A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: | 3, 3 Deficits in developing maintaining and understanding relationships | checkbox | |
s_dxbxasdb___0 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: | 0, None of the B criteria met | checkbox | |
s_dxbxasdb___1 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: | 1, 1 Stereotyped or repetitive motor movements use of objects or speech | checkbox | |
s_dxbxasdb___2 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: | 2, 2 Insistence on sameness inflexible adherence to routines or ritualized patterns of verbal or nonverbal behavior | checkbox | |
s_dxbxasdb___3 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: | 3, 3 Highly restricted fixated interests that are abnormal in intensity or focus | checkbox | |
s_dxbxasdb___4 | B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: | 4, 4 Hyper- or hypoactivity to sensory input or unusual interest in sensory aspects of the environment | checkbox | |
s_dxbxasdcde___0 | C, D, and E Symptoms | 0, No C D or E symptom criteria met | checkbox | |
s_dxbxasdcde___1 | C, D, and E Symptoms | 1, C. Symptoms must be present in the early developmental period… | checkbox | |
s_dxbxasdcde___2 | C, D, and E Symptoms | 2, D. Symptoms cause clinical significant impairment in social occupational or other important areas of current functioning | checkbox | |
s_dxbxasdcde___3 | C, D, and E Symptoms | 3, E. These disturbances are not better explained by ID or global developmental delay | checkbox | |
s_scqadjusted | Adjusted SCQ score (If SCQ score greater than or equal to 12 is "No tester review SCQ items with caregiver and record the adjusted score") | text | number | |
s_axis3e | Axis III5. ICD-10 code | text |
5.4 Inpatient Data
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_childht | Height in inches | text | number | |
s_childwt | Weight in pounds | text | number | |
s_los | Length of Stay: | calc | ||
s_dcto | Discharged to: | 1, Residential/Group home | 2, Crisis unit | 3, Inpatient unit | 4, Family home | 5, Partial hospital | 9999, Missing | dropdown | autocomplete |
s_samecare | Same caregiver as at admission? | 0, No | 1, Yes | 9999, Missing | dropdown | autocomplete |
s_bmi | BMI: | text | number | |
s_bp_sys | Systolic blood pressure: | text | number | |
s_bp_dia | Diastolic blood pressure: | text | number |
5.5 ABC - Aberrant Behavior Checklist
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystoabc | Admit days to ABC | calc | ||
a_abcactive1 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcselfinj2 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcinact3 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcaggres4 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcisolate5 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcbodymove6 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcboister7 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcscream8 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abctalk9 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abctemper10 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcstermov11 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcpreocc12 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcimpuls13 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcirrita14 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcrestless15 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcwithdra16 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcoddbeh17 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdiso18 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcyells19 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcfixface20 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdisturb21 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcreptsp22 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnothsit23 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcuncoop24 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdepres25 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnocont26 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcheadrep27 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnoinstr28 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdemand29 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcisoother30 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdisgroup31 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abclongtime32 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abctalkself33 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abccriesmin34 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcrepmov35 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcmoodqu36 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcunstruct37 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnoseat38 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnsitstil39 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdifreach40 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abccriesini41 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcprefalon42 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnowords43 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcdistract44 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcwaverep45 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcrepwords46 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcbangsobj47 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcconstrun48 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcrocksrep49 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abchurtself50 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnoattent51 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcviolenself52 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnospont53 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcoveract54 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnegaffec55 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcignodirec56 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcnownway57 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcfewsocia58 |
|
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing | radio | |
a_abcrespondent | Respondent relationship to client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
ABCL - Adult Behavior Checklist
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_adubc_highed | Adult’s Highest Education | 1, No high school diploma and no GED | 2, General Equivalency Diploma (GED) | 3, High school graduate | 4, Some college but no college degree | 5, Associate’s Degree | 6, Bachelor’s or RN Degree | 7, Some graduate school but no graduate degree | 8, Master’s Degree | 9, Doctoral or Law Degree | 10, Other education | dropdown | autocomplete |
s_adubc_work | Adult’s usual type of work: | text | ||
s_adubc_workspouse | Adult’s spouse/partner’s work: | text | ||
s_adubc_01_a | About how many close friends does the adult have? (Do not include family members.) | 0, None | 1, 1 | 2, 2 or 3 | 3, 4 or more | dropdown | autocomplete |
s_adubc_01_b | About how many times a month does the adult have contact with any close friends? (Include in-person contacts, phone, letters, e-mail.) | 1, Less than 1 | 2, 1 or 2 | 3, 3 or 4 | 4, 5 or more | dropdown | autocomplete |
s_adubc_01_c | How well does the adult get along with close friends? | 1, Not well | 2, Average | 3, Above average | 4, Far above average | dropdown | autocomplete |
s_adubc_01_d | About how many times a month do any friends or family visit the adult? | 1, Less than 1 | 2, 1 or 2 | 3, 3 or 4 | 4, 5 or more | dropdown | autocomplete |
s_adubc_02_a | What is the adult’s marital status? | 1, Never been married | 2, Married, living with spouse | 3, Widowed | 4, Married but separated from spouse | 5, Divorced | 6, Other | dropdown | autocomplete |
s_adubc_02_b | At any time in the past 6 months, did the adult live with a spouse or partner? | yesno | ||
s_adubc_03_a | Does he/she have any illness, disability, or handicap? | yesno | ||
s_adubc_04 | Please describe any concerns you have about him/her: (Leave blank if no concerns) | notes | ||
s_adubc_05 | Please describe the best things about him/her: | notes | ||
s_adubc_06_001 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_002 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_003 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_004 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_005 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_006 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_007 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_008 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_009 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_010 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_011 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_012 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_013 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_014 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_015 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_016 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_017 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_018 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_019 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_020 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_021 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_022 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_023 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_024 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_025 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_026 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_027 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_028 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_029 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_030 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_031 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_032 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_033 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_034 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_035 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_036 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_037 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_038 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_039 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_040 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_041 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_042 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_043 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_044 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_045 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_046 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_047 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_048 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_049 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_050 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_051 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_052 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_053 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_054 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_055 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_056 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_057 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_058 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_059 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_060 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_061 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_062 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_063 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_064 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_065 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_066 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_067 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_068 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_069 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_070 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_071 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_072 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_073 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_074 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_075 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_076 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_077 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_078 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_079 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_080 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_081 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_082 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_083 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_084 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_085 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_086 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_087 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_088 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_089 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_090 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_091 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_092 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_093 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_094 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_095 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_096 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_097 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_098 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_099 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_100 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_101 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_102 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_103 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_104 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_105 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_106 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_107 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_108 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_109 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_110 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_111 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_112 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_113 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_114 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_115 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_116 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_117 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_118 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_119 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_120 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_121 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_122 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_123 |
|
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true | radio | |
s_adubc_06_124 | In the past 6 months, about how many times per day did they use tobacco (including smokeless tobacco) or use e-cigarettes? | text | ||
s_adubc_06_125 | In the past 6 months, on how many days were they drunk? | text | ||
s_adubc_06_126 | In the past 6 months, on how many days did they use drugs for nonmedical purposes (including marijuana, cocaine, and other drugs, except alcohol and nicotine)? | text | ||
s_adubcrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.6 ADOS - Autism Diagnostic Observation Schedule
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_ados_module | ADOS module completed | 0, Module-T | 1, Module-1 | 2, Module-2 | 3, Module-3 | 4, Module-4 | 9999, ADOS Missed | radio | |
s_ados4_item_a1 | A1. Overall level of non-echoed spoken language | text | integer | |
s_ados4_item_a2 | A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) | text | integer | |
s_ados4_item_a3 | A3. Immediate echolalia | text | integer | |
s_ados4_item_a4 | A4. Streotyped / idosyncratic use of words or phrases | text | integer | |
s_ados4_item_a5 | A5. Offers information | text | integer | |
s_ados4_item_a6 | A6. Asks for information | text | integer | |
s_ados4_item_a7 | A7. Reporting of events | text | integer | |
s_ados4_item_a8 | A8. Conversation | text | integer | |
s_ados4_item_a9 | A9. Descriptive, conversational, instrumental, or informational gestures | text | integer | |
s_ados4_item_a10 | A10. Empathic or emotional gestures | text | integer | |
s_ados4_item_b1 | B1. Unusual eye contact | text | integer | |
s_ados4_item_b2 | B2. Facial expressions directed to examiner | text | integer | |
s_ados4_item_b3 | B3. Language production and linked nonverbal communication | text | integer | |
s_ados4_item_b4 | B4. Shared enjoyment in interaction | text | integer | |
s_ados4_item_b5 | B5. Communication of own affect | text | integer | |
s_ados4_item_b6 | B6. Comments on other’s emotions / empathy | text | integer | |
s_ados4_item_b7 | B7. Insight into typical social situations and relationships | text | integer | |
s_ados4_item_b8 | B8. Responsibility | text | integer | |
s_ados4_item_b9 | B9. Quality of social overtures | text | integer | |
s_ados4_item_b10 | B10. Amount of social overtures / maintenance of attention | text | integer | |
s_ados4_item_b11 | B11. Quality of social response | text | integer | |
s_ados4_item_b12 | B12. Amount of reciprocal social communication | text | integer | |
s_ados4_item_b13 | B13. Overall quality of rapport | text | integer | |
s_ados4_item_c1 | C1. Imagination / creativity | text | integer | |
s_ados4_item_d1 | D1. Unusual sensory interest in play material / person | text | integer | |
s_ados4_item_d2 | D2. Hand and finger and other complex mannerisms | text | integer | |
s_ados4_item_d3 | D3. Self-injurious behavior | text | integer | |
s_ados4_item_d4 | D4. Excessive interest in or references to unusual or highly specific topics or objects or repetitive behaviors | text | integer | |
s_ados4_item_d5 | D5. Compulsions or rituals | text | integer | |
s_ados4_item_e1 | E1. Overactivity / agitation | text | integer | |
s_ados4_item_e2 | E2. Tantrums, aggresion, negative or disruptive behavior | text | integer | |
s_ados4_item_e3 | E3. Anxiety | text | integer | |
s_scoresumm_4_a8 | Conversation (A-8) | text | number | |
s_scoresumm_4_a10 | Emphatic or Emotional Gestures (A-10) | text | number | |
s_scoresumm_4_b1 | Unusual Eye Contact (B-1) | text | number | |
s_scoresumm_4_b2 | Facial Expressions Directed to Examiner (B-2) | text | number | |
s_scoresumm_4_b5 | Communication of own Affect (B-5) | text | number | |
s_scoresumm_4_b7 | Insight into typical social situations and relationships (B-7) | text | number | |
s_scoresumm_4_b9 | Quality of Social Overtures (B-9) | text | number | |
s_scoresumm_4_b11 | Quality of Social Response (B-11) | text | number | |
s_scoresumm_4_b12 | Amount of Reciprocal Social Communication (B-12) | text | number | |
s_scoresumm_4_b13 | Overall Quality of Rapport (B-13) | text | number | |
s_scoresumm_4_a2 | Speech abnormalities associated with autism (A-2) | text | number | |
s_scoresumm_4_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | number | |
s_scoresumm_4_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | number | |
s_scoresumm_4_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | number | |
s_scoresumm_4_d4 | Excessive Interest in or References to Highly Specific Topics (D-4) | text | number | |
s_scoresumm_satotal | Social Affect Total | text | number | |
s_scoresumm_rrbtotal | Restricted and Repetitive Behavior Total | text | number | |
s_scoresumm_overalltotal | Overall Total (Social Affect + Restricted and Repetitive Behavior) | text | number | |
s_scoresumm_adosdiag | ADOS-2 Classification: | 1, Autism | 2, Autism Spectrum | 0, Non-spectrum | radio | |
s_scoresumm_compscore | ADOS-2 Comparison Score | text | number | |
s_scoresumm_4_a9 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) | text | number | |
s_scoresumm_4_b6 | Comments on Others’ Emotions/Empathy (B-6) | text | number | |
s_scoresumm_4_b8 | Responsibility (B-8) | text | number | |
s_scoresumm_4_c1 | Imagination/Creativity | text | number | |
s_scoresumm_4_d5 | Compulsions or Rituals (D-5) | text | number | |
s_scoresumm_4_ctotal | Communication Total | text | number | |
s_scoresumm_4_sitotal | Social Interaction Total | text | number | |
s_scoresumm_4_satotal | Communication + Social Interaction Total | text | number | |
s_scoresumm_4_rrbtotal | Stereotyped Behaviors and Restricted Interests Total | text | number | |
s_ados1_item_a1 | A1. Overall level on non-echoed spoken language | text | number | |
s_ados1_item_a2 | A2. Frequency of spontaneous vocalization directed to others | text | number | |
s_ados1_item_a3 | A3. Intonation of vocalizations or verbalizations | text | number | |
s_ados1_item_a4 | A4. Immediate echolalia | text | integer | |
s_ados1_item_a5 | A5. Stereotyped / idiosyncratic use of words or phrases | text | integer | |
s_ados1_item_a6 | A6. Use of another’s body | text | integer | |
s_ados1_item_a7 | A7. Pointing | text | integer | |
s_ados1_item_a8 | A8. Gestures | text | integer | |
s_ados1_item_b1 | B1. Unusual eye contact | text | integer | |
s_ados1_item_b2 | B2. Responsive social smile | text | integer | |
s_ados1_item_b3 | B3. Facial expressions directed to others | text | integer | |
s_ados1_item_b4 | B4. Intergration of gaze and other behaviors during social overtures | text | integer | |
s_ados1_item_b5 | B5. Shared enjoyment in interaction | text | integer | |
s_ados1_item_b6 | B6. Response to name | text | integer | |
s_ados1_item_b7 | B7. Requesting | text | integer | |
s_ados1_item_b8 | B8. Giving | text | integer | |
s_ados1_item_b9 | B9. Showing | text | integer | |
s_ados1_item_b10 | B10. Spontaneous initiation of joint attention | text | integer | |
s_ados1_item_b11 | B11. Response to joint attention | text | integer | |
s_ados1_item_b12 | B12. Quality of social overtures | text | integer | |
s_ados1_item_b13a | B13a. Amount of social overtures / maintenance of attention : EXAMINER | text | integer | |
s_ados1_item_b13b | B13b. Amount of social overtures / maintenance of attention : PARENT / CAREGIVER | text | integer | |
s_ados1_item_b14 | B14. Quality of social response | text | integer | |
s_ados1_item_b15 | B15. Level of engagement | text | integer | |
s_ados1_item_b16 | B16. Overall quality of rapport | text | integer | |
s_ados1_item_c1 | C1. Functional play with objects | text | integer | |
s_ados1_item_c2 | C2. Imagination / creativity | text | integer | |
s_ados1_item_d1 | D1. Unusual sensory interest in play material / person | text | integer | |
s_ados1_item_d2 | D2. Hand and finger and other complex mannerisms | text | integer | |
s_ados1_item_d3 | D3. Self-injurious behavior | text | integer | |
s_ados1_item_d4 | D4. Unusually repetitive interests or streotyped behaviors | text | integer | |
s_ados1_item_e1 | E1. Overactivity | text | integer | |
s_ados1_item_e2 | E2. Tantrums, aggresion, negative or disruptive behavior | text | integer | |
s_ados1_item_e3 | E3. Anxiety | text | integer | |
s_ados1_algorithm | ADOS Module 1 algorithm used | 1, Few to no words | 2, Some words | radio | |
s_scoresumm_1_a2 | Frequency of Spontaneous Vocalization Directed to Others (A-2) | text | number | |
s_scoresumm_1_a8 | Gestures (A-8) | text | number | |
s_scoresumm_1_b1 | Unusual Eye Contact (B-1) | text | number | |
s_scoresumm_1_b3 | Facial Expressions Directed to Others (B-3) | text | number | |
s_scoresumm_1_b4 | Integration of Gaze and Other Behaviors During Social Overtures (B-4) | text | number | |
s_scoresumm_1_b5 | Shared Enjoyment in Interaction (B-5) | text | number | |
s_scoresumm_1_b9 | Showing (B-9) | text | number | |
s_scoresumm_1_b10 | Spontaneous Initiation of Joint Attention (B-10) | text | number | |
s_scoresumm_1_b11 | Response to Joint Attention (B-11) | text | number | |
s_scoresumm_1_b12 | Quality of Social Overtures (B-12) | text | number | |
s_scoresumm_1_a3 | Intonation of Vocalizations or Verbalizations (A-3) | text | number | |
s_scoresumm_1_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | number | |
s_scoresumm_1_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | number | |
s_scoresumm_1_d4 | Unusually Repetitive Interests or Stereotyped Behaviors (D-4) | text | number | |
s_ados3_item_a1 | A1. Overall level of non-echoed spoken language | text | integer | |
s_ados3_item_a2 | A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) | text | integer | |
s_ados3_item_a3 | A3. Immediate echolalia | text | integer | |
s_ados3_item_a4 | A4. Streotyped / idosyncratic use of words or phrases | text | integer | |
s_ados3_item_a5 | A5. Offers information | text | integer | |
s_ados3_item_a6 | A6. Asks for information | text | integer | |
s_ados3_item_a7 | A7. Reporting of events | text | integer | |
s_ados3_item_a8 | A8. Conversation | text | integer | |
s_ados3_item_a9 | A9. Descriptive, conversational, instrumental, or informational gestures | text | integer | |
s_ados3_item_b1 | B1. Unusual eye contact | text | integer | |
s_ados3_item_b2 | B2. Facial expressions directed to examiner | text | integer | |
s_ados3_item_b3 | B3. Language production and linked nonverbal communication | text | integer | |
s_ados3_item_b4 | B4. Shared enjoyment in interaction | text | integer | |
s_ados3_item_b5 | B5. Comments on other’s emotions / empathy | text | integer | |
s_ados3_item_b6 | B6. Insight into typical social situations and relationships | text | integer | |
s_ados3_item_b7 | B7. Quality of social overtures | text | integer | |
s_ados3_item_b8 | B8. Amount of social overtures / maintenance of attention | text | integer | |
s_ados3_item_b9 | B9. Quality of social response | text | integer | |
s_ados3_item_b10 | B10. Amount of reciprocal social communication | text | integer | |
s_ados3_item_b11 | B11. Overall quality of rapport | text | integer | |
s_ados3_item_c1 | C1. Imagination / creativity | text | integer | |
s_ados3_item_d1 | D1. Unusual sensory interest in play material / person | text | integer | |
s_ados3_item_d2 | D2. Hand and finger and other complex mannerisms | text | integer | |
s_ados3_item_d3 | D3. Self-injurious behavior | text | integer | |
s_ados3_item_d4 | D4. Excessive interest in or references to unusual or highly specific topics or objects or repetitive behaviors | text | integer | |
s_ados3_item_d5 | D5. Compulsions or rituals | text | integer | |
s_ados3_item_e1 | E1. Overactivity / agitation | text | integer | |
s_ados3_item_e2 | E2. Tantrums, aggresion, negative or disruptive behavior | text | integer | |
s_ados3_item_e3 | E3. Anxiety | text | integer | |
s_scoresumm_3_a7 | Reporting of Events (A-7) | text | number | |
s_scoresumm_3_a8 | Conversation (A-8) | text | number | |
s_scoresumm_3_a9 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) | text | number | |
s_scoresumm_3_b1 | Unusual Eye Contact (B-1) | text | number | |
s_scoresumm_3_b2 | Facial Expressions Directed to Examiner (B-2) | text | number | |
s_scoresumm_3_b4 | Shared Enjoyment in Interaction (B-4) | text | number | |
s_scoresumm_3_b7 | Quality of Social Overtures (B-7) | text | number | |
s_scoresumm_3_b9 | Quality of Social Response (B-9) | text | number | |
s_scoresumm_3_b10 | Amount of Reciprocal Social Communication (B-10) | text | number | |
s_scoresumm_3_b11 | Overall Quality of Rapport (B-11) | text | number | |
s_scoresumm_3_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | number | |
s_scoresumm_3_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | number | |
s_scoresumm_3_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | number | |
s_scoresumm_3_d4 | Excessive Interest in Unusual or Highly Specific Topics/Objects or Repetitive Behaviors (D-4) | text | number | |
s_ados2_item_a1 | A1. Overall level of non-echoed spoken language | text | integer | |
s_ados2_item_a2 | A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) | text | integer | |
s_ados2_item_a3 | A3. Immediate echolalia | text | integer | |
s_ados2_item_a4 | A4. Streotyped / idosyncratic use of words or phrases | text | integer | |
s_ados2_item_a5 | A5. Conversation | text | integer | |
s_ados2_item_a6 | A6. Pointing | text | integer | |
s_ados2_item_a7 | A7. Descriptive, conventional, instrumental, or informational gestures | text | integer | |
s_ados2_item_b1 | B1. Unusual eye contact | text | integer | |
s_ados2_item_b2 | B2. Facial expressions directed to others | text | integer | |
s_ados2_item_b3 | B3. Shared enjoyment in interaction | text | integer | |
s_ados2_item_b4 | B4. Response to name | text | integer | |
s_ados2_item_b5 | B5. Showing | text | integer | |
s_ados2_item_b6 | B6. Spontaneous intiation of joint attention | text | integer | |
s_ados2_item_b7 | B7. Response to joint attention | text | integer | |
s_ados2_item_b8 | B8. Quality of social overtures | text | integer | |
s_ados2_item_b9a | B9a. Amount of social overtures / maintenance of attention : EXAMINER | text | integer | |
s_ados2_item_b9b | B9b. Amount of social overtures / maintenance of attention : PARENT / CAREGIVER | text | integer | |
s_ados2_item_b10 | B10. Quality of social response | text | integer | |
s_ados2_item_b11 | B11. Amount of reciprocal social communication | text | integer | |
s_ados2_item_b12 | B12. Overall quality of rapport | text | integer | |
s_ados2_item_c1 | C1. Functional play with objects | text | integer | |
s_ados2_item_c2 | C2. Imagination / creativity | text | integer | |
s_ados2_item_d1 | D1. Unusual sensory interest in play material / person | text | integer | |
s_ados2_item_d2 | D2. Hand and finger and other complex mannerisms | text | integer | |
s_ados2_item_d3 | D3. Self-injurious behavior | text | integer | |
s_ados2_item_d4 | D4. Unusually repetitive interests or streotyped behaviors | text | integer | |
s_ados2_item_e1 | E1. Overactivity | text | integer | |
s_ados2_item_e2 | E2. Tantrums, aggresion, negative or disruptive behavior | text | integer | |
s_ados2_item_e3 | E3. Anxiety | text | integer | |
s_ados2_algorithm | ADOS Module 2 algorithm used | 1, Younger than 5 years | 2, aged 5 years or older | radio | |
s_scoresumm_2_a6 | Pointing (A-6) | text | number | |
s_scoresumm_2_a7 | Descriptive, Conventional, Instrumental, or Informational Gestures (A-7) | text | number | |
s_scoresumm_2_b1 | Unusual Eye Contact (B-1) | text | number | |
s_scoresumm_2_b2 | Facial Expressions Directed to Others (B-2) | text | number | |
s_scoresumm_2_b3 | Shared Enjoyment in Interaction (B-3) | text | number | |
s_scoresumm_2_b5 | Showing (B-5) | text | number | |
s_scoresumm_2_b6 | Spontaneous Initiation of Joint Attention (B-6) | text | number | |
s_scoresumm_2_b8 | Quality of Social Overtures (B-8) | text | number | |
s_scoresumm_2_b11 | Amount of Reciprocal Social Communication (B-11) | text | number | |
s_scoresumm_2_b12 | Overall Quality of Rapport (B-12) | text | number | |
s_scoresumm_2_a4 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) | text | number | |
s_scoresumm_2_d1 | Unusual Sensory Interest in Play Material/Person (D-1) | text | number | |
s_scoresumm_2_d2 | Hand and Finger and Other Complex Mannerisms (D-2) | text | number | |
s_scoresumm_2_d4 | Unusually Repetitive Interests or Stereotyped Behaviors (D-4) | text | number | |
s_scoresumm_1_a7 | Pointing (A-7) | text | number | |
s_scoresumm_1_a5 | Stereotyped/Idiosyncratic Use of Words or Phrases (A-5) | text | number |
5.7 AFS - Caregiver
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_afsc_changes | Have there been any major life changes for them in the last 3 months? | 0, No | 1, Yes | 2, Not Sure | radio | |
s_afsc_friendships |
Is this person interested in having friendships? <i>When answering, note that a friend is a relationship outside the family that involves cooperation and concern for the other person. A friend is more than a social contact for a short time or a person who can simply do something for you. A person can still be a friend even if you don’t see them often. A person can also be a friend even if you only see them online.</i> |
0, No interest/desire at all | 1, Yes, somewhat interested in having friends | 2, Yes, clear desire or interest in having friends | dropdown | autocomplete |
s_afsc_edu | What is their highest level of education completed? | 1, Did not finish high school | 2, High school diploma, GED, or certificate of completion | 3, Vocational or technical school | 4, Some college | 5, College/graduate school | dropdown | autocomplete |
s_afsc_te | Is this person currently in school or a job training or educational preparation program? | 0, No, not a student | 1, Yes, a part-time student | 2, Yes, a full-time student | dropdown | autocomplete |
s_afsc_role | Select the option that best describes the match between work role and education/training. This person’s work role: | 1, Does not match the highest degree/certificate they completed | 2, Matches educational or skills requirements for the job but is not in the same field (for example, having a degree in engineering but working in banking) | 3, Matches the highest educational degree/certificate they completed, and they work in the same field (for example, having a degree in engineering and working as an engineer) | 4, Not currently working | dropdown | autocomplete |
s_afsc_financial | What is their financial status? | 1, Totally dependent on others to pay for things | 2, Pay for some things but need some help paying for other things | 3, Financially independent (in other words, able to pay for the things they need) | dropdown | autocomplete |
s_afsc_living | What is their current living situation? | 1, Alone | 2, With a roommate or romantic partner | 3, With parents or other relatives | 4, In a residential facility (including state hospital or state center) | 5, In a group home | 6, Homeless | 7, Other | dropdown | autocomplete |
s_afsc_m1_s_01 | Can be near others besides family | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_02 | Interacts with other adults besides family | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_03 | Has back and forth interactions with other adults through social media or other online activities | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_04 | Uses online sources to try to meet new friends | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_05 | Goes to organized group activities in person or online (for example, a club) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_06 | Gets together with other adults for special occasions, birthdays, or holidays | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_07 | Takes part in in social or leisurely activities at home with non-family members | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_08 | Helps friends with tasks that are hard to do alone | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_09 | Uses online dating apps | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_10 | Reaches out to keep in touch with friends (for example, by phone, visiting, online) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_11 | Has a friend to help them with tasks that are hard to do alone | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_13 | Gives emotional support to a friend | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_14 | Gets along with other adults without many disagreements | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_15 | Can find a friend to hang out with when needed or desired | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_s_16 | Keeps good personal physical space boundaries | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_01 | Looks for information about job openings | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_02 | Applies for jobs or looks for job interviews | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_03 | Completes job applications | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_04 | Goes to job training in the community or in a group | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_05 | Goes to pre-vocational training (for example, school, college, trades) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_06 | Responds actively to new job leads | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m2_s_07 | Puts together a resume | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_01 | Works or studies with little supervision | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_02 | Arrives for work on time | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_03 | Asks for more tasks when work is completed | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_04 | Notices their mistakes at work or school | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_05 | Accepts feedback from supervisors or co-workers | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m3_s_06 | Finishes given tasks at work or school | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_01 | Does a hobby or activity for fun | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_02 | Attends community events (for example, sporting event, theater/cultural event) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_03 | Does volunteer work (for example with a religious group, in a community organization, at a hospital) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_04 | Does things in daily life that are interesting to them | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_05 | Finds entertainment when bored | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_06 | Runs errands and shops in stores | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_07 | Follows a daily schedule | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_08 | Uses disability or mental health services that are available to them | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_09 | Understands and follows traffic signs and signals when getting around or driving | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_10 | Gets around safely in the community (for example, across parking lots, not walking in the street) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m4_s_11 | Finds a way to get places that are not close by | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_01 | Uses internet safely (for example, not sharing personal details, staying away from dangerous websites) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_02 | Keeps personal information private when talking to strangers | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_03 | Behaves safely around others (for example, not threatening or aggressive) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_04 | Gets enough sleep (not too much or not too little) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_05 | Able to stay awake throughout the day | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_06 | Exercises | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_07 | Eats a variety of foods | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_08 | Is physically active | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_09 | Chooses appropriate clothing for different situations (such as home, work, special occasions) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_10 | Chooses appropriate clothing for the weather | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_11 | Does daily hygiene tasks (for example, deodorant, brushing teeth, bathing or showering) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_12 | Does regular grooming (for example, hair care, nail care) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_13 | Takes medicine as directed | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_14 | Keeps track of medicines and refills as needed | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_15 | Schedules regular health care check-ups | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m5_s_17 | Has a healthy, balanced diet | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_01 | Completes household chores | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_02 | Organizes living space to reduce clutter (for example, putting things away in same place) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_03 | Does some household tasks (for example, light housecleaning, washing clothes, etc.) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_04 | Plans for meals (preparing grocery list, etc.) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_05 | Prepares meals | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_06 | Saves up for big purchases | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_07 | Spends money properly (for example, not making big purchases that they cannot afford, making sure they have enough for things they need every month) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_08 | Has enough money to pay for expenses (for example, food, rent, bills) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_09 | Sets money aside for future | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_10 | Pays own rent or mortgage | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_11 | Pays bills on time | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_12 | Tell others about disabilities, allergies, and medical conditions as needed | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m6_s_13 | Gets benefits that they are entitled to (for example, SSI, food stamps/SNAP, Office of Vocational Rehabilitation services) | 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support | radio | |
s_afsc_m1_f_01 | Can be near others besides family | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_02 | Interacts with other adults besides family | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_03 | Has back and forth interactions with other adults through social media or other online activities | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_04 | Uses online sources to try to meet new friends | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_05 | Goes to organized group activities in person or online (for example, a club) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_06 | Gets together with other adults for special occasions, birthdays, or holidays | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_07 | Takes part in in social or leisurely activities at home with non-family members | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_08 | Helps friends with tasks that are hard to do alone | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_09 | Uses online dating apps | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_10 | Reaches out to keep in touch with friends (for example, by phone, visiting, online) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_11 | Has a friend to help them with tasks that are hard to do alone | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_12 | Has a friend to go to for emotional support when needed | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_13 | Gives emotional support to a friend | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_14 | Gets along with other adults without many disagreements | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_15 | Can find a friend to hang out with when needed or desired | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_16 | Keeps good personal physical space boundaries | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_17 | Tries to meet romantic or sexual partners | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_18 | Notices when someone has a romantic or sexual interest in them | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_19 | Takes part in sexual activity with a romantic or sexual partner | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m1_f_20 | Has warm and supportive romantic/sexual relations | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_01 | Looks for information about job openings | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_02 | Applies for jobs or looks for job interviews | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_03 | Completes job applications | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_04 | Goes to job training in the community or in a group | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_05 | Goes to pre-vocational training (for example, school, college, trades) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_06 | Responds actively to new job leads | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m2_f_07 | Puts together a resume | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_01 | Works or studies with little supervision | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_02 | Arrives for work on time | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_03 | Asks for more tasks when work is completed | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_04 | Notices their mistakes at work or school | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_05 | Accepts feedback from supervisors or co-workers | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m3_f_06 | Finishes given tasks at work or school | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_01 | Does a hobby or activity for fun | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_02 | Attends community events (for example, sporting event, theater/cultural event) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_03 | Does volunteer work (for example with a religious group, in a community organization, at a hospital) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_04 | Does things in daily life that are interesting to them | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_05 | Finds entertainment when bored | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_06 | Runs errands and shops in stores | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_07 | Follows a daily schedule | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_08 | Uses disability or mental health services that are available to them | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_09 | Understands and follows traffic signs and signals when getting around or driving | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_10 | Gets around safely in the community (for example, across parking lots, not walking in the street) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m4_f_11 | Finds a way to get places that are not close by | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_01 | Uses internet safely (for example, not sharing personal details, staying away from dangerous websites) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_02 | Keeps personal information private when talking to strangers | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_03 | Behaves safely around others (for example, not threatening or aggressive) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_04 | Gets enough sleep (not too much or not too little) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_05 | Able to stay awake throughout the day | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_06 | Exercises | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_07 | Eats a variety of foods | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_08 | Is physically active | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_09 | Chooses appropriate clothing for different situations (such as home, work, special occasions) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_10 | Chooses appropriate clothing for the weather | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_11 | Does daily hygiene tasks (for example, deodorant, brushing teeth, bathing or showering) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_12 | Does regular grooming (for example, hair care, nail care) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_13 | Takes medicine as directed | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_14 | Keeps track of medicines and refills as needed | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_15 | Schedules regular health care check-ups | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_16 | Communicates, verbally or non-verbally, a need for help when sick, hurt, or scared | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m5_f_17 | Has a healthy, balanced diet | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_01 | Completes household chores | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_02 | Organizes living space to reduce clutter (for example, putting things away in same place) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_03 | Does some household tasks (for example, light housecleaning, washing clothes, etc.) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_04 | Plans for meals (preparing grocery list, etc.) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_05 | Prepares meals | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_06 | Saves up for big purchases | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_07 | Spends money properly (for example, not making big purchases that they cannot afford, making sure they have enough for things they need every month) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_08 | Has enough money to pay for expenses (for example, food, rent, bills) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_09 | Sets money aside for future | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_10 | Pays own rent or mortgage | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_11 | Pays bills on time | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_12 | Tell others about disabilities, allergies, and medical conditions as needed | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_m6_f_13 | Gets benefits that they are entitled to (for example, SSI, food stamps/SNAP, Office of Vocational Rehabilitation services) | 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA | radio | |
s_afsc_changes_yes | If yes, please describe: | text | ||
s_afscrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.9 CASI - Child and Adolescent Symptom Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_casistatus | CASI 5 Status | 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact | dropdown | |
s_casinote | CASI record note for [admission_arm_1][familyid] | notes | ||
s_casidate | Date completed | text | date_mdy | |
s_casiage | Current years of age | if([casidate]=‘09-09-9999’ or [admission_arm_1][cdob]=‘09-09-9999’,9999,if([casidate]=‘08-08-8888’ or [admission_arm_1][cdob]=‘08-08-8888’,8888,rounddown(datediff([admission_arm_1][cdob],[casidate],"y","mdy"),1))) | calc | |
s_casirespondent | Relation of the person completing this form to this youth | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | |
s_casia1 | A1. Does not pay close attention to details or makes careless mistakes | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia2 | A2. Has difficulty paying attention to tasks or activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia3 | A3. Does not seem to listen when spoken to directly | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia4 | A4. Has difficulty following through on instructions and falls to finish things | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia5 | A5. Has difficulty organizing work and activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia6 | A6. Avoids doing tasks that require a lot of mental effort (schoolwork, homework, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia7 | A7. Loses things necessary for activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia8 | A8. Is easily distracted by other things going on | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia9 | A9. Is forgetful in daily activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia10 | A10. Fidgets with hands or feet or squirms in seat | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia11 | A11. Has difficulty remaining seated when asked to do so | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia12a | A12a. Runs about or climbs on things when asked not to do so | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia12b | A12b. Seems restless or jittery | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia13 | A13. Has difficulty playing or doing things quietly | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia14 | A14. Is "on the go" or acts as if "driven by a motor" | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia15 | A15. Talks excessively | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia16 | A16. Blurts out answers to questions before they have been completed | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia17 | A17. Has difficulty awaiting turn in group activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casia18 | A18. Interrupts or intrudes on other people’s activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casiax | Ax. How often do the behaviors in Category A Interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib19 | B19. Loses temper | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib20 | B20. Argues with adults | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib21 | B21. Defies or refuses to do what you tell him/her to do | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib22 | B22. Does things to deliberately annoy others | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib23 | B23. Blames others for own misbehavior or mistakes | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib24 | B24. Is touchy or easily annoyed by others | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib25 | B25. Is angry and resentful | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casib26 | B26. Takes anger out on others or tries to get even | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casibx | Bx. How often do the behaviors in Category B interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casid47 | D47. Is overconcerned about abilities in school athletic, work or social activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casid48 | D48. Has difficulty controlling worries | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casid49 | D49. Acts restless or edgy | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casid50 | D50. Is irritable for most of the day | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casid51 | D51. Is extremely tense or unable to relax | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casid52 | D52. Has difficulty falling asleep or staying asleep | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casidx | Dx. How often do the behaviors in Category D interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing | radio | |
s_casie53 | E53. Is overly fearful or tries to avoid specific ojects or situations (animals, heights, storms, insects, going places alone, being "trapped", etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie54 | E54. Complains about heart pounding, shortness of breath, feeling dizzy, trembling, or fear of dying | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie55 | E55. Cannot get distressing houghts out of his/her mind (worries about gems or doing things perfectly, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie56 | E56. Feels compelled to perform unusual habits (hand washing, checking locks, repeating things a set number of times) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie57 | E57. Has experienced an extremely upsetting event and continues to be bothered by it | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie58 | E58. Has distressing memories or dreams about an extremely upsetting event | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie59 | E59. Makes twitching or jerking movements for no apparent reason (eye blinking, nose twitching, grimacing, lip licking, head jerking, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie60 | E60. Makes vocal sounds for no apparent reason (coughing, throat clearing, sniffling, grunting, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie61 | E61. Complains about physical problems (headaches, upset stomach, etc.) for which there is no apparent causes | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casie62 | E62. Worries about physical health | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casiez1 | Ez1. Pulls out his/her hair, eyelashes, or eyebrows | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casiez2 | Ez2. Picks is/her own skin | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casiez3 | Ez3. Refuses to speak, other than to family members | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casif63a | F63a. Tries to avoid contact with strangers; abnormally shy | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casif63b | F63b. Is more anxious in social situations than most other youths | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casif64 | F64. Is excessively shy with peers | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casif64a | F64a. When put in an uncomfortable social situation; child cries, freezes, or withdraws from interacting | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casifx | Fx. How often do the behaviors in Category F interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig65 | G65. Gets very upset when he/she expects to be separated from home or parents | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig66 | G66. Worries that parents will be hurt or leave home and not come back | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig67 | G67. Worries that some disaster (getting lost, kidnapped, etc.) will separate him/her from parents | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig68 | G68. Tries to avoid going to school in order to stay home with parent | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig69 | G69. Worries about being left at home along or with a sitter | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig70 | G70. Afraid to go to sleep unless near parent | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig71 | G71. Has nightmares about being separated from parent | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casig72 | G72. Complains about feeling sick when he/she expects to be separated from home or parents | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casigx | Gx. How often do the behaviors in Category G interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casii76 | I76. Wets bed at night | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casii77 | I77 Wets or soils underwear during daytime hours | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij78 | J78. Has strange ideas or beliefs that are not real (food is poisoned, people are trying to get him/her, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij79 | J79. Has auditory hallucinations (hears voices talking to or telling him/her to do things, etc) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij80a | J80a. Has extremely strange and illogical thoughts or ideas | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij80b | J80b. Has disorganized speech (ideas don’t make sense, thoughts run together, loses train of thought, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij81a | J81a. Does extremely odd things (excessive preoccupation with fantasy friends, talks to self in a strange way, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij81b | J81b. Behaves in extremely strange ways (unpredictable outbursts, acts as if in slow motion, seems to forget how to take care of self, etc.) | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij82 | J82. Laughs or cries at inappropriate times or shows no emotion in situations where most others of same age would react | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casij83 | J83. Seems to have lost interest in doing things or talking to people | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casijx | Jx. How often do the behaviors in Category J interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casirz1 | Rz1. Has temper outbursts that are way out of proportion to the situation | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casirz2 | Rz2. Is irritable or angry most of the say | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casirzx | Rzx. How often do the behaviors in Category Rz interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik84 | K84. Is depressed for most of the day | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik85 | K85. Shows little interest in (or enjoyment of) pleasurable activities | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik86 | K86. Talks about death or suicide | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik87 | K87. Feels worthless or guilty | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik88 | K88. Has low energy level or is tired for no apparent reason | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik89 | K89. Has little confidence, feels inferior to others, or is very self conscious | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik90 | K90. Feels that things never work out right | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casikx | Kx. How often do the behaviors in Category K interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casik91 | K91. Has experienced a big change in his/her normal appetite or weight | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik92 | K92. Has experienced a big change in his/her normal sleeping habits (trouble sleeping or sleeps too much) | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik93 | K93. Has experienced a big change in his/her normal activity level (overactive or inactive) | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik94 | K94. Has experienced a big change in his/her ability to concentrate or make decisions | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik95 | K95. Has experienced a big drop in school grades or schoolwork | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik96 | K96. Has become more sensitive or tearful than usual | 0, No | 1, Yes | 9999, Missing | radio | |
s_casik97 | K97. Has experienced a very stressful event such as parents divorce, death of a friend or relative, serious illness | 0, No | 1, Yes | 9999, Missing | radio | |
s_casil98 | L98. Is much more cheerful than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casil99 | L99. Is much more irritable or explosive than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi100 | L100. Becomes much more active or busy than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi101 | L101. Needs far less sleep than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi102 | L102. Is much more talkative than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi103 | L103. Is far more distractible than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi104 | L104. Does far more reckless or silly things than usual | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi105 | L105. Switches rapidly from one topic to another | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casi106 | L106. Believes that he/she has special abilities or can do things that are obviously unrealistic | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_casilx | Lx. How often do the behaviors in Category L interfere with youth’s ability to do schoolwork or get along with others? | 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing | radio | |
s_adhdiparent | CAT. A ADHD, inattentive Parent Count Score | text | number | |
s_adhditscore | CAT. A ADHD, inattentiveT-Score | text | number | |
s_adhdicutoff | CAT. A ADHD, inattentive Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_adhdhparent | CAT. A ADHD, hyperactive-impulsive Parent Count Score | text | number | |
s_adhdhtscore | CAT. A ADHD, hyperactive-impulsive T-Score | text | number | |
s_adhdhcutoff | CAT. A ADHD, hyperactive-impulsive Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_adhdcparenta | CAT. A ADHD, combined (a. 1-9) Parent Count Score | text | number | |
s_adhdctscorea | CAT. A ADHD, combined T-Score | text | number | |
s_adhdcparentb | CAT. A ADHD, combined Parent Count Score | text | number | |
s_adhdccutoff | CAT. A ADHD, combined Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_oppositionparent | Parent Count Score b. | text | number | |
s_oppositiontscore | T-Score | text | number | |
s_oppositioncutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_gadparenta | Parent Count Score a | text | number | |
s_gadtscorea | T-Score | text | number | |
s_gadparentb | Parent Count Score b | text | number | |
s_gadcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_phobiaparent | Parent Count Score | text | number | |
s_phobiacutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_panicparent | Parent Count Score | text | number | |
s_paniccutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_obsessionsparent | Parent Count Score | text | number | |
s_obsessionscutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_compulsionsparent | Parent Count Score | text | number | |
s_compulsionscutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_ptsdparent | Parent Count Score | text | number | |
s_ptsdcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_motorparent | Parent Count Score | text | number | |
s_motorcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_vocalparent | Parent Count Score | text | number | |
s_vocalcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_somaticparent | Parent Count Score | text | number | |
s_somaticcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_hairparent | Parent Count Score | text | number | |
s_haircutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_skinparent | Parent Count Score | text | number | |
s_skincutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_mutismparent | Parent Count Score | text | number | |
s_mutismcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_socialanxparent | Parent Count Score | text | number | |
s_socialanxtscore | T-Score | text | number | |
s_socialanxcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_separationparent | Parent Count Score | text | number | |
s_separationtscore | T-Score | text | number | |
s_separationcutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_enuresisparent | CAT. I Nocturnal enuresis Parent Count Score | text | number | |
s_enuresiscutoff | CAT. I Nocturnal enuresis Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_encopresisparent | CAT. I Enuresis, encopresis Parent Count Score | text | number | |
s_encopresiscutoff | CAT. I Enuresis, encopresis Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_schizoparenta | Parent Count Score a. | text | number | |
s_schizotscorea | T-Score | text | number | |
s_schizoparentb | Parent Count Score b. | text | number | |
s_schizocutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_disruptiveparent | Parent Count Score | text | number | |
s_disruptivecutoff | Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_mdeparenta | CAT. K Major depressive episode (MDE) Parent Count Score a | text | number | |
s_mdetscorea | CAT. K Major depressive episode (MDE) T-Score | text | number | |
s_mdeparentb | CAT. K Major depressive episode (MDE) Parent Count Score b | text | number | |
s_mdecutoff | CAT. K Major depressive episode (MDE) Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_dysthymiaparenta | CAT. K Persistent depression (dysthymia) Parent Count Score a | text | number | |
s_dysthymiatscorea | CAT. K Persistent depression (dysthymia) T-Score | text | number | |
s_dysthymiaparentb | CAT. K Persistent depression (dysthymia) Parent Count Score b | text | number | |
s_dysthymiacutoff | CAT. K Persistent depression (dysthymia) Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_manicparenta | CAT. L Manic episode Parent Count Score a | text | number | |
s_manictscorea | CAT. L Manic episode T-Score | text | number | |
s_manicparentb | CAT. L Manic episode Parent Count Score b | text | number | |
s_maniccutoff | CAT. L Manic episode Symptom Cut Off | 0, No | 1, Yes | 9999, Missing | dropdown | |
s_casiaxcutoffi | AxImpairment cut off | if([casiax]<=1, 0, if([casiax]>=2 and [casiax]<>9999, 1, if([casiax]=9999,9999, ""))) | calc | |
s_casibxcutoffi | BxImpairment cut off | if([casibx]<=1, 0, if([casibx]>=2 and [casibx]<>9999, 1, if([casibx]=9999,9999,""))) | calc | |
s_casidxcutoffi | DxImpairment cut off | if([casidx]<=1, 0, if([casidx]>=2 and [casidx]<>9999, 1, if([casidx]=9999,9999, ""))) | calc | |
s_casifxcutoffi | FxImpairment cut off | if([casifx]<=1, 0, if([casifx]>=2 and [casifx]<>9999, 1, if([casifx]=9999,9999, ""))) | calc | |
s_casigxcutoffi | GxImpairment cut off | if([casigx]<=1, 0, if([casigx]>=2 and [casigx]<>9999, 1, if([casigx]=9999,9999, ""))) | calc | |
s_casijxcutoffi | JxImpairment cut off | if([casijx]<=1, 0, if([casijx]>=2 and [casijx]<>9999, 1, if([casijx]=9999,9999,""))) | calc | |
s_casirzxcutoffi | RzxImpairment cut off | if([casirzx]<=1, 0, if([casirzx]>=2 and [casirzx]<>9999, 1, if([casirzx]=9999,9999, ""))) | calc | |
s_casikxcutoffi | KxImpairment cut off | if([casikx]<=1, 0, if([casikx]>=2 and [casikx]<>9999, 1, if([casikx]=9999,9999, ""))) | calc | |
s_casilxcutoffi | LxImpairment cut off | if([casilx]<=1, 0, if([casilx]>=2 and [casilx]<>9999, 1, if([casilx]=9999,9999,""))) | calc |
5.10 CBCL - Child Behavior Checklist
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_cbcl1 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl2 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl3 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl4 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl5 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl6 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl7 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl8 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl9 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl10 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl11 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl12 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl13 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl14 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl15 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl16 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl17 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl18 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl19 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl20 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl21 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl22 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl23 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl24 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl25 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl26 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl27 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl28 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl29 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl30 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl31 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl32 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl33 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl34 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl35 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl36 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl37 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl38 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl39 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl40 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl41 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl42 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl43 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl44 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl45 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl46 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl47 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl48 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl49 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl50 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl51 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl52 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl53 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl54 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl55 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56a | 56a. Physical problems without known medical cause: Aches or pains (not stomach or headaches) | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56b | 56b. Physical problems without known medical cause: Headaches | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56c | 56c. Physical problems without known medical cause: Nausea, feels sick | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56d | 56d. Physical problems without known medical cause: Problems with eyes (not if corrected by glasses) | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56e | 56e. Physical problems without known medical cause: Rashes or other skin problems | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56f | 56f. Physical problems without known medical cause: Stomachaches | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56g | 56g. Physical problems without known medical cause: Vomiting, throwing up | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl56h | 56h. Physical problems without known medical cause: Other | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl57 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl58 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl59 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl60 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl61 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl62 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl63 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl64 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl65 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl66 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl67 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl68 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl69 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl70 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl71 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl72 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl73 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl74 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl75 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl76 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl77 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl78 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl79 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl80 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl81 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl82 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl83 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl84 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl85 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl86 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl87 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl88 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl89 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl90 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl91 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl92 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl93 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl94 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl95 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl96 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl97 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl98 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl99 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl100 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl101 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl102 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl103 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl104 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl105 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl106 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl107 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl108 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl109 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl110 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl111 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl112 |
|
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_cbcl113a | 113a. Problem 1 not listed above (describe below) | 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing | radio | |
s_anxioustotal | Anxious / Depressed: Total score | text | number | |
s_anxioustscore | Anxious / Depressed: T Score | text | number | |
s_anxiouspercentile | Anxious / Depressed: Percentile | text | number | |
s_withdrawntotal | Withdrawn / Depressed: Total Score | text | number | |
s_withdrawntscore | Withdrawn / Depressed: T Score | text | number | |
s_withdrawnpercentile | Withdrawn / Depressed: Percentile | text | number | |
s_somatictotal | Somatic Complaints: Total Score | text | number | |
s_somatictscore | Somatic Complaints: T Score | text | number | |
s_somaticpercentile | Somatic Complaints: Percentile | text | number | |
s_socialtotal | Social Problems: Total Score | text | number | |
s_socialtscore | Social Problems: T Score | text | number | |
s_socialpercentile | Social Problems: Percentile | text | number | |
s_thoughttotal | Thought Problems: Total Score | text | number | |
s_thoughttscore | Thought Problems: T Score | text | number | |
s_thoughtpercentile | Thought Problems: Percentile | text | number | |
s_attentiontotal | Attention Problems: Total score | text | number | |
s_attentiontscore | Attention Problems: T Score | text | number | |
s_attentionpercentile | Attention Problems: Percentile | text | number | |
s_ruletotal | Rule-Breaking Behavior: Total Score | text | number | |
s_ruletscore | Rule-Breaking Behavior: T Score | text | number | |
s_rulepercentile | Rule-Breaking Behavior: Percentile | text | number | |
s_aggressivetotal | Aggressive Behavior: Total Score | text | number | |
s_aggressivetscore | Aggressive Behavior: T Score | text | number | |
s_aggressivepercentile | Aggressive Behavior: Percentile | text | number | |
s_internalizingtotal | Internalizing Problems: Total score | text | number | |
s_internalizingtscore | Internalizing Problems: T Score | text | number | |
s_internalizingpercentile | Internalizing Problems: Percentile | text | number | |
s_externalizingtotal | Externalizing Problems: Total Score | text | number | |
s_externalizingtscore | Externalizing Problems: T Score | text | number | |
s_externalizingpercentile | Externalizing Problems: Percentile | text | number | |
s_totaltotal | Total Problems: Total Score | text | number | |
s_totaltscore | Total Problems: T Score | text | number | |
s_totalpercentile | Total Problems: Percentile | text | number | |
s_affectivetotal | Depressive Problems: Total Score | text | number | |
s_affectivetscore | Depressive Problems: T Score | text | number | |
s_affectivepercentile | Depressive Problems: Percentile | text | number | |
s_anxietytotal | Anxiety Problems | text | number | |
s_anxietytscore | Anxiety Problems: T Score | text | number | |
s_anxietypercentile | Anxiety Problems: Percentile | text | number | |
s_somatictotal2 | Somatic Problems: Total score | text | number | |
s_somatictscore2 | Somatic Problems: T Score | text | number | |
s_somaticpercentile2 | Somatic Problems: Percentile | text | number | |
s_adhtotal | Attention Deficit/Hyperactivity Problems: Total Score | text | number | |
s_adhtscore | Attention Deficit/Hyperactivity Problems: T Score | text | number | |
s_adhpercentile | Attention Deficit/Hyperactivity Problems: Percentile | text | number | |
s_odtotal | Oppositional Defiant Problems: Total Score | text | number | |
s_odtscore | Oppositional Defiant Problems: T Score | text | number | |
s_odpercentile | Oppositional Defiant Problems: Percentile | text | number | |
s_conducttotal | Conduct Problems: Total Score | text | number | |
s_conducttscore | Conduct Problems: T Score | text | number | |
s_conductpercentile | Conduct Problems: Percentile | text | number | |
s_cbclrespondent | CBCL Respondent | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 11, Other | 9999, Missing | dropdown | autocomplete |
5.11 CSHQ 1 - Children’s Sleep Habit Questionnaire Version 1
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_cshq_bed_wn | Child’s usual weeknight bedtime: | text | time | |
a_cshq_bed_we | Child’s usual weekend bedtime: | text | time | |
a_admitdaystochsq | Admit days to CSHQ | calc | ||
a_cshq_wake_wn | Child’s usual weeknight wake time: | text | time | |
a_cshq_wake_we | Child’s usual weekend wake time: | text | time | |
a_cshq_initdur1 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur2 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur3 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur4 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur5 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur6 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur7 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur8 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur9 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur10 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur11 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur12 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur13 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur14 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur15 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur16 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur17 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur18 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur19 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur20 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur21 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshq_initdur22 |
|
1, 7 days per week (Always) | 2, 5-6 days per week (Usually) | 3, 2-4 days per week (Sometimes) | 4, 1 day per week (Rarely) | 5, 0 days per week (Never) | 8888, Not applicable | 9999, Missing | radio | |
a_cshqrespondent | Respondent relationship to client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown |
5.12 CSHQ 2 - Children’s Sleep Habit Questionnaire Version 2
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_cshq_problem | Does the child currently have significant sleeping problems? | yesno | ||
a_cshq_wn_bed | Weeknight bedtime | text | time | |
a_cshq_wn_wake | Weeknight wake time | text | time | |
a_cshq_we_bed | Weekend bedtime | text | time | |
a_cshq_we_wake | Weekend waketime | text | time | |
a_cshq_01 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_02 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_03 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_04 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_05 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_06 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_07 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_08 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_09 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_10 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_11 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_12 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_13 |
| |||
a_cshq_14 |
| |||
a_cshq_15 |
| |||
a_cshq_16 |
| |||
a_cshq_17 |
| |||
a_cshq_18 |
| |||
a_cshq_19 |
| |||
a_cshq_20 |
| |||
a_cshq_21 |
| |||
a_cshq_22 |
| |||
a_cshq_23 |
| |||
a_cshq_24 |
| |||
a_cshq_25 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_26 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_27 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_28 |
| |||
a_cshq_29 |
| |||
a_cshq_30 |
|
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) | radio | |
a_cshq_31 |
| |||
a_cshq_m3_01 | Watching TV | 0, Not sleepy | 1, Very sleepy | 2, Falls asleep | radio | |
a_cshq_m3_02 | Riding in the car | 0, Not sleepy | 1, Very sleepy | 2, Falls asleep | radio | |
a_cshq_m1_01 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown | radio | |
a_cshq_m1_02 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown | radio | |
a_cshq_m1_03 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown | radio | |
a_cshq_m1_04 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown | radio | |
a_cshq_m1_01_a | Age when started, difficulty falling asleep | text | ||
a_cshq_m1_02_a | Age when started, nighttime awakenings | text | ||
a_cshq_m1_03_a | Age when started, early morning awakenings | text | ||
a_cshq_m1_04_a | Age when started, other | text | ||
a_cshq_m1_04_de | please list | text |
5.13 EDI Full - Emotion Dysregulation Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_edi1s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi3s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi4s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi6s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi7s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi8s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi10s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi13s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi19s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi21s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi24s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi26s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi27s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi28s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi31s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi34s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi36s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi38s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi42s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi43s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi46s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi50s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi51s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi52s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi53s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi57s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi58s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi59s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi63s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi64s |
|
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing | radio | |
a_edi1c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi3c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi4c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi6c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi7c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi8c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi10c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi13c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi19c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi21c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi24c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi26c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi27c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi28c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi31c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi34c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi36c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi38c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi42c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi43c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi46c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi50c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi51c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi52c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi53c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi57c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi58c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi59c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi63c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edi64c |
|
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing | radio | |
a_edirespondent | Relationship to Person Being Rated | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
a_ediage | Age: | calc |
5.14 EDI Self - Emotion Dysregulation Inventory
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_edi_self_01 | I felt angry or irritable | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_113 | I felt cranky | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_114 | I felt like I was going to explode | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_115 | I had a meltdown | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_03 | I had explosive outbursts | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_04 | I cried or stayed angry for 5 minutes or longer | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_06 | I could not calm down without help from someone else | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_07 | I suddenly switched to an opposite emotion (for example, from sad to happy) | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_08 | I got frustrated easily | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_10 | I destroyed property on purpose | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_13 | I broke down (cried, screamed) when told I couldn’t do something | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_19 | I had extreme or intense emotional reactions | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_21 | It was hard for others to calm me down when I was mad or upset | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_24 | My reactions were so intense that I had to be removed from an activity or place | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_116 | I got so upset that I couldn’t do what I needed to do | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_26 | I physically attacked people | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe | radio | |
a_edi_self_27 | I felt on edge | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_28 | When upset or angry, I stayed that way for a long time | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_31 | I did not enjoy anything | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_112 | I got so upset or mad that I tried to hurt someone (for example, hit, scratch, push) | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_34 | My emotions went from 0 to 100 instantly | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_36 | I had trouble calming myself down | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_38 | I was tense or agitated and unable to relax | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_42 | I felt like I was in a rage | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_43 | Very few things made me happy | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_46 | My reactions were usually more severe than the situation called for | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_50 | I became upset without a clear reason | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_111 | I could not push myself to do what I needed to do | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_51 | I refused to leave the house or go to school or activities unless forced | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_52 | I had mood swings | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_53 | If I was frustrated or upset, it was difficult for others to distract me | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_57 | I was not responsive to praise or good things happening | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_109 | I had trouble feeling excited even when something good happened | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_58 | I could not change my mood even when others tried to help | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_59 | I was easily triggered/upset | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_63 | I felt sad or unhappy | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_105 | I become upset if there is a change that I wasn’t expecting | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_106 | I get upset or annoyed when someone does not understand what I am saying | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_76 | I try to escape or get out of situations when I am upset | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_94 | I break or throw things when angry or upset | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_96 | I get upset when an activity or my attempts to communicate are interrupted | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_117 | I feel frustrated when my requests are not immediately met | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_107 | I get upset with change even when I know it is coming | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_118 | It is hard for me to stop thinking about things that made me upset or mad | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_108 | It is hard for me to cheer myself up | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_edi_self_64 | I felt uneasy throughout the day | 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe | radio | |
a_admitdaystoedis | Admit days to edis | calc | ||
a_edisrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.15 Leiter 3
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_attenscaled | A. Attention Scaled Score | text | number | |
s_leiterscaledb | B. Organization / Impulse ControlScaled Score | text | number | |
s_leiterscaledcog | Cognitive / SocialComposite Scaled Score | text | number | |
s_leiterscalede | E. Energy and Feelings Scaled Score | text | number | |
s_leiterscaledg | G. Anxiety Scaled Score | text | number | |
s_leiterscaledemo | Emotions/Regulations Composite Scaled Score | text | number | |
s_leiterrawfg | Figure Ground (FG) Raw Score | text | number | |
s_leiterscaledfg | Figure Ground (FG) Scaled Score | text | number | |
s_leiterrawfc | Form Completion (FC) Raw Score | text | number | |
s_leiterscaledfc | Form Completion (FC) Scaled Score | text | number | |
s_leiterrawca | Classification / Analogies (CA) Raw Score | text | number | |
s_leiterscaledca | Classification / Analogies (CA) Scaled Score | text | number | |
s_leiterrawso | Sequential Order (SO) Raw Score | text | number | |
s_leiterscaledso | Sequential Order (SO) Scaled Score | text | number | |
s_leiterrawvp | Visual Patterns (VP) Raw Score Optional | text | number | |
s_leiterscaledvp | Visual Patterns (VP) Scaled Score Optional | text | number | |
s_leiterscalediq | Nonverbal IQ - Sum of 4 Scaled Scores | text | number | |
s_leiteriq | Corrected non-verbal IQ score | text | number | |
s_leiteriqpercentile | Nonverbal IQ Percentile (See Appendix F) | text | number | |
s_leitervalid | Leiter data validity | 1, Presumed valid | 2, Questionable (specify reason) | 3, Likely invalid (specify reason) | 4, Invalid (specify reason) | 8888, N/A | 9999, Missing | dropdown | autocomplete |
s_leiterage | Patient’s age in years | calc |
5.16 OSCBS
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystooscbs | Admit days to oscbs | calc | ||
a_oscbs_01 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_02 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_03 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_04 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_05 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_06 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_07 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_08 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_09 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_10 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_11 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_12 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_13 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_14 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_15 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_16 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_17 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbs_18 |
|
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem | radio | |
a_oscbsrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
Parent Rated Anxiety Scale
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystopras | Admit days to pras | calc | ||
a_pras_01 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_02 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_03 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_04 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_05 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_06 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_07 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_08 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_09 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_10 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_11 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_12 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_13 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_14 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_15 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_16 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_17 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_18 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_19 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_20 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_21 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_22 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_23 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_24 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_pras_25 |
|
0, None | 1, Mild | 2, Moderate | 3, Severe | radio | |
a_prasrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.17 PSQI
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_admitdaystopsqi | Admit days to psqi | calc | ||
a_psqi_sleepprob | Do you currently have significant sleeping problems? | yesno | ||
a_psqi_m1_01 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown | radio | |
a_psqi_m1_02 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown | radio | |
a_psqi_m1_03 |
|
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown | radio | |
a_psqi_bedtime | Bedtime during last month | text | time | |
a_psqi_awaketime | Awake time during last month | text | time | |
a_psqi_bedminutes | How long (in minutes) does it take you to fall asleep each night? | text | integer | |
a_psqi_sleephours | How many hours of actual sleep did you get at night over the last month | text | number | |
a_psqi_sleepqual | During the past month, how would you rate your sleep quality overall? | 1, Very good | 2, Fairly good | 3, Fairly bad | 4, Very bad | radio | |
a_psqi_sleepmeds | During the past month, how often have you taken medicine (prescribed or "over the counter") to help you sleep? | 1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_awaketrouble | During the past month, how often have you had trouble staying wake while driving, eating meals, or engaging in social activity? | 1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_enthusiasm | During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done? | 1, Not a problem at all | 2, Only a very slight problem | 3, Somewhat of a problem | 4, A very big problem | radio | |
a_psqi_m2_01 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_02 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_03 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_04 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_05 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_06 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_07 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_08 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m2_09 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_partner | Do you have a partner or roommate? | 1, No bed partner or roommate | 2, Partner or roommate in other room | 3, Partner in same room but not in same bed | 4, Partner in same bed | radio | |
a_psqi_m3_01 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m3_02 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m3_03 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m3_04 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m3_05 |
|
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week | radio | |
a_psqi_m3_oth | other | text | ||
a_psqirespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
a_psqi_m1_age_01 | At what age did this problem start? | text | ||
a_psqi_m1_age_03 | At what age did this problem start? | text |
Puberty Questionnaire
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_pub_01 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_02 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_03 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_04 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_05 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_06 |
|
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know | radio | |
s_pub_07 |
|
yesno | ||
s_pub_7a | 07a. If yes, how old were they when it started: | text | number | |
s_pubrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
SBQASC
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
a_sbq_01_b___1 | When I attempted to end my life: | 1, I had a plan that I carried out | checkbox | |
a_sbq_05_b___5 | If applicable, who did you tell? | 5, Other <br> {sbq_05_b_other:icons} | checkbox | |
a_sbq_05_c___5 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 5, I wasn’t sure how to express my thoughts | checkbox | |
a_admitdaystosbqasc | Admit days to sbqasc | calc | ||
a_sbq_01_a | Have you ever thought about or attempted to end your life? | 0, Never | 1, It was just a brief passing thought | 2, I have seriously thought about ending my life, but did not plan how or try to do it | 3, I have planned how to end my life, but did not try to do it | 4, I have attempted to end my life | radio | |
a_sbq_02 | How often on average have you experienced intense thoughts about ending your life in the past 12 months? | 0, Never | 1, Less than once a month | 2, Once a month | 3, 2-3 times a month | 4, Once a week | 5, 2-6 times a week | 6, 1 or more times a day | radio | |
a_sbq_03 | When you have intense thoughts about ending your life, how long per day does this typically last? | 0, Not Applicable | 1, Less than 5 minutes | 2, Less than 1 hour | 3, 1-4 hours | 4, 5-8 hours | 5, More than 8 hours | radio | |
a_sbq_04 | When you experience intense thoughts about ending your life, how likely are you to act on them? | 0, Not Applicable | 1, No chance at all | 2, Very Unlikely | 3, Rather unlikely | 4, Rather Likely | 5, Very Likely | radio | |
a_sbq_m1_01 | Were thinking about ending your life | 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once | radio | |
a_sbq_m1_02 | Were going to attempt to end your life | 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once | radio | |
a_sbq_m1_03 | Had attempted to end your life | 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once | radio | |
a_sbq_06 | Have you ever purposefully injured yourself, without intending to end your life? | yesno | ||
a_sbq_01_b___2 | When I attempted to end my life: | 2, I had no plan | checkbox | |
a_sbq_01_b___3 | When I attempted to end my life: | 3, I suddenly felt the urge to attempt to end my life | checkbox | |
a_sbq_01_b___4 | When I attempted to end my life: | 4, I happened to have access to the means to end my life | checkbox | |
a_sbq_05_b___1 | If applicable, who did you tell? | 1, An acquaintance | checkbox | |
a_sbq_05_b___2 | If applicable, who did you tell? | 2, A friend | checkbox | |
a_sbq_05_b___3 | If applicable, who did you tell? | 3, A family member | checkbox | |
a_sbq_05_b___4 | If applicable, who did you tell? | 4, A health professional (e.g. General Practitioner, family doctor, Psychiatrist, Psychologist) | checkbox | |
a_sbq_05_c___1 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 1, I had no one to tell | checkbox | |
a_sbq_05_c___2 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 2, I chose not to | checkbox | |
a_sbq_05_c___3 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 3, I was worried about the effect on others | checkbox | |
a_sbq_05_c___4 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 4, I was worried about the consequences for myself | checkbox | |
a_sbq_05_c___6 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 6, I was afraid to | checkbox | |
a_sbq_05_c___7 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 7, I didn’t consider telling anyone | checkbox | |
a_sbq_05_c___8 | If you have never told anyone that you had thought about or attempted to end your life, why was this? | 8, Other <br> {sbq_05_c_other:icons} | checkbox | |
a_sbqascrespondent | Respondent Relationship to Client | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.19 Vineland 2
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_vinestatus | Vineland II data status | 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact | dropdown | |
s_vinenote | Vineland record note for [admission_arm_1][familyid] | notes | ||
s_vinedate | Test Date | text | date_mdy | |
s_vineage | Years of age | if([vinedate]=‘09-09-9999’ or [admission_arm_1][cdob]=‘09-09-9999’,9999,if([vinedate]=‘08-08-8888’ or [admission_arm_1][cdob]=‘08-08-8888’,8888,round(datediff( [admission_arm_1][cdob],[vinedate],"y","mdy"),1))) | calc | |
s_vinerespondent | Relationship to Individual | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | |
s_vinereceptraw | Receptive raw score: | text | number | |
s_vinereceptv | Receptive v-scale score: | text | number | |
s_vineexpraw | Expressive raw score: | text | number | |
s_vineexpv | Expressive v-scale score: | text | number | |
s_vinewritraw | Written raw score: | text | number | |
s_vinewritv | Written v-scale score: | text | number | |
s_commsum | Communication sum | text | number | |
s_vinecommstand | Communication domain standard score: | text | number | |
s_vinepersraw | Personal raw score: | text | number | |
s_vinepersv | Personal v-scale score: | text | number | |
s_vinedomraw | Domestic raw score: | text | number | |
s_vinedomv | Domestic v-scale score: | text | number | |
s_vinecommraw | Community raw score: | text | number | |
s_vinecommv | Community v-scale score: | text | number | |
s_vinelivingsum | Daily Living Skills: Sum | text | number | |
s_vinelivingstand | Daily living skills domain standard score: | text | number | |
s_vineinterrelraw | Interpersonal relationships raw score: | text | number | |
s_vineinterrelv | Interpersonal relationships v-scale score: | text | number | |
s_vineplayraw | Play and leisure time raw score: | text | number | |
s_vineplayv | Play and leisure time v-scale score: | text | number | |
s_vinecopingraw | Coping skills raw score: | text | number | |
s_vinecopingv | Coping skills v-scale score: | text | number | |
s_socialsum | Socialization sum | text | number | |
s_vinesocialstand | Socialization domain standard score: | text | number | |
s_vinegrossraw | Gross raw score: | text | number | |
s_vinegrossv | Gross v-scale score: | text | number | |
s_vinefineraw | Fine raw score: | text | number | |
s_vinefinev | Fine v-scale score: | text | number | |
s_motorsum | Motor Skills sum | text | number | |
s_vinemotorstand | Motor skills domain standard score: | text | number | |
s_domainsum |
Adaptive Behavior Composite Sum (was "Sum of Domain Standard scores") |
text | number | |
s_vinecomposite | Adaptive behavior composite standard score | text | number | |
s_internalraw | Internalizing raw score | text | number | |
s_internalv | Internalizing v-Scale Score | text | number | |
s_externalraw | Externalizing raw score | text | number | |
s_externalv | Externalizing v-Scale Score | text | number | |
s_malraw | Maladaptive Behavior Index Raw Score | text | number | |
s_malv | Maladaptive Behavioral Index v-Scale Score | text | number |
5.20 Vineland 3
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
s_v3_vinecomposite | Adaptive behavior composite standard score | text | number | |
s_v3_vinecommstand | Communication domain standard score: | text | number | |
s_v3_vinelivingstand | Daily living skills domain standard score: | text | number | |
s_v3_vinesocialstand | Socialization domain standard score: | text | number | |
s_v3_vinemotorstand |
Motor skills domain standard score: (If child is 7 years or older, Motor Skills domain is not applicable. Enter 8888.) |
text | number | |
s_v3_vinereceptraw | Receptive raw score: | text | number | |
s_v3_vinereceptv | Receptive v-scale score: | text | number | |
s_v3_vineexpraw | Expressive raw score: | text | number | |
s_v3_vineexpv | Expressive v-scale score: | text | number | |
s_v3_vinewritraw | Written raw score: | text | number | |
s_v3_vinewritv | Written v-scale score: | text | number | |
s_v3_vinepersraw | Personal raw score: | text | number | |
s_v3_vinepersv | Personal v-scale score: | text | number | |
s_v3_vinedomraw | Domestic raw score: | text | number | |
s_v3_vinedomv | Domestic v-scale score: | text | number | |
s_v3_vinecommraw | Community raw score: | text | number | |
s_v3_vinecommv | Community v-scale score: | text | number | |
s_v3_vineinterrelraw | Interpersonal relationships raw score: | text | number | |
s_v3_vineinterrelv | Interpersonal relationships v-scale score: | text | number | |
s_v3_vineplayraw | Play and leisure time raw score: | text | number | |
s_v3_vineplayv | Play and leisure time v-scale score: | text | number | |
s_v3_vinecopingraw | Coping skills raw score: | text | number | |
s_v3_vinecopingv | Coping skills v-scale score: | text | number | |
s_v3_vinegrossraw | Gross raw score: | text | number | |
s_v3_vinegrossv | Gross v-scale score: | text | number | |
s_v3_vinefineraw | Fine raw score: | text | number | |
s_v3_vinefinev | Fine v-scale score: | text | number | |
s_v3_internalraw | Internalizing raw score | text | number | |
s_v3_internalv | Internalizing v-Scale Score | text | number | |
s_v3_externalraw | Externalizing raw score | text | number | |
s_v3_externalv | Externalizing v-Scale Score | text | number | |
s_v3_vineage | Years of age | calc | ||
s_v3_vinerespondent | Relationship to Individual | 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing | dropdown | autocomplete |
5.21 Computed Variables
Field Name | Description | Categories | Field | Data |
---|---|---|---|---|
ABC_Irritability_Admission_Score | ABC Irritability Admission Score | calculated | ||
ABC_Lethargy_Admission_Score | ABC Lethargy Admission Score | calculated | ||
ABC_Stereotypy_Admission_Score | ABC Stereotypy Admission Score | calculated | ||
ABC_Hyperactivity_Admission_Score | ABC Hyperactivity Admission Score | calculated | ||
ABC_Speech_Admission_Score | ABC Speech Admission Score | calculated | ||
EDI_3s | EDI 3s - Missing Removed | calculated | ||
EDI_4s | EDI 4s - Missing Removed | calculated | ||
EDI_19s | EDI 19s - Missing Removed | calculated | ||
EDI_21s | EDI 21s - Missing Removed | calculated | ||
EDI_34s | EDI 34s - Missing Removed | calculated | ||
EDI_36s | EDI 36s - Missing Removed | calculated | ||
EDI_46s | EDI 46s - Missing Removed | calculated | ||
EDI_A_Reactivity_SF_Raw | EDI A Reactivity SF Raw | calculated | ||
EDI_A_Reactivity_SF_MissingRmv | EDI A Reactivity SF MissingRmv | calculated | ||
EDI_A_Reactivity_SF_Theta | EDI A Reactivity SF Theta | calculated | ||
EDI_A_Reactivity_SF_Tscore | EDI A Reactivity SF Tscore | calculated | ||
EDI_A_Re_SF1_Missing | EDI A Re SF1 Missing | calculated | ||
EDI_A_Re_SF2_Missing | EDI A Re SF2 Missing | calculated | ||
EDI_A_Re_SF3_Missing | EDI A Re SF3 Missing | calculated | ||
EDI_A_Re_SF4_Missing | EDI A Re SF4 Missing | calculated | ||
EDI_A_Re_SF5_Missing | EDI A Re SF5 Missing | calculated | ||
EDI_A_Re_SF6_Missing | EDI A Re SF6 Missing | calculated | ||
EDI_A_Re_SF7_Missing | EDI A Re SF7 Missing | calculated | ||
EDI_A_Re_SF_Incomplete_Filter | EDI A Re SF Incomplete Filter | calculated | ||
EDI_43s | EDI 43s - Missing Removed | calculated | ||
EDI_51s | EDI 51s - Missing Removed | calculated | ||
EDI_57s | EDI 57s - Missing Removed | calculated | ||
EDI_63s | EDI 63s - Missing Removed | calculated | ||
EDI_64s | EDI 64s - Missing Removed | calculated | ||
EDI_31s | EDI 31s - Missing Removed | calculated | ||
EDI_A_Dysphoria_SF_Raw | EDI A Dysphoria SF Raw | calculated | ||
EDI_A_Dysphoria_SF_MissingRmv | EDI A Dysphoria SF MissingRmv | calculated | ||
EDI_A_Dysphoria_SF_Theta | EDI A Dysphoria SF Theta | calculated | ||
EDI_A_Dysphoria_SF_Tscore | EDI A Dysphoria SF Tscore | calculated | ||
EDI_A_Dys_SF1_Missing | EDI A Dys SF1 Missing | calculated | ||
EDI_A_Dys_SF2_Missing | EDI A Dys SF2 Missing | calculated | ||
EDI_A_Dys_SF3_Missing | EDI A Dys SF3 Missing | calculated | ||
EDI_A_Dys_SF4_Missing | EDI A Dys SF4 Missing | calculated | ||
EDI_A_Dys_SF5_Missing | EDI A Dys SF5 Missing | calculated | ||
EDI_A_Dys_SF6_Missing | EDI A Dys SF6 Missing | calculated | ||
EDI_A_Dys_SF_Incomplete_Filter | EDI A Dys SF Incomplete Filter | calculated | ||
s_ados_module_CATAGORICAL | s ados module CATAGORICAL | calculated |