PatientInitials
Item
Patient Initials
text
PatientHospitalNo.
Item
Patient Hospital No.
text
Institution/Affiliate
Item
Institution/Affiliate
text
ParticipatingGroup
Item
Participating Group
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
ParticipatingGroupPatientID
Item
Participating Group Patient ID
text
InterviewerorCRA
Item
Interviewer or CRA
text
AssessmentNumber
Item
Assessment Number
text
Item
You felt depressed
text
Code List
You felt depressed
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
Item
Your sleep was restless
text
Code List
Your sleep was restless
CL Item
You felt depressed (blue or down) (You felt depressed (blue or down))
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
Item
You enjoyed life
text
Code List
You enjoyed life
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
Item
You had bad crying spells
text
Code List
You had bad crying spells
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
Item
You felt that people disliked you
text
Code List
You felt that people disliked you
CL Item
Rarely or none of the time (Rarely or none of the time)
CL Item
Some or a little of the time (Some or a little of the time)
CL Item
Occasinally or a moderate amount of time (Occasinally or a moderate amount of time)
CL Item
Most or all of the time (Most or all of the time)
Item
In the past year, have you had 2 weeks or more during which you felt sad, blue, or depressed, or lost pleasure in things that you usually cared about or enjoyed?
text
Code List
In the past year, have you had 2 weeks or more during which you felt sad, blue, or depressed, or lost pleasure in things that you usually cared about or enjoyed?
Item
Have you had 2 years or more in your life when you felt depressed or sad most days, even if you felt okay sometimes? (mark one with an X)
text
Code List
Have you had 2 years or more in your life when you felt depressed or sad most days, even if you felt okay sometimes? (mark one with an X)
Item
If yes, have you felt depressed or sad much of the time in the past year?
text
Code List
If yes, have you felt depressed or sad much of the time in the past year?