ID

19770

Beschrijving

The Patient Health Questionnaire (PHQ) is a diagnostic tool for mental health disorders used by health care professionals that is quick and easy for patients to complete. In the mid-1990s, Robert L. Spitzer, MD, Janet B.W. Williams, DSW, and Kurt Kroenke, MD, and colleagues at Columbia University developed the Primary Care Evaluation of Mental Disorders (PRIME-MD), a diagnostic tool containing modules on 12 different mental health disorders. They worked in collaboration with researchers at the Regenstrief Institute at Indiana University and with the support of an educational grant from Pfizer Inc. During the development of PRIME-MD, Drs. Spitzer, Williams and Kroenke, created the PHQ and GAD-7 screeners. ODM derived from http://www.phqscreeners.com/

Link

http://www.phqscreeners.com/

Trefwoorden

  1. 05-01-17 05-01-17 -
  2. 06-01-17 06-01-17 -
  3. 12-01-17 12-01-17 -
  4. 18-01-17 18-01-17 -
  5. 21-01-17 21-01-17 -
  6. 22-01-17 22-01-17 -
  7. 27-01-17 27-01-17 -
  8. 20-09-21 20-09-21 -
Geüploaded op

27 januari 2017

DOI

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Licentie

Creative Commons BY-NC 3.0

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PATIENT HEALTH QUESTIONNAIRE

PATIENT HEALTH QUESTIONNAIRE (PHQ)

Personal data
Beschrijving

Personal data

Alias
UMLS CUI-1
C0011298
Name
Beschrijving

Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Age
Beschrijving

Age

Datatype

date

Alias
UMLS CUI [1]
C0001779
Gender
Beschrijving

Gender

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Date
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability unless you are requested to skip over a question.
Beschrijving

PHQ

Datatype

text

Alias
UMLS CUI [1]
C1879301
1. Symptoms past 4 weeks
Beschrijving

1. Symptoms past 4 weeks

Alias
UMLS CUI-1
C1457887
UMLS CUI-2
C3828653
During the last 4 weeks,how much have you been bothered by Stomach pain
Beschrijving

Stomach pain

Datatype

integer

Alias
UMLS CUI [1]
C0000737
During the last 4 weeks, how much have you been bothered by back pain?
Beschrijving

Back pain

Datatype

integer

Alias
UMLS CUI [1]
C0004604
During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips,etc.) ?
Beschrijving

Arthralgia

Datatype

integer

Alias
UMLS CUI [1]
C0003862
During the last 4 weeks,how much have you been bothered by menstrual cramps or other problems with your periods?
Beschrijving

Menstruation disturbance

Datatype

integer

Alias
UMLS CUI [1]
C0025345
During the last 4 weeks,how much have you been bothered by pain or problems during sexual intercourse?
Beschrijving

problems with sexual function

Datatype

integer

Alias
UMLS CUI [1]
C0260667
During the last 4 weeks, how much have you been bothered by headaches?
Beschrijving

Headache

Datatype

integer

Alias
UMLS CUI [1]
C0018681
During the last 4 weeks, how much have you been bothered by chest pain?
Beschrijving

Chest pain

Datatype

integer

Alias
UMLS CUI [1]
C0008031
During the last 4 weeks, how much have you been bothered by dizziness?
Beschrijving

Dizziness

Datatype

integer

Alias
UMLS CUI [1]
C0012833
During the last 4 weeks, how much have you been bothered by fainting spells?
Beschrijving

Syncope

Datatype

integer

Alias
UMLS CUI [1]
C0039070
During the last 4 weeks, how much have you been bothered by feeling your heart pound or race?
Beschrijving

Palpitations

Datatype

integer

Alias
UMLS CUI [1]
C0030252
During the last 4 weeks, how much have you been bothered by shortness of breath?
Beschrijving

Dyspnea

Datatype

integer

Alias
UMLS CUI [1]
C0013404
During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea?
Beschrijving

Bowel dysfunction

Datatype

integer

Alias
UMLS CUI [1]
C2004461
During the last 4 weeks, how much have you been bothered by nausea, gas, or indigestion ?
Beschrijving

Nausea

Datatype

integer

Alias
UMLS CUI [1]
C0027497
2. Symptom frequency past 2 weeks
Beschrijving

2. Symptom frequency past 2 weeks

Alias
UMLS CUI-1
C0436350
UMLS CUI-2
C1442457
Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?
Beschrijving

Reduced interest in usual activities

Datatype

integer

Alias
UMLS CUI [1]
C0860654
Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless ?
Beschrijving

Depression

Datatype

integer

Alias
UMLS CUI [1]
C0011581
Over the last 2 weeks,how often have you been bothered by trouble falling or staying asleep,or sleeping too much ?
Beschrijving

Sleep disturbance

Datatype

integer

Alias
UMLS CUI [1]
C0037317
Over the last 2 weeks,how often have you been bothered by feeling tired or having little energy ?
Beschrijving

Fatigue

Datatype

integer

Alias
UMLS CUI [1]
C0015672
Over the last 2 weeks,how often have you been bothered by poor appetite or overeating?
Beschrijving

Appetite Disorder

Datatype

integer

Alias
UMLS CUI [1]
C0003621
Over the last 2 weeks,how often have you been bothered by feeling bad about yourself — or that you are a failure or have let yourself or your family down?
Beschrijving

Inferiority complex

Datatype

integer

Alias
UMLS CUI [1]
C0854366
Over the last 2 weeks,how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television?
Beschrijving

Concentration difficulty

Datatype

integer

Alias
UMLS CUI [1]
C0235198
Over the last 2 weeks,how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual?
Beschrijving

Slowed down or restless

Datatype

integer

Alias
UMLS CUI [1,1]
C0424114
UMLS CUI [1,2]
C0237280
Over the last 2 weeks,how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?
Beschrijving

Suicidal

Datatype

integer

Alias
UMLS CUI [1]
C0438696
3. Questions about anxiety
Beschrijving

3. Questions about anxiety

Alias
UMLS CUI-1
C0003467
In the last 4 weeks, have you had an anxiety attack –– suddenly feeling fear or panic?
Beschrijving

If you checked “NO”, go to question #5.

Datatype

boolean

Alias
UMLS CUI [1]
C0700031
Has this ever happened before?
Beschrijving

Anxiety attack before

Datatype

boolean

Alias
UMLS CUI [1,1]
C0700031
UMLS CUI [1,2]
C0332152
Do some of these attacks come suddenly out of the blue –– that is, in situations where you don’t expect to be nervous or uncomfortable?
Beschrijving

Unexpected panic attack

Datatype

boolean

Alias
UMLS CUI [1]
C0395002
Do these attacks bother you a lot or are you worried about having another attack?
Beschrijving

Anxiety attack, severe

Datatype

boolean

Alias
UMLS CUI [1,1]
C0700031
UMLS CUI [1,2]
C0205082
4. Think about your last bad anxiety attack.
Beschrijving

4. Think about your last bad anxiety attack.

Alias
UMLS CUI-1
C0700031
UMLS CUI-2
C0205156
Think about your last bad anxiety attack. Were you short of breath?
Beschrijving

Dyspnea

Datatype

boolean

Alias
UMLS CUI [1]
C0013404
Think about your last bad anxiety attack. Did your heart race, pound, or skip?
Beschrijving

Palpitations

Datatype

boolean

Alias
UMLS CUI [1]
C0030252
Think about your last bad anxiety attack. Did you have chest pain or pressure?
Beschrijving

Chest pain

Datatype

boolean

Alias
UMLS CUI [1]
C0008031
Think about your last bad anxiety attack. Did you sweat?
Beschrijving

Sweating

Datatype

boolean

Alias
UMLS CUI [1]
C0038990
Think about your last bad anxiety attack. Did you feel as if you were choking?
Beschrijving

feeling of suffocation

Datatype

boolean

Alias
UMLS CUI [1]
C2127310
Think about your last bad anxiety attack. Did you have hot flashes or chills?
Beschrijving

Hot flushes or cold Sensation

Datatype

boolean

Alias
UMLS CUI [1,1]
C0600142
UMLS CUI [1,2]
C0234192
Think about your last bad anxiety attack.Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea?
Beschrijving

Nausea

Datatype

boolean

Alias
UMLS CUI [1]
C0027497
Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint?
Beschrijving

Dizziness

Datatype

boolean

Alias
UMLS CUI [1]
C0012833
Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body?
Beschrijving

Numbness

Datatype

boolean

Alias
UMLS CUI [1]
C0028643
Think about your last bad anxiety attack. Did you tremble or shake?
Beschrijving

Trembling

Datatype

boolean

Alias
UMLS CUI [1]
C0234369
Think about your last bad anxiety attack.Were you afraid you were dying?
Beschrijving

Death anxiety

Datatype

boolean

Alias
UMLS CUI [1]
C0522179
5. Symptom frequency past 4 weeks
Beschrijving

5. Symptom frequency past 4 weeks

Alias
UMLS CUI-1
C0436350
UMLS CUI-2
C3828653
Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things?
Beschrijving

If you checked “Not at all”, go to question #6

Datatype

integer

Alias
UMLS CUI [1]
C0027769
Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still.
Beschrijving

Restlessness

Datatype

integer

Alias
UMLS CUI [1]
C0085631
Over the last 4 weeks, how often have you been bothered by getting tired very easily.
Beschrijving

Fatigue

Datatype

integer

Alias
UMLS CUI [1]
C0015672
Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness.
Beschrijving

Muscle tension

Datatype

integer

Alias
UMLS CUI [1]
C0427195
Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep.
Beschrijving

Sleep disturbances

Datatype

integer

Alias
UMLS CUI [1]
C0037317
Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV?
Beschrijving

Concentration problems

Datatype

integer

Alias
UMLS CUI [1]
C3843050
Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable?
Beschrijving

Irritable mood

Datatype

integer

Alias
UMLS CUI [1]
C0022107
6. Questions about eating.
Beschrijving

6. Questions about eating.

Alias
UMLS CUI-1
C0013470
a) Do you often feel that you can’t control what or how much you eat?
Beschrijving

Loss of control about eating

Datatype

boolean

Alias
UMLS CUI [1]
C3175895
b) Do you often eat, within any 2-hour period, what most people would regard as an unusually large amount of food?
Beschrijving

If you checked “NO” to either #a or #b, go to question #9.

Datatype

boolean

Alias
UMLS CUI [1]
C0020505
c) Has this been as often, on average, as twice a week for the last 3 months?
Beschrijving

Excessive eating frequency

Datatype

boolean

Alias
UMLS CUI [1,1]
C0020505
UMLS CUI [1,2]
C0439603
7. In the last 3 months have you often done any of the following in order to avoid gaining weight?
Beschrijving

7. In the last 3 months have you often done any of the following in order to avoid gaining weight?

Alias
UMLS CUI-1
C0920298
UMLS CUI-2
C1442461
In the last 3 months have you often made yourself vomit?
Beschrijving

Self-induced vomiting

Datatype

boolean

Alias
UMLS CUI [1]
C0232600
In the last 3 months have you often taken more than twice the recommended dose of laxatives?
Beschrijving

Laxative abuse

Datatype

boolean

Alias
UMLS CUI [1]
C0149720
In the last 3 months have you often fasted –– not eaten anything at all for at least 24 hours?
Beschrijving

Fasting

Datatype

boolean

Alias
UMLS CUI [1]
C0015663
In the last 3 months have you often exercised for more than an hour specifically to avoid gaining weight after binge eating?
Beschrijving

Sports

Datatype

boolean

Alias
UMLS CUI [1]
C0038039
8. Weight control measures frequency
Beschrijving

8. Weight control measures frequency

Alias
UMLS CUI-1
C0920298
UMLS CUI-2
C0439603
If you checked “YES” to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week?
Beschrijving

Weight control measures twice per week

Datatype

boolean

Alias
UMLS CUI [1,1]
C0920298
UMLS CUI [1,2]
C0556985
9. Alcohol
Beschrijving

9. Alcohol

Alias
UMLS CUI-1
C0085762
Do you ever drink alcohol (including beer or wine)?
Beschrijving

If you checked “NO” go to question #11.

Datatype

boolean

Alias
UMLS CUI [1]
C0001948
10. Frequency past 6 Months
Beschrijving

10. Frequency past 6 Months

Alias
UMLS CUI-1
C0439603
UMLS CUI-2
C3828652
You drank alcohol, even though a doctor suggested that you stop drinking because of a problem with your health, more than once in last 6 months
Beschrijving

Alcohol abuse cessation refused

Datatype

boolean

Alias
UMLS CUI [1]
C3258423
You drank alcohol, were high from alcohol, or hung over while you were working, going to school, or taking care of children or other responsibilities more than once in the last 6 month.
Beschrijving

Alcohol at work

Datatype

boolean

Alias
UMLS CUI [1,1]
C0085762
UMLS CUI [1,2]
C3842633
You missed or were late for work, school, or other activities because you were drinking or hung over more than once in the last 6 months?
Beschrijving

Alcohol use interfering with work

Datatype

boolean

Alias
UMLS CUI [1]
C2215687
You had a problem getting along with other people while you were drinking more than once in the last 6 months?
Beschrijving

Alcohol-related behavioral problem

Datatype

boolean

Alias
UMLS CUI [1]
C0814170
You drove a car after having several drinks or after drinking too much more than once in the last 6 months?
Beschrijving

Alcohol influenced driving

Datatype

boolean

Alias
UMLS CUI [1]
C0556374
11. Problems with daily life activities
Beschrijving

11. Problems with daily life activities

Alias
UMLS CUI-1
C0001288
UMLS CUI-2
C0033213
If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Beschrijving

Problems with activities of daily living

Datatype

integer

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C0033213

Similar models

PATIENT HEALTH QUESTIONNAIRE (PHQ)

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Personal data
C0011298 (UMLS CUI-1)
Name
Item
Name
text
C1299487 (UMLS CUI [1])
Age
Item
Age
date
C0001779 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
Male  (1)
CL Item
Female (2)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
PHQ
Item
This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability unless you are requested to skip over a question.
text
C1879301 (UMLS CUI [1])
Item Group
1. Symptoms past 4 weeks
C1457887 (UMLS CUI-1)
C3828653 (UMLS CUI-2)
Item
During the last 4 weeks,how much have you been bothered by Stomach pain
integer
C0000737 (UMLS CUI [1])
Code List
During the last 4 weeks,how much have you been bothered by Stomach pain
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by back pain?
integer
C0004604 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by back pain?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips,etc.) ?
integer
C0003862 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips,etc.) ?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks,how much have you been bothered by menstrual cramps or other problems with your periods?
integer
C0025345 (UMLS CUI [1])
Code List
During the last 4 weeks,how much have you been bothered by menstrual cramps or other problems with your periods?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks,how much have you been bothered by pain or problems during sexual intercourse?
integer
C0260667 (UMLS CUI [1])
Code List
During the last 4 weeks,how much have you been bothered by pain or problems during sexual intercourse?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by headaches?
integer
C0018681 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by headaches?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by chest pain?
integer
C0008031 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by chest pain?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by dizziness?
integer
C0012833 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by dizziness?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by fainting spells?
integer
C0039070 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by fainting spells?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by feeling your heart pound or race?
integer
C0030252 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by feeling your heart pound or race?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by shortness of breath?
integer
C0013404 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by shortness of breath?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea?
integer
C2004461 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item
During the last 4 weeks, how much have you been bothered by nausea, gas, or indigestion ?
integer
C0027497 (UMLS CUI [1])
Code List
During the last 4 weeks, how much have you been bothered by nausea, gas, or indigestion ?
CL Item
Not bothered (0)
C3845941 (UMLS CUI-1)
CL Item
Bothered a little (1)
C3829283 (UMLS CUI-1)
CL Item
Bothered a lot (2)
C3829282 (UMLS CUI-1)
Item Group
2. Symptom frequency past 2 weeks
C0436350 (UMLS CUI-1)
C1442457 (UMLS CUI-2)
Item
Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?
integer
C0860654 (UMLS CUI [1])
Code List
Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless ?
integer
C0011581 (UMLS CUI [1])
Code List
Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless ?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by trouble falling or staying asleep,or sleeping too much ?
integer
C0037317 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by trouble falling or staying asleep,or sleeping too much ?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by feeling tired or having little energy ?
integer
C0015672 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by feeling tired or having little energy ?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by poor appetite or overeating?
integer
C0003621 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by poor appetite or overeating?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by feeling bad about yourself — or that you are a failure or have let yourself or your family down?
integer
C0854366 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by feeling bad about yourself — or that you are a failure or have let yourself or your family down?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television?
integer
C0235198 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual?
integer
C0424114 (UMLS CUI [1,1])
C0237280 (UMLS CUI [1,2])
Code List
Over the last 2 weeks,how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item
Over the last 2 weeks,how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?
integer
C0438696 (UMLS CUI [1])
Code List
Over the last 2 weeks,how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
CL Item
Nearly every day (3)
C3843157 (UMLS CUI-1)
Item Group
3. Questions about anxiety
C0003467 (UMLS CUI-1)
Anxiety attack
Item
In the last 4 weeks, have you had an anxiety attack –– suddenly feeling fear or panic?
boolean
C0700031 (UMLS CUI [1])
Anxiety attack before
Item
Has this ever happened before?
boolean
C0700031 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
Unexpected panic attack
Item
Do some of these attacks come suddenly out of the blue –– that is, in situations where you don’t expect to be nervous or uncomfortable?
boolean
C0395002 (UMLS CUI [1])
Anxiety attack, severe
Item
Do these attacks bother you a lot or are you worried about having another attack?
boolean
C0700031 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
Item Group
4. Think about your last bad anxiety attack.
C0700031 (UMLS CUI-1)
C0205156 (UMLS CUI-2)
Dyspnea
Item
Think about your last bad anxiety attack. Were you short of breath?
boolean
C0013404 (UMLS CUI [1])
Palpitations
Item
Think about your last bad anxiety attack. Did your heart race, pound, or skip?
boolean
C0030252 (UMLS CUI [1])
Chest pain
Item
Think about your last bad anxiety attack. Did you have chest pain or pressure?
boolean
C0008031 (UMLS CUI [1])
Sweating
Item
Think about your last bad anxiety attack. Did you sweat?
boolean
C0038990 (UMLS CUI [1])
feeling of suffocation
Item
Think about your last bad anxiety attack. Did you feel as if you were choking?
boolean
C2127310 (UMLS CUI [1])
Hot flushes or cold Sensation
Item
Think about your last bad anxiety attack. Did you have hot flashes or chills?
boolean
C0600142 (UMLS CUI [1,1])
C0234192 (UMLS CUI [1,2])
Nausea
Item
Think about your last bad anxiety attack.Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea?
boolean
C0027497 (UMLS CUI [1])
Dizziness
Item
Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint?
boolean
C0012833 (UMLS CUI [1])
Numbness
Item
Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body?
boolean
C0028643 (UMLS CUI [1])
Trembling
Item
Think about your last bad anxiety attack. Did you tremble or shake?
boolean
C0234369 (UMLS CUI [1])
Death anxiety
Item
Think about your last bad anxiety attack.Were you afraid you were dying?
boolean
C0522179 (UMLS CUI [1])
Item Group
5. Symptom frequency past 4 weeks
C0436350 (UMLS CUI-1)
C3828653 (UMLS CUI-2)
Item
Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things?
integer
C0027769 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still.
integer
C0085631 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still.
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by getting tired very easily.
integer
C0015672 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by getting tired very easily.
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness.
integer
C0427195 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness.
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep.
integer
C0037317 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep.
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV?
integer
C3843050 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item
Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable?
integer
C0022107 (UMLS CUI [1])
Code List
Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable?
CL Item
Not at all (0)
C2984077 (UMLS CUI-1)
CL Item
Several days (1)
C3844034 (UMLS CUI-1)
CL Item
More than half the days (2)
C3828960 (UMLS CUI-1)
Item Group
6. Questions about eating.
C0013470 (UMLS CUI-1)
Loss of control about eating
Item
a) Do you often feel that you can’t control what or how much you eat?
boolean
C3175895 (UMLS CUI [1])
Excessive eating
Item
b) Do you often eat, within any 2-hour period, what most people would regard as an unusually large amount of food?
boolean
C0020505 (UMLS CUI [1])
Excessive eating frequency
Item
c) Has this been as often, on average, as twice a week for the last 3 months?
boolean
C0020505 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Item Group
7. In the last 3 months have you often done any of the following in order to avoid gaining weight?
C0920298 (UMLS CUI-1)
C1442461 (UMLS CUI-2)
Self-induced vomiting
Item
In the last 3 months have you often made yourself vomit?
boolean
C0232600 (UMLS CUI [1])
Laxative abuse
Item
In the last 3 months have you often taken more than twice the recommended dose of laxatives?
boolean
C0149720 (UMLS CUI [1])
Fasting
Item
In the last 3 months have you often fasted –– not eaten anything at all for at least 24 hours?
boolean
C0015663 (UMLS CUI [1])
Sports
Item
In the last 3 months have you often exercised for more than an hour specifically to avoid gaining weight after binge eating?
boolean
C0038039 (UMLS CUI [1])
Item Group
8. Weight control measures frequency
C0920298 (UMLS CUI-1)
C0439603 (UMLS CUI-2)
Weight control measures twice per week
Item
If you checked “YES” to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week?
boolean
C0920298 (UMLS CUI [1,1])
C0556985 (UMLS CUI [1,2])
Item Group
9. Alcohol
C0085762 (UMLS CUI-1)
Alcohol
Item
Do you ever drink alcohol (including beer or wine)?
boolean
C0001948 (UMLS CUI [1])
Item Group
10. Frequency past 6 Months
C0439603 (UMLS CUI-1)
C3828652 (UMLS CUI-2)
Alcohol abuse cessation refused
Item
You drank alcohol, even though a doctor suggested that you stop drinking because of a problem with your health, more than once in last 6 months
boolean
C3258423 (UMLS CUI [1])
Alcohol at work
Item
You drank alcohol, were high from alcohol, or hung over while you were working, going to school, or taking care of children or other responsibilities more than once in the last 6 month.
boolean
C0085762 (UMLS CUI [1,1])
C3842633 (UMLS CUI [1,2])
Alcohol use interfering with work
Item
You missed or were late for work, school, or other activities because you were drinking or hung over more than once in the last 6 months?
boolean
C2215687 (UMLS CUI [1])
Alcohol-related behavioral problem
Item
You had a problem getting along with other people while you were drinking more than once in the last 6 months?
boolean
C0814170 (UMLS CUI [1])
Alcohol influenced driving
Item
You drove a car after having several drinks or after drinking too much more than once in the last 6 months?
boolean
C0556374 (UMLS CUI [1])
Item Group
11. Problems with daily life activities
C0001288 (UMLS CUI-1)
C0033213 (UMLS CUI-2)
Item
If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
integer
C0001288 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
Code List
If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
CL Item
Not difficult at all (0)
C3845941 (UMLS CUI-1)
CL Item
Somewhat difficult (1)
C3845946 (UMLS CUI-1)
CL Item
Very difficult (2)
C3845317 (UMLS CUI-1)
CL Item
Extremely difficult (3)
C3845947 (UMLS CUI-1)

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