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ID

19501

Description

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/

Keywords

  1. 1/5/17 1/5/17 -
  2. 1/6/17 1/6/17 -
  3. 1/12/17 1/12/17 -
  4. 1/18/17 1/18/17 -
  5. 1/21/17 1/21/17 -
  6. 1/22/17 1/22/17 -
  7. 1/27/17 1/27/17 -
  8. 9/20/21 9/20/21 -
Uploaded on

January 5, 2017

DOI

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License

Creative Commons BY-NC 3.0

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    PATIENT HEALTH QUESTIONNAIRE

    PATIENT HEALTH QUESTIONNAIRE (PHQ)

    Demographics
    Description

    Demographics

    Alias
    UMLS CUI-1
    C0011298
    Name
    Description

    Name

    Data type

    text

    Alias
    UMLS CUI [1]
    C1299487
    Age
    Description

    Age

    Data type

    date

    Alias
    UMLS CUI [1]
    C0001779
    Gender
    Description

    Gender

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0079399
    Date
    Description

    Date

    Data type

    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.
    Description

    PHQ

    Data type

    text

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

    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
    Description

    Stomach pain

    Data type

    integer

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

    Back pain

    Data type

    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.) ?
    Description

    Arthralgia

    Data type

    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?
    Description

    Menstruation disturbance

    Data type

    integer

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

    problems with sexual function

    Data type

    integer

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

    Headache

    Data type

    integer

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

    Chest pain

    Data type

    integer

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

    Dizziness

    Data type

    integer

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

    Syncope

    Data type

    integer

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

    Palpitations

    Data type

    integer

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

    Dyspnea

    Data type

    integer

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

    Bowel dysfunction

    Data type

    integer

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

    Nausea

    Data type

    integer

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

    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?
    Description

    Reduced interest in usual activities

    Data type

    integer

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

    Depression

    Data type

    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 ?
    Description

    Sleep disturbance

    Data type

    integer

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

    Fatigue

    Data type

    integer

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

    Appetite Disorder

    Data type

    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?
    Description

    Inferiority complex

    Data type

    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?
    Description

    Concentration difficulty

    Data type

    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?
    Description

    Slowed down or restless

    Data type

    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?
    Description

    Suicidal

    Data type

    integer

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

    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?
    Description

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

    Data type

    boolean

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

    Anxiety attack before

    Data type

    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?
    Description

    Unexpected panic attack

    Data type

    boolean

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

    Anxiety attack, severe

    Data type

    boolean

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

    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?
    Description

    Dyspnea

    Data type

    boolean

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

    Palpitations

    Data type

    boolean

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

    Chest pain

    Data type

    boolean

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

    Sweating

    Data type

    boolean

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

    feeling of suffocation

    Data type

    boolean

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

    Hot flushes or cold Sensation

    Data type

    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?
    Description

    Nausea

    Data type

    boolean

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

    Dizziness

    Data type

    boolean

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

    Numbness

    Data type

    boolean

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

    Trembling

    Data type

    boolean

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

    Death anxiety

    Data type

    boolean

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

    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?
    Description

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

    Data type

    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.
    Description

    Restlessness

    Data type

    integer

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

    Fatigue

    Data type

    integer

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

    Muscle tension

    Data type

    integer

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

    Sleep disturbances

    Data type

    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?
    Description

    Concentration problems

    Data type

    integer

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

    Irritable mood

    Data type

    integer

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

    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?
    Description

    Loss of control about eating

    Data type

    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?
    Description

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

    Data type

    boolean

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

    Excessive eating frequency

    Data type

    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?
    Description

    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?
    Description

    Self-induced vomiting

    Data type

    boolean

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

    Laxative abuse

    Data type

    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?
    Description

    Fasting

    Data type

    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?
    Description

    Sports

    Data type

    boolean

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

    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?
    Description

    Weight control measures twice per week

    Data type

    boolean

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

    9. Alcohol

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

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

    Data type

    boolean

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

    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
    Description

    Alcohol abuse cessation refused

    Data type

    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.
    Description

    Alcohol at work

    Data type

    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?
    Description

    Alcohol use interfering with work

    Data type

    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?
    Description

    Alcohol-related behavioral problem

    Data type

    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?
    Description

    Alcohol influenced driving

    Data type

    boolean

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

    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?
    Description

    Problems with activities of daily living

    Data type

    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)
    Data type
    Alias
    Item Group
    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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