Anamneseprotokoll för Bipolära Syndrom (Part 1)

General Information
Beskrivning

General Information

Name
Beskrivning

Name

Datatyp

text

Patient No.
Beskrivning

Patient No.

Datatyp

integer

Code - Number
Beskrivning

Code - Number

Datatyp

integer

Date of Medical history online
Beskrivning

Date of Medical history online

Datatyp

date

Comments on recent transfer
Beskrivning

Comments on recent transfer

Datatyp

text

1. Social anamnesis
Beskrivning

1. Social anamnesis

Nationality
Beskrivning

Nationality

Datatyp

integer

Country of birth
Beskrivning

Country of birth

Datatyp

integer

Age immigrated to Sweden
Beskrivning

Age immigrated to Sweden

Datatyp

integer

Måttenheter
  • Age
Age
Household
Beskrivning

Household

Datatyp

integer

Members of household
Beskrivning

Members of household

Datatyp

integer

Does the patient have children under 18 years of age regardless of custody?
Beskrivning

Does the patient have children under 18 years of age regardless of custody?

Datatyp

integer

Does the patient have custody of children under the age of 18?
Beskrivning

Does the patient have custody of children under the age of 18?

Datatyp

integer

Indicate the patient's main supply during the last six months?
Beskrivning

Indicate the patient's main supply during the last six months?

Datatyp

integer

What is the patient's highest level of education?
Beskrivning

What is the patient's highest level of education?

Datatyp

integer

Profession
Beskrivning

Profession

Datatyp

text

2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)
Beskrivning

2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)

Has anyone in your family had or has manodepressive disease or bipolar disorder? Or has someone in your family had fluctuations in the mood treated with lithium (Lithionit), valproate (Ergenyl, Absenor, Orfiril) or lamotrigine (Lamictal)?
Beskrivning

Has anyone in your family had or has manodepressive disease or bipolar disorder? Or has someone in your family had fluctuations in the mood treated with lithium (Lithionit), valproate (Ergenyl, Absenor, Orfiril) or lamotrigine (Lamictal)?

Datatyp

integer

Comment
Beskrivning

Comment

Datatyp

text

The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood
Beskrivning

The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood

Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
Beskrivning

Has it ever happened that you felt so good or been so upset that others thought you were not yourself?

Datatyp

integer

Has it ever happened that you have been so screwed up that you have been in trouble in any way?
Beskrivning

Has it ever happened that you have been so screwed up that you have been in trouble in any way?

Datatyp

boolean

Persistent abnormally elevated, expansive mood
Beskrivning

Persistent abnormally elevated, expansive mood

Datatyp

boolean

Has it ever happened that you were so annoying that you bumped people out of trouble or bothered? Have you been in horror with strangers?
Beskrivning

Has it ever happened that you were so annoying that you bumped people out of trouble or bothered? Have you been in horror with strangers?

Datatyp

integer

Persistent abnormal irritable mood
Beskrivning

Persistent abnormal irritable mood

Datatyp

boolean

Please exemplify (if multiple episodes, identify the worst) each of the items above
Beskrivning

Please exemplify (if multiple episodes, identify the worst) each of the items above

Datatyp

text

For the most serious identified case above ...
Beskrivning

For the most serious identified case above ...

Were you hospitalized during this time?
Beskrivning

Were you hospitalized during this time?

Datatyp

integer

Has the patient ever ...
Beskrivning

Has the patient ever ...

Datatyp

integer

Overall, how long did this period last?
Beskrivning

Overall, how long did this period last?

Datatyp

integer

Associated symptoms under the most severe forest above (Code from -3 (much less), over 0 (no symptoms), to +3 (much more / increased) See also APPENDIX 1)
Beskrivning

Associated symptoms under the most severe forest above (Code from -3 (much less), over 0 (no symptoms), to +3 (much more / increased) See also APPENDIX 1)

During the times when you felt "high", "full of energy" or straightforward, "how was your self-esteem? (did you feel more confident than usual or that you were special, more talented, attractive or more intelligent than usual?) (Self-esteem)
Beskrivning

During the times when you felt "high", "full of energy" or straightforward, "how was your self-esteem? (did you feel more confident than usual or that you were special, more talented, attractive or more intelligent than usual?)

Datatyp

float

During the times when you felt "high", "full of energy" or easy-going "did you sleep less but still feel rested? (-3 = <2h or 5h less than usual; - 2 = sleep 1.5h less than normal without functioning worse; -1 = sleep less than normal; - 0.5 = discernible) (sleep need)
Beskrivning

During the times when you felt "high", "full of energy" or easy-going "did you sleep less but still feel rested? (-3 = <2h or 5h less than usual; - 2 = sleep 1.5h less than normal without functioning worse; -1 = sleep less than normal; - 0.5 = discernible) (sleep need)

Datatyp

float

During those times when you felt "high", "full of energy" or straightforward "were you more talkative than usual? (difficult to interrupt, or difficult to understand what you meant, difficult to keep up with) (Numeracy)
Beskrivning

During those times when you felt "high", "full of energy" or straightforward "were you more talkative than usual? (difficult to interrupt, or difficult to understand what you meant, difficult to keep up with) (Numeracy)

Datatyp

float

During those times when you felt "high", "full of energy" or easy-going "did you have more ideas usually? Was it like the thoughts rushed in the head? Hard to shave your mind? (Idea racing)
Beskrivning

During those times when you felt "high", "full of energy" or easy-going "did you have more ideas usually? Was it like the thoughts rushed in the head? Hard to shave your mind? (Idea racing)

Datatyp

float

During the times when you felt "high", "full of energy" or straightforward "did you have trouble concentrating because the smallest event distracted you? Difficult to focus on a task? (Distractibility) (Lättdistraherad)
Beskrivning

During the times when you felt "high", "full of energy" or straightforward "did you have trouble concentrating because the smallest event distracted you? Difficult to focus on a task? (Distractibility)

Datatyp

float

During the times when you felt "high", "full of energy" or easy-going "what did you do on the days (work, friends, leisure time)? Were you active or made many things at the same time? Were you so active that people were worried about you? Were you restless and had trouble sitting still? (Targeted Activity / Psychomotor Agitation)
Beskrivning

During the times when you felt "high", "full of energy" or easy-going "what did you do on the days (work, friends, leisure time)? Were you active or made many things at the same time? Were you so active that people were worried about you? Were you restless and had trouble sitting still? (Targeted Activity / Psychomotor Agitation)

Datatyp

float

During the times when you felt "high", "full of energy" or easy-to-do "did you do anything that could have worried you or your family (Bought things you did not need?) (Sexual contacts out of the ordinary for you? ) (Careless car driving?) Did you do anything that could have caused problems if you got caught? (Lust / risk behavior)
Beskrivning

During the times when you felt "high", "full of energy" or easy-to-do "did you do anything that could have worried you or your family (Bought things you did not need?) (Sexual contacts out of the ordinary for you? ) (Careless car driving?) Did you do anything that could have caused problems if you got caught? (Lust / risk behavior)

Datatyp

float

What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
Beskrivning

What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice

Datatyp

integer

Example for consequences
Beskrivning

Example for consequences

Datatyp

text

FIRST EPISODE: How old were you the first time you had a hypomania?
Beskrivning

FIRST EPISODE: How old were you the first time you had a hypomania?

Datatyp

float

FIRST EPISODE: How old were you the first time you had a mania?
Beskrivning

FIRST EPISODE: How old were you the first time you had a mania?

Datatyp

integer

Determine psychotic symptoms during an attack of elevated mood
Beskrivning

Determine psychotic symptoms during an attack of elevated mood

Persecutory performances
Beskrivning

Persecutory performances

Datatyp

boolean

Delusions
Beskrivning

Delusions

Datatyp

boolean

Hallucinations
Beskrivning

Hallucinations

Datatyp

boolean

Mood-Congruent Psychotic Symptoms
Beskrivning

Mood-Congruent Psychotic Symptoms

Datatyp

boolean

Mood-related psychotic symptoms
Beskrivning

Mood-related psychotic symptoms

Datatyp

boolean

Has any typical triggering stress factor for mania been identified
Beskrivning

Has any typical triggering stress factor for mania been identified

Datatyp

boolean

Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
Beskrivning

Has any typical early sign been identified? (in form of some behavior that can be measured / counted)

Datatyp

boolean

Patient fulfills criteria for:
Beskrivning

Patient fulfills criteria for:

Mania
Beskrivning

Mania

Datatyp

boolean

Hypomania
Beskrivning

Hypomania

Datatyp

boolean

Enhanced mood mode UNS
Beskrivning

Enhanced mood mode UNS

Datatyp

boolean

No sign of mania
Beskrivning

No sign of mania

Datatyp

boolean

Determine the type of hypomania
Beskrivning

Determine the type of hypomania

Euphoric type (Everything is interesting, amazing, expansive)
Beskrivning

Euphoric type (Everything is interesting, amazing, expansive)

Datatyp

boolean

Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
Beskrivning

Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)

Datatyp

boolean

Can not determine / Not applicable
Beskrivning

Can not determine / Not applicable

Datatyp

boolean

Past depression
Beskrivning

Past depression

1. Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
Beskrivning

Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?

Datatyp

boolean

2. Have you experienced a period when you felt much less interested than usual most of your life or felt it difficult to enjoy what you usually like? (almost every day for two weeks?)
Beskrivning

Have you experienced a period when you felt much less interested than usual most of your life or felt it difficult to enjoy what you usually like? (almost every day for two weeks?)

Datatyp

boolean

If one of the general criteria is yes: Significant symptoms during the most severe episode
Beskrivning

If one of the general criteria is yes: Significant symptoms during the most severe episode

3)...how was your night's sleep?
Beskrivning

....how was your night's sleep?

Datatyp

float

4a) ....did you feel guilty of what you did or failed to do?
Beskrivning

....did you feel guilty of what you did or failed to do?

Datatyp

float

4b)... how was your self-esteem (worthlessness)?
Beskrivning

... how was your self-esteem (worthlessness)?

Datatyp

float

5) ...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
Beskrivning

...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?

Datatyp

float

6) ... did you have trouble thinking or concentrating? Could you read the magazine or watch TV? Was it difficult to make decisions in everyday matters (ambivalence)?
Beskrivning

... did you have trouble thinking or concentrating? Could you read the magazine or watch TV? Was it difficult to make decisions in everyday matters (ambivalence)?

Datatyp

float

7) ... ... did you decrease or increase weight? How was your appetite?
Beskrivning

... did you decrease or increase weight? How was your appetite?

Datatyp

float

8a) ... were you so worried or restless that you could not sit still? Or, conversely, you talked or moved more slowly than usual? If I was there, would I´ve noticed something was wrong?
Beskrivning

... were you so worried or restless that you could not sit still? Or, conversely, you talked or moved more slowly than usual? If I was there, would I´ve noticed something was wrong?

Datatyp

float

8b)... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
Beskrivning

... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?

Datatyp

float

9a) ... was it so hard you came to think of death or that it was better if you were dead?
Beskrivning

... was it so hard you came to think of death or that it was better if you were dead?

Datatyp

boolean

9b)... did you think about taking your life or hurting yourself?
Beskrivning

... did you think about taking your life or hurting yourself?

Datatyp

boolean

9c) ...did you make any attempt to commit suicide?
Beskrivning

...did you make any attempt to commit suicide?

Datatyp

boolean

For the most serious identified case above ...
Beskrivning

For the most serious identified case above ...

Were you hospitalized during this time?
Beskrivning

Were you hospitalized during this time?

Datatyp

integer

Has the patient ever ...
Beskrivning

Has the patient ever ...

Datatyp

integer

Overall, how long did this period last?
Beskrivning

Overall, how long did this period last?

Datatyp

integer

The patient has at some time met the criteria for:
Beskrivning

The patient has at some time met the criteria for:

Depression
Beskrivning

Depression

Datatyp

boolean

Dysthymia (Clear depressive symptoms but do not meet depression criteria, such as clear mood for a week or 4 symptoms).
Beskrivning

Dysthymia

Datatyp

boolean

No signs of depression
Beskrivning

No signs of depression

Datatyp

boolean

FIRST DEPRESSION:
Beskrivning

FIRST DEPRESSION:

When was your first episode for a week or longer?
Beskrivning

When was your first episode for a week or longer?

Datatyp

text

Age of first episode
Beskrivning

Age of first episode

Datatyp

integer

Specification of melancholy
Beskrivning

Specification of melancholy

Anhedonia (The ability to feel joy has completely disappeared)
Beskrivning

Anhedonia

Datatyp

boolean

Indelible (Does not react to positive stimuli)
Beskrivning

Indelible

Datatyp

boolean

Distinct quality (Completely different from sadness and worries)
Beskrivning

Distinct quality of sadness

Datatyp

boolean

Worst in the morning
Beskrivning

Worst in the morning

Datatyp

boolean

Early morning awakening (At least 2 hours before normal time)
Beskrivning

Early morning awakening (At least 2 hours before normal time)

Datatyp

boolean

Strong psychomotor inhibition or agitation
Beskrivning

Strong psychomotor inhibition or agitation

Datatyp

boolean

Significant weight loss
Beskrivning

Significant weight loss

Datatyp

boolean

Exaggerated, unjustified guilty feelings
Beskrivning

Exaggerated, unjustified guilty feelings

Datatyp

boolean

Melancholic depression
Beskrivning

Melancholic depression

Datatyp

integer

Specification of psychosis symptoms for depression relapse
Beskrivning

Specification of psychosis symptoms for depression relapse

Persecutory performances
Beskrivning

Persecutory performances

Datatyp

boolean

If yes, please specify
Beskrivning

If yes, please specify

Datatyp

text

Delusions
Beskrivning

Delusions

Datatyp

boolean

If yes, please specify
Beskrivning

If yes, please specify

Datatyp

text

Hallucinations
Beskrivning

Hallucinations

Datatyp

boolean

If yes, please specify
Beskrivning

If yes, please specify

Datatyp

text

If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
Beskrivning

If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)

Datatyp

boolean

If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms (which does not include the depression theme, such as thought imprisonment, persecution ideas, thought-out, influence and governance experiences)
Beskrivning

If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms

Datatyp

boolean

Has any depression typical triggering stress factor been identified?
Beskrivning

Has any depression typical triggering stress factor been identified?

Datatyp

boolean

If yes, please specify depression typical triggering stress factor
Beskrivning

If yes, please specify depression typical triggering stress factor

Datatyp

text

Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?
Beskrivning

Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?

YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
Beskrivning

YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)

Datatyp

boolean

YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
Beskrivning

YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)

Datatyp

boolean

YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
Beskrivning

YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)

Datatyp

boolean

NO
Beskrivning

NO

Datatyp

boolean

Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.
Beskrivning

Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.

Current or past delusions
Beskrivning

Current or past delusions

Datatyp

boolean

Current or past hallucinations
Beskrivning

Current or past hallucinations

Datatyp

boolean

Current or past formal mental disorders (incoherent numbers, escaped associations)
Beskrivning

Current or past formal mental disorders (incoherent numbers, escaped associations)

Datatyp

boolean

Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
Beskrivning

Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes

Datatyp

boolean

Current or past bizarre behavior, catatony, or disorganized behavior
Beskrivning

Current or past bizarre behavior, catatony, or disorganized behavior

Datatyp

boolean

A markedly low level of functioning even before symptoms of affective disease began
Beskrivning

A markedly low level of functioning even before symptoms of affective disease began

Datatyp

boolean

If one or more of the above symptoms are "yes"
Beskrivning

If one or more of the above symptoms are "yes"

Has any of the psychotic symptoms occurred without serious mood?
Beskrivning

Has any of the psychotic symptoms occurred without serious mood?

Datatyp

boolean

Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
Beskrivning

Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?

Datatyp

boolean

If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
Beskrivning

If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?

Datatyp

boolean

Have any of the above-mentioned positive symptoms lasted for a longer period (a month's time, or less if the patient has become successfully treated)?
Beskrivning

Have any of the above-mentioned positive symptoms lasted for a longer period (a month's time, or less if the patient has become successfully treated)?

Datatyp

boolean

Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
Beskrivning

Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?

Datatyp

boolean

Based on the above: psychiatric diagnosis
Beskrivning

Based on the above: psychiatric diagnosis

Has the patient ever been psychotic?
Beskrivning

Has the patient ever been psychotic?

Datatyp

integer

If yes, please specify age of first psychosis
Beskrivning

If yes, please specify age of first psychosis

Datatyp

integer

Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
Beskrivning

Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes

Datatyp

boolean

Affective psychosis, mania - Psychosis associated with manic episodes
Beskrivning

Affective psychosis, mania - Psychosis associated with manic episodes

Datatyp

boolean

Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
Beskrivning

Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction

Datatyp

boolean

Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
Beskrivning

Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode

Datatyp

boolean

Schizofreni Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
Beskrivning

Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis

Datatyp

boolean

Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
Beskrivning

Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants

Datatyp

boolean

Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
Beskrivning

Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.

Datatyp

boolean

Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
Beskrivning

Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease

Datatyp

boolean

Other type of psychosis
Beskrivning

Other type of psychosis

Datatyp

boolean

If other type of psychosis please specify
Beskrivning

If other type of psychosis please specify

Datatyp

text

Similar models

Anamneseprotokoll för Bipolära Syndrom (Part 1)

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General Information
Name
Item
Name
text
Patient No.
Item
Patient No.
integer
Code - Number
Item
Code - Number
integer
Date of Medical history online
Item
Date of Medical history online
date
Comments on recent transfer
Item
Comments on recent transfer
text
Item Group
1. Social anamnesis
Item
Nationality
integer
Code List
Nationality
CL Item
Swedish (1)
CL Item
Other (specify) (2)
Item
Country of birth
integer
Code List
Country of birth
CL Item
Sweden  (1)
CL Item
Other country, which (2)
Age immigrated to Sweden
Item
Age immigrated to Sweden
integer
Item
Household
integer
Code List
Household
CL Item
Ordinary household (1)
CL Item
Ordinary household with support granted (2)
CL Item
supported housing (3)
CL Item
No housing/looking for housing (4)
Item
Members of household
integer
Code List
Members of household
CL Item
Living alone (1)
CL Item
Sharing households with spouse / partner / cohabitant (2)
CL Item
Sharing households with parent / parents (3)
CL Item
Sharing households with other adults (including own children 18 years of age or older) (4)
CL Item
Shared households with children under 18 years of age (5)
CL Item
Data not available (6)
Item
Does the patient have children under 18 years of age regardless of custody?
integer
Code List
Does the patient have children under 18 years of age regardless of custody?
CL Item
Yes, numer (1)
CL Item
No (2)
CL Item
Data not available (3)
Item
Does the patient have custody of children under the age of 18?
integer
Code List
Does the patient have custody of children under the age of 18?
CL Item
Yes, how many:  (1)
CL Item
No (2)
CL Item
Data not available (3)
Item
Indicate the patient's main supply during the last six months?
integer
Code List
Indicate the patient's main supply during the last six months?
CL Item
Self-sufficiency (payroll, study funding, parental benefit retirement pension, guarantee pension) (1)
CL Item
private insurance (2)
CL Item
Sick / sickness (3)
CL Item
Financial assistance (Social contributions) (4)
CL Item
Provided by relatives (5)
CL Item
Equity  (6)
CL Item
Other (7)
CL Item
Data not available (8)
Item
What is the patient's highest level of education?
integer
Code List
What is the patient's highest level of education?
CL Item
Unfinished secondary education (1)
CL Item
Completed upper secondary education (2)
CL Item
Completed secondary education (3)
CL Item
Completed secondary education (at least 2 years) (4)
CL Item
Completed secondary education (at least 3 years) (5)
CL Item
4 years of university studies or more (6)
CL Item
Data not available (7)
Profession
Item
Profession
text
Item Group
2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)
Item
Has anyone in your family had or has manodepressive disease or bipolar disorder? Or has someone in your family had fluctuations in the mood treated with lithium (Lithionit), valproate (Ergenyl, Absenor, Orfiril) or lamotrigine (Lamictal)?
integer
Code List
Has anyone in your family had or has manodepressive disease or bipolar disorder? Or has someone in your family had fluctuations in the mood treated with lithium (Lithionit), valproate (Ergenyl, Absenor, Orfiril) or lamotrigine (Lamictal)?
CL Item
No (1)
CL Item
Yes (2)
Comment
Item
Comment
text
Item Group
The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood
Item
Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
integer
Code List
Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
CL Item
loud  (1)
CL Item
filled with energy  (2)
CL Item
excited (3)
CL Item
filled with ideas  (4)
CL Item
increased performance (5)
CL Item
extra creative (6)
CL Item
quick thought business (7)
CL Item
No (8)
Has it ever happened that you have been so screwed up that you have been in trouble in any way?
Item
Has it ever happened that you have been so screwed up that you have been in trouble in any way?
boolean
Persistent abnormally elevated, expansive mood
Item
Persistent abnormally elevated, expansive mood
boolean
Item
Has it ever happened that you were so annoying that you bumped people out of trouble or bothered? Have you been in horror with strangers?
integer
Code List
Has it ever happened that you were so annoying that you bumped people out of trouble or bothered? Have you been in horror with strangers?
CL Item
edgy  (1)
CL Item
overreacted even if there were reasons for the reaction (2)
Persistent abnormal irritable mood
Item
Persistent abnormal irritable mood
boolean
Please exemplify (if multiple episodes, identify the worst) each of the items above
Item
Please exemplify (if multiple episodes, identify the worst) each of the items above
text
Item Group
For the most serious identified case above ...
Item
Were you hospitalized during this time?
integer
Code List
Were you hospitalized during this time?
CL Item
hospitalized  (1)
CL Item
never treated for mania in hospitals (2)
Item
Has the patient ever ...
integer
Code List
Has the patient ever ...
CL Item
been hospitalized according to LPT (1)
CL Item
been hospitalized according to LRV (2)
CL Item
No, no involuntary treatment for mania (3)
Item
Overall, how long did this period last?
integer
Code List
Overall, how long did this period last?
CL Item
hours (1)
CL Item
days (2)
CL Item
weeks (3)
CL Item
month (4)
Item Group
Associated symptoms under the most severe forest above (Code from -3 (much less), over 0 (no symptoms), to +3 (much more / increased) See also APPENDIX 1)
During the times when you felt "high", "full of energy" or straightforward, "how was your self-esteem? (did you feel more confident than usual or that you were special, more talented, attractive or more intelligent than usual?)
Item
During the times when you felt "high", "full of energy" or straightforward, "how was your self-esteem? (did you feel more confident than usual or that you were special, more talented, attractive or more intelligent than usual?) (Self-esteem)
float
During the times when you felt "high", "full of energy" or easy-going "did you sleep less but still feel rested? (-3 = <2h or 5h less than usual; - 2 = sleep 1.5h less than normal without functioning worse; -1 = sleep less than normal; - 0.5 = discernible) (sleep need)
Item
During the times when you felt "high", "full of energy" or easy-going "did you sleep less but still feel rested? (-3 = <2h or 5h less than usual; - 2 = sleep 1.5h less than normal without functioning worse; -1 = sleep less than normal; - 0.5 = discernible) (sleep need)
float
During those times when you felt "high", "full of energy" or straightforward "were you more talkative than usual? (difficult to interrupt, or difficult to understand what you meant, difficult to keep up with) (Numeracy)
Item
During those times when you felt "high", "full of energy" or straightforward "were you more talkative than usual? (difficult to interrupt, or difficult to understand what you meant, difficult to keep up with) (Numeracy)
float
During those times when you felt "high", "full of energy" or easy-going "did you have more ideas usually? Was it like the thoughts rushed in the head? Hard to shave your mind? (Idea racing)
Item
During those times when you felt "high", "full of energy" or easy-going "did you have more ideas usually? Was it like the thoughts rushed in the head? Hard to shave your mind? (Idea racing)
float
During the times when you felt "high", "full of energy" or straightforward "did you have trouble concentrating because the smallest event distracted you? Difficult to focus on a task? (Distractibility)
Item
During the times when you felt "high", "full of energy" or straightforward "did you have trouble concentrating because the smallest event distracted you? Difficult to focus on a task? (Distractibility) (Lättdistraherad)
float
During the times when you felt "high", "full of energy" or easy-going "what did you do on the days (work, friends, leisure time)? Were you active or made many things at the same time? Were you so active that people were worried about you? Were you restless and had trouble sitting still? (Targeted Activity / Psychomotor Agitation)
Item
During the times when you felt "high", "full of energy" or easy-going "what did you do on the days (work, friends, leisure time)? Were you active or made many things at the same time? Were you so active that people were worried about you? Were you restless and had trouble sitting still? (Targeted Activity / Psychomotor Agitation)
float
During the times when you felt "high", "full of energy" or easy-to-do "did you do anything that could have worried you or your family (Bought things you did not need?) (Sexual contacts out of the ordinary for you? ) (Careless car driving?) Did you do anything that could have caused problems if you got caught? (Lust / risk behavior)
Item
During the times when you felt "high", "full of energy" or easy-to-do "did you do anything that could have worried you or your family (Bought things you did not need?) (Sexual contacts out of the ordinary for you? ) (Careless car driving?) Did you do anything that could have caused problems if you got caught? (Lust / risk behavior)
float
Item
What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
integer
Code List
What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
CL Item
no (1)
CL Item
mild (2)
CL Item
moderate (3)
CL Item
severe (4)
CL Item
very difficult (5)
Example for consequences
Item
Example for consequences
text
FIRST EPISODE: How old were you the first time you had a hypomania?
Item
FIRST EPISODE: How old were you the first time you had a hypomania?
float
FIRST EPISODE: How old were you the first time you had a mania?
Item
FIRST EPISODE: How old were you the first time you had a mania?
integer
Item Group
Determine psychotic symptoms during an attack of elevated mood
Persecutory performances
Item
Persecutory performances
boolean
Delusions
Item
Delusions
boolean
Hallucinations
Item
Hallucinations
boolean
Mood-Congruent Psychotic Symptoms
Item
Mood-Congruent Psychotic Symptoms
boolean
Mood-related psychotic symptoms
Item
Mood-related psychotic symptoms
boolean
Has any typical triggering stress factor for mania been identified
Item
Has any typical triggering stress factor for mania been identified
boolean
Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
Item
Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
boolean
Item Group
Patient fulfills criteria for:
Mania
Item
Mania
boolean
Hypomania
Item
Hypomania
boolean
Enhanced mood mode UNS
Item
Enhanced mood mode UNS
boolean
No sign of mania
Item
No sign of mania
boolean
Item Group
Determine the type of hypomania
Euphoric type (Everything is interesting, amazing, expansive)
Item
Euphoric type (Everything is interesting, amazing, expansive)
boolean
Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
Item
Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
boolean
Can not determine / Not applicable
Item
Can not determine / Not applicable
boolean
Item Group
Past depression
Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
Item
1. Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
boolean
Have you experienced a period when you felt much less interested than usual most of your life or felt it difficult to enjoy what you usually like? (almost every day for two weeks?)
Item
2. Have you experienced a period when you felt much less interested than usual most of your life or felt it difficult to enjoy what you usually like? (almost every day for two weeks?)
boolean
Item Group
If one of the general criteria is yes: Significant symptoms during the most severe episode
....how was your night's sleep?
Item
3)...how was your night's sleep?
float
....did you feel guilty of what you did or failed to do?
Item
4a) ....did you feel guilty of what you did or failed to do?
float
... how was your self-esteem (worthlessness)?
Item
4b)... how was your self-esteem (worthlessness)?
float
...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
Item
5) ...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
float
... did you have trouble thinking or concentrating? Could you read the magazine or watch TV? Was it difficult to make decisions in everyday matters (ambivalence)?
Item
6) ... did you have trouble thinking or concentrating? Could you read the magazine or watch TV? Was it difficult to make decisions in everyday matters (ambivalence)?
float
... did you decrease or increase weight? How was your appetite?
Item
7) ... ... did you decrease or increase weight? How was your appetite?
float
... were you so worried or restless that you could not sit still? Or, conversely, you talked or moved more slowly than usual? If I was there, would I´ve noticed something was wrong?
Item
8a) ... were you so worried or restless that you could not sit still? Or, conversely, you talked or moved more slowly than usual? If I was there, would I´ve noticed something was wrong?
float
... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
Item
8b)... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
float
... was it so hard you came to think of death or that it was better if you were dead?
Item
9a) ... was it so hard you came to think of death or that it was better if you were dead?
boolean
... did you think about taking your life or hurting yourself?
Item
9b)... did you think about taking your life or hurting yourself?
boolean
...did you make any attempt to commit suicide?
Item
9c) ...did you make any attempt to commit suicide?
boolean
Item Group
For the most serious identified case above ...
Item
Were you hospitalized during this time?
integer
Code List
Were you hospitalized during this time?
CL Item
hospitalized  (1)
CL Item
never been treated for depression in hospital  (2)
Item
Has the patient ever ...
integer
Code List
Has the patient ever ...
CL Item
been treated for depression according to LPT (1)
CL Item
been treated for depression according to LRV (2)
CL Item
never forcibly been treated for depression (3)
Item
Overall, how long did this period last?
integer
Code List
Overall, how long did this period last?
CL Item
hours (1)
CL Item
days (2)
CL Item
weeks (3)
CL Item
month (4)
Item Group
The patient has at some time met the criteria for:
Depression
Item
Depression
boolean
Dysthymia
Item
Dysthymia (Clear depressive symptoms but do not meet depression criteria, such as clear mood for a week or 4 symptoms).
boolean
No signs of depression
Item
No signs of depression
boolean
Item Group
FIRST DEPRESSION:
When was your first episode for a week or longer?
Item
When was your first episode for a week or longer?
text
Age of first episode
Item
Age of first episode
integer
Item Group
Specification of melancholy
Anhedonia
Item
Anhedonia (The ability to feel joy has completely disappeared)
boolean
Indelible
Item
Indelible (Does not react to positive stimuli)
boolean
Distinct quality of sadness
Item
Distinct quality (Completely different from sadness and worries)
boolean
Worst in the morning
Item
Worst in the morning
boolean
Early morning awakening (At least 2 hours before normal time)
Item
Early morning awakening (At least 2 hours before normal time)
boolean
Strong psychomotor inhibition or agitation
Item
Strong psychomotor inhibition or agitation
boolean
Significant weight loss
Item
Significant weight loss
boolean
Exaggerated, unjustified guilty feelings
Item
Exaggerated, unjustified guilty feelings
boolean
Item
Melancholic depression
integer
Code List
Melancholic depression
CL Item
No (1)
CL Item
Yes, if the patient ever had melancholic depression (2)
Item Group
Specification of psychosis symptoms for depression relapse
Persecutory performances
Item
Persecutory performances
boolean
If yes, please specify
Item
If yes, please specify
text
Delusions
Item
Delusions
boolean
If yes, please specify
Item
If yes, please specify
text
Hallucinations
Item
Hallucinations
boolean
If yes, please specify
Item
If yes, please specify
text
If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
Item
If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
boolean
If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms
Item
If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms (which does not include the depression theme, such as thought imprisonment, persecution ideas, thought-out, influence and governance experiences)
boolean
Has any depression typical triggering stress factor been identified?
Item
Has any depression typical triggering stress factor been identified?
boolean
If yes, please specify depression typical triggering stress factor
Item
If yes, please specify depression typical triggering stress factor
text
Item Group
Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?
YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
Item
YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
boolean
YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
Item
YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
boolean
YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
Item
YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
boolean
NO
Item
NO
boolean
Item Group
Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.
Current or past delusions
Item
Current or past delusions
boolean
Current or past hallucinations
Item
Current or past hallucinations
boolean
Current or past formal mental disorders (incoherent numbers, escaped associations)
Item
Current or past formal mental disorders (incoherent numbers, escaped associations)
boolean
Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
Item
Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
boolean
Current or past bizarre behavior, catatony, or disorganized behavior
Item
Current or past bizarre behavior, catatony, or disorganized behavior
boolean
A markedly low level of functioning even before symptoms of affective disease began
Item
A markedly low level of functioning even before symptoms of affective disease began
boolean
Item Group
If one or more of the above symptoms are "yes"
Has any of the psychotic symptoms occurred without serious mood?
Item
Has any of the psychotic symptoms occurred without serious mood?
boolean
Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
Item
Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
boolean
If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
Item
If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
boolean
Have any of the above-mentioned positive symptoms lasted for a longer period (a month's time, or less if the patient has become successfully treated)?
Item
Have any of the above-mentioned positive symptoms lasted for a longer period (a month's time, or less if the patient has become successfully treated)?
boolean
Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
Item
Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
boolean
Item Group
Based on the above: psychiatric diagnosis
Item
Has the patient ever been psychotic?
integer
Code List
Has the patient ever been psychotic?
CL Item
No (1)
CL Item
Yes, age at first psychosis (2)
If yes, please specify age of first psychosis
Item
If yes, please specify age of first psychosis
integer
Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
Item
Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
boolean
Affective psychosis, mania - Psychosis associated with manic episodes
Item
Affective psychosis, mania - Psychosis associated with manic episodes
boolean
Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
Item
Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
boolean
Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
Item
Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
boolean
Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
Item
Schizofreni Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
boolean
Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
Item
Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
boolean
Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
Item
Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
boolean
Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
Item
Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
boolean
Other type of psychosis
Item
Other type of psychosis
boolean
If other type of psychosis please specify
Item
If other type of psychosis please specify
text