ID

28614

Descrizione

Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry Head of Registry: Mikael Landén Professor at the Sahlgrenska Academy, consultant at Sahlgrenska University Hospital, 411 18 Gothenburg Source: http://www.psykiatriregister.se/dokumentarkiv/bipolar S:t Göranprojekts (Making Projects) Anamnesis protocol for bipolar syndrom

collegamento

http://www.psykiatriregister.se/dokumentarkiv/bipolar

Keywords

  1. 09/01/18 09/01/18 -
  2. 24/01/18 24/01/18 -
Titolare del copyright

psykiatriregister.se (BipoläR)

Caricato su

24 gennaio 2018

DOI

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Licenza

Creative Commons BY-NC 3.0

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Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry

Medical History for Bipolar Syndrome (Part 4)

FAMILY HISTORY
Descrizione

FAMILY HISTORY

Number of siblings:
Descrizione

Number of siblings:

Tipo di dati

integer

Date of birth male sibling(s)
Descrizione

Date of birth male sibling(s)

Tipo di dati

integer

Date of birth female sibling(s)
Descrizione

Date of birth female sibling(s)

Tipo di dati

integer

Number of children
Descrizione

Number of children

Tipo di dati

integer

Date of birth son(s)
Descrizione

Date of birth son(s)

Tipo di dati

integer

Date of birth daughter(s)
Descrizione

Date of birth daughter(s)

Tipo di dati

integer

Patient is adopted and has no knowledge of biological relatives
Descrizione

Patient is adopted and has no knowledge of biological relatives

Tipo di dati

boolean

ASK ACTIVE but not necessary to ignore everything
Descrizione

ASK ACTIVE but not necessary to ignore everything

Type of Disease
Descrizione

Type of Disease

Tipo di dati

text

Mother
Descrizione

Mother

Tipo di dati

integer

Father
Descrizione

Father

Tipo di dati

integer

Sister 1
Descrizione

Sister 1

Tipo di dati

integer

Sister 2
Descrizione

Sister 2

Tipo di dati

integer

Sister 3
Descrizione

Sister 3

Tipo di dati

integer

Brother 1
Descrizione

Brother 1

Tipo di dati

integer

Brother 2
Descrizione

Brother 2

Tipo di dati

integer

Brother 3
Descrizione

Brother 3

Tipo di dati

integer

Daughter 1
Descrizione

Daughter 1

Tipo di dati

integer

Daughter 2
Descrizione

Daughter 2

Tipo di dati

integer

Daughter 3
Descrizione

Daughter 3

Tipo di dati

integer

Son 1
Descrizione

Son 1

Tipo di dati

integer

Son 2
Descrizione

Son 2

Tipo di dati

integer

Son 3
Descrizione

Son 3

Tipo di dati

integer

ASK ACTIVE but not necessary to ignore everything
Descrizione

ASK ACTIVE but not necessary to ignore everything

Mother's side: Grandmother
Descrizione

Mother's side: Grandmother

Tipo di dati

integer

Mother's side: Grandpa
Descrizione

Mother's side: Grandpa

Tipo di dati

integer

Mother´s side: Aunt 1
Descrizione

Mother´s side: Aunt 1

Tipo di dati

integer

Mother's side: Uncle 1
Descrizione

Mother's side: Uncle 1

Tipo di dati

integer

Mother's side: Cousin 1
Descrizione

Mother's side: Cousin 1

Tipo di dati

integer

Mother's side: Cousin 2
Descrizione

Mother's side: Cousin 2

Tipo di dati

integer

Father's side: Grandmother
Descrizione

Father's side: Grandmother

Tipo di dati

integer

Father´s side: Grandfather
Descrizione

Father´s side: Grandfather

Tipo di dati

integer

Father's Side: Aunt 1
Descrizione

Father's Side: Aunt 1

Tipo di dati

integer

Father's Side: Uncle 1
Descrizione

Father's Side: Uncle 1

Tipo di dati

integer

Father's Side: Cousin 1
Descrizione

Father's Side: Cousin 1

Tipo di dati

integer

Father´s side: Cousin 2
Descrizione

Father´s side: Cousin 2

Tipo di dati

integer

TREATMENT HISTORY
Descrizione

TREATMENT HISTORY

Has the patient ever previously received patient education for bipolar disorder, systematic psychological treatment and / or neuropsychological investigation? *
Descrizione

Has the patient ever previously received patient education for bipolar disorder, systematic psychological treatment and / or neuropsychological investigation? *

Tipo di dati

integer

Specification of patient education: bipolar syndrome (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies for managing everyday symptoms and opportunity for exchange of experience)
Descrizione

Specification of patient education: bipolar syndrome

Tipo di dati

boolean

Specification of patient education psychological treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive-behavioral therapy)
Descrizione

Specification of patient education psychological treatment

Tipo di dati

boolean

Specification of patient education Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
Descrizione

Specification of patient education Neuropsychological investigation

Tipo di dati

boolean

If yes, the patient has received patient education for bipolar disorder in the past 12 months, systematically psychologically treatment and / or neuropsychological investigation?
Descrizione

If yes, the patient has received patient education for bipolar disorder in the past 12 months, systematically psychologically treatment and / or neuropsychological investigation? *

Tipo di dati

integer

Specification of patient education: bipolar syndrome (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies for managing everyday symptoms and opportunity for exchange of experience)
Descrizione

Specification of patient education: bipolar syndrome

Tipo di dati

boolean

Specification of patient education: systematic treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive-behavioral therapy)
Descrizione

Specification of patient education: systematic treatment

Tipo di dati

boolean

Specification of patient education: Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
Descrizione

Specification of patient education: Neuropsychological investigation

Tipo di dati

boolean

Has the patient ever been treated with ECT before?
Descrizione

Has the patient ever been treated with ECT before?

Tipo di dati

integer

If yes, the number of treatment series during life
Descrizione

If yes, the number of treatment series during life

Tipo di dati

integer

If yes, estimate outcomes for the latest treatment series:
Descrizione

If yes, estimate outcomes for the latest treatment series:

Tipo di dati

integer

If yes, has the patient been treated with ECT over the past 12 months?
Descrizione

If yes, has the patient been treated with ECT over the past 12 months?

Tipo di dati

integer

Estimate the treatment effect according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
Descrizione

Estimate the treatment effect according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.

Tipo di dati

integer

DRUG THERAPY HISTORY
Descrizione

DRUG THERAPY HISTORY

Tax treatment effects according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
Descrizione

Tax treatment effects according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.

Tipo di dati

integer

Mood stabilizers
Descrizione

Mood stabilizers

Treatment with carbamazepine
Descrizione

Treatment with carbamazepine

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

integer

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Treatment with clonazepam
Descrizione

Treatment with clonazepam

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

integer

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Treatment with Lamotrigin
Descrizione

Treatment with Lamotrigin

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

integer

Treatment with Litium
Descrizione

Treatment with Litium

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

integer

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Treatment with oxcarbazepine
Descrizione

Treatment with oxcarbazepine

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

text

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Treatment with topiramate
Descrizione

Treatment with topiramate

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

text

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Treatment with valproate
Descrizione

Treatment with valproate

Tipo di dati

boolean

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

integer

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Other
Descrizione

Other

Tipo di dati

boolean

If other, please specify
Descrizione

If other, please specify

Tipo di dati

text

How long was the treatment going on, estimate the number of years
Descrizione

How long was the treatment going on, estimate the number of years

Tipo di dati

float

Response to treatment
Descrizione

Response to treatment

Tipo di dati

text

Drug side effect that prevented the use of the drug?
Descrizione

Drug side effect that prevented the use of the drug?

Tipo di dati

boolean

Similar models

Medical History for Bipolar Syndrome (Part 4)

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
FAMILY HISTORY
Number of siblings:
Item
Number of siblings:
integer
Date of birth male sibling(s)
Item
Date of birth male sibling(s)
integer
Date of birth female sibling(s)
Item
Date of birth female sibling(s)
integer
Number of children
Item
Number of children
integer
Date of birth son(s)
Item
Date of birth son(s)
integer
Date of birth daughter(s)
Item
Date of birth daughter(s)
integer
Patient is adopted and has no knowledge of biological relatives
Item
Patient is adopted and has no knowledge of biological relatives
boolean
Item Group
ASK ACTIVE but not necessary to ignore everything
Type of Disease
Item
Type of Disease
text
Mother
Item
Mother
integer
Father
Item
Father
integer
Sister 1
Item
Sister 1
integer
Sister 2
Item
Sister 2
integer
Sister 3
Item
Sister 3
integer
Brother 1
Item
Brother 1
integer
Brother 2
Item
Brother 2
integer
Brother 3
Item
Brother 3
integer
Daughter 1
Item
Daughter 1
integer
Daughter 2
Item
Daughter 2
integer
Daughter 3
Item
Daughter 3
integer
Son 1
Item
Son 1
integer
Son 2
Item
Son 2
integer
Son 3
Item
Son 3
integer
Item Group
ASK ACTIVE but not necessary to ignore everything
Mother's side: Grandmother
Item
Mother's side: Grandmother
integer
Mother's side: Grandpa
Item
Mother's side: Grandpa
integer
Mother´s side: Aunt 1
Item
Mother´s side: Aunt 1
integer
Mother's side: Uncle 1
Item
Mother's side: Uncle 1
integer
Mother's side: Cousin 1
Item
Mother's side: Cousin 1
integer
Mother's side: Cousin 2
Item
Mother's side: Cousin 2
integer
Father's side: Grandmother
Item
Father's side: Grandmother
integer
Father´s side: Grandfather
Item
Father´s side: Grandfather
integer
Father's Side: Aunt 1
Item
Father's Side: Aunt 1
integer
Father's Side: Uncle 1
Item
Father's Side: Uncle 1
integer
Father's Side: Cousin 1
Item
Father's Side: Cousin 1
integer
Father´s side: Cousin 2
Item
Father´s side: Cousin 2
integer
Item Group
TREATMENT HISTORY
Item
Has the patient ever previously received patient education for bipolar disorder, systematic psychological treatment and / or neuropsychological investigation? *
integer
Code List
Has the patient ever previously received patient education for bipolar disorder, systematic psychological treatment and / or neuropsychological investigation? *
CL Item
Yes (Specify which / which * Multiple answer options can be specified) (1)
CL Item
No (2)
CL Item
Data not available (3)
Specification of patient education: bipolar syndrome
Item
Specification of patient education: bipolar syndrome (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies for managing everyday symptoms and opportunity for exchange of experience)
boolean
Specification of patient education psychological treatment
Item
Specification of patient education psychological treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive-behavioral therapy)
boolean
Specification of patient education Neuropsychological investigation
Item
Specification of patient education Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
boolean
Item
If yes, the patient has received patient education for bipolar disorder in the past 12 months, systematically psychologically treatment and / or neuropsychological investigation?
integer
Code List
If yes, the patient has received patient education for bipolar disorder in the past 12 months, systematically psychologically treatment and / or neuropsychological investigation?
CL Item
Yes (Specify which / which * Multiple answer options can be specified) (1)
CL Item
No (2)
CL Item
Data not available (3)
Specification of patient education: bipolar syndrome
Item
Specification of patient education: bipolar syndrome (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies for managing everyday symptoms and opportunity for exchange of experience)
boolean
Specification of patient education: systematic treatment
Item
Specification of patient education: systematic treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive-behavioral therapy)
boolean
Specification of patient education: Neuropsychological investigation
Item
Specification of patient education: Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
boolean
Item
Has the patient ever been treated with ECT before?
integer
Code List
Has the patient ever been treated with ECT before?
CL Item
Yes  (1)
CL Item
No (2)
CL Item
Data not available  (3)
If yes, the number of treatment series during life
Item
If yes, the number of treatment series during life
integer
Item
If yes, estimate outcomes for the latest treatment series:
integer
Code List
If yes, estimate outcomes for the latest treatment series:
CL Item
0 (not assessed) (1)
CL Item
1 (Very much improved) (2)
CL Item
2 (much improved) (3)
CL Item
3 (minimally improved) (4)
CL Item
4 (no change) (5)
CL Item
5 (minimally worse) (6)
CL Item
6 (much worse) (7)
CL Item
7 (very much worse) (8)
Item
If yes, has the patient been treated with ECT over the past 12 months?
integer
Code List
If yes, has the patient been treated with ECT over the past 12 months?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Data not available (3)
Item
Estimate the treatment effect according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
integer
Code List
Estimate the treatment effect according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
CL Item
0 (not assessed) (1)
CL Item
1 (Very much improved) (2)
CL Item
2 (much improved) (3)
CL Item
3 (minimally improved) (4)
CL Item
4 (no change) (5)
CL Item
5 (minimally worse) (6)
CL Item
6 (much worse) (7)
CL Item
7 (very much worse) (8)
Item Group
DRUG THERAPY HISTORY
Item
Tax treatment effects according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
integer
Code List
Tax treatment effects according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Dial the appropriate option.
CL Item
0 (not assessed) (1)
CL Item
1 (Very much improved) (2)
CL Item
2 (much improved) (3)
CL Item
3 (minimally improved) (4)
CL Item
4 (no change) (5)
CL Item
5 (minimally worse) (6)
CL Item
6 (much worse) (7)
CL Item
7 (very much worse) (8)
Item Group
Mood stabilizers
Treatment with carbamazepine
Item
Treatment with carbamazepine
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
integer
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Treatment with clonazepam
Item
Treatment with clonazepam
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
integer
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Treatment with Lamotrigin
Item
Treatment with Lamotrigin
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
integer
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Treatment with Litium
Item
Treatment with Litium
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
integer
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Treatment with oxcarbazepine
Item
Treatment with oxcarbazepine
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
text
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Treatment with topiramate
Item
Treatment with topiramate
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
text
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Treatment with valproate
Item
Treatment with valproate
boolean
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
integer
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean
Other
Item
Other
boolean
If other, please specify
Item
If other, please specify
text
How long was the treatment going on, estimate the number of years
Item
How long was the treatment going on, estimate the number of years
float
Item
Response to treatment
text
Code List
Response to treatment
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
CL Item
5 (6)
CL Item
6 (7)
CL Item
7 (8)
Drug side effect that prevented the use of the drug?
Item
Drug side effect that prevented the use of the drug?
boolean

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