English

Young Child PTSD Screen

1 forms  
General Information Section
Description

General Information Section

Alias
UMLS CUI-1
C1508263
UMLS CUI-2
C0728836
UMLS CUI-3
C0038436
UMLS CUI-4
C0220908
Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C1299487
ID
Description

ID

Data type

text

Alias
UMLS CUI [1]
C1269815
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Write down the life‐threatening traumatic event(s):
Description

life‐threatening traumatic event(s)

Data type

text

Alias
UMLS CUI [1,1]
C2826244
UMLS CUI [1,2]
C0441471
UMLS CUI [1,3]
C0332663
Parent: Below is a list of symptoms that children can have after life‐threatening events. Check the answer that best describes how often the symptom has bothered your child in the LAST 2 WEEKS.
Description

Parent: Below is a list of symptoms that children can have after life‐threatening events. Check the answer that best describes how often the symptom has bothered your child in the LAST 2 WEEKS.

Alias
UMLS CUI-1
C0728836
UMLS CUI-2
C0038436
UMLS CUI-3
C0220908
UMLS CUI-4
C0030551
UMLS CUI-5
C1457887
UMLS CUI-6
C0745732
UMLS CUI-7
C0008059
UMLS CUI-8
C0687676
UMLS CUI-9
C2826244
UMLS CUI-10
C0441471
UMLS CUI-11
C0439603
UMLS CUI-12
C4288440
1. Does your child have intrusive memories of the trauma(s)? Does s/he bring it up on his/her own?
Description

Intrusive memories

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C0561837
UMLS CUI [1,3]
C0597316
UMLS CUI [1,4]
C1704686
UMLS CUI [1,5]
C0009452
2. Is your child having more nightmares since the trauma(s) occurred?
Description

Nightmares

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C0205172
UMLS CUI [1,3]
C0028084
UMLS CUI [1,4]
C1711239
UMLS CUI [1,5]
C0597316
3. Does s/he get upset when exposed to reminders of the event(s)?
Description

For example, a child who was in a car crash might be nervous while riding in a car now. Or, a child who was in a hurricane might be nervous when it is raining. Or, a child who saw domestic violence might be nervous when other people argue. Or, a girl who was sexually abused might be nervous when someone touches her.

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C3887804
UMLS CUI [1,3]
C0332157
UMLS CUI [1,4]
C1709896
UMLS CUI [1,5]
C0441471
4. Has s/he had a hard time falling asleep or staying asleep since the trauma(s)?
Description

Insomnia

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C0393760
UMLS CUI [1,3]
C1711239
UMLS CUI [1,4]
C0597316
UMLS CUI [2,1]
C4724242
UMLS CUI [2,2]
C0393761
UMLS CUI [2,3]
C1711239
UMLS CUI [2,4]
C0597316
5. Has your child become more irritable, or had outbursts of anger, or developed extreme temper tantrums since the trauma(s)?
Description

Mood

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C0205172
UMLS CUI [1,3]
C0022107
UMLS CUI [1,4]
C1711239
UMLS CUI [1,5]
C0597316
UMLS CUI [2,1]
C4724242
UMLS CUI [2,2]
C0424329
UMLS CUI [2,3]
C1711239
UMLS CUI [2,4]
C0597316
UMLS CUI [3,1]
C4724242
UMLS CUI [3,2]
C1527148
UMLS CUI [3,3]
C0205403
UMLS CUI [3,4]
C0233558
UMLS CUI [3,5]
C1711239
UMLS CUI [3,6]
C0597316
6. Does your child startle more easily than before the trauma(s)? For example, if there’s a loud noise or someone sneaks up behind him/her, does s/he jump or seem startled?
Description

Startle

Data type

integer

Alias
UMLS CUI [1,1]
C4724242
UMLS CUI [1,2]
C0038186
UMLS CUI [1,3]
C0205172
UMLS CUI [1,4]
C0332219
UMLS CUI [1,5]
C1707455
UMLS CUI [1,6]
C0332152
UMLS CUI [1,7]
C0597316
UMLS CUI [1,8]
C1707959
UMLS CUI [1,9]
C3897788
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Similar models

Young Child PTSD Screen

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information Section
C1508263 (UMLS CUI-1)
C0728836 (UMLS CUI-2)
C0038436 (UMLS CUI-3)
C0220908 (UMLS CUI-4)
Name
Item
Name
text
C1299487 (UMLS CUI [1])
ID
Item
ID
text
C1269815 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
life‐threatening traumatic event(s)
Item
Write down the life‐threatening traumatic event(s):
text
C2826244 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C0332663 (UMLS CUI [1,3])
Item Group
Parent: Below is a list of symptoms that children can have after life‐threatening events. Check the answer that best describes how often the symptom has bothered your child in the LAST 2 WEEKS.
C0728836 (UMLS CUI-1)
C0038436 (UMLS CUI-2)
C0220908 (UMLS CUI-3)
C0030551 (UMLS CUI-4)
C1457887 (UMLS CUI-5)
C0745732 (UMLS CUI-6)
C0008059 (UMLS CUI-7)
C0687676 (UMLS CUI-8)
C2826244 (UMLS CUI-9)
C0441471 (UMLS CUI-10)
C0439603 (UMLS CUI-11)
C4288440 (UMLS CUI-12)
Item
1. Does your child have intrusive memories of the trauma(s)? Does s/he bring it up on his/her own?
integer
C4724242 (UMLS CUI [1,1])
C0561837 (UMLS CUI [1,2])
C0597316 (UMLS CUI [1,3])
C1704686 (UMLS CUI [1,4])
C0009452 (UMLS CUI [1,5])
Intrusive memories
Code List
1. Does your child have intrusive memories of the trauma(s)? Does s/he bring it up on his/her own?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
Item
2. Is your child having more nightmares since the trauma(s) occurred?
integer
C4724242 (UMLS CUI [1,1])
C0205172 (UMLS CUI [1,2])
C0028084 (UMLS CUI [1,3])
C1711239 (UMLS CUI [1,4])
C0597316 (UMLS CUI [1,5])
Intrusive memories
Code List
2. Is your child having more nightmares since the trauma(s) occurred?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
Item
3. Does s/he get upset when exposed to reminders of the event(s)?
integer
C4724242 (UMLS CUI [1,1])
C3887804 (UMLS CUI [1,2])
C0332157 (UMLS CUI [1,3])
C1709896 (UMLS CUI [1,4])
C0441471 (UMLS CUI [1,5])
Intrusive memories
Code List
3. Does s/he get upset when exposed to reminders of the event(s)?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
Item
4. Has s/he had a hard time falling asleep or staying asleep since the trauma(s)?
integer
C4724242 (UMLS CUI [1,1])
C0393760 (UMLS CUI [1,2])
C1711239 (UMLS CUI [1,3])
C0597316 (UMLS CUI [1,4])
C4724242 (UMLS CUI [2,1])
C0393761 (UMLS CUI [2,2])
C1711239 (UMLS CUI [2,3])
C0597316 (UMLS CUI [2,4])
Intrusive memories
Code List
4. Has s/he had a hard time falling asleep or staying asleep since the trauma(s)?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
Item
5. Has your child become more irritable, or had outbursts of anger, or developed extreme temper tantrums since the trauma(s)?
integer
C4724242 (UMLS CUI [1,1])
C0205172 (UMLS CUI [1,2])
C0022107 (UMLS CUI [1,3])
C1711239 (UMLS CUI [1,4])
C0597316 (UMLS CUI [1,5])
C4724242 (UMLS CUI [2,1])
C0424329 (UMLS CUI [2,2])
C1711239 (UMLS CUI [2,3])
C0597316 (UMLS CUI [2,4])
C4724242 (UMLS CUI [3,1])
C1527148 (UMLS CUI [3,2])
C0205403 (UMLS CUI [3,3])
C0233558 (UMLS CUI [3,4])
C1711239 (UMLS CUI [3,5])
C0597316 (UMLS CUI [3,6])
Intrusive memories
Code List
5. Has your child become more irritable, or had outbursts of anger, or developed extreme temper tantrums since the trauma(s)?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
Item
6. Does your child startle more easily than before the trauma(s)? For example, if there’s a loud noise or someone sneaks up behind him/her, does s/he jump or seem startled?
integer
C4724242 (UMLS CUI [1,1])
C0038186 (UMLS CUI [1,2])
C0205172 (UMLS CUI [1,3])
C0332219 (UMLS CUI [1,4])
C1707455 (UMLS CUI [1,5])
C0332152 (UMLS CUI [1,6])
C0597316 (UMLS CUI [1,7])
C1707959 (UMLS CUI [1,8])
C3897788 (UMLS CUI [1,9])
Intrusive memories
Code List
6. Does your child startle more easily than before the trauma(s)? For example, if there’s a loud noise or someone sneaks up behind him/her, does s/he jump or seem startled?
CL Item
No (0)
CL Item
A little (1)
CL Item
A lot (2)
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