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NRS pain

- 4/13/21 - 1 form, 1 itemgroup, 3 items, 2 languages
Itemgroup: Pain NRS
Numerical Rating Scale Pain

Childhood Trauma Questionnaire (CTQ)

- 3/8/15 - 1 form, 1 itemgroup, 28 items, 1 language
Itemgroup: During Childhood
The German Version of the Childhood Trauma Questionnaire (CTQ): psychometric characteristics in a representative sample of the general population Klinitzke G, Romppel M, Häuser W, Brähler E, Glaesmer H. Psychother Psychosom Med Psychol. 2012 Feb;62(2):47-51

Eligibility Fatigue NCT02304640

- 9/20/21 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Prevalence, Severity and Determinants of Cancer-related Fatigue (CRF) in Asian Breast Cancer Patients; ODM derived from: https://clinicaltrials.gov/show/NCT02304640

COPSOQ Copenhagen Psychosocial Questionaire

- 9/20/21 - 1 form, 3 itemgroups, 102 items, 1 language
Itemgroups: Patient Information, Work and activities, Comments
German standard version of COPSOQ (Copenhagen Psychosocial Questionaire) Survey on psychosocial factors in the workplace, Company XXX Online at www.companyxxx.copsoq.de Generally results will be shown only if number of resondents is larger than 10 persons. Nübling M, Hasselhorn HM (2010): The Copenhagen Psychosocial Questionaire in Germany: From the validation of the instrument to the formation of a job-specific database of psychosocial factors at work. Scandinavian Journal of Public Health 38: 120 -124. Nübling, M.; Stößel, U.; Hasselhorn, H.-M.; Michaelis, M.; Hofmann, F.: Measuring psychosocial stress and strain at work: Evaluation of the COPSOQ - Questionaire in Germany. GMS Psychosoc Med 2006; 3: Doc05. Available from: http://www.egms.de/en/journals/psm/2006-3/psm000025.shtml.

OPD_StrukturFB12

- 9/20/21 - 1 form, 1 itemgroup, 12 items, 1 language
Itemgroup: Answer questions
Ehrenthal JC, Dinger U, Horsch L, Komo-Lang M, Klinkerfuss M, Grande T, Schauenburg H. [The OPD Structure Questionnaire (OPD-SQ): first results on reliability and validity]. Psychother Psychosom Med Psychol. 2012 Jan;62(1):25-32

Patient questionnaire Psychosomatic medicine UKM - Patient questionnaire

- 9/17/21 - 1 form, 7 itemgroups, 30 items, 2 languages
Itemgroups: Patient demographics, Symptoms, GP, Outpatient departement, Household, Qualifications, Family history
Patient questionnaire to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Univ.-Prof. Dr. Dr.med. Gereon Heuft Klinik für Psychosomatik und Psychotherapie Universitätsklinikum Münster Domagkstr.22 48149 Münster

Persönliches Interview SHIP-Trend-1 Kognitive Leistungsfähigkeit

- 2/8/21 - 1 form, 1 itemgroup, 72 items, 1 language
Itemgroup: Kognitive Leistungsfähigkeit
Kognitive Leistungsfähigkeit form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name TREND.TREND1.INT.KOGN.KOGN. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617

Eligibility Sexual Function NCT01020422

- 10/28/18 - 1 form, 2 itemgroups, 9 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Sexuality After Reduction Mammaplasty; ODM derived from: https://clinicaltrials.gov/show/NCT01020422

Eligibility Sexual Dysfunction NCT00981305

- 10/27/18 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Impact of Lactate-Containing Vaginal Lubricant on Sexual Dysfunction in Young Breast Cancer Survivors; ODM derived from: https://clinicaltrials.gov/show/NCT00981305

CHIPS Cohen’s Scale - COHEN-HOBERMAN INVENTORY of PHYSICAL SYMPTOMS (CHIPS)

- 11/23/17 - 1 form, 1 itemgroup, 33 items, 1 language
Itemgroup: How Much Does It Bother You
ODM form of Dr. Cohen's Scales.The CHIPS is a list if 33 common physical symptoms. Items were carefully selected so as to exclude symptoms of an obviously psychological nature (e.g., felt nervous or depressed). Forms derived from http://www.psy.cmu.edu/~scohen/scales.html. Information to scoring at http://www.psy.cmu.edu/~scohen/CHIPSscore.html

Psychosomatic consultation, University Hospital Cologne

- 5/2/17 - 1 form, 1 itemgroup, 28 items, 1 language
Itemgroup: Psychosomatic consultation order
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: Psychosom_Kons - Allgemeine Anforderung

Eligibility Hypoactive Sexual Desire Disorder NCT01803802

- 4/11/17 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Effects of Early Abuse on Adult Intimate Relationships; ODM derived from: https://clinicaltrials.gov/show/NCT01803802

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