of0
Export
 
CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Parkinson's Disease
Sub-Domain: Psychiatric and Psychological Functions
CRF: Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Item count: 16 (16 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C17241
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - impulse control disorder type
QUIPImplsCntrlDisrdrTyp
Types of impulse control disorders, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Impulse Control Disorders
Gambling;Sex;Buying;Eating;
Gambling (such as casinos, internet gambling, lotteries, scratch tickets, betting, or slot or poker machines);Sex (such as making sexual demands on others, promiscuity, prostitution, change in sexual orientation, masturbation, internet or telephone sexual activities, or pornography);Buying (such as too much of the same thing or things that you don't need or use);Eating (such as eating larger amounts or different types of food than in the past, more rapidly than normal, until feeling uncomfortably full, or when not hungry);
Alphanumeric
Impulse Control Disorders
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 behaviors
 
Single Pre-Defined Value Selected
       
C17242
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - impulse control disorder indicator
QUIPImplsCntrlDisrdrInd
Indicator of whether the participant believes that he or she has an impulsive control disorder to engage in gambling, sex, buying, or eating, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others think that you have [had] an issue with too much gambling, sex, buying, or eating behaviors?
Yes;No;
Yes;No;
Alphanumeric
Impulse Control Disorders . Answer all questions based on current behaviors lasting at least 4 weeks. Answer for all four behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 Q 1
 
Single Pre-Defined Value Selected
       
C17243
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - guilty trouble mind indicator
QUIPGltyTrblMindInd
Indicator of whether the participant believes that he or she has trouble keeping gambling, sex, buying, or eating out of the mind or feels guilty about the thoughts, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you think too much about the behaviors below (such as having trouble keeping thoughts out of your mind or feeling guilty)?
Yes;No;
Yes;No;
Alphanumeric
Impulse Control Disorders . Answer all questions based on current behaviors lasting at least 4 weeks. Answer for all four behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 Q 2
 
Single Pre-Defined Value Selected
       
C17244
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - excess distress indicator
QUIPExcssDistrssInd
Indicator of whether the participant's urges or desires for the behaviors are excessive or cause distress (including becoming restless or irritable when unable to participate in the behavior), as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you have urges or desires for the behaviors below that you feel are [felt were] excessive or cause [caused] you distress (including becoming restless or irritable when unable to participate in the behavior)?
Yes;No;
Yes;No;
Alphanumeric
Impulse Control Disorders . Answer all questions based on current behaviors lasting at least 4 weeks. Answer for all four behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 Q 3
 
Single Pre-Defined Value Selected
       
C17245
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - difficult control indicator
QUIPDiffcltCntrlInd
Indicator of whether the participant has difficulty controlling his or her impulsive behaviors toward gambling, sex, buying, or eating, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you have difficulty controlling the behaviors below (such as increasing them over time, or having trouble cutting down or stopping them?
Yes;No;
Yes;No;
Alphanumeric
Impulse Control Disorders . Answer all questions based on current behaviors lasting at least 4 weeks. Answer for all four behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 Q 4
 
Single Pre-Defined Value Selected
       
C17246
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - activity continue behavior indicator
QUIPActvtyCntnueBhvrInd
Indicator of whether the participant engages in activities (hiding what you are doing, lying, hoarding, borrowing, accumulating debt, stealing, or other illegal acts) to continue gambling, sex, buying, or eating, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you engage in activities specifically to continue the behaviors below (such as hiding what you are [were] doing, lying, hoarding things, borrowing from others, accumulating debt, stealing, or being involved in illegal acts)?
Yes;No;
Yes;No;
Alphanumeric
Impulse Control Disorders . Answer all questions based on current behaviors lasting at least 4 weeks. Answer for all four behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP impulse control disorders V1.0 Q 5
 
Single Pre-Defined Value Selected
       
C17247
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - excess time specific behavior indicator
QUIPExcssTimeSpcfcBhvrInd
Indicator of whether the participant spends too much time on specific tasks, hobbies, or other organized activities (writing, painting, gardening, repairing or dismantling things, collecting, computer use, working on projects, etc.), as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others think you spend too much time on specific tasks, hobbies or other organized activities (such as writing, painting, gardening, or repairing or dismantling things, collecting, computer use, working on projects, etc.)?
Yes;No;
Yes;No;
Alphanumeric
Other Behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP other behaviors V1.0 Q 1a
 
Single Pre-Defined Value Selected
       
C17248
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - repeat simple activity indicator
QUIPReptSimpActvtyInd
Indicator of whether the participant spends too much time repeating simple motor activities (cleaning, tidying, handling, examining, sorting, ordering, or arranging objects, etc.), as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others think you spend too much time repeating certain simple motor activities (such as cleaning, tidying, handling, examining, sorting, ordering, or arranging objects, etc.)?;
Yes;No;
Yes;No;
Alphanumeric
Other Behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP other behaviors V1.0 Q 1b
 
Single Pre-Defined Value Selected
       
C17249
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - purposeless walk drive indicator
QUIPPurpslssWlkDrveInd
Indicator of whether the participant spends too much time walking or driving without a specific goal or purpose, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others think you spend too much time walking or driving with no intended goal or specific purpose?
Yes;No;
Yes;No;
Alphanumeric
Other Behaviors
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP other behaviors V1.0 Q 1c
 
Single Pre-Defined Value Selected
       
C17250
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - specific behavior difficult control indicator
QUIPSpcfcBhvrDiffcltCntrlInd
Indicator of whether the participant has difficulty controlling the time spent on these specific tasks, hobbies, or other organized activities, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others think you have [had] difficulty controlling the amount of time spent on these activities?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP other behaviors V1.0 Q 2
 
Single Pre-Defined Value Selected
       
C17251
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - hinder function relationship work indicator
QUIPHindrFunctRltnshipWrkInd
Indicator of whether the specific tasks, hobbies, or other organized activities interfere with daily functioning, or cause relationship or work difficulties, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do these activities interfere with daily functioning, or cause relationship or work difficulties?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP other behaviors V1.0 Q 3
 
Single Pre-Defined Value Selected
       
C17252
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - excess medication use indicator
QUIPExcssMedctnUseInd
Indicator of whether the participant or others (including the physician) believes that he or she is consistently taking too much Parkinson's medication, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you or others (including your physicians) think that you consistently take [took] too much of your Parkinson's medications?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP medication use V1.0 Q 1
 
Single Pre-Defined Value Selected
       
C17253
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - psychological medication increase indicator
QUIPPsychMedctnIncrsInd
Indicator of whether the participant has increased the intake of Parkinson's medication, without medical advice, for psychological reasons, such as improved mood or motivation, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Have you over time increases on your own, without medical advice, your overall intake of Parkinson's medications for psychological reasons, such as improved mood or motivation?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP medication use V1.0 Q 2
 
Single Pre-Defined Value Selected
       
C17254
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - dyskinetic medication increase indicator
QUIPDyskntcMedctnIncrsInd
Indicator of whether the participant has increased the intake of Parkinson's medication because he or she feels fully "on" when he or she is actually dyskinetic, as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Have you over time increased on your own, without medical advice, your overall intake of Parkinson's medications because you only feel fully "on" when you are dyskinetic?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP medication use V1.0 Q 3
 
Single Pre-Defined Value Selected
       
C17255
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - difficult control medication indicator
QUIPDiffcltCntrlMedctnInd
Indicator of whether the participant has difficulty controlling the use of Parkinson's medication (such as experiencing a strong desire for more medication, or having a worse mood or feeling unmotivated at a lower dosage), as part of the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP)
Do you have difficulty controlling your use of Parkinson's medications (such as experiencing a strong desire for more medication, or having worse mood or feeling unmotivated at a lower dosage)?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP medication use V1.0 Q 4
 
Single Pre-Defined Value Selected
       
C17256
Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP) - hoard hide increase medication indicator
QUIPHoardHidIncrsMedctnInd
Indicator of whether the participant hoards or hide Parkinson's medication to increase the overall dosage
Do you hoard or hide your Parkinson's medications to increase the overall dosage?
Yes;No;
Yes;No;
Alphanumeric
Medication Use
Weintraub D, Stewart S, Shea JA et al. Validation of the Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP). Mov Disord 2009;24:1461-1467.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form)
Psychiatric and Psychological Functions
Outcomes and End Points
QUIP medication use V1.0 Q 5
 
Single Pre-Defined Value Selected
       
07-21-2019
Page 1 of 1