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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Post-Concussive / Mild TBI-Related Symptoms
CRF: Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Item count: 31 (31 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
C21117
Subject name
SubjectName
Name of subject/participant.
Patient Name:
  
Alphanumeric
No instructions available
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
 
255
Free-Form Entry
       
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Today's date:
  
Date or Date & Time
No instructions available
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
Data collected date and time
 
Free-Form Entry
       
C00007
Birth date
BirthDate
Date (and time, if applicable and known) the participant/subject was born
Birthdate:
  
Date or Date & Time
No instructions available
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
3.0
7/25/2013
caBIG: PER_BIR_DT; SCI CDEs: BIRTHDT
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
Birth date
 
Free-Form Entry
     
793
 
C00008
Age value
AgeVal
Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject.
Age:
  
Numeric Values
No instructions available
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
Age value
 
Free-Form Entry
0
1800
month
    
C52318
Post-Concussion Symptom Inventory (PCSI) - Headache scale
PCSIHeadacheScl
Scale to which the subject complained of headaches, as part of the Post-Concussion Symptom Inventory (PCSI).
Headache
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52319
Post-Concussion Symptom Inventory (PCSI) - Nausea scale
PCSINauseaScl
Scale to which the subject complained of nausea, as part of the Post-Concussion Symptom Inventory (PCSI).
Nausea
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52320
Post-Concussion Symptom Inventory (PCSI) - Balance problem scale
PCSIBalanceProbScl
Scale to which the subject experienced balance problems, as part of the Post-Concussion Symptom Inventory (PCSI).
Balance problems
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52321
Post-Concussion Symptom Inventory (PCSI) - Dizziness scale
PCSIDizzinessScl
Scale to which the subject appeared or complained of dizziness, as part of the Post-Concussion Symptom Inventory (PCSI).
Dizziness
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52322
Post-Concussion Symptom Inventory (PCSI) - Fatigue scale
PCSIFatigueScl
Scale to which the subject has fatigue, as part of the Post-Concussion Symptom Inventory (PCSI).
Fatigue
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52323
Post-Concussion Symptom Inventory (PCSI) - Drowsiness scale
PCSIDrowsinessScl
Scale to which the subject experiences drowsiness, as part of the Post-Concussion Symptom Inventory (PCSI).
Drowsiness
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52324
Post-Concussion Symptom Inventory (PCSI) - Sensitive to light scale
PCSISensitiveToLightScl
Scale to which the subject was sensitive to light, as part of the Post-Concussion Symptom Inventory (PCSI).
Sensitivity to light
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52325
Post-Concussion Symptom Inventory (PCSI) - Sensitive to noise scale
PCSISensitiveToNoiseScl
Scale to which the subject was sensitive to noise, as part of the Post-Concussion Symptom Inventory (PCSI).
Sensitivity to noise
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52326
Post-Concussion Symptom Inventory (PCSI) - Irritability scale
PCSIIrritabilityScl
Scale to which the subject expressed irritability, as part of the Post-Concussion Symptom Inventory (PCSI).
Irritability
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52327
Post-Concussion Symptom Inventory (PCSI) - Sadness scale
PCSISadnessScl
Scale to which the subject expressed sadness, as part of the Post-Concussion Symptom Inventory (PCSI).
Sadness
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52328
Post-Concussion Symptom Inventory (PCSI) - Nervousness scale
PCSINervousnessScl
Scale to which the subject expressed nervousness, as part of the Post-Concussion Symptom Inventory (PCSI).
Nervousness
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52329
Post-Concussion Symptom Inventory (PCSI) - Feeling more emotional scale
PCSIFeelMoreEmotionalScl
Scale to which the subject was feeling more emotional, as part of the Post-Concussion Symptom Inventory (PCSI).
Feeling more emotional
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52330
Post-Concussion Symptom Inventory (PCSI) - Feeling slowed down scale
PCSIFeelSlowedDownScl
Scale to which the subject was feeling slowed down, as part of the Post-Concussion Symptom Inventory (PCSI).
Feeling slowed down
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52331
Post-Concussion Symptom Inventory (PCSI) - Feeling mentally foggy scale
PCSIMentallyFoggyScl
Scale to which the subject was feeling mentally foggy, as part of the Post-Concussion Symptom Inventory (PCSI).
Feeling mentally foggy
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52332
Post-Concussion Symptom Inventory (PCSI) - Difficulty concentrating scale
PCSIDiffConcentrateScl
Scale to which the subject had difficulty concentrating, as part of the Post-Concussion Symptom Inventory (PCSI).
Difficulty concentrating
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52333
Post-Concussion Symptom Inventory (PCSI) - Difficult remembering scale
PCSIDiffRememberScl
Scale to which the subject had difficulty remembering, as part of the Post-Concussion Symptom Inventory (PCSI).
Difficulty remembering
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52334
Post-Concussion Symptom Inventory (PCSI) - Visual problems scale
PCSIVisualProbScl
Scale to which the subject expressed visual problems (blurry, double vision), as part of the Post-Concussion Symptom Inventory (PCSI).
Visual Problems(double vision, blurring)
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52335
Post-Concussion Symptom Inventory (PCSI) - Get confused with directions or tasks scale
PCSIConfuWthDirctnsScl
Scale to which the subject expressed getting confused with directions or tasks, as part of the Post-Concussion Symptom Inventory (PCSI).
Get confused with directions or tasks
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52336
Post-Concussion Symptom Inventory (PCSI) - Clumsy scale
PCSIClumsyScl
Scale to which the subject appeared to move in a clumsy manner, as part of the Post-Concussion Symptom Inventory (PCSI).
Move in a clumsy manner
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52337
Post-Concussion Symptom Inventory (PCSI) - Answer slowly scale
PCSIAnswerSlowlyScl
Scale to which the subject answered questions more slowly than usual, as part of the Post-Concussion Symptom Inventory (PCSI).
Answer questions more slowly than usual
0;1;2;3;4;5;6;
Not a problem;1;2;Moderate problem;4;5;Severe problem;
Numeric Values
We would like to know if you have had any of these symptoms before your injury. Next, we would like to know if these symptoms have changed after your injury. Please rate the symptom at two points in time- Before the Injury/Pre-Injury and Currently.
Please answer all the items the best that you can. Do not skip any items. Circle the number to tell us how much of a problem this symptom has been for you.
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C52338
Post-Concussion Symptom Inventory (PCSI) - Generally different scale
PCSIGenerallyDifferentScale
Scale to which the subject generally seemed to be acting differently than before the injury, as part of the Post-Concussion Symptom Inventory (PCSI).
In general, to what degree do you feel “differently” than before the injury (not feeling like yourself)?
0;1;2;3;4;
No Difference;1;2;3;Major Difference;
Numeric Values
Circle your rating with “0” indicating “Normal” (No Difference)
and “4” indicating “Very Different” (Major Difference)
Sady MD, Vaughan CG, Gioia GA. Psychometric Characteristics of the Postconcussion Symptom Inventory in Children and Adolescents. Archives of Clinical Neuropsychology. 2014;29(4):348-363.
Pediatric
Supplemental
1.0
12/29/2016
Aliases for variable name not defined
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
Post-Concussive / Mild TBI-Related Symptoms
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-19-2018
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