CDE Detailed Report

Disease: content
Subdomain Name: Emotional Impairment
CRF: welcome

Displaying 1 - 23 of 23
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C21829 Beck Anxiety Inventory (BAI) - Fear lose control bother scale BAIFearLoseCntrlBothrScale Scale that represents how much the participant has been bothered by fear of losing control as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by fear of losing control as part of the Beck Anxiety Inventory (BAI) Fear of losing control 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 14:40:28.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21857 Beck Anxiety Inventory (BAI) - Terrified afraid bother scale BAITerrifiedAfraidBothrScale Scale that represents how much the participant has been bothered by feeling terrified or afraid as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling terrified or afraid as part of the Beck Anxiety Inventory (BAI) Terrified or afraid 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:01:39.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21830 Beck Anxiety Inventory (BAI) - Fear worst bother scale BAIFearWorstBothrScale Scale that represents how much the participant has been bothered by fear of the worst happening as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by fear of the worst happening as part of the Beck Anxiety Inventory (BAI) Fear of worst happening 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 14:57:28.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21859 Beck Anxiety Inventory (BAI) - Total score BAITotalScore Total score as part of the Beck Anxiety Inventory (BAI) Total score as part of the Beck Anxiety Inventory (BAI) Total Score Numeric Values

Sum each column. Then sum the column totals to achieve a grand score.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:06:28.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Free-Form Entry

0 63
C21831 Beck Anxiety Inventory (BAI) - Feel hot bother scale BAIFeelHotBothrScale Scale that represents how much the participant has been bothered by feeling hot as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling hot as part of the Beck Anxiety Inventory (BAI) Feeling hot 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 15:07:26.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21861 Beck Anxiety Inventory (BAI) - Total score interpretation type BAITotalScoreInterpretTyp Type of the total score (BAITotalScore) interpretation, as part of the Beck Anxiety Inventory (BAI) Type of the total score (BAITotalScore) interpretation, as part of the Beck Anxiety Inventory (BAI) Total score interpretation Low anxiety;Moderate anxiety;Persistent and high anxiety A total score between 0-21 indicates very low anxiety;A total score between 22-35 indicates moderate anxiety;A total score that exceeds 36 indicates persistent and high anxiety Alphanumeric

Refer to BAITotalScore for a total score.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:10:54.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21832 Beck Anxiety Inventory (BAI) - Hands tremble bother scale BAIHandsTrembleBothrScale Scale that represents how much the participant has been bothered by hands trembling as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by hands trembling as part of the Beck Anxiety Inventory (BAI) Hands trembling 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 15:16:03.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21864 Beck Anxiety Inventory (BAI) - Unable relax bother scale BAIUnableRelaxBothrScale Scale that represents how much the participant has been bothered by unable to relax as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by unable to relax as part of the Beck Anxiety Inventory (BAI) Unable to relax 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:27:08.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21847 Beck Anxiety Inventory (BAI) - Heart pound race bother scale BAIHeartPoundRaceBothrScale Scale that represents how much the participant has been bothered by heart pounding/racing as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by heart pounding/racing as part of the Beck Anxiety Inventory (BAI) Heart pounding/racing 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:03:58.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21866 Beck Anxiety Inventory (BAI) - Unsteady bother scale BAIUnsteadyBothrScale Scale that represents how much the participant has been bothered by feeling unsteady as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling unsteady as part of the Beck Anxiety Inventory (BAI) Unsteady 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:35:20.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21811 Beck Anxiety Inventory (BAI) - Feel choke bother scale BAIFeelChokeBotherScale Scale that represents how much the participant has been bothered by feeling of choking as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling of choking as part of the Beck Anxiety Inventory (BAI) Feeling of choking 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 11:21:23.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21848 Beck Anxiety Inventory (BAI) - Hot cold sweat bother scale BAIHotColdSweatBothrScale Scale that represents how much the participant has been bothered by hot/cold sweats as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by hot/cold sweats as part of the Beck Anxiety Inventory (BAI) Hot/cold sweats 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:10:53.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21868 Beck Anxiety Inventory (BAI) - Wobbliness bother scale BAIWobblinessBothrScale Scale that represents how much the participant has been bothered by wobbliness in the legs as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by wobbliness in the legs as part of the Beck Anxiety Inventory (BAI) Wobbliness in legs 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 10:44:01.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21823 Beck Anxiety Inventory (BAI) - Breathe difficult bother scale BAIBreathDiffcltBothrScale Scale that represents how much the participant has been bothered by difficulty in breathing as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by difficulty in breathing as part of the Beck Anxiety Inventory (BAI) Difficulty in breathing 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 13:10:18.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21850 Beck Anxiety Inventory (BAI) - Indigestion bother scale BAIIndigestionBothrScale Scale that represents how much the participant has been bothered by indigestion as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by indigestion as part of the Beck Anxiety Inventory (BAI) Indigestion 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:16:35.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21824 Beck Anxiety Inventory (BAI) - Dizziness bother scale BAIDizzyBotherScale Scale that represents how much the participant has been bothered by dizziness as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by dizziness as part of the Beck Anxiety Inventory (BAI) Dizzy or lightheaded 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 13:24:22.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21851 Beck Anxiety Inventory (BAI) - Feel nervous bother scale BAIFeelNervousBothrScale Scale that represents how much the participant has been bothered by feeling nervous as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling nervous as part of the Beck Anxiety Inventory (BAI) Nervous 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:32:45.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21825 Beck Anxiety Inventory (BAI) - Face flush bother scale BAIFaceFlushBothrScale Scale that represents how much the participant has been bothered by face flushed as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by face flushed as part of the Beck Anxiety Inventory (BAI) Face flushed 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 13:47:48.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21852 Beck Anxiety Inventory (BAI) - Numbness bother scale BAINumbBothrScale Scale that represents how much the participant has been bothered by numbness as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by numbness as part of the Beck Anxiety Inventory (BAI) Numbness or tingling 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:42:24.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21826 Beck Anxiety Inventory (BAI) - Feel faint lightheaded bother scale BAIFeelFaintLghthdBothrScale Scale that represents how much the participant has been bothered by feeling faint/ lightheaded as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling faint/ lightheaded as part of the Beck Anxiety Inventory (BAI) Faint / lightheaded 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 14:09:04.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21853 Beck Anxiety Inventory (BAI) - Feel scared bother scale BAIFeelScaredBothrScale Scale that represents how much the participant has been bothered by feeling scared as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling scared as part of the Beck Anxiety Inventory (BAI) Scared 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:50:21.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21827 Beck Anxiety Inventory (BAI) - Fear die bother scale BAIFearDieBotherScale Scale that represents how much the participant has been bothered by the fear of dying as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by the fear of dying as part of the Beck Anxiety Inventory (BAI) Fear of dying 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-03 14:19:08.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C21855 Beck Anxiety Inventory (BAI) - Feel shaky bother scale BAIFeelShakyBothrScale Scale that represents how much the participant has been bothered by feeling shaky as part of the Beck Anxiety Inventory (BAI) Scale that represents how much the participant has been bothered by feeling shaky as part of the Beck Anxiety Inventory (BAI) Shaky / unsteady 2;3;1;0 Moderately, it wasn't pleasant at times;Severely, it bothered me a lot;Mildly, but it didn't bother me much;not at all Numeric Values

Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the indicated time period, including today, by selecting the number in the corresponding to your response. Use the ContextType and ContextTypeOTH data elements to specify the time period.

Beck, A.T., & Steer, R.A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation. Adult NeuroRehab Supplemental-Highly Recommended 1.00 2016-06-06 09:55:27.0 Beck Anxiety Inventory (BAI) Emotional Impairment Outcomes and End Points

Single Pre-Defined Value Selected

CSV