CDE Detailed Report

Disease: content
Sub-Domain: Psychiatric and Psychological Functions
CRF: welcome

Displaying 1 - 16 of 16
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

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) 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 QUIP Do you think too much about the behaviors below (such as having trouble keeping thoughts out of your mind or feeling guilty)? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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)? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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)? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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)? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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 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.)? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) Indicator of whether the participant spends too much time repeating simple motor activities, 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.)?; No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

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) 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? No;Yes No;Yes 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 3.00 2013-07-22 09:34:41.527 Questionnaire for Impulsive-Compulsive Behaviors in Parkinson's Disease (QUIP) (Long form) Psychiatric and Psychological Functions Outcomes and End Points

Single Pre-Defined Value Selected

CSV