CDE Detailed Report
Subdomain Name: Psychiatric and Psychological Status
CRF: welcome
Displaying 1 - 50 of 167
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C52253 | Child Behavior Checklist (CBCL) - Constipated, doesn?t move bowels scale | CBCLConstipatedScl | Scale for whether the child is constipated, doesnt move their bowels, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is constipated, doesnt move their bowels, as part of the Child Behavior Checklist (CBCL) | Constipated, doesn't move bowels | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 17:09:39.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52094 | Child Behavior Checklist (CBCL) - Gets hurt a lot, accident-prone scale | CBCLHurtALotAccidentProneScl | Scale for whether the child gets hurt a lot, is accident-prone, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child gets hurt a lot, is accident-prone, as part of the Child Behavior Checklist (CBCL) | Gets hurt a lot, accident-prone | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-21 16:13:08.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52285 | Child Behavior Checklist (CBCL) - Speech problem scale | CBCLSpchPrblmScl | Scale for whether the child has a speech problem, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child has a speech problem, as part of the Child Behavior Checklist (CBCL) | Speech problem (describe): | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values | Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-27 10:32:44.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52202 | Child Behavior Checklist (CBCL) - Hears sound voice not there scale | CBCLHearSountVoiceNotThereScl | Scale for whether the child hears sound or voices that arenÃâ?Ââ?Ââ½t there, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child hears sound or voices that arent there, as part of the Child Behavior Checklist (CBCL) | Hears sound or voices that aren't there (describe) | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 13:56:33.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52028 | Child Behavior Checklist (CBCL) - Other school subject academic standing scale | CBCLOthrSubjctAcademicStandScl | Scale for how well the child is doing in other subjects, as part of the Child Behavior Checklist (CBCL) | Scale for how well the child is doing in other subjects, as part of the Child Behavior Checklist (CBCL) | Check a box for each subject that child takes: Other | Above Average;Average;Below Average;Failing | Above Average;Average;Below Average;Failing | Numeric Values | Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-20 15:13:07.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52039 | Child Behavior Checklist (CBCL) - Hangs around with others who get in trouble scale | CBCLHangWthOthrsGetInTroublScl | Scale for whether the child hangs around with others who get in trouble, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child hangs around with others who get in trouble, as part of the Child Behavior Checklist (CBCL) | Hangs around with others who get in trouble | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-20 17:02:12.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52264 | Child Behavior Checklist (CBCL) - Repeated a grade indicator | CBCLRepeatedGradeInd | Indicator that the child has repeated any grades, as part of the Child Behavior Checklist (CBCL) | Indicator that the child has repeated any grades, as part of the Child Behavior Checklist (CBCL) | Has your child repeated any grades? (describe) | No;Yes | No;Yes | Alphanumeric | "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-23 11:07:13.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52118 | Child Behavior Checklist (CBCL) - Thought problems syndrome scale total score | CBCLThghtProbSynSclScore | Score for the total number of items answered in the thought problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) | Score for the total number of items answered in the thought problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) | Thought problems syndrome scale total score | Numeric Values |
Sum of Q9,Q18(critical item),Q40(critical item),Q46,Q58,Q59(critical item),Q60,Q66,Q70(critical item),Q76,Q83,Q84,Q85,Q92,Q100 |
Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-22 11:45:26.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Free-Form Entry |
0 | 20 | ||||||||
| C52296 | Child Behavior Checklist (CBCL) - Swear obscene language scale | CBCLSwrObsLngScl | Scale for whether the child swears or uses obscene language, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child swears or uses obscene language, as part of the Child Behavior Checklist (CBCL) | Swearing or obscene language | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-27 11:32:04.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52232 | Child Behavior Checklist (CBCL) - Other problems description text | CBCLOthrProbTxt | description text of the child's other problems not already listed, as part of the Child Behavior Checklist (CBCL) | description text of the child's other problems not already listed, as part of the Child Behavior Checklist (CBCL) | Please write in any problems your hild has that were not listed above: | Alphanumeric |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 14:37:32.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52243 | Child Behavior Checklist (CBCL) - Repeats certain acts over and over, compulsions description text | CBCLRepeatActsCompulsionsTxt | description text of the compulsions or the acts that the child repeats over and over, as part of the Child Behavior Checklist (CBCL) | description text of the compulsions or the acts that the child repeats over and over, as part of the Child Behavior Checklist (CBCL) | Repeats certain acts over and over: | Alphanumeric |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-22 16:02:43.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52084 | Child Behavior Checklist (CBCL) - Academic or other problems in school ended description text | CBCLProbInSchoolEndedDescTxt | description text of when the academic or other problems ended, as part of the Child Behavior Checklist (CBCL) | description text of when the academic or other problems ended, as part of the Child Behavior Checklist (CBCL) | Academic or other problems in school ended description text | Alphanumeric | Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-21 12:15:14.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52275 | Child Behavior Checklist (CBCL) - Scream a lot scale | CBCLScrmAltScl | Scale for whether the child screams a lot, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child screams a lot, as part of the Child Behavior Checklist (CBCL) | Screams a lot | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-23 14:18:59.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52158 | Child Behavior Checklist (CBCL) - Internalizing problems broad band percentile value | CBCLInternalizProbBrdBndPerVal | Percentile value for the total number of items answered in the internalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) | Percentile value for the total number of items answered in the internalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) | Internalizing Problems Broad Band Total Number | Numeric Values | "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 12:53:48.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Free-Form Entry |
0 | 100 | |||||||||
| C52307 | Child Behavior Checklist (CBCL) - Underactive slow moving lack energy scale | CBCLUndrctvSlwMvLckEngScl | Scale for whether the child is underactive, slow moving, or lacks energy, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is underactive, slow moving, or lacks energy, as part of the Child Behavior Checklist (CBCL) | Underactive, slow moving, or lacks energy | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 12:29:18.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52316 | Child Behavior Checklist (CBCL) - Withdrawn does not get involved scale | CBCLWthdrwnDsntGtInvOthScl | Scale for whether the child is withdrawn, doesn't give involved with others, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is withdrawn, doesn't give involved with others, as part of the Child Behavior Checklist (CBCL) | Withdrawn, doesn't get involved with others | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 13:11:42.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52254 | Child Behavior Checklist (CBCL) - Nervous movements or twitching description text | CBCLNervousMovementTwitchTxt | description text of the child's nervous movements or twitches, as part of the Child Behavior Checklist (CBCL) | description text of the child's nervous movements or twitches, as part of the Child Behavior Checklist (CBCL) | Nervous movements or twitching (describe) | Alphanumeric |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 17:13:04.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52095 | Child Behavior Checklist (CBCL) - Disobedient at school scale | CBCLDisobedientAtSchoolScl | Scale for whether the child is disobedient at school, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is disobedient at school, as part of the Child Behavior Checklist (CBCL) | Disobedient at school | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-21 16:23:55.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52286 | Child Behavior Checklist (CBCL) - Stares blankly scale | CBCLStrBlnkScl | Scale for whether the child stares blankly, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child stares blankly, as part of the Child Behavior Checklist (CBCL) | Stares blankly | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-27 10:35:32.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52206 | Child Behavior Checklist (CBCL) - Fears going to school scale | CBCLFearsGoSchoolScl | Scale for whether the child fears going to school, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child fears going to school, as part of the Child Behavior Checklist (CBCL) | Fears going to school | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 14:03:30.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52029 | Child Behavior Checklist (CBCL) - No organization, club, team, or group participation indicator | CBCLNoOrgClubTeamGroupInd | Indicator that the child does not belong to any organizations, clubs, teams, or group, as part of the Child Behavior Checklist (CBCL) | Indicator that the child does not belong to any organizations, clubs, teams, or group, as part of the Child Behavior Checklist (CBCL) | Please list any organizations, clubs, teams, or groups your child belongs to. | No;Yes | No;Yes | Alphanumeric | Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-20 15:19:33.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52053 | Child Behavior Checklist (CBCL) - Doesn?t eat well scale | CBCLNoEatWellScl | Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) | Doesn't eat well | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ | Pediatric | Supplemental | 1.00 | 2016-12-21 11:35:34.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52265 | Child Behavior Checklist (CBCL) - Restless hyperactive scale | CBCLRestlessHyperactivScl | Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) | Can't sit still, restless, or hyperactive | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-23 11:09:14.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52119 | Child Behavior Checklist (CBCL) - Arithmetic or Math academic standing scale | CBCLMathAcademicStandScl | Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) | Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) | Check a box for each subject that child takes: Arithmetic or Math | Above Average;Average;Below Average;Failing | Above Average;Average;Below Average;Failing | Alphanumeric | "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 11:52:41.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52297 | Child Behavior Checklist (CBCL) - Talk kill self scale | CBCLTlkKillSlfScl | Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) | Talks about killing self | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 11:42:22.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52233 | Child Behavior Checklist (CBCL) - Plays with own sex parts in public scale | CBCLPlayWthGenitalsInPublicScl | Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) | Plays with own sex parts in public | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 14:43:29.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52244 | Child Behavior Checklist (CBCL) - Breaks rules at home, school, or elsewhere scale | CBCLBreaksRulesScl | Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) | Breaks rules at home, school, or elsewhere | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 16:16:24.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52085 | Child Behavior Checklist (CBCL) - Fails to finish things they start scale | CBCLFailFinishThingStartScl | Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) | Fails to finish things he/she starts | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. <br />Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-21 12:39:02.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52276 | Child Behavior Checklist (CBCL) - Secretive keep thing self scale | CBCLScrtvKpThSlfScl | Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) | Secretive, keeps things to self | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-27 09:06:24.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52161 | Child Behavior Checklist (CBCL) - Nausea feel sick scale | CBCLNauseaFeelSickScl | Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) | Physical problems without known medical cause: Nausea, feels sick | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 12:57:12.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52308 | Child Behavior Checklist (CBCL) - Unhappy sad depressed scale | CBCLUnhppySdDepScl | Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) | Unhappy, sad, or depressed | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 12:32:31.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52317 | Child Behavior Checklist (CBCL) - Worry scale | CBCLWorryScl | Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) | Worries | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 13:19:50.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52255 | Child Behavior Checklist (CBCL) - Complains of loneliness scale | CBCLComplainOfLonelinessScl | Scale for whether the child complains of loneliness, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child complains of loneliness, as part of the Child Behavior Checklist (CBCL) | Complains of loneliness | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-22 17:16:55.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52096 | Child Behavior Checklist (CBCL) - Rashes or other skin problems scale | CBCLRashSkinProbScl | Scale for whether the child has rashes or other skin problems without known medical cause, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child has rashes or other skin problems without known medical cause, as part of the Child Behavior Checklist (CBCL) | Physical problems without known medical cause: Rashes or other skin problems | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values | Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-21 16:31:13.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
|||||||||
| C52287 | Child Behavior Checklist (CBCL) - Steals at home scale | CBCLStlAtHmeScl | Scale for whether the child steals at home, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child steals at home, as part of the Child Behavior Checklist (CBCL) | Steals at home | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-27 10:38:07.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52209 | Child Behavior Checklist (CBCL) - Aches or pains scale | CBCLAchesPainsScl | Scale for whether the child has aches or pains (not stomach or headaches) without known medical cause, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child has aches or pains (not stomach or headaches) without known medical cause, as part of the Child Behavior Checklist (CBCL) | Physical problems without known medical cause: Aches or pains (not stomach or headaches) | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 14:07:23.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52030 | Child Behavior Checklist (CBCL) - Externalizing problems broad band t-score | CBCLExternalizProbBrdBndTScore | t-score for the total number of items answered in the externalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) | t-score for the total number of items answered in the externalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) | Externalizing problems T-Score | Numeric Values | Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ | Pediatric | Supplemental | 1.00 | 2016-12-20 15:25:05.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Free-Form Entry |
49 | 100 | |||||||||
| C52056 | Child Behavior Checklist (CBCL) - Feels worthless or inferior scale | CBCLFeelsWorthlessScl | Scale for whether the child feels worthless or inferior, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child feels worthless or inferior, as part of the Child Behavior Checklist (CBCL) | Feels worthless or inferior | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. | Pediatric | Supplemental | 1.00 | 2016-12-21 11:40:35.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52266 | Child Behavior Checklist (CBCL) - Demands a lot of attention scale | CBCLDemandALotOfAttentionScl | Scale for whether the child demands a lot of attention, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child demands a lot of attention, as part of the Child Behavior Checklist (CBCL) | Demands a lot of attention | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-23 11:12:42.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52124 | Child Behavior Checklist (CBCL) - Oppositional problems DSM oriented scale score | CBCLOppDefProbDSMSclScore | Score for the total number of items answered in oppositional problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) | Score for the total number of items answered in oppositional problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) | Oppositional problems DSM oriented scale score | Numeric Values |
Sum of Q3,Q22,Q23,Q86,Q95 |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 11:57:25.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C52298 | Child Behavior Checklist (CBCL) - Talk walk sleep scale | CBCLTlkWalkSlpScl | Scale for whether the child talks or walks in his/her sleep, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child talks or walks in his/her sleep, as part of the Child Behavior Checklist (CBCL) | Talks or walks in sleep (describe): | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 11:46:27.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52234 | Child Behavior Checklist (CBCL) - Overeating scale | CBCLOvereatingScl | Scale for whether the child overeats, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child overeats, as part of the Child Behavior Checklist (CBCL) | Overeating | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 14:47:35.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52245 | Child Behavior Checklist (CBCL) - Physically attacks people scale | CBCLPhysicallyAttackPeopleScl | Scale for whether the child physically attacks people, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child physically attacks people, as part of the Child Behavior Checklist (CBCL) | Physically attacks people | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 16:20:27.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52086 | Child Behavior Checklist (CBCL) - Disobedient at home scale | CBCLDisobedientAtHomeScl | Scale for whether the child is disobedient at home, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is disobedient at home, as part of the Child Behavior Checklist (CBCL) | Disobedient at home | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-21 12:54:33.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52277 | Child Behavior Checklist (CBCL) - Sees things not there scale | CBCLSeeThgNotThrScl | Scale for whether the child sees things that aren't there, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child sees things that aren't there, as part of the Child Behavior Checklist (CBCL) | Sees things that aren't there (describe): | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 09:10:20.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52164 | Child Behavior Checklist (CBCL) - Plays with own sex parts too much scale | CBCLPlayWthGenitalsTooMuchScl | Scale for whether the child plays with their own sex parts too much, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child plays with their own sex parts too much, as part of the Child Behavior Checklist (CBCL) | Plays with own sex parts too much | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" | Pediatric | Supplemental | 1.00 | 2016-12-22 12:59:52.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52309 | Child Behavior Checklist (CBCL) - Unusually loud scale | CBCLUnslLdScl | Scale for whether the child is unsually loud, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child is unsually loud, as part of the Child Behavior Checklist (CBCL) | Unusually loud | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | Supplemental | 1.00 | 2016-12-27 12:37:04.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C52031 | Child Behavior Checklist (CBCL) - Affective problems DSM oriented scale score | CBCLAffctProbDSMSclScore | Score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) | Score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) | Affective problems DSM oriented scale score | Numeric Values |
Sum of Q5,Q14,Q18,Q24,Q35,Q52,Q54,Q76,Q77,Q91,Q100,Q102,Q103 |
Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ | Pediatric | Supplemental | 1.00 | 2016-12-20 15:28:31.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Free-Form Entry |
0 | 26 | ||||||||
| C52256 | Child Behavior Checklist (CBCL) - Repeats certain acts over and over, compulsions scale | CBCLRepeatActsCompulsionsScl | Scale for whether the child repeats certain acts over and over, compulsions, as part of the Child Behavior Checklist (CBCL) | Scale for whether the child repeats certain acts over and over, compulsions, as part of the Child Behavior Checklist (CBCL) | Repeats certain acts over and over; compulsions (describe) | 0;1;2 | Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True | Numeric Values |
Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child. |
"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | 1.00 | 2016-12-22 17:19:39.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52100 | Child Behavior Checklist (CBCL) - Reading, English, or Language Arts academic standing scale | CBCLEnglishAcademicStandScl | Scale for how well the child is doing academically in Reading, English, or Language Arts, as part of the Child Behavior Checklist (CBCL) | Scale for how well the child is doing academically in Reading, English, or Language Arts, as part of the Child Behavior Checklist (CBCL) | Check a box for each subject that child takes: Reading, English, or Language Arts | Above Average;Average;Below Average;Failing | Above Average;Average;Below Average;Failing | Alphanumeric | "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." | Pediatric | 1.00 | 2016-12-22 10:24:23.0 | Child Behavior Checklist (CBCL) Problem Behaviors subscale | Psychiatric and Psychological Status | Outcomes and End Points |
Single Pre-Defined Value Selected |
