CDE Detailed Report

Disease: system
Subdomain Name: Psychiatric and Psychological Status
CRF: files

Displaying 151 - 167 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
C52295 Child Behavior Checklist (CBCL) - Suspicious scale CBCLSuspcsScl Scale for whether the child is suspicious, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is suspicious, as part of the Child Behavior Checklist (CBCL) Suspicious 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 11:27:52.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52306 Child Behavior Checklist (CBCL) - Truancy skips school scale CBCLTrncySkpSchlScl Scale for whether the child displays truancy, or skips school, as part of the Child Behavior Checklist (CBCL) Scale for whether the child displays truancy, or skips school, as part of the Child Behavior Checklist (CBCL) Truancy, skips 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 2016-12-27 12:25:56.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52242 Child Behavior Checklist (CBCL) - Gets teased a lot scale CBCLGetsTeasedALotScl Scale for whether the child gets teased a lot, as part of the Child Behavior Checklist (CBCL) Scale for whether the child gets teased a lot, as part of the Child Behavior Checklist (CBCL) Gets teased 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." Pediatric Supplemental 1.00 2016-12-22 15:56:36.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52079 Child Behavior Checklist (CBCL) - Pick nose skin other parts body scale CBCLPickNoseSkinBodyScl Scale for whether the child picks their nose, skin, or other parts of body, as part of the Child Behavior Checklist (CBCL) Scale for whether the child picks their nose, skin, or other parts of body, as part of the Child Behavior Checklist (CBCL) Picks nose, skin, or other parts of body (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. <br />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 12:10:58.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52274 Child Behavior Checklist (CBCL) - Run away from home scale CBCLRunAwayFmHmeScl Scale for whether the child has run away from home, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has run away from home, as part of the Child Behavior Checklist (CBCL) Runs away from 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 2016-12-23 14:14:44.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52156 Child Behavior Checklist (CBCL) - Internalizing problems broad band t-score CBCLInternalizProbBrdBndTScore t-score for the total number of items answered in the internalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) t-score 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 T-Score 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 12:50:12.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Free-Form Entry

49 100
C52312 Child Behavior Checklist (CBCL) - Wets self during day scale CBCLWtSlfDrDyScl Scale for whether the child wets his/her self during the day, as part of the Child Behavior Checklist (CBCL) Scale for whether the child wets his/her self during the day, as part of the Child Behavior Checklist (CBCL) Wets self during the day 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 12:53:44.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

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

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

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

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

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

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

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

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

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

CSV