CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Mood/Anxiety
CRF: NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form

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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
C54507 NIH Toolbox - Loneliness alone apart from others scale NIHToolboxLnlAlnAptFrOtScl Scale related to the individual feeling alone and apart from others, as part of the NIH Toolbox Loneliness Scale related to the individual feeling alone and apart from others, as part of the NIH Toolbox Loneliness I feel alone and apart from others 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 13:33:31.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54509 NIH Toolbox - Loneliness left out scale NIHToolboxLnlLftOutScl Scale related to the individual feeling left out, as part of the NIH Toolbox Loneliness Scale related to the individual feeling left out, as part of the NIH Toolbox Loneliness I feel left out 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 13:33:31.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54511 NIH Toolbox - Loneliness alone scale NIHToolboxLnlAlnScl Scale related to the individual feeling alone, as part of the NIH Toolbox Loneliness Scale related to the individual feeling alone, as part of the NIH Toolbox Loneliness I feel alone 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 13:33:31.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54512 NIH Toolbox - Loneliness lonely scale NIHToolboxLnlLnlyScl Scale related to the individual feeling lonely, as part of the NIH Toolbox Loneliness Scale related to the individual feeling lonely, as part of the NIH Toolbox Loneliness I feel lonely 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 13:33:31.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54515 NIH Toolbox - Loneliness nobody to talk to scale NIHToolboxLnlNbdyToTlkScl Scale related to the individual feeling like they have nobody to talk to, as part of the NIH Toolbox Loneliness Scale related to the individual feeling like they have nobody to talk to, as part of the NIH Toolbox Loneliness I feel that I have nobody to talk to 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 14:31:08.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54517 NIH Toolbox - Loneliness no friends scale NIHToolboxLnlNoFrndScl Scale related to an individual feeling that he/she doesn't have any friends, as part of the NIH Toolbox Loneliness Scale related to an individual feeling that he/she doesn't have any friends, as part of the NIH Toolbox Loneliness I feel that I don't have any friends 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 14:45:56.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54519 NIH Toolbox - Loneliness no one scale NIHToolboxLnlNoOneScl Scale related to an individual feeling like there is no one he/she can go to when he/she needs help, as part of the NIH Toolbox Loneliness Scale related to an individual feeling like there is no one he/she can go to when he/she needs help, as part of the NIH Toolbox Loneliness I feel that there is no one I can go to when I need help 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Pediatric 1.00 2017-03-15 14:50:42.0 NIH Toolbox - Emotional Battery Loneliness (Ages 8-17) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

CSV