CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Subdomain Name: [php]
CRF: Clinician-Administered PTSD Scale (CAPS)

Displaying 51 - 98 of 98
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
C52150 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Current PTSD Multiple Periods Text CAPSCurrentPTSDMultiPdTxt Description of the current PTSD multiple periods, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Description of the current PTSD multiple periods, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) IF MULTIPLE PERIODS IN THE PAST: When were you bothered the most by these (PTSD SYMPTOMS)? Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:25:38.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 4000

Free-Form Entry

C52167 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - PTSD Criterion B Symptoms Indicator CAPSPTSDCriterionBSxInd Indicator of whether or not the number of PTSD criterion B symptoms is at least 1, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of whether or not the number of PTSD criterion B symptoms is at least 1, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) # Criterion B sx (>=1) No;Yes No;Yes Alphanumeric

For questions from #1 to #17 and from #26 to #30

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:05:19.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52208 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity D5 Scale CAPSIntensityD5Scl Intensity of the event D-5, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Intensity of the event D-5, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How strong were these startle reactions? (How strong were they compared to how most people would respond?) How long did they last? 0;1;2;3;4 No startle reaction;Mild, minimal reaction;Moderate, definite startle reaction, feels ''jumpy'';Severe, marked startle reaction, sustained arousal following initial reaction;Extreme, excessive startle reaction, overt coping behavior (e.g., combat veteran who ''hit the dirt'') Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:06:06.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52123 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Irritated angry frequency CAPSSudnIrritatedAngryFreq Frequency of feeling irritable or angry, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling irritable or angry, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) "(D-2) Have there been times when you felt especially irritable or showed strong feelings of anger? Can you give me some examples? How often in the past month (week)? When did you first start feeling that way? (After the [EVENT]?) " 0;1;2;3;4 Never;Once or twice;Once or twice a week;Several times a week;Daily or almost every day Numeric Values

For frequency, intensity and F+I

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:59:31.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52180 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Survivor guilt frequency CAPSSurvivorGuiltFreq Frequency of feeling guilty about surviving when others did not, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling guilty about surviving when others did not, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 27.Have you felt guilty about surviving (EVENT) when others did not? Tell me more about that. (What do you feel guilty about?) How much of the time have you felt that way in the past month (week)? 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

For frequency, intensity and F+I

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:23:55.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52227 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Distant cut off frequency CAPSDistantCutOffFreq Frequency of feeling distant or cut off from other people, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling distant or cut off from other people, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 10. Have you felt distant or cut off from other people? What was that like? How much of the time in the past month (week) have you felt that way? When did you first start to feel that way? (After the [EVENT]?) 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

How did you respond emotionally? (Were you very anxious or frightened? Horrified? Helpless? How so? Were you stunned or in shock so that you didn't feel anything at all? What was that like? What did other people notice about your emotional response? What about after the event - how did you respond emotionally?)

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:33:41.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52138 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Serious Injury Indicator CAPSSeriousInjuryInd Indicator of serious injury, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of serious injury, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Serious Injury? No;Yes No;Yes Alphanumeric

Criterion E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.; [IF NOT ALREADY CLEAR:] When did you first start having (PTSD SYMPTOMS) you've told me about? (How long after the trauma did they start? More than six months?)

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:13:50.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52194 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Unwanted dreams frequency CAPSUnwatdDrmsFreq Frequency of having unwanted dreams of the event, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of having unwanted dreams of the event, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 2. Have you ever had unpleasant dreams about (EVENT)? Describe a typical dream. (What happens in them?) How often have you had these dreams in the past month (week)? 0;1;2;3;4 Never;Once or twice;Once or twice a week;Several times a week;Daily or almost every day Numeric Values Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:50:48.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52110 Clinician-Administered PTSD Scale for DSM-IV (CAPS) -Total months duration CAPSTotalMonDur Duration of total # months, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Duration of total # months, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Total # months duration Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:23:37.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 Month
C52151 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Alert watchful frequency CAPSAlertWatchflFreq Frequency of being alert or watchful, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of being alert or watchful, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) "16. Have you been especially alert or watchful, even when there was no real need to be? (Have you felt as if you were constantly on guard?) Why is that? How much of the time in the past month (week)? When did you first start acting that way? (After the [EVENT]?)" 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:26:32.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52168 Clinician-Administered PTSD Scale for DSM-IV (CAPS) -Threat To Physical Integrity Indicator CAPSThreatToPhysIntegrityInd Indicator of threat to physical integrity, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of threat to physical integrity, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Threat to physical integrity? No;Yes No;Yes Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:06:04.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52210 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity Associated Feature De-realization Scale CAPSIntensityAFDerealizatnScl Intensity of the associated feature, derealization, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Intensity of the associated feature, derealization, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How strong was (DEREALIZATION)? How long did it last? What did you do while this was happening? (Did other people notice your behavior? What did they say?) 0;1;2;3;4 No derealization;Mild, slight derealization;Moderate, definite but transient derealization;Severe, considerable derealization, marked confusion about what is real, may persist for several hours;Extreme, profound derealization, dramatic loss of sense of reality or familiarity Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:10:27.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52125 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity B4 Scale CAPSIntensityB4Scl Scale of the intensity of the event B-4, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Scale of the intensity of the event B-4, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) "How much distress or discomfort did (REMINDERS) cause you? How long did it last? How much did it interfere with your life?" 0;1;2;3;4 None;Mild,minimal distress, may not have awoken;Moderate, awoke in distress but readily returned to sleep;Severe, considerable distress, difficulty returning to sleep;Extreme, incapacitating distress, did not return to sleep Numeric Values

Criterion F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:00:20.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52181 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - PTSD Criterion F Indicator CAPSPTSDCriterionFInd Indicator of whether or not PTSD criterion F is met (distress/impairment), as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of whether or not PTSD criterion F is met (distress/impairment), as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Criterion F met (distress/impairment)? No;Yes No;Yes Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:24:53.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52228 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Global Severity Scale CAPSGlobalSeverityScl Global ratings of severity, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Global ratings of severity, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) ESTIMATE THE OVERALL SEVERITY OF PTSD SYMPTOMS. CONSIDER DEGREE OF SUBJECTIVE DISTRESS, DEGREE OF FUNCTIONAL IMPAIRMENT, OBSERVATIONS OF BEHAVIORS IN INTERVIEW, AND JUDGMENT REGARDING REPORTING STYLE. 0;1;2;3;4 No clinically significant symptoms, no distress and no functional impairment;Mild, minimal distress or functional impairment;Moderate, definite distress or functional impairment but functions satisfactorily with effort;Severe, considerable distress or functional impairment, limited functioning even with effort;Extreme, marked distress or marked impairment in two or more major areas of functioning Numeric Values

Answered only for current PTSD symptoms

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:35:05.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52139 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Duration of Disturbance Indicator CAPSDurDisturbanceInd Indicator of duration of disturbance, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of duration of disturbance, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) duration of disturbance at least one month 0;1 No;Yes Numeric Values

How did you respond emotionally? (Were you very anxious or frightened? Horrified? Helpless? How so? Were you stunned or in shock so that you didn't feel anything at all? What was that like? What did other people notice about your emotional response? What about after the event -how did you respond emotionally?)

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:14:36.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52195 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity C1 Scale CAPSIntensityC1Scl Scale of the intensity of the event C-1, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Scale of the intensity of the event C-1, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) (C-1)How much effort did you make to avoid (THOUGHTS/FEELINGS/CONVERSATIONS)? (What kinds of things did you do? What about drinking or using medication or street drugs?) [CONSIDER ALL ATTEMPTS AT AVOIDANCE, INCLUDING DISTRACTION, SUPPRESSION, AND USE OF ALCOHOL/DRUGS] How much did that interfere with your life? 0;1;2;3;4 None;Mild, minimal effort, little or no disruption of activities;Moderate, some effort, avoidance definitely present, some disruption of activities;Severe, considerable effort, marked avoidance, marked disruption of activities, or involvement in certain activities as avoidant strategy;Extreme, drastic attempts at avoidance, unable to continue activities, or excessive involvement in certain activities as avoidant strategy Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:51:32.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52111 Clinician-Administered PTSD Scale for DSM-IV (CAPS) -Target Indicator CAPSTargetInd Indicator of who is involved, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of who is involved, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) self/other Self;Other Self;Other Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:24:37.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52153 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Less interested frequency CAPSLessInterestedFreq Frequency of being less interested in activities the subject used to enjoy, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of being less interested in activities the subject used to enjoy, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) "9. Have you been less interested in activities that you used to enjoy? (What kinds of things have you lost interest in? Are there some things you donï?½t do at all anymore? Why is that?) [EXCLUDE IF NO OPPORTUNITY, IF PHYSICALLY UNABLE, OR IF DEVELOPMENTALLY APPROPRIATE CHANGE IN PREFERRED ACTIVITIES] In the past month (week), how many activities have you been less interested in? (What kinds of things do you still enjoy doing?) When did you first start to feel that way? (After the [EVENT]?)" 0;1;2;3;4 None;Few activities (less than 10%);Some activities (approx 20-30%);Many activities(approx 50-60%);Most or all activities (more than 80%) Numeric Values

Global ratings

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:46:44.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52170 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Frequency Plus Intensity Score CAPSFPlusIScore Sum score of frequency and intensity, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Sum score of frequency and intensity, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) F+I Numeric Values

Answered only for current PTSD symptoms

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:07:12.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 8
C52211 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Avoid thoughts feelings frequency CAPSAvdThoutsFeelingsFreq Frequency of avoiding thoughts and feelings about the event, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of avoiding thoughts and feelings about the event, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 6. Have you ever tried to avoid thoughts or feelings about (EVENT)? (What kinds of thoughts or feelings did you try to avoid?) What about trying to avoid talking with other people about it? (Why is that?) How often in the past month (week)? 0;1;2;3;4 Never;Once or twice;Once or twice a week;Several times a week;Daily or almost every day Numeric Values Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:12:36.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52126 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - B or D Subtotals Score CAPSBOrDSubtotalsScore Subtotals of B. Re-experiencing symptoms or D. Hyperarousal symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Subtotals of B. Re-experiencing symptoms or D. Hyperarousal symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) B subtotals; D subtotals Numeric Values

Current PTSD Symptoms: IF CURRENT PTSD CRITERIA ARE MET, SKIP TO ASSOCIATED FEATURES. IF CURRENT CRITERIA ARE NOT MET, ASSESS FOR LIFETIME PTSD. IDENTIFY A PERIOD OF AT LEAST A MONTH SINCE THE TRAUMATIC EVENT IN WHICH SYMPTOMS WERE WORSE.

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:02:33.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 40
C52183 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Criterion Symptoms Number CAPSCritSxNum Number of Criterion symptom, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Number of Criterion symptom, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Number of Criterion B symptoms (need 1); Number of Criterion C symptoms (need 3); Number of Criterion D symptoms (need 2) Numeric Values

F. Significant distress or impairment in functioning, #20, #21, #22

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:25:28.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 10
C19247 Subject ID SubIDNam Subject identification ID Subject identification ID ID Alphanumeric Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2014-06-05 13:10:49.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 255

Free-Form Entry

C52230 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity Associated Feature Survivor Guilt Scale CAPSIntensityAFSurvGuiltScl Intensity of the associated feature, survivor guilt, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Intensity of the associated feature, survivor guilt, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How strong were these feelings of guilt? How much distress or discomfort did they cause? 0;1;2;3;4 No feelings of guilt;Mild, slight feelings of guilt;Moderate, guilt feelings definitely present, some distress but still manageable;Severe, marked feelings of guilt, considerabledistress;Extreme, pervasive feelings of guilt, selfcondemnation regarding behavior, incapacitating distress Numeric Values

Answered for both Current PTSD Symptoms and Lifetime PTSD Symptoms

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:37:23.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52140 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Onset of Symptoms Duration CAPSOnsetSymptomsDur Onset of PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Onset of PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) ________ total # months delay in onset Numeric Values

Answered for both Current PTSD Symptoms and Lifetime PTSD Symptoms

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:16:35.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 Month
C52197 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Early AM Awakening Indicator CAPSEarlyAMAwakeningInd Indicator of early a.m. awakening, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of early a.m. awakening, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Early a.m. awakening? Y;N Yes;No Alphanumeric

For frequency, intensity and F+I

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:53:54.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52112 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Symptom (Sx) Indicator CAPSSxInd Indicator of symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Sx Y;N Yes;No Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:26:53.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52155 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity C6 Scale CAPSIntensityC6Scl Scale of the intensity of the event C-6, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Scale of the intensity of the event C-6, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How much trouble did you have experiencing (EMOTIONS)? (What kinds of feelings were you still able to experience?) [INCLUDE OBSERVATIONS OF RANGE OF AFFECT DURING INTERVIEW] 0;1;2;3;4 No reduction of emotional experience;Mild, slight reduction of emotional experience;Moderate, definite reduction of emotional experience, but still able to experience most emotions;Severe, marked reduction of experience of at least two primary emotions (e.g., love, happiness);Extreme completely lacking emotional experience Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:50:01.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52171 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Outside of the body frequency CAPSOutsideOfTheBodyFreq Frequency of feeling outside of the body, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling outside of the body, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 30. Have there been times when you felt as if you were outside of your body, watching yourself as if you were another person? [IF NO:] (What about times when your body felt strange or unfamiliar to you, as if it had changed in some way?) What was that like? How often has that happened in the past month (week)? [IF NOT CLEAR:] (Was it due to an illness or the effects of drugs or alcohol?) When did you first start feeling that way? (After the [EVENT]?) 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:08:05.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52213 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity C4 Scale CAPSIntensityC4Scl Scale of the intensity of the event C-4, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Scale of the intensity of the event C-4, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How strong was your loss of interest? (Would you enjoy [ACTIVITIES] once you got started?) 0;1;2;3;4 No loss of interest;Mild, slight loss of interest, probably would enjoy after starting activities;Moderate, definite loss of interest, but still has some enjoyment of activities;Severe, marked loss of interest in activities;Extreme, complete loss of interest, no longer participants in any activities Numeric Values

Global rating; only answer for one time frame

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:14:33.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52127 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Subjective Distress Scale CAPSSubjDistrsScl Scale of subjective distress, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Scale of subjective distress, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) [CURRENT] Overall, how much have you been bothered by these (PTSD SYMPTOMS) youï?½ve told me about? [CONSIDER DISTRESS REPORTED ON EARLIER ITEMS];[LIFETIME] Overall, how much were you bothered by these (PTSD SYMPTOMS) youï?½ve told me about? [CONSIDER DISTRESS REPORTED ON EARLIER ITEMS] 0;1;2;3;4 None;Mild,minimal distress, may not have awoken;Moderate, awoke in distress but readily returned to sleep;Severe, considerable distress, difficulty returning to sleep;Extreme, incapacitating distress, did not return to sleep Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:03:19.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52185 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Out of touch frequency CAPSOutOfTouchFreq Frequency of feeling out of touch with things going around the subject, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling out of touch with things going around the subject, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 28.Have there been times when you felt out of touch with things going on around you, like you were in a daze? What was that like? [DISTINGUISH FROM FLASHBACK EPISODES] How often has that happened in the past month (week)? [IF NOT CLEAR:] (Was it due to an illness or the effects of drugs or alcohol?) When did you first start feeling that way? (After the [EVENT]?) 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

ADMINISTER CHECKLIST, THEN REVIEW AND INQUIRE UP TO THREE EVENTS. IF MORE THAN THREE EVENTS ENDORSED, DETERMINE WHICH THREE EVENTS TO INQUIRE (E.G., FIRST, WORST, AND MOST RECENT EVENTS; THREE WORST EVENTS; TRAUMA OF INTEREST PLUS TWO OTHER WORST EVENTS, ETC.)

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:28:03.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed The date of assessment of the examination being performed Date Date or Date & Time Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2014-06-18 08:10:12.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

C52231 Interviewer name InterviewerName The name of the person interviewing the participant/subject The name of the person interviewing the participant/subjec Interviewer Alphanumeric Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:39:34.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 4000

Free-Form Entry

C52142 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Criteria A Met Indicator CAPSCritAMetInd Indicates criteria A was met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicates criteria A was met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Criterion A met? (Criterion A. The person has been exposed to a traumatic event in which both of the following were present: (1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) the person's response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior) No;Yes;Probable No;Yes;Probable Alphanumeric

How did you respond emotionally? (Were you very anxious or frightened? Horrified? Helpless? How so? Were you stunned or in shock so that you didn't feel anything at all? What was that like? What did other people notice about your emotional response? What about after the event -how did you respond emotionally?)

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:17:18.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52199 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Intensity Associated Feature Depersonalization Scale CAPSIntensityAFDepersnaltnScl Intensity of the associated feature, depersonalization, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Intensity of the associated feature, depersonalization, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) How strong was (DEPERSONALIZATION)? How long did it last? What did you do while this was happening? (Did other people notice your behavior? What did they say?) 0;1;2;3;4 No depersonalization;Mild, slight depersonalization;Moderate, definite but transient depersonalization;Severe, considerable depersonalization, marked sense of detachment from self, may persist for several hours;Extreme, profound depersonalization, dramatic sense of detachment from self Numeric Values

Criterion F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:54:54.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52113 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Physical reactions frequency CAPSPhysReactnsFreq Frequency of having physical reactions when the subject was reminded of the event , as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of having physical reactions when the subject was reminded of the event , as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) "5. Have you ever had any physical reactions when something reminded you of (EVENT)? (Did your body ever react in some way when something reminded you of [EVENT]?) Can you give me some examples? (Did your heart race or did your breathing change? What about sweating or feeling really tense or shaky?) What kinds of reminders triggered these reactions? How often in the past month (week)? " 0;1;2;3;4 Never;Once or twice;Once or twice a week;Several times a week;Daily or almost every day Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:28:12.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52157 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Current PTSD Experience Symptom Frequency Text CAPSCurrentPTSDExpSxFreqTxt Description of the current PTSD experience symptom and frequency, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Description of the current PTSD experience symptom and frequency, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) IF AT LEAST ONE PERIOD, INQUIRE ITEMS 1-17, CHANGING FREQUENCY PROMPTS TO REFER TO WORST PERIOD: During that time, did you (EXPERIENCE SYMPTOM)? How often? Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:52:29.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 4000

Free-Form Entry

C52172 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Current PTSD Symptoms Text CAPSCurrentPTSDSxTxt Description of current PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Description of current PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Since the (EVENT), has there been a time when these (PTSD SYMPTOMS) were a lot worse than they have been in the past month? When was that? How long did it last? (At least a month?) Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:08:50.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 4000

Free-Form Entry

C52215 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Sleep Onset Problems Indicator CAPSSleepOnsetProbInd Indicator of sleep onset problems, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of sleep onset problems, PTSD symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Sleep onset problems? 0;1 No;Yes Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 14:17:07.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52129 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - PTSD Criteria Indicator CAPSPTSDCriteriaInd Indicator of whether or not PTSD criteria (A-F) are met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of whether or not PTSD criteria (A-F) are met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) CURRENT PTSD (Criteria A-F met)?; LIFETIME PTSD (Criteria A-F met)?; Present PTSD (Criteria A-F met)? No;Yes No;Yes Alphanumeric

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:04:58.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52186 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Significant Distress or Impairment in Functioning Indicator CAPSSignfctDistrsImprmtFuncInd Indicator of significant distress or impairment in functioning, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of significant distress or impairment in functioning, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) AT LEAST ONE > 2? 0;1 No;Yes Numeric Values

Criterion E. Duration of the disturbance (symptoms in Criteria B, C, and D) is more than 1 month.; [CURRENT]How long have these (PTSD SYMPTOMS) lasted altogether? [LIFETIME] How long did these (PTSD SYMPTOMS) last altogether?

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:38:53.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C21117 Subject name SubjectName Name of subject/participant Name of subject/participan Name Alphanumeric Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2015-06-12 15:16:39.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1] 255

Free-Form Entry

C52143 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - PTSD Criterion A Indicator CAPSPTSDCriterionAInd Indicator of whether or not PTSD criterion A is met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Indicator of whether or not PTSD criterion A is met, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Criterion A met (traumatic event)? No;Yes No;Yes Alphanumeric

Answered for both Current PTSD Symptoms and Lifetime PTSD Symptoms

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:18:48.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52159 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Strong startle reactions frequency CAPSStngStartlReactnsFreq Frequency of having strong startle reactions, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of having strong startle reactions, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 17.Have you had any strong startle reactions? When did that happen? (What kinds of things made you startle?) How often in the past month (week)? When did you first have these reactions? (After the [EVENT]?) 0;1;2;3;4 Never;Once or twice;Once or twice a week;Several times a week;Daily or almost every day Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 12:56:09.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

C52200 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - C Subtotals Score CAPSCSubtotalsScore Subtotals of C. Avoidance and numbing symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Subtotals of C. Avoidance and numbing symptoms, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) C subtotals Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 13:57:13.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Free-Form Entry

0 48
C52115 Clinician-Administered PTSD Scale for DSM-IV (CAPS) - Emotionally numb frequency CAPSEmotionallyNumbFreq Frequency of feeling emotionally numb, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) Frequency of feeling emotionally numb, as part of Clinician-Administered PTSD Scale for DSM-IV (CAPS) 11. Have there been times when you felt emotionally numb or had trouble experiencing feelings like love or happiness? What was that like? (What feelings did you have trouble experiencing?) How much of the time in the past month (week) have you felt that way? When did you first start having trouble experiencing (EMOTIONS)? (After the [EVENT]?) Have there been times when you felt there is no need to plan for the future, that somehow your future will be cut short? Why is that? [RULE OUT REALISTIC RISKS SUCH AS LIFETHREATENING MEDICAL CONDITIONS] How much of the time in the past month (week) have you felt that way? When did you first start to feel that way? (After the [EVENT]?) 0;1;2;3;4 None of the time;Very little of the time (less than 10%);Some of the time (approx 20-30%);Much of the time(approx 50-60%);Most or all of the time (more than 80%) Numeric Values

"For the rest of the interview, I want you to keep (EVENTS) in mind as I ask you some questions about how they may have affected you. I'm going to ask you about twenty-five questions altogether. Most of them have two parts. First, I'll ask if you've ever had a particular problem, and if so, about how often in the past month (week). Then I'll ask you how much distress or discomfort that problem may have caused you.recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions./ Criterion B. The traumatic event is persistently reexperienced in one (or more) of the following ways:B-1, B-2,B-3, B-4, B-5/ Criterion C. Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: C-1, C-2, C-3, C-4, C-5, C-6, C-7/ Criterion D. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two (or more) of the following: D-1, D-2, D-3, D-4, D-5"

Blake, Dudley D., Weathers, Frank W., Nagy, Linda M., Kaloupek, Danny G., Charney, Dennis S., Keane, Terence M.:"Clinician-Administered PTSD Scale for DSM-IV (1998 revision)" Adult;Pediatric Exploratory 1.00 2016-12-22 11:30:01.0 Clinician-Administered PTSD Scale (CAPS) [php] [php_1]

Single Pre-Defined Value Selected

CSV