CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Mood/Anxiety
CRF: PTSD Checklist - Civilian (PCL-C)

Displaying 1 - 18 of 18
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
C07389 PTSD Checklist Civilian (PCL-C) - Difficulty concentrating indicator PCLCDiffcltyConcntrtngInd Indicator of whether the subject experiences having difficulty concentrating, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences having difficulty concentrating, as part of PTSD Checklist Civilian (PCL-C Having difficulty concentrating? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07379 PTSD Checklist Civilian (PCL-C) - Physical reaction indicator PCLCPhyclRxnInd Indicator of whether the subject experiences having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Alphanumeric

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07390 PTSD Checklist Civilian (PCL-C) - Super alert indicator PCLCSuprAlrtInd Indicator of whether the subject experiences being "super-alert" or watchful or on guard, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences being "super-alert" or watchful or on guard, as part of PTSD Checklist Civilian (PCL-C Being "super-alert" or watchful or on guard? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07380 PTSD Checklist Civilian (PCL-C) - Thinking about indicator PCLCThnkngAbtInd Indicator of whether the subject experiences avoiding thinking about or talking about a stressful experience from the past or avoiding having feelings related to it, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences avoiding thinking about or talking about a stressful experience from the past or avoiding having feelings related to it, as part of PTSD Checklist Civilian (PCL-C Avoiding thinking about or talking about a stressful experience from the past or avoiding having feelings related to it? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07391 PTSD Checklist Civilian (PCL-C) - Jumpy indicator PCLCJumpyInd Indicator of whether the subject experiences feeling jumpy or easily startled, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling jumpy or easily startled, as part of PTSD Checklist Civilian (PCL-C Feeling jumpy or easily startled? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07381 PTSD Checklist Civilian (PCL-C) - Activities indicator PCLCActvtsInd Indicator of whether the subject experiences avoiding activities or situations because they reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences avoiding activities or situations because they reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Avoiding activities or situations because they reminded you of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07426 PTSD Checklist Civilian (PCL-C) - Total score PCLCTotlScore A total score (range 17-85) can be obtained by summing the scores from each of the 17 items, as part of PTSD Checklist Civilian (PCL-C) A total score (range 17-85) can be obtained by summing the scores from each of the 17 items, as part of PTSD Checklist Civilian (PCL-C A total score (range 17-85) can be obtained by summing the scores from each of the 17 items. Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Free-Form Entry

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C07382 PTSD Checklist Civilian (PCL-C) - Remember important part indicator PCLCRmmbrImprtntPartInd Indicator of whether the subject experiences trouble remembering important parts of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences trouble remembering important parts of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Trouble remembering important parts of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07383 PTSD Checklist Civilian (PCL-C) - Loss interest indicator PCLCLossIntrstInd Indicator of whether the subject experiences loss of interest in activities that you used to enjoy, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences loss of interest in activities that you used to enjoy, as part of PTSD Checklist Civilian (PCL-C Loss of interest in activities that you used to enjoy? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07384 PTSD Checklist Civilian (PCL-C) - Distant indicator PCLCDistntInd Indicator of whether the subject experiences feeling distant or cut off from other people, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling distant or cut off from other people, as part of PTSD Checklist Civilian (PCL-C Feeling distant or cut off from other people? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07385 PTSD Checklist Civilian (PCL-C) - Emotionally numb indicator PCLCEmtnllyNumbInd Indicator of whether the subject experiences feeling emotionally numb or being unable to have loving feelings for those close to you, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling emotionally numb or being unable to have loving feelings for those close to you, as part of PTSD Checklist Civilian (PCL-C Feeling emotionally numb or being unable to have loving feelings for those close to you? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07375 PTSD Checklist Civilian (PCL-C) - Memories indicator PCLCMrmrsInd Indicator of whether the subject experiences repeated, disturbing memories, thoughts, or images of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences repeated, disturbing memories, thoughts, or images of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Alphanumeric

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07386 PTSD Checklist Civilian (PCL-C) - Future indicator PCLCFutrInd Indicator of whether the subject experiences feeling as if your future will somehow be cut short, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling as if your future will somehow be cut short, as part of PTSD Checklist Civilian (PCL-C Feeling as if your future will somehow be cut short? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07376 PTSD Checklist Civilian (PCL-C) - Dream indicator PCLCDrmInd Indicator of whether the subject experiences repeated, disturbing dreams of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences repeated, disturbing dreams of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Repeated, disturbing dreams of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Alphanumeric

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07387 PTSD Checklist Civilian (PCL-C) - Falling asleep indicator PCLCFallngAslpInd Indicator of whether the subject experiences trouble falling or staying asleep, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences trouble falling or staying asleep, as part of PTSD Checklist Civilian (PCL-C Trouble falling or staying asleep? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07377 PTSD Checklist Civilian (PCL-C) - Act indicator PCLCActInd Indicator of whether the subject experiences suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it), as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it), as part of PTSD Checklist Civilian (PCL-C Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Alphanumeric

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07388 PTSD Checklist Civilian (PCL-C) - Irritable indicator PCLCIrrtblInd Indicator of whether the subject experiences feeling irritable or having angry outbursts, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling irritable or having angry outbursts, as part of PTSD Checklist Civilian (PCL-C Feeling irritable or having angry outbursts? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Numeric Values

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C07378 PTSD Checklist Civilian (PCL-C) - Very Upset indicator PCLCUpstInd Indicator of whether the subject experiences feeling very upset when something reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C) Indicator of whether the subject experiences feeling very upset when something reminded you of a stressful experience from the past, as part of PTSD Checklist Civilian (PCL-C Feeling very upset when something reminded you of a stressful experience from the past? 0;1;2;3;4 0-Not at all;1-A little bit;2-Moderately;3-Quite a bit;4-Extremely Alphanumeric

Read each problem and/or complaint carefully, then choose only one of the numbers to indicate how much you have been bothered by that problem/complaint in the past month. Recommend collection at least at end of inititial medical care.

Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (October 1993). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Public domain available from: www.ncptsd.va.gov/ncmain/ncdocs/assmnts/ptsd_checklist_pcl.html Adult Exploratory 3.00 2013-07-20 10:21:25.65 PTSD Checklist - Civilian (PCL-C) Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

CSV