CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Behavioral Function
CRF: Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6

Displaying 151 - 167 of 167
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C52271 Child Behavior Checklist (CBCL) - Refuses to talk scale CBCLRefuseToTalkScl Scale for whether the child refuses to talk, as part of the Child Behavior Checklist (CBCL) Scale for whether the child refuses to talk, as part of the Child Behavior Checklist (CBCL) Refuses to talk 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-23 11:35:43.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52282 Child Behavior Checklist (CBCL) - Too shy timid scale CBCLTooShyTmdScl Scale for whether the child is too shy or timid, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is too shy or timid, as part of the Child Behavior Checklist (CBCL) Too shy or timid 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-27 10:06:29.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52192 Child Behavior Checklist (CBCL) - Cruelty, bullying, or meanness to others scale CBCLCrueltyBullyMeanToOthrsScl Scale for whether the child displays cruelty, bullying, or meanness to others, as part of the Child Behavior Checklist (CBCL) Scale for whether the child displays cruelty, bullying, or meanness to others, as part of the Child Behavior Checklist (CBCL) Cruelty, bullying, or meanness to others 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-22 13:41:56.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52025 Child Behavior Checklist (CBCL) - Somatic complaints syndrome scale t-score CBCLSomComplSynSclTScore t-score for the total number of items answered in the somatic problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) t-score for the total number of items answered in the somatic problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) T-Score Numeric Values Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Exploratory 1.00 2016-12-20 15:00:38.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Free-Form Entry

49 100
C52250 Child Behavior Checklist (CBCL) - Feels or complains that no one loves them scale CBCLComplainNoOneLoveThemScl Scale for whether the child feels or complains that no one loves them, as part of the Child Behavior Checklist (CBCL) Scale for whether the child feels or complains that no one loves them, as part of the Child Behavior Checklist (CBCL) Feels or complains that no one loves him/her 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-22 16:57:52.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52091 Child Behavior Checklist (CBCL) - Prefers being with older kids scale CBCLPreferBeWithOlderKidsScl Scale for whether the child prefers being with older kids, as part of the Child Behavior Checklist (CBCL) Scale for whether the child prefers being with older kids, as part of the Child Behavior Checklist (CBCL) Prefers being with older kids 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-21 16:00:59.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52293 Child Behavior Checklist (CBCL) - Sudden changes mood feelings scale CBCLSuddnChngMdFlngScl Scale for whether the child has sudden changes in mood or feelings, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has sudden changes in mood or feelings, as part of the Child Behavior Checklist (CBCL) Sudden changes in mood or feelings 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-27 11:01:01.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52222 Child Behavior Checklist (CBCL) - Destroys their own things scale CBCLDestroysOwnThingsScl Scale for whether the child destroys their own things, as part of the Child Behavior Checklist (CBCL) Scale for whether the child destroys their own things, as part of the Child Behavior Checklist (CBCL) Destroys his/her own things 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-22 14:29:41.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52036 Child Behavior Checklist (CBCL) - Affective problems DSM oriented scale t-score CBCLAffctProbDSMSclTScore t-score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) t-score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Affective problems DSM Oriented T-Score Numeric Values <br />Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/ Pediatric Exploratory 1.00 2016-12-20 16:01:51.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Free-Form Entry

49 100
C52261 Child Behavior Checklist (CBCL) - Feels others are out to get them scale CBCLFeelOthrsOutToGetThemScl Scale for whether the child feels others are out to get them, as part of the Child Behavior Checklist (CBCL) Scale for whether the child feels others are out to get them, as part of the Child Behavior Checklist (CBCL) Feels others are out to get him/her 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-23 10:52:32.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52105 Child Behavior Checklist (CBCL) - No favorite hobbies, activities, or games indicator CBCLNoFavHobbyActGameInd Indicator that the child does not have favorite hobbies, activities, and games, other than sports, as part of the Child Behavior Checklist (CBCL) Indicator that the child does not have favorite hobbies, activities, and games, other than sports, as part of the Child Behavior Checklist (CBCL) Please list your child's favorite hobbies, activities, and games, other than sports. No;Yes No;Yes Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-22 10:59:59.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52152 Child Behavior Checklist (CBCL) - Attention deficit/hyperactivity problems DSM oriented scale percentile value CBCLADHDProbDSMSclPerVal Percentile value for the total number of items answered in somatic problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Percentile value for the total number of items answered in somatic problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Somatic DSM problems total number Numeric Values "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-22 12:29:00.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Free-Form Entry

0 100
C52304 Child Behavior Checklist (CBCL) - Thumb-sucking scale CBCLThmbSckngScl Scale for whether the child is thumb-sucking, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is thumb-sucking, as part of the Child Behavior Checklist (CBCL) Thumb-sucking 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-27 12:15:17.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52313 Child Behavior Checklist (CBCL) - Wet bed scale CBCLWetBedScl Scale for whether the child , as part of the Child Behavior Checklist (CBCL) Scale for whether the child wets the bed, as part of the Child Behavior Checklist (CBCL) Wets the bed 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-27 12:59:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52240 Child Behavior Checklist (CBCL) - Gets in many fights scale CBCLGetsInManyFightsScl Scale for whether the child gets in many fights, as part of the Child Behavior Checklist (CBCL) Scale for whether the child gets in many fights, as part of the Child Behavior Checklist (CBCL) Gets in many fights 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-22 15:50:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52073 Child Behavior Checklist (CBCL) - Academic or other problems in school ended indicator CBCLProbInSchoolEndedInd Indicator that the academic or other problems have ended, as part of the Child Behavior Checklist (CBCL) Indicator that the academic or other problems have ended, as part of the Child Behavior Checklist (CBCL) Have these problems ended? (describe) No;Yes No;Yes Alphanumeric <br />Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Exploratory 1.00 2016-12-21 12:00:42.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52272 Child Behavior Checklist (CBCL) - Other physical problems without known medical cause description text CBCLOthrPhysicalProbTxt description text of the child's other physical problems without known medical cause, as part of the Child Behavior Checklist (CBCL) description text of the child's other physical problems without known medical cause, as part of the Child Behavior Checklist (CBCL) Other (describe): Alphanumeric

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Exploratory 1.00 2016-12-23 11:37:53.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points 4000

Free-Form Entry

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