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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: Post-concussive/TBI-Related Symptoms
CRF: Neurobehavioral Symptom Inventory (NSI)
Item count: 26 (26 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C07324
Neurobehavioral Symptom Inventory (NSI) - Dizzy score
NSIDizScore
Score of subject's dizziness, as part of the Neurobehavioral Symptom Inventory (NSI)
Feeling Dizzy
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q1
 
Single Pre-Defined Value Selected
       
C07325
Neurobehavioral Symptom Inventory (NSI) - Balance impairment score
NSIBalncImprmntScore
Score of subject's loss of balance, as part of the Neurobehavioral Symptom Inventory (NSI)
Loss of balance
0;1;2;3;4;
None - rarely if ever present, not a problem at all;Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q2
 
Single Pre-Defined Value Selected
       
C07326
Neurobehavioral Symptom Inventory (NSI) - Coordination impairment score
NSICoordntnImprmntScore
Score of subject's coordination impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Poor coordination clumsy
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q3
 
Single Pre-Defined Value Selected
       
C07327
Neurobehavioral Symptom Inventory (NSI) - Headaches score
NSIHdcheScore
Score of subject's headache, as part of the Neurobehavioral Symptom Inventory (NSI)
Headaches
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q4
 
Single Pre-Defined Value Selected
       
C07328
Neurobehavioral Symptom Inventory (NSI) - Nausea score
NSINausScore
Score of subject's nausea, as part of the Neurobehavioral Symptom Inventory (NSI)
Nausea
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q5
 
Single Pre-Defined Value Selected
       
C07329
Neurobehavioral Symptom Inventory (NSI) - Vision impairment score
NSIVisnImprmntScore
Score of subject's vision impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Vision problem blurring troubling seeing
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q6
 
Single Pre-Defined Value Selected
       
C07330
Neurobehavioral Symptom Inventory (NSI) - Sensitive light score
NSISenstvLgtScore
Score of subject's sensitivity to light, as part of the Neurobehavioral Symptom Inventory (NSI)
Sensitivity to light
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with regard to how much they have disturbed you IN THE LAST 2 Weeks. The purpose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q7
 
Single Pre-Defined Value Selected
       
C07331
Neurobehavioral Symptom Inventory (NSI) - Hearing impairment score
NSIHearngImprmntScore
Score of subject's hearing impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Hearing difficulty
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q8
 
Single Pre-Defined Value Selected
       
C07332
Neurobehavioral Symptom Inventory (NSI) - Sensitive noise score
NSiSenstvNoisScore
Score of subject's sensitivity to noise, as part of the Neurobehavioral Symptom Inventory (NSI)
Sensitivity to noise
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q9
 
Single Pre-Defined Value Selected
       
C07333
Neurobehavioral Symptom Inventory (NSI) - Numbness impairment score
NSINumbnssImprmntScore
Score of subject's numbness or tingling on parts of the body, as part of the Neurobehavioral Symptom Inventory (NSI)
Numbness or tingling on parts of my body
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q10
 
Single Pre-Defined Value Selected
       
C07334
Neurobehavioral Symptom Inventory (NSI) - Taste impairment score
NSITastImprmntScore
Score of subject's taste impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Change in taste and or smell
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q11
 
Single Pre-Defined Value Selected
       
C07335
Neurobehavioral Symptom Inventory (NSI) - Appetite impairment score
NSIApptitImprmntScore
Score of subject's appetite impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Loss of appetite or increased appetite
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q12
 
Single Pre-Defined Value Selected
       
C07336
Neurobehavioral Symptom Inventory (NSI) - Concentration impairment score
NSIConctrtnImprmntScore
Score of subject's concentration impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Poor concentration cant pay attention easily distracted
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q13
 
Single Pre-Defined Value Selected
       
C07337
Neurobehavioral Symptom Inventory (NSI) - Memory impairment score
NSIMmryImprmntScore
Score of subject's memory impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Forgetfulness cant remember things
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q14
 
Single Pre-Defined Value Selected
       
C07338
Neurobehavioral Symptom Inventory (NSI) - Decision impairment score
NSIDecsnImprmntScore
Score of subject's indecisiveness, as part of the Neurobehavioral Symptom Inventory (NSI)
Difficulty making decisions
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q15
 
Single Pre-Defined Value Selected
       
C07339
Neurobehavioral Symptom Inventory (NSI) - Slow thinking impairment score
NSISlwThnkngImprmntScore
Score of subject's slow thinking impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Slowed thinking difficulty getting organized cant finish things
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q16
 
Single Pre-Defined Value Selected
       
C07340
Neurobehavioral Symptom Inventory (NSI) - Fatigue impairment score
NSIFatigImprmntScore
Score of subject's fatigue, loss of energy and getting tired easily, as part of the Neurobehavioral Symptom Inventory (NSI)
Fatigue loss of energy getting tired easily
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q17
 
Single Pre-Defined Value Selected
       
C07341
Neurobehavioral Symptom Inventory (NSI) - Sleep impairment score
NSISlpImprmntScore
Score of subject's sleep impairment, as part of the Neurobehavioral Symptom Inventory (NSI)
Difficulty falling or staying asleep
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q18
 
Single Pre-Defined Value Selected
       
C07342
Neurobehavioral Symptom Inventory (NSI) - Anxiety impairment score
NSIAnxtyImprmntScore
Score of subject's anxiety , as part of the Neurobehavioral Symptom Inventory (NSI)
Feeling anxious or tense
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q19
 
Single Pre-Defined Value Selected
       
C07343
Neurobehavioral Symptom Inventory (NSI) - Depression impairment score
NSIDeprsnImprmntScore
Score of subject's depression , as part of the Neurobehavioral Symptom Inventory (NSI)
Feeling depressed or sad
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q20
 
Single Pre-Defined Value Selected
       
C07344
Neurobehavioral Symptom Inventory (NSI) - Irritability impairment score
NSIIrrabltyImprmntScore
Score of subject's irritability, as part of the Neurobehavioral Symptom Inventory (NSI)
Irritability easily annoyed
0;1;2;3;4;
0= None - rarely if ever present, not a problem at all;1= Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;2= Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;3= Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;4= Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
See the instructions on the form
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q21
 
Single Pre-Defined Value Selected
       
C07345
Neurobehavioral Symptom Inventory (NSI) - Frustration impairment score
NSIFrustrtnImprmntScore
Score of subject's frustration tolerance, as part of the Neurobehavioral Symptom Inventory (NSI)
Poor frustration tolerance feeling easily overwhelmed by things
0;1;2;3;4;
None - rarely if ever present, not a problem at all;Mild - occasionally present, but it does not disrupt activities, I can usually continue what I’m doing, doesn’t really concern me;Moderate - Often present, occasionally disrupts my activities, I can usually continue what I’m doing with some effort, I feel somewhat concerned;Severe - Frequently present and disrupts activities, I can only do things that are fairly simple or take little effort, I feel like I need help;Very severe - Almost always present and I have been unable to perform at work, school or home due to this problem, I probably cannot function without help;
Numeric Values
Please rate the following symptoms with refard to how much they have DISTURBED you IN THE LAST 2 Weeks. The prupose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Q22
 
Single Pre-Defined Value Selected
       
C07350
Neurobehavioral Symptom Inventory (NSI) - Total score
NSITotalScore
Total Score for the Neurobehavioral Symptom Inventory (NSI) (0-88)
   
Numeric Values
Please rate the following symptoms with refard to how much they have DISTURBED you IN THE LAST 2 Weeks. The prupose of this inventory is to track symptoms over time. Please do not attempt to score.
Cicerone, K.D., and Kalmar, K. (1995). Persistent Postconcussion Syndrome: The Structure of Subjective Complaints after Mild Traumatic Brain Injury. Journal of Head Trauma Rehabilitation 10(3) 1-17.
Adult
Supplemental
3.0
7/19/2013
NSITotalScore
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
NSI Total score
 
Free-Form Entry
0
88
     
C18490
Neurobehavioral Symptom Inventory (NSI) - Form completion date
NSIFrmCompltDate
Date of form completion, as part of the Neurobehavioral Symptom Inventory (NSI)
Date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39.
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
  
Free-Form Entry
       
C18489
Neurobehavioral Symptom Inventory (NSI) - Form completion name
NSIFrmCompltNm
Name of the person who completed the form, as part of the Neurobehavioral Symptom Inventory (NSI)
Name
  
Alphanumeric
Please rate the following symptoms with refard to how much they have DISTURBED you IN THE LAST 2 Weeks. The prupose of this inventory is to track symptoms over time. Please do not attempt to score.
Kay, S., Wolkenfeld, F., and Murrill, L. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. J Nerv Ment Dis 176(9), 539-546. Yudofsky, S., Silver, J., Jackson, W., Endicott, J., and Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 143(1), 35-39.
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Neurobehavioral Symptom Inventory (NSI)
Post-concussive/TBI-Related Symptoms
Outcomes and End Points
 
255
Free-Form Entry
       
06-16-2019
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