CDE Detailed Report

Disease: system
Subdomain Name: Psychiatric and Psychological Status
CRF: system

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
C52316 Child Behavior Checklist (CBCL) - Withdrawn does not get involved scale CBCLWthdrwnDsntGtInvOthScl Scale for whether the child is withdrawn, doesn't give involved with others, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is withdrawn, doesn't give involved with others, as part of the Child Behavior Checklist (CBCL) Withdrawn, doesn't get involved with others 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values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 Supplemental 1.00 2016-12-27 13:11:42.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52029 Child Behavior Checklist (CBCL) - No organization, club, team, or group participation indicator CBCLNoOrgClubTeamGroupInd Indicator that the child does not belong to any organizations, clubs, teams, or group, as part of the Child Behavior Checklist (CBCL) Indicator that the child does not belong to any organizations, clubs, teams, or group, as part of the Child Behavior Checklist (CBCL) Please list any organizations, clubs, teams, or groups your child belongs to. 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. Pediatric Supplemental 1.00 2016-12-20 15:19:33.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52254 Child Behavior Checklist (CBCL) - Nervous movements or twitching description text CBCLNervousMovementTwitchTxt description text of the child's nervous movements or twitches, as part of the Child Behavior Checklist (CBCL) description text of the child's nervous movements or twitches, as part of the Child Behavior Checklist (CBCL) Nervous movements or twitching (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. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 17:13:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points 255

Free-Form Entry

C52095 Child Behavior Checklist (CBCL) - Disobedient at school scale CBCLDisobedientAtSchoolScl Scale for whether the child is disobedient at school, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is disobedient at school, as part of the Child Behavior Checklist (CBCL) Disobedient at school 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 Supplemental 1.00 2016-12-21 16:23:55.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52286 Child Behavior Checklist (CBCL) - Stares blankly scale CBCLStrBlnkScl Scale for whether the child stares blankly, as part of the Child Behavior Checklist (CBCL) Scale for whether the child stares blankly, as part of the Child Behavior Checklist (CBCL) Stares blankly 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 Supplemental 1.00 2016-12-27 10:35:32.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52206 Child Behavior Checklist (CBCL) - Fears going to school scale CBCLFearsGoSchoolScl Scale for whether the child fears going to school, as part of the Child Behavior Checklist (CBCL) Scale for whether the child fears going to school, as part of the Child Behavior Checklist (CBCL) Fears going to school 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 Supplemental 1.00 2016-12-22 14:03:30.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52053 Child Behavior Checklist (CBCL) - Doesn?t eat well scale CBCLNoEatWellScl Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) Doesn't eat well 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. (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 Supplemental 1.00 2016-12-21 11:35:34.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52265 Child Behavior Checklist (CBCL) - Restless hyperactive scale CBCLRestlessHyperactivScl Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) Can't sit still, restless, or hyperactive 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 Supplemental 1.00 2016-12-23 11:09:14.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52119 Child Behavior Checklist (CBCL) - Arithmetic or Math academic standing scale CBCLMathAcademicStandScl Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) Check a box for each subject that child takes: Arithmetic or Math Above Average;Average;Below Average;Failing Above Average;Average;Below Average;Failing 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 Supplemental 1.00 2016-12-22 11:52:41.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52297 Child Behavior Checklist (CBCL) - Talk kill self scale CBCLTlkKillSlfScl Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) Talks about killing self 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 Supplemental 1.00 2016-12-27 11:42:22.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52233 Child Behavior Checklist (CBCL) - Plays with own sex parts in public scale CBCLPlayWthGenitalsInPublicScl Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) Plays with own sex parts in public 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 Supplemental 1.00 2016-12-22 14:43:29.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52244 Child Behavior Checklist (CBCL) - Breaks rules at home, school, or elsewhere scale CBCLBreaksRulesScl Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) Breaks rules at home, school, or elsewhere 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 Supplemental 1.00 2016-12-22 16:16:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52085 Child Behavior Checklist (CBCL) - Fails to finish things they start scale CBCLFailFinishThingStartScl Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) Fails to finish things he/she starts 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. <br />Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-21 12:39:02.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52276 Child Behavior Checklist (CBCL) - Secretive keep thing self scale CBCLScrtvKpThSlfScl Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) Secretive, keeps things to self 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 Supplemental 1.00 2016-12-27 09:06:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52161 Child Behavior Checklist (CBCL) - Nausea feel sick scale CBCLNauseaFeelSickScl Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) Physical problems without known medical cause: Nausea, feels sick 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 Supplemental 1.00 2016-12-22 12:57:12.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52308 Child Behavior Checklist (CBCL) - Unhappy sad depressed scale CBCLUnhppySdDepScl Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) Unhappy, sad, or depressed 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 Supplemental 1.00 2016-12-27 12:32:31.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52317 Child Behavior Checklist (CBCL) - Worry scale CBCLWorryScl Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) Worries 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 Supplemental 1.00 2016-12-27 13:19:50.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

CSV