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
C52251 Child Behavior Checklist (CBCL) - Poor school work scale CBCLPoorSchoolWorkScl Scale for whether the child does poor school work, as part of the Child Behavior Checklist (CBCL) Scale for whether the child does poor school work, as part of the Child Behavior Checklist (CBCL) Poor school work 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 17:00:09.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52092 Child Behavior Checklist (CBCL) - Confused or seems to be in a fog scale CBCLConfusedInAFogScl Scale for whether the child is confused or seems to be in a fog, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is confused or seems to be in a fog, as part of the Child Behavior Checklist (CBCL) Confused or seems to be in a fog 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 16:06:05.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52294 Child Behavior Checklist (CBCL) - Sulks a lot scale CBCLSulkALotScl Scale for whether the child sulks a lot, as part of the Child Behavior Checklist (CBCL) Scale for whether the child sulks a lot, as part of the Child Behavior Checklist (CBCL) Sulks a lot 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 11:24:34.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52226 Child Behavior Checklist (CBCL) - Academic or other problems in school description text CBCLProbInSchoolDescTxt description text of the academic or other problems the child has in school, as part of the Child Behavior Checklist (CBCL) description text of the academic or other problems the child has in school, as part of the Child Behavior Checklist (CBCL) Academic or other problems in school description text 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 14:31:46.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points 255

Free-Form Entry

C52037 Child Behavior Checklist (CBCL) - Headaches scale CBCLHeadachesScl Scale for whether the child Physical problems without known medical cause: Headaches, as part of the Child Behavior Checklist (CBCL) Scale for whether the child Physical problems without known medical cause: Headaches, as part of the Child Behavior Checklist (CBCL) Physical problems without known medical cause: Headaches 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. Pediatric Exploratory 1.00 2016-12-20 16:32:50.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52262 Child Behavior Checklist (CBCL) - Doesn?t seem to feel guilty after misbehaving scale CBCLNoGuiltyAfterMisbehavScl Scale for whether the child doesnt seem to feel guilty after misbehaving, as part of the Child Behavior Checklist (CBCL) Scale for whether the child doesnt seem to feel guilty after misbehaving, as part of the Child Behavior Checklist (CBCL) Doesn't seem to feel guilty after misbehaving 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 2016-12-23 10:57:25.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52106 Child Behavior Checklist (CBCL) - Inattentive or easily distracted scale CBCLInattentiveScl Scale for whether the child is inattentive or easily distracted, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is inattentive or easily distracted, as part of the Child Behavior Checklist (CBCL) Inattentive or easily distracted 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 11:04:25.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52154 Child Behavior Checklist (CBCL) - Feels dizzy or lightheaded scale CBCLFeelDizzyLightheadedScl Scale for whether the child feels dizzy or lightheaded, as part of the Child Behavior Checklist (CBCL) Scale for whether the child feels dizzy or lightheaded, as part of the Child Behavior Checklist (CBCL) Feels dizzy or lightheaded 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 12:46:56.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52305 Child Behavior Checklist (CBCL) - Smoke chew sniff tobacco scale CBCLSmkeChwSnffTobScl Scale for whether the childsmokes, chews, or sniffs tobacco, as part of the Child Behavior Checklist (CBCL) Scale for whether the childsmokes, chews, or sniffs tobacco, as part of the Child Behavior Checklist (CBCL) Smokes, chews or sniffs tobacco 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 12:21:01.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52241 Child Behavior Checklist (CBCL) - Other problems scale CBCLOthrProbScl Scale for whether the child has any other problems not already listed, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has any other problems not already listed, as part of the Child Behavior Checklist (CBCL) Please write in any problems your child has that were not listed above (describe) 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 15:52:33.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52075 Child Behavior Checklist (CBCL) - Drinks alcohol without parents approval description text CBCLDrinkAlcNoParentApprovTxt description text of the child drinking alcohol without parents' approval, as part of the Child Behavior Checklist (CBCL) description text of the child drinking alcohol without parents' approval, as part of the Child Behavior Checklist (CBCL) Drinks alcohol without parents' approval;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. Pediatric Exploratory 1.00 2016-12-21 12:07:18.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points 255

Free-Form Entry

C52273 Child Behavior Checklist (CBCL) - Overtired without good reason scale CBCLOvertiredNoGoodReasonScl Scale for whether the child gets overtired without good reason, as part of the Child Behavior Checklist (CBCL) Scale for whether the child gets overtired without good reason, as part of the Child Behavior Checklist (CBCL) Overtired without good reason 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. http://www.aseba.org/" Pediatric Exploratory 1.00 2016-12-23 11:40:37.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52284 Child Behavior Checklist (CBCL) - Sleep more than most kids scale CBCLSlpMrThnMstKdScl Scale for whether the child sleeps more than most kids during day and/or night, as part of the Child Behavior Checklist (CBCL) Scale for whether the child sleeps more than most kids during day and/or night, as part of the Child Behavior Checklist (CBCL) Sleeps more than most kids during day and/or night (describe): 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 10:19:39.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52198 Child Behavior Checklist (CBCL) - Deliberately harms self or attempts suicide scale CBCLHarmSelfAttemptSuicideScl Scale for whether the child deliberately harms themselves or attempts suicide, as part of the Child Behavior Checklist (CBCL) Scale for whether the child deliberately harms themselves or attempts suicide, as part of the Child Behavior Checklist (CBCL) Deliberately harms self or attempts suicide 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 13:54:03.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52027 Child Behavior Checklist (CBCL) - Attention problems syndrome scale t-score CBCLAttnProbSynSclTScore t-score for the total number of items answered in the attention problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) t-score for the total number of items answered in the attention problems syndrome scale, as a part of the Child Behavior Checklist (CBCL) Attention Problems Syndrome Scale 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 15:08:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Free-Form Entry

49 100
C52252 Child Behavior Checklist (CBCL) - Obsessions scale CBCLObsessionsScl Scale for whether the child can't get their mind off certain thoughts, obsessions, as part of the Child Behavior Checklist (CBCL) Scale for whether the child can't get their mind off certain thoughts, obsessions, as part of the Child Behavior Checklist (CBCL) Can't get his/her mind off certain thoughts; obsessions (describe) 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values Pediatric Exploratory 1.00 2016-12-22 17:07:22.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C52093 Child Behavior Checklist (CBCL) - Fear certain animal situation place other than school scale CBCLFearsAnimalSituatnPlaceScl Scale for whether the child fears certain animals, situations, or places, other than school, as part of the Child Behavior Checklist (CBCL) Scale for whether the child fears certain animals, situations, or places, other than school, as part of the Child Behavior Checklist (CBCL) Fears certain animals, situations, or places, other than school (describe) 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 2016-12-21 16:10:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale for Ages 6-18 Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

CSV