List of all the DSMIV : Baseline: [befd_arm_1][be_dsmiv] Re BEFD 1: [rebefd_1_arm_1][be_dsmiv] Re BEFD 2: [rebefd_2_arm_1][be_dsmiv] Re BEFD 3: [rebefd_3_arm_1][be_dsmiv] Re BEFD 4: [rebefd_4_arm_1][be_dsmiv] Re BEFD 5: [rebefd_5_arm_1][be_dsmiv]
A. PRIMARY AFFECTIVE DISORDER DIAGNOSIS
(One diagnosis for each system)
DSMIV: Confidence
be_dsmiv_confidence
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
-
-
DSMIV: Age of Onset
be_dsmiv_aao
N
text
-
-
-
DSMIIIR
be_dsm3r
N
dropdown
1, BP 1 (296.40) | 2, Schizo Affective BP (295.70) | 4, BP NOS (296.70) | 5, Major Depression Recurrent (296.30) | 6, Other Affective Diagnosis (555.00A) | 7, Non-Affective Diagnosis (555.00N) | 8, Healthy/Control (V71.09)
-
DSMIIIR: Confidence
be_dsm3r_confidence
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
-
-
DSMIIIR: Age of Onset
be_dsm3r_aao
N
text
-
-
-
RDC
be_rdc
N
dropdown
1, BP 1 (32) | 2, Schizo Affective BP (36) | 3, BP 2 with Recurrent Depression (34) | 5, Major Depression Recurrent (31) | 6, Other Affective Diagnosis (99) | 7, Non-Affective Diagnosis (99) | 8, Healthy/Control (90)
-
RDC: Confidence
be_rdc_confidence
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
-
-
RDC: Age of Onset
be_rdc_aao
N
text
-
-
-
B. OTHER AFFECTIVE DIAGNOSIS
be_other_affective
N
checkbox
1, BP 2 with Single Depressed (296.89S) | 2, MDD Single Episode (296.20) | 3, Schizoaffective/Depressed (295.70D) | 4, Depression NOS (311.00) | 5, Mood Disorder/Med Condition (293.83) | 6, Dysthymic Disorder (300.40) | 7, Cyclothymic Disorder (301.13)
-
Confidence
be_othaffective_conf_1
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
BP 2 with Single Depressed (296.89S)
BP 2 with Single Depressed (296.89S)
Age of Onset
be_othaffective_aao_1
N
text
-
BP 2 with Single Depressed (296.89S)
-
Confidence
be_othaffective_conf_2
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
MDD Single Episode (296.20)
MDD Single Episode (296.20)
Age of Onset
be_othaffective_aao_2
N
text
-
MDD Single Episode (296.20)
-
Confidence
be_othaffective_conf_3
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Schizoaffective/Depressed (295.70D)
Schizoaffective/Depressed (295.70D)
Age of Onset
be_othaffective_aao_3
N
text
-
Schizoaffective/Depressed (295.70D)
-
Confidence
be_othaffective_conf_4
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Depression NOS (311.00)
Depression NOS (311.00)
Age of Onset
be_othaffective_aao_4
N
text
-
Depression NOS (311.00)
-
Confidence
be_othaffective_conf_5
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Mood Disorder/Med Condition (293.83)
Mood Disorder/Med Condition (293.83)
Age of Onset
be_othaffective_aao_5
N
text
-
Mood Disorder/Med Condition (293.83)
-
Specify Medical Condition
be_othaffective_specify
N
text
-
Mood Disorder / Med Condition (293.83)
-
Confidence
be_othaffective_conf_6
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Dysthymic Disorder (300.40)
Dysthymic Disorder (300.40)
Age of Onset
be_othaffective_aao_6
N
text
-
Dysthymic Disorder (300.40)
-
Confidence
be_othaffective_conf_7
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Cyclothymic Disorder (301.13)
Cyclothymic Disorder (301.13)
Age of Onset
be_othaffective_aao_7
N
text
-
Cyclothymic Disorder (301.13)
-
ALCOHOL
be_alcohol
N
radio
1, Abuse (305.00) | 2, Dependence (303.90)
-
C. SUBSTANCE ABUSE AND DEPENDENCE
Confidence
be_alcohol_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Alcohol
-
Age of Onset
be_alcohol_aao
N
text
-
Alcohol
-
Quit Age
be_alcohol_quit
N
text
-
Alcohol
-
CANNABIS
be_cannabis
N
radio
1, Abuse (305.20) | 2, Dependence (304.30)
-
Confidence
be_cannabis_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Cannabis
-
Age of Onset
be_cannabis_aao
N
text
-
Cannabis
-
Quit Age
be_cannabis_quit
N
text
-
Cannabis
-
SEDATIVE
be_sedative
N
radio
1, Abuse (305.40) | 2, Dependence (304.10)
-
Confidence
be_sedative_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Sedative
-
Age of Onset
be_sedative_aao
N
text
-
Sedative
-
Quit Age
be_sedative_quit
N
text
-
Sedative
-
OPIATE
be_opiate
N
radio
1, Abuse (305.50) | 2, Dependence (304.00)
-
Confidence
be_opiate_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Opiate
-
Age of Onset
be_opiate_aao
N
text
-
Opiate
-
Quit Age
be_opiate_quit
N
text
-
Opiate
-
COCAINE
be_cocaine
N
radio
1, Abuse (305.60) | 2, Dependence (304.20)
-
Confidence
be_cocaine_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Cocaine
-
Age of Onset
be_cocaine_aao
N
text
-
Cocaine
-
Quit Age
be_cocaine_quit
N
text
-
Cocaine
-
STIMULANT
be_stimulant
N
radio
1, Abuse (305.70) | 2, Dependence (304.40)
-
Confidence
be_stimulant_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Stimulant
-
Age of Onset
be_stimulant_aao
N
text
-
Stimulant
-
Quit Age
be_stimulant_quit
N
text
-
Stimulant
-
OTHER SUBSTANCE
be_othersubs
N
text
-
-
Confidence
be_othersubs_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
OCD
OCD (300.30)
OCD: Age of Onset
be_ocd_aao
N
text
-
OCD
-
Panic Disorder With Agoraphobia (300.21): Confidence
be_pdwag_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Panic disorder w ag
Panic Disorder With Agoraphobia (300.21)
Panic Disorder With Agoraphobia (300.21): Age of Onset
be_pdwag_aao
N
text
-
Panic disorder w ag
-
Panic Disorder Without Agoraphobia (300.01): Confidence
be_pdwoag_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Panic disorder w/o ag
Panic Disorder Without Agoraphobia (300.01)
Panic Disorder Without Agoraphobia (300.01): Age of Onset
be_pdwoag_aao
N
text
-
Panic disorder w/o ag
-
Agoraphobic Without Panic Disorder (300.22): Confidence
be_agwopd_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Agoraphobic w/o panic
Agoraphobic Without Panic Disorder (300.22)
Agoraphobic Without Panic Disorder (300.22): Age of Onset
be_agwopd_aao
N
text
-
Agoraphobic w/o panic
-
Social Phobia (300.23): Confidence
be_socialphobia_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Social phobia
Social Phobia (300.23)
Social Phobia (300.23): Age of Onset
be_socialphobia_aao
N
text
-
Social phobia
-
Specific Phobia (300.29): Confidence
be_specificphobia_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Specific phobia
Specific Phobia (300.29)
Specific Phobia (300.29): Age of Onset
be_specificphobia_aao
N
text
-
Specific phobia
-
Anorexia Nervosa (307.10): Confidence
be_anorexia_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Anorexia Nervosa
Anorexia Nervosa (307.10)
Anorexia Nervosa (307.10): Age of Onset
be_anorexia_aao
N
text
-
Anorexia Nervosa
-
Bulimia Nervosa (307.51): Confidence
be_bulimia_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Bulimia Nervosa
Bulimia Nervosa (307.51)
Bulimia Nervosa (307.51): Age of Onset
be_bulimia_aao
N
text
-
Bulimia Nervosa
-
Pathological Gambling (312.31): Confidence
be_patho_gamble_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Pathological gambling
Pathological Gambling (312.31)
Pathological Gambling (312.31): Age of Onset
be_patho_gamble_aao
N
text
-
Pathological gambling
-
ASPD (301.70): Confidence
be_aspd_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
ASPD
ASPD (301.70)
ASPD (301.70): Age of Onset
be_aspd_aao
N
text
-
ASPD
-
ADHD (314.00): Confidence
be_adhd_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
ADHD
ADHD (314.00)
ADHD (314.00): Age of Onset
be_adhd_aao
N
text
-
ADHD
-
PTSD (309.81): Confidence
be_ptsd_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
PTSD
PTSD (309.81)
PTSD (309.81): Age of Onset
be_ptsd_aao
N
text
-
PTSD
-
1. Other Comorbid Conditions: Specify
be_othercom
N
text
-
-
Other Comorbid Conditions
1. Other Comorbid Conditions: Age of Onset
be_othercom_aao
N
text
-
Other Comorbid Conditions
-
1. Other Comorbid Conditions: Confidence
be_othercom_conf
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Other Comorbid Conditions
-
2. Other Comorbid Conditions: Specify
be_othercom_2
N
text
-
-
2. Other Comorbid Conditions: Age of Onset
be_othercom_aao_2
N
text
-
Other Comorbid Conditions
-
2. Other Comorbid Conditions: Confidence
be_othercom_conf_2
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Other Comorbid Conditions
-
3. Other Comorbid Conditions: Specify
be_othercom_3
N
text
-
-
3. Other Comorbid Conditions: Age of Onset
be_othercom_aao_3
N
text
-
Other Comorbid Conditions
-
3. Other Comorbid Conditions: Confidence
be_othercom_conf_3
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Other Comorbid Conditions
-
4. Other Comorbid Conditions: Specify
be_othercom_4
N
text
-
-
4. Other Comorbid Conditions: Age of Onset
be_othercom_aao_4
N
text
-
Other Comorbid Conditions
-
4. Other Comorbid Conditions: Confidence
be_othercom_conf_4
N
dropdown
0, 0. No Information | 1, 1. Diagnosis asserted without supporting information | 2, 2. Possible - Some criteria met - Some supporting information | 3, 3. Probable - All criteria met - No supportive information | 4, 4. Definite - Meets criteria - And has supporting information
Other Comorbid Conditions
-
Mania: Age of Onset
be_mania_aao
N
text
-
Mania
FEATURES OF ILLNESS (rated by editor or Reviewer)
Episode Tallies
Mania
Mania: Number of episodes
be_mania_noe
N
text
-
Mania
-
Depression: Age of Onset
be_depression_aao
N
text
-
Depression
Depression
Depression: Number of episodes
be_depression_noe
N
text
-
Depression
-
Hypomania: Age of Onset
be_hypomania_aao
N
text
-
Hypomania
Hypomania
Hypomania: Number of episodes
be_hypomania_noe
N
text
-
Hypomania
-
Affective psychosis
be_affective_psychosis
N
radio
0, 0.Never | 1, 1.During Depression Only | 2, 2.During Mania Only | 3, 3.During Both | 9, 9.Uncertain About Presence of Psychosis
0, 0. No Manic symptoms | 1, 1. No Impairment | 2, 2. Impairment in Secondary Role | 3, 3. Impairment in Primary Role | 4, 4. Incapacitation
-
Suicidal Thoughts or Behavior
be_suicidal
N
radio
0, 0. Never | 1, 1. Fleeting thoughts / Passive wishes only | 2, 2. Thought but never acted | 3, 3. Acted with ambivalence / minimal consequences | 4, 4. Acted with intent to die or serious consequences | 9, 9. Uncertain
-
Chronicity of Substance Abuse (since affective onset)
be_chronicity_substance
N
radio
0, 0. No Affective Diagnosis | 1, 1. No substance abuse / dependence | 2, 2. Brief (25% of the time) | 3, 3. Remitting/ Relapsing | 4, 4. Chronic (> 75% of the time) | 9, 9. Uncertain
-
Chronicity of Affective Disorder (since AAO)
be_chronicity_affective
N
radio
0, 0. No Affective Diagnosis | 1, 1. Illness Duration Less Than 2 years | 2, 2. Remitting (Remissions Longer Than Episodes) | 3, 3. Mood Symptoms Most Of The Time | 8, 8. Other | 9, 9. Uncertain
-
Psychosis Chronicity
be_psych_chronicity
N
radio
1, 1. Fleeting | 2, 2. 1 Episode | 3, 3. 2 or More Episode | 4, 4. All Episodes | 5, 5. Chronically Psychotic
-
Mixed Episodes
be_mixed_epi
N
radio
0, 0. Never | 1, 1. Overlapping Sympt. of Rapid Fluctuations | 2, 2. Definite/ Atleast 1 Clear Sympt. of Mixed Episode | 9, 9. Uncertain
-
Functional Severity of Most Severe Depression
be_func_seve_msd
N
radio
0, 0. No Depression symptoms | 1, 1. No Impairment | 2, 2. Impairment in Secondary Role | 3, 3. Impairment in Primary Role | 4, 4. Incapacitation
-
General Impact of Illness on Life Functioning
be_impact_ill_lf
N
radio
0, 0. Never Ill | 1, 1. No Loss of Employment or Marital Status | 2, 2. Loss of Status but Not Disabled | 3, 3. Disabled But Living Independently | 4, 4. Disabled But Not Living Independently | 9, 9. Unknown