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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
1. Have you ever had a period of at least one week when you were bothered most of the day, nearly every day, y feeling depressed, sad, down, low? md_1 N radio 1, Yes | 0, No | 9, Unknown - -
1a. By feeling irritable md_1a N radio 1, Yes | 0, No | 9, Unknown - -
1b. By feeling anxious md_1b N radio 1, Yes | 0, No | 9, Unknown - -
1c. Have you ever had a period of atleast one week when you did not enjoy most things, even things you usually like to do? md_1c N radio 1, Yes | 0, No | 9, Unknown - -
2. If 1 - 1c. are all NO: <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Do you suspect a past or current episode from subject's responses, behavior, or other information? md_2 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: specify: md_2_spec Y text - - -
DIAGNOSTIC CRITERIA FOR MAJOR DEPRESSIVE EPISODE At least five of the symptoms have been present during the same two-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. md_diag N checkbox 1, A.(1) Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: in children and adolescents, can be irritable mood. | 2, A.(2) Markedly diminished interest or pleasure in all, or most all, activities most of the day nearly every day (as indicated by either subjective account or observation made by others). | 3, A.(3) Significant weight loss when not dieting or weight gain (e.g., more than 5% of body weight in a month) or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains. | 4, A.(4) Insomnia or hypersomnia nearly every day | 5, A.(5) Psychomotor agitation or retardation nearly every day (observable by others, not nearly subjective feelings of restlessness or being slowed down) | 6, A.(6) Fatigue or loss of energy nearly every day | 7, A.(7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick) | 8, A.(8) Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others) | 9, A.(9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt o a specific plan for committing suicide | 10, B. The symptoms do not meet criteria for a Mixed Episode. | 11, C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | 12, D. The symptoms are not due to the direct physiological effects of a substance (e.g., drugs of abuse, a medication) or a general medical condition (e.g., hypothyroidism). | 13, D. The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation. - -
3. Have you been feeling that way recently (i.e. for at least one week during the past 30 days)? md_3 N radio 1, Yes | 0, No | 9, Unknown - -
3a. If yes: How long have you felt this way? md_3a N text - in Weeks -
4. Think about the most severe period in your life when you were feeling this way. When did it begin md_4_month N text - - -
4a. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Compute age md_4a N calc round(datediff([dg_dateofbirth], [md_4_month], 'y','mdy'),0) - -
4b. How long did the period last? md_4b N text - in weeks -
4c. Did you feel depressed, sad, down, or low? md_4c N radio 1, Yes | 0, No | 9, Unknown - -
4d. Did you feel irritable? md_4d N radio 1, Yes | 0, No | 9, Unknown - -
4e. Did you feel anxious? md_4e N radio 1, Yes | 0, No | 9, Unknown - -
5. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Is the most severe episode also the current episode? md_5 N radio 1, Yes | 0, No | 9, Unknown - -
6. Did you have a loss of appetite or did your appetite increase? md_6 N radio 0, No | 1, Yes - decreased | 2, Yes - increased | 3, Yes - mixture | 9, Unknown - -
6a. Did you lose/gain weight when you were not trying to? md_6a N radio 0, No | 1, Loss | 2, Gain | 9, Unknown - -
6b. What was your weight before the loss/gain? md_6b N text - pounds -
6c. What was your weight after the loss/gain? md_6c N text - pounds -
6d. Over what period of time did you lose/gain this amount of weight? over_what_period_of_time_d N text - Weeks -
7. Did you have trouble sleeping or were you sleeping more than usual? md_7 N radio 1, Yes | 0, No | 9, Unknown - -
7a. Were you unable to fall asleep md_7a N radio 1, Yes | 0, No | 9, Unknown - -
7b. If yes: Was this for at least one hour? md_7b N radio 1, Yes | 0, No | 9, Unknown - -
7c. Were you waking up in the middle of the night and having trouble going back to sleep? md_7c N radio 1, Yes | 0, No | 9, Unknown - -
7d. Were you waking up too early in the morning? md_7d N radio 1, Yes | 0, No | 9, Unknown - -
7e. If yes: Was this at least one hour earlier than usual? md_7e N radio 1, Yes | 0, No | 9, Unknown - -
7f. Were you sleeping much more than usual? md_7f N radio 1, Yes | 0, No | 9, Unknown - -
8. Were you so fidgety or restless that other people could have noticed (e.g pacing or wringing your hands)? md_8 N radio 1, Yes | 0, No | 9, Unknown - -
9. Were you moving or speaking so slowly that other people could have noticed? md_9 N radio 1, Yes | 0, No | 9, Unknown - -
10. Were you much less able to enjoy sex and other pleasurable activities? md_10 N radio 1, Yes | 0, No | 9, Unknown - -
10a. Did you lose interest in nearly all of your usual activities? md_10a N radio 1, Yes | 0, No | 9, Unknown - -
11. Were you feeling a loss of energy or more tired than usual? md_11 N radio 1, Yes | 0, No | 9, Unknown - -
12. Were you feeling guilty or that you were a bad person? md_12 N radio 1, Yes | 0, No | 9, Unknown - -
13. Were you feeling that you were a failure or worthless? md_13 N radio 1, Yes | 0, No | 9, Unknown - -
14. Were you having difficulty thinking, concentrating or making decisions? md_14 N radio 1, Yes | 0, No | 9, Unknown - -
15. Were you frequently thinking about death or wishing you were dead, or thinking about taking your life? md_15 N radio 1, Yes | 0, No | 9, Unknown - -
16. Did you actually try to harm yourself? md_16 N radio 1, Yes | 0, No | 9, Unknown - -
17. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Enter number with at least one positive symptom response in question 6 -16 md_17 N text - In case 2 or more questions cover the same symptom, positive responses on those questions should only be counted once -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If less than three, probe for other potentially severe episodes.If necessary, recode questions 6-16. If still less than three, skip to Mania/Hypomania interviewer_if_less_than_t N descriptive - - -
18. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Review symptoms in 6-16 plus depressed mood or hand subject Depression Tally Sheet to review) During this episode, was there a 2 - week period when these symptoms were present nearly everyday (at least four symptoms plus depressed mood and/or anhedonia) ? md_18 N radio 1, Yes | 0, No | 9, Unknown - -
19. Did you tend to feel worse in the morning or in the evening or was there no difference? md_19 N radio 0, A.M. | 1, P.M. | 2, No difference - -
20. During this episode, did you have beliefs or ideas that you later found out were not true? md_20 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If delusions are suspected, probe further to determine the content and whether the beliefs were held with certainty.Code on the basis of this information and describe below if_delusions_are_suspected Y notes - - -
20.1. If yes: Were you convinced of these beliefs at the time? md_20_1 N radio 1, Yes | 0, No | 9, Unknown - -
If yes to question 20, 20a. Did these beliefs occur either just before this depression or after it cleared? md_20_a N radio 1, Yes | 0, No | 9, Unknown - -
20b. If yes: How long were they present before the depression began? md_20_b N text - in Days -
20c. If yes: How long did they last after your mood returned to normal? md_20_c N text - in Days -
20d. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Does this total more than 14 days? md_20_d N radio 1, Yes | 0, No | 9, Unknown - -
21. Did you see or hear things that other people could not see or hear? md_21 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_21_spec Y notes - - -
21.1. If yes: Were you using any street drugs at the time that you experienced these (refer to experiences)? md_21_1 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: (<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: List the drugs used and describe the frequency of use and doses, if possible) md_21_1_spec N text - - -
21.2.a. from within your head from_within_your_head N radio 1, Yes | 0, No | 9, Unknown - -
21.2.b. from outside your head from_outside_your_head N radio 1, Yes | 0, No | 9, Unknown - -
21.2.c. from some particular place outside your head from_some_particular_place N radio 1, Yes | 0, No | 9, Unknown - -
21.2.d. Were these voices definitely different from your own thoughts? were_these_voices_definite N radio 1, Yes | 0, No | 9, Unknown - -
If yes to question 21: 21a. Did these (refer to experiences) occur either just before this depression or after it cleared? md_21_a N radio 1, Yes | 0, No | 9, Unknown - -
21b. If yes: How long were they present before the depression began? md_21b N text - in Days -
21c. If yes: How long did they last after your mood returned to normal? md_21_c N text - in Days -
21d. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Does this total more than 14 days? md_21_d N radio 1, Yes | 0, No | 9, Unknown - -
22. If yes to question 20 or 21: <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Did psychotic symptoms have content that was inconsistent with depressive themes such as poverty, guilt, illness, personal inadequacy or catastrophe? md_22 N radio 1, Yes | 0, No | 9, Unknown - -
22a. If yes: <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Was the subject preoccupied with psychotic symptoms to the exclusion of other symptoms or concerns? md_22_a N radio 1, Yes | 0, No | 9, Unknown - -
23. Did you seek or receive help from a doctor or other professional for this period of depression? md_23 N radio 1, Yes | 0, No | 9, Unknown - -
24. Were you prescribed medication for depression or was there a change in your dosage? md_24 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_24_spec Y text - - -
25. During this episode were you admitted to the hospital for depression (including day hospital) md_25 N radio 1, Yes | 0, No | 9, Unknown - -
25a. If yes: For how long (inpatient)? md_25_a N text - Days -
25b. If yes: For how long (day hospital) md_25_b N text - Days -
26. Did you receive ECT (shock treatments)? md_26 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If the patient was hospitalized two days or more, had ECT, or had psychotic symptoms, skip to question 29 and code incapacitation. interviewer_if_the_patient N radio 1, Yes | 0, No | 9, Unknown - -
27. Was your major responsibility during this episode job, home, school, or something else? md_27 N radio 1, Job | 2, Home | 3, School | 4, Other - -
If other: Specify: md_27_spec Y text - - -
28. Was your functioning (in this role) affected? md_28 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_28_spec Y text - - -
28a. Did something happen as a result of this (such as marital separation, absence from work or school, loss of a job or lower grades)? md_28_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_28_a_spec Y text - - -
28b. Did someone notice a change in your functioning? did_someone_notice_a_chang N radio 1, Yes | 0, No | 9, Unknown - -
29. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Code based on answers to questions 20, 21 and 25-28 Modified RDC Impairment: A decrease in quality of the most important role performance (noticeable to others).This usually requires a decrease in the amount of performance; it may be manifested by a person taking ten hours to do what normally may require five hours Modified RDC Incapacitation: Include complete inability to carry out principal role at home, school or work for 2 days in a row OR Hospitalization for 2 days OR ECT treatment OR Presence of hallucinations or delusions md_29 N radio 0, No Change | 1, Impairment | 2, Incapacitation | 9, Unknown - -
If impaired or incapacitated: Specify: md_29_spec Y text - - -
30. RDC Minor Role Dysfunction If no change in question 29: Was your functioning in any other area of your life affected? md_30 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_30_specify Y text - - -
30a. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If no to questions 25-30, is there any other evidence of clinically significant distress? md_30_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_30_spec Y text - - -
31. Did this episode occur during pregnancy or just after child birth md_31 N radio 0, No | 1, Yes - during pregnancy | 2, Yes - just after childbirth - -
If yes: What was the date of child birth md_31_a Y text - - -
32. Did this episode occur during or shortly after a serious physical illness? md_32 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_32_spec Y text - - -
33. Did this episode begin shortly after you started taking any prescribed medication? md_33 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify medications: md_33_spec Y text - - -
34. Did this episode begin while you were using street drugs? md_34 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: The following drugs, among others, may be relevant: Amphetamines, Barbiturates, Cocaine, "Downers", Tranquilizers interviewer_the_following N descriptive - - -
If yes: Specify drug and quantity md_34_spec Y text - - -
35. Did this episode follow increased use of alcohol? md_35 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_35_spec Y text - - -
35a. Did this episode follow decreased use of alcohol? md_35_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_35a_spec Y text - - -
36. Did this episode follow the death of someone close to you? md_36 N radio 1, Yes | 0, No | 9, Unknown - -
36a. If yes: Specify relationship md_36_a Y text - - -
36b. Date of death md_36_b Y text - - -
37. During this episode of depression did you have a week or more during which your mood frequently changed between sadness and irritability or even elation? md_37_a N radio 1, Yes | 0, No | 9, Unknown - -
37a1. Overactivity - Running around, many projects or physically agitated overactivity_running_aroun N radio 1, Yes | 0, No | 9, Unknown - -
37a2. More talkative than usual, speech pressured more_talkative_than_usual N radio 1, Yes | 0, No | 9, Unknown - -
37a3. Thoughts racing, jumping from topic to topic thoughts_racing_jumping_fr N radio 1, Yes | 0, No | 9, Unknown - -
37a4. Feeling grandiose - more important, special or powerful feeling_grandiose_more_imp N radio 1, Yes | 0, No | 9, Unknown - -
37a5. Needing less sleep - energetic after little or no sleep needing_less_sleep_energet N radio 1, Yes | 0, No | 9, Unknown - -
37a6. Attention distracted by unimportant things attention_distracted_by_un N radio 1, Yes | 0, No | 9, Unknown - -
37a7. Doing risky things for pleasure - spending, sex, reckless driving etc. doing_risky_things_for_ple N radio 1, Yes | 0, No | 9, Unknown - -
37a8. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Enter number of Yes responses in 37.a.1-7 IF total is less than 3, skip to question 38 md_37a8 N text - - -
37a9. How long were these symptoms present md_37a9_days N text - Days -
37a9. How long were these symptoms present md_37a9_weeks N text - Weeks -
38. Did you have at least one other episode when you were depressed for at least one week and had several of the symptoms you dscribes? md_38 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: When was the most recent time that you had depression that was almost as severe as the time we just talked about? <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Based on the overview or additional probing, identify the most recent severe episode that the subject remembers well.Avoid episodes with probable organic precipitants and episodes that occurred less than 2 months before or after the Most Severe Episode.A Current Episode should be rated here if it meets these criteria. Briefly describe the subject's response md_38_1 Y notes - - -
38a. Is the selected episode also the current episode (in the past 30 days)? md_38_a N radio 1, Yes | 0, No | 9, Unknown - -
38b. When did it began? md_38b_month Y text - - -
38c. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Compute age md_38_c N calc round(datediff([dg_dateofbirth], [md_38b_month], 'y','mdy'),0) - -
38d. How long (did that period last/has it lasted)? md_38_d N text - Weeks -
38e. Did you feel depressed,sad,down or low? md_38_e N radio 1, Yes | 0, No | 9, Unknown - -
38f. Did you feel irritable md_38_f N radio 1, Yes | 0, No | 9, Unknown - -
38g. Did you feel anxious? md_38_g N radio 1, Yes | 0, No | 9, Unknown - -
39. Did you have a loss of appetite or did your appetite greatly increase md_39 N radio 0, No | 1, Yes - decreased | 2, Yes - increased | 3, Yes - mixture | 9, Unknown - -
39a. Did you lose/gain weight when you were not trying to? md_39_a N radio 0, No | 1, Loss | 2, Gain | 9, Unknown - -
39b. What was your weight before the loss/gain? md_39_b N text - - -
39c. What was your weight after the loss/gain? md_39_c N text - - -
39d. Over what period of time did you lose/gain this amount of weight? md_39d N text - Weeks -
40. Did you have trouble sleeping or were you sleeping more than usual? md_40 N radio 1, Yes | 0, No | 9, Unknown - -
40a. Were you unable to fall asleep? md_40_a N radio 1, Yes | 0, No | 9, Unknown - -
40b. If yes: Was this for at least one hour? md_40_b N radio 1, Yes | 0, No | 9, Unknown - -
40c. Were you waking up in the middle of the night and having trouble going back to sleep? md_40_c N radio 1, Yes | 0, No | 9, Unknown - -
40d. Were you waking up too early in the morning? md_40_f N radio 1, Yes | 0, No | 9, Unknown - -
40e. If yes: Was this at least one hour earlier than usual? md_40_d N radio 1, Yes | 0, No | 9, Unknown - -
40f. Were you sleeping much more than usual? md_40_e N radio 1, Yes | 0, No | 9, Unknown - -
41. Were you so fidgety or restless that other people could have noticed (e.g. pacing or wringing hands)? md_41 N radio 1, Yes | 0, No | 9, Unknown - -
42. Were you moving or speaking so slowly that other people could have noticed? md_42 N radio 1, Yes | 0, No | 9, Unknown - -
43. Were you much less able to enjoy sex and other pleasurable activities? md_43 N radio 1, Yes | 0, No | 9, Unknown - -
43a. Did you lose interest in nearly all of your usual activities? md_43a N radio 1, Yes | 0, No | 9, Unknown - -
44. Were you feeling a loss of energy or more tired than usual? md_44 N radio 1, Yes | 0, No | 9, Unknown - -
45. Were you feeling more guilty or that you were a bad person? md_45 N radio 1, Yes | 0, No | 9, Unknown - -
46. Were you feeling that you were a failure or worthless? md_46 N radio 1, Yes | 0, No | 9, Unknown - -
47. Were you having difficulty thinking. concentrating or making decisions? md_47 N radio 1, Yes | 0, No | 9, Unknown - -
48. Were you frequently thinking about death, or wishing you were dead, or thinking about taking your life? md_48 N radio 1, Yes | 0, No | 9, Unknown - -
49. Did you actually try to harm yourself? md_49 N radio 1, Yes | 0, No | 9, Unknown - -
50. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Enter number of boxes with at least one YES response in question 39-49 md_50 N text - - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If less than three, probe for other potentially severe episodes.If necessary, recode questions 39-49.If still less than three, skip to question 71 md_desc_2 N descriptive - - -
51. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: During this episode, was there a 2 - week period when these symptoms were present nearly everyday (at least four symptoms plus depressed mood) ? md_51 N radio 1, Yes | 0, No | 9, Unknown - -
52. Did you tend to feel worse in the morning or in the evening or was there no difference? md_52 N radio 0, A.M. | 1, P.M. | 2, No difference - -
53. During this episode, did you have beliefs or ideas that you later found out were not true? md_53 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If delusions are suspected, probe further to determine the content and whether the beliefs were held with certainty.Code on the basis of this information and describe below md_53_spec Y notes - - -
53.1. If yes: Were you convinced of these beliefs at the time? md_53_1 N radio 1, Yes | 0, No | 9, Unknown - -
If yes to question 53, 53a. Did these beliefs occur either just before this depression or after it cleared? md_53_a N radio 1, Yes | 0, No | 9, Unknown - -
53b. If yes: How long were they present before the depression began? md_53_b N text - in Days -
53c. If yes: How long did they last after your mood returned to normal? md_53_c N text - in Days -
53d. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Does this total more than 14 days? md_53_d N radio 1, Yes | 0, No | 9, Unknown - -
54. Did you see or hear things that other people could not see or hear? md_54 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_54_spec Y notes - - -
54.1. If yes: Were you using any street drugs at the time that you experienced these (refer to experiences)? md_54_1 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: (<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: List the drugs used and describe the frequency of use and doses, if possible) md_54_1_spec N text - - -
54.2a. from within your head md_54_2_a N radio 1, Yes | 0, No | 9, Unknown - -
54.2b. from outside your head md_54_2_b N radio 1, Yes | 0, No | 9, Unknown - -
54.2c. from some particular place outside your head md_54_2_c N radio 1, Yes | 0, No | 9, Unknown - -
54.2d. Were these voices definitely different from your own thoughts? md_54_2_d N radio 1, Yes | 0, No | 9, Unknown - -
If yes to question 54: 54a. Did these (refer to experiences) occur either just before this depression or after it cleared? md_54_a N radio 1, Yes | 0, No | 9, Unknown - -
54b. If yes: How long were they present before the depression began? md_54_b N text - in Days -
54c. If yes: How long did they last after your mood returned to normal? md_54_c N text - in Days -
54d. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Does this total more than 14 days? md_54_d N radio 1, Yes | 0, No | 9, Unknown - -
55. If yes to question 53 or 54: <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Did psychotic symptoms have content that was inconsistent with depressive themes such as poverty, guilt, illness, personal inadequacy or catastrophe? md_55 N radio 1, Yes | 0, No | 9, Unknown - -
55a. If yes: <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Was the subject preoccupied with psychotic symptoms to the exclusion of other symptoms or concerns? md_55_a N radio 1, Yes | 0, No | 9, Unknown - -
56. Did you seek or receive help from a doctor or other professional for this period of depression? md_56 N radio 1, Yes | 0, No | 9, Unknown - -
57. Were you prescribed medication for depression or was there a change in your dosage? md_57 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_57_spec Y text - - -
58. During this episode were you admitted to the hospital for depression (including day hospital) md_58 N radio 1, Yes | 0, No | 9, Unknown - -
58a. If yes: For how long (inpatient)? md_58_a N text - Days -
58b. If yes: For how long (day hospital) md_58_b N text - Days -
59. Did you receive ECT (shock treatments)? <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If the patient was hospitalized two days or more, had ECT, or had psychotic symptoms, skip to question 62 and code incapacitation. md_59 N radio 1, Yes | 0, No | 9, Unknown - -
60. Was your major responsibility during this episode job, home, school, or something else? md_60 N radio 1, Job | 2, Home | 3, School | 4, Other - -
If other: Specify: md_60_other Y text - - -
61. Was your functioning (in this role) affected? md_61 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_61_spec Y text - - -
61a. Did something happen as a result of this (such as marital separation, absence from work or school, loss of a job or lower grades)? md_61_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_61_a_spec Y text - - -
61b. Did someone notice a change in your functioning? md_61_b N radio 1, Yes | 0, No | 9, Unknown - -
62. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Code based on answers to questions 54, 53 and 58-61 Modified RDC Impairment: A decrease in quality of the most important role performance (noticeable to others).This usually requires a decrease in the amount of performance; it may be manifested by a person taking ten hours to do what normally may require five hours Modified RDC Incapacitation: Include complete inability to carry out principal role at home, school or work for 2 days in a row OR Hospitalization for 2 days OR ECT treatment OR Presence of hallucinations or delusions md_62 N radio 0, No Change | 1, Impairment | 2, Incapacitation | 9, Unknown - -
If impaired or incapacitated: Specify: md_62_imapirment_spec Y text - - -
63. RDC Minor Role Dysfunction If no change in question 62: Was your functioning in any other area of your life affected? md_63 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_63_specify Y text - - -
63a. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If no to questions 58-63, is there any other evidence of clinically significant distress? md_63_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify md_63_a_spec Y text - - -
64. Did this episode occur during pregnancy or just after child birth md_64 N radio 0, No | 1, Yes - during pregnancy | 2, Yes - just after childbirth | 9, Unknown - -
64a. If yes: What was the date of childbirth? md_64a Y text - - -
65. Did this episode occur during or shortly after a serious physical illness? md_65 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: The following illnesses, among others, may be relevant: Hypothyrodism, CVA, MS, Mono, Hepatitis, Cancer, Parkinson's, HIV, Cushing's or other endocrine illness. md_desc3 N descriptive - - -
If yes: Specify md_65_spec Y text - - -
66. Did this episode begin shortly after you started taking any prescribed medication? md_66 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify medications: md_66_spec Y text - - -
67. Did this episode begin while you were using street drugs? md_67 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Aldomet, Inderal (propranolol), reserpine, interferon and steroid medications (Prednisone, etc) are important precipitants.Probe to distinguish precipitants from drugs actually prescribed to treat early symptoms of depression, such as hypnotics given for insomnia. If yes: Specify drug and quantity md_67_spec Y text - - -
68. Did this episode follow increased use of alcohol? md_68 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_68_spec Y text - - -
68a. Did this episode follow decreased use of alcohol? md_68_a N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_68a_spec Y text - - -
69. Did this episode follow the death of someone close to you? md_69 N radio 1, Yes | 0, No | 9, Unknown - -
69a. If yes: Specify relationship md_69_a Y text - - -
Date of Death md_69b_year Y text - - -
70. During this episode of depression did you have a week or more during which your mood frequently changed between sadness and irritability or even elation? md_70 N radio 1, Yes | 0, No | 9, Unknown - -
70a1. Overactivity - Running around, many projects or physically agitated md_70a1 N radio 1, Yes | 0, No | 9, Unknown - -
70a2. More talkative than usual, speech pressured md_70a2 N radio 1, Yes | 0, No | 9, Unknown - -
72a3. Thoughts racing, jumping from topic to topic md_70a3 N radio 1, Yes | 0, No | 9, Unknown - -
72a4. Feeling grandiose - more important, special or powerful md_70a4 N radio 1, Yes | 0, No | 9, Unknown - -
72a5. Needing less sleep - energetic after little or no sleep md_70a5 N radio 1, Yes | 0, No | 9, Unknown - -
72a6. Attention distracted by unimportant things md_70a6 N radio 1, Yes | 0, No | 9, Unknown - -
72a7. Doing risky things for pleasure - spending, sex, reckless driving etc. md_70a7 N radio 1, Yes | 0, No | 9, Unknown - -
70a8. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Enter number of YES responses in 70.a.1-7 md_70a8 N text - - -
If total in 70.a.8 is less than 3, skip to question 71 if_total_in_70_a_8_is_less N descriptive - - -
70a9. How long were the symptoms present? how_long_were_the_symptoms_days N text - Days -
70a9. How long were the symptoms present? how_long_were_the_symptoms_weeks N text - Weeks -
71. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Has there been at least one "clean" episode ? A "clean" episode is one WITHOUT prior physical illness, drug or alcohol abuse, organic precipitants or bereavement. md_71 N radio 1, Yes | 0, No | 9, Unknown - -
72. How many episodes like this have you had? md_72 N text - - -
72a. How old were you the first time you had an episode of depression like this? md_72a N text - - -
72b. How old were you the last time you had an episode of depression like this? md_72b N text - - -
73. If no clean episodes: if_no_clean_episodes N descriptive - - -
73a. How many episodes like this have you had? md_73a N text - - -
73b. How old were you the first time when you had an episode like this? md_73b N text - - -
73c. How old were you the last time when you had an episode like this? md_73_c N text - - -
74. What was the duration of your longest episode of depression in weeks? md_074 N text - Weeks -
75. How many times were you hospitalized for an episode of depression (inpatient) md_075 N text - Answer should align with the summary data showing in the question header. -
75a. How many times were you hospitalized for an episode of depression (day hospital) md_75a N text - Answer should align with the summary data showing in the question header. -
76. How many courses of ECT have you had for depression? md_76 N text - - -
77. Did you ever feel high or were you overactive following medical treatment for depression md_77 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify: md_77_spec Y text - - -
78. Do your depressions tend to begin in any particular season? md_78 N checkbox 0, No pattern | 1, Winter | 2, Spring | 3, Summer | 4, Fall | 9, Unknown - -
Notes: major_depressioncsv_notes Y notes - - -

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