PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| Since the last interview, has there been any time that lasted two weeks or more when you felt depressed, sad, blue, or down in the dumps? What about a time when you just didn't care anymore? When did that start? When did it get better? Were there any other times? | md_mde_1 | N | yesno | - | - | MAJOR DEPRESSIVE EPISODE | |
| 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. Note: do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucination. | md_mde_2 | 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. | - | ||
| Since the last interview, when you've been feeling depressed, have there been times when you heard things, saw things, or smelled things that other people did not hear, see, or smell? | md_sdd_1 | N | yesno | - | - | SCHIZOAFFECTIVE DISORDER, DEPRESSED | |
| Have you thought that anyone was out to get you, plotting behind your back, or purposefully trying to make life difficult for you? | md_sdd_2 | N | yesno | - | - | ||
| DIAGNOSTIC CRITERIA FOR SCHIZOAFFECTIVE DISORDER, DEPRESSED An uninterrupted period of illness during which, at some time, there is a Major Depressive Episode (which must include criterion A(1) for Major Depression: depressed mood) concurrent with symptoms that meet criterion A for Schizophrenia: Characteristic symptoms: At least two of the following, each present for a significant portion of time during a one month (or less if successfully treated) Note: Only one criterion A symptom is required if delusion are bizarre or hallucinations consist of a voice keeping a running commentary on the person;s behavior or thought, or two or more voices conversing with each other. | md_sdd_3 | N | checkbox | 1, A.(1) Delusions | 2, A.(2) Hallucinations | 3, A.(3) Disorganized speech (e.g., frequent derailment or incoherence) | 4, A.(4) Grossly disorganized or catatonic behavior | 5, A.(5) Negative symptoms, i.e., affective flattening, alogia, or avolition | 6, B. During the same period of illness, there have been delusions or hallucinations for at least two weeks in the absence of prominent mood symptoms. | 7, C. Symptoms that meet criteria for a mood episode are present for a substantial portion of the total duration of the active and residual period of the illness. | 8, D. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. | - | ||
| Since the last interview, have you ever been (or continued to be) blue, sad, or down in the dumps for more days than not? | md_dd_1 | N | yesno | - | - | DYSTHYMIC DISORDER | |
| DIAGNOSTIC CRITERIA FOR DYSTHYMIC DISORDER | md_dd_2 | N | checkbox | 1, A. Depressed mood for most of the day, for most days than not, as indicated either by subjective account or observation by others, for at least two years. Note: in children and adolescents, mood can be irritable and duration must be at least one year. | 2, B.(1) Poor appetite or overeating | 3, B.(2) Insomnia or hypersomnia | 4, B.(3) Low energy or fatigue | 5, B.(4) Low self-esteem | 6, B.(5) Poor concentration or difficulty making decisions | 7, B.(6) Feelings of hopelessness | 8, C. During the two year period (one year for children or adolescents) of the disturbance, the person has never been without the symptoms, in Criteria A and B than two months at a time. | 9, D. No Major Depressive Episode has been present during the first two years of the disturbance (one year for children and adolescents), i.e., the disturbance is not better accounted for by chronic Major Depressive Disorder, or Major Depressive Disorder, In Partial Remission. Note: There may have been a previous Major Depressive Episode provided there was a full remission (no significant signs or symptoms for two months) before development of the Dysthymic Disorder. In addition, after the initial two years (one year in children and adolescents) of Dysthymic Disorder, there may be superimposed episodes of Major Depressive Disorder in which case both diagnoses may be given when the criteria are met fore the Major Depressive Episode. | 10, E. There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode, and criteria have never been met for Cyclothymic Disorder. | 11, F. The disturbance does not occur exclusively during the course of a chronic Psychotic Disorder, such as Schizophrenia or Delusional Disorder. | 12, G. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism). | 13, H. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | - | ||
| Since the last interview, has there been any time when you were feeling so excited, "high", or hyper that other people though you were not your usual self? Or feeling so hyper that you got into trouble? What about a period of time when you were so irritable that you found yourself shouting at people or starting fights or arguments? Did this last for at least one week? | md_me_1 | N | yesno | - | - | MANIC EPISODE | |
| DIAGNOSTIC CRITERIA FOR MANIC EPISODE | md_me_2 | N | checkbox | 1, A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least one week (or any duration if hospitalization is necessary). | 2, B.(1) Inflated self-esteem or grandiosity | 3, B.(2) Decreased need for sleep (e.g., feels rested after only three hours of sleep) | 4, B.(3) More talkative than usual or pressure to keep talking | 5, B.(4) Flight or ideas or subjective experience that thoughts are racing | 6, B.(5) Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli) | 7, B.(6) Increase in goal-directed activity (either socially, at work,or school, or sexually) or psychomotor agitation | 8, B.(7) Excessive involment in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) | 9, C. The symptoms do meet criteria for Mixed Episode. | 10, D. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features. | 11, E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism), | - | ||
| Since the last interview, (when you've been feeling elated, euphoric, or irritable), have there been times when you heard things, saw things, or smelled things that other people did not hear, see, or smell? | md_sdm_1 | N | yesno | - | - | SCHIZOAFFECTIVE DISORDER, MANIC | |
| Have you though that anyone was out t get you, plotting behind your back, or purposefully trying to make life difficult for you? | md_sdm_2 | N | yesno | - | - | ||
| DIAGNOSTIC CRITERIA FOR SCHIZOAFFECTIVE DISORDER, MANIC | md_sdm_3 | N | checkbox | 1, A.(1) Delusions | 2, A.(2) Hallucinations | 3, A.(3) Disorganized speech (e.g., frequent derailment or incoherence) | 4, A.(4) Grossly disorganized or catatonic behavior | 5, A.(5) Negative symptoms, i.e., affective flattening, alogia, or avolition | 6, B. During the same period of illness, there have been delusions or hallucinations for at least two weeks in the absence o prominent mood symptoms. | 7, C. Symptoms that meet criteria for a mood episode are present for a substantial portion of the total duration of the active and residual periods of the illness. | 8, D. Not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medication condition. | - | ||
| If the subject reported that he/she had a period of elated, expansive, or irritable mood, but did not meet the criteria for Manic Disorder due to symptoms, continue questioning to see if subject met criteria for Hypomania. | md_he_1 | N | yesno | - | - | HYPOMANIC EPISODE | |
| DIAGNOSTIC CRITERIA FOR HYPOMANIC EPISODE | md_he_2 | N | checkbox | 1, A. A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least four days, that is clearly different from the usual nondepressed mood. | 2, B.(1) Inflated self-esteem or grandiosity | 3, B.(2) Decreased need for sleep (e.g., feels rested after only three hours of sleep) | 4, B.(3) More talkative than usual or pressure to keep talking | 5, B.(4) Flight of ideas or subjective experience that thoughts are racing | 6, B.(5) Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli) | 7, B.(6) Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation | 8, B.(7) Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., the person engages in unrestrained buying sprees, sexual indiscretions, or foolish business investments) | 9, C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic. | 10, D. The disturbance in mood and the change in functioning are observable by others. | 11, E. The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are not psychotic features. | 12, F. The symptoms are not due to the direct physiological effects of a substance, (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism) | - | ||
| Since the last interview, have you been the kind of person who has few days when you fell even better than normal or high? | md_cd_1 | N | yesno | - | - | CYCLOTHYMIC DISORDER | |
| Does that mean that much of the time you either up or down? Does your mood change for no apparent reason? | md_cd_2 | N | yesno | - | - | ||
| DIAGNOSTIC CRITERIA FOR CYCLOTHYMIC DISORDER | md_cd_3 | N | checkbox | 1, A. For at least two years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a Major Depressive Episode. Note: in children and adolescents, the duration must be at least one year. | 2, B. During the above two year period (one year in children and adolescents), the person has not been without the symptoms in A for more than two months at a time. | 3, C. No Major Depressive Episode, Manic Episode, or Mixed Episode has been present during the first two years of the disturbance. Note: After the initial two years (one year in children and adolencents) of Cyclothymic Disorder, there may be superimposed Manic or Mixed Episodes (in which case both Bipolar I Disorder and Cyclothymic Disorder may be diagnosed) or Major Depressive Episodes (in which case both Bipolar II Disorder and Cyclothymic Disorder may be diagnosed). | 4, D. The symptoms in criterion A are not better accounted for by Schizoaffective Disorder, and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder NOS. | 5, E. The symptoms are not sue to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism). | 6, F. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | - |