PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| Testing Year | testyr | N | dropdown | 9, Baseline | 1, 1 Year | 5, 5 Year | 10, 10 Year | - | - | |
| Testing Year - Becca's Project | testyr_becca | N | dropdown | 9, Baseline | 1, 1 Year | 5, 5 Year | 10, 10 Year | - | - | |
| Test Date | testdatemood_mm | N | text | - | IMPT to note if mood measures collected on a different day than rest of testing. | - | |
| Test Date - Becca's Project | testdatemood_becca | N | text | - | IMPT to note if mood measures collected on a different day than rest of testing. | - | |
| LIFE on same day? | lifesameday | N | yesno | - | If LIFE on same day, then no mood measures data for neuro. | - | |
| 1) Depressed Mood: (sadness, hopeless, helpless, worthless) What's your mood been like this past week? Have you been feeling down or depressed? Sad? Hopeless? In the last week, how often have you felt (OWN EQUIVALENT)? Every day? All day? Have you been crying at all? IF SCORED 1-4 ABOVE, ASK: How long have you been feeling this way? | sighd_1 | N | radio | 0, 0 - absent | 1, 1 - indicated only on questioning | 2, 2 - spontaneously reported verbally | 3, 3 - communicated non-verbally, i.e. facial expression, posture, voice, tendency to weep | 4, 4 - VIRTUALLY ONLY: this in spontaneous verbal and non-verbal communication | - | Structured Interview Guide for the Hamilton Depression Rating Scale (SIGH-D) | |
| - | nphamd1_mm_note | Y | notes | - | - | - | |
| 2) Feelings of Guilt: Have you been especially critical of yourself this past week, feeling you've done things wrong, or let other down? IF YES: What have your thoughts been? Have you been feeling guilty about anything that you've done or not done? Have you thought that you've brought (THIS DEPRESSION) on yourself in some way? Do you feel that you're being punished by being sick? | sighd_2 | N | radio | 0, 0 - absent | 1, 1 - self-reproach, feels he has let people down | 2, 2 - ideas of guilt or rumination over past errors or sinful deeds | 3, 3 - present illness is a punishment, delusions of guilt | 4, 4 - hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations | - | - | |
| - | nphamd2_mm_note | Y | notes | - | - | - | |
| 3) Suicide: This past week have you had any thoughts that life is not worth living or that you'd be better off dead? What about having thoughts of hurting or even killing yourself? IF YES: What have you thought about? Have you actually done anything to hurt yourself? | sighd_3 | N | radio | 0, 0 - absent | 1, 1 - feels life is not worth living | 2, 2 - wishes he were dead or any thoughts of possibly death to self | 3, 3 - suicidal ideas or gesture | 4, 4 - attempts at suicide | - | - | |
| - | nphamd3_mm_note | Y | notes | - | - | - | |
| 4) Work and Activities: How have you been spending your time this past week (when not at work)? Have you felt interested in doing (THOSE THINGS) or do you feel you have to push yourself to do them? Have you stopped doing anything you used to do? IF YES: Why? Is there anything you're looking forward to? | sighd_4 | N | radio | 0, 0 - no difficulty | 1, 1 - thoughts or feelings of incapacity, fatigue or weakness related to activities, work, or hobbies | 2, 2 - loss of interest in activity, hobbies, or work | 3, 3 - decrease in actual time spent in activities or decrease in productivity | 4, 4 - stopped working because of present illness | - | - | |
| - | nphamd4_mm_note | Y | notes | - | - | - | |
| 5) Weight Loss: Have you lost any weight since this (DEPRESSION) began? IF YES: How much? IF NOT SURE: Do you think your clothes are any looser on you? | sighd_5 | N | radio | 0, 0 - no weight loss | 1, 1 - probable weight loss associated with present illness | 2, 2 - definite (according to patient) weight loss | - | - | |
| - | nphamd5_mm_note | Y | notes | - | - | - | |
| <u>LOSS OF WEIGHT </u> (Rate either A or B) | sighd_5b | N | radio | 0, 0 - B. On weekly ratings by ward, when actual weight changes are measured - less than 1 lbs loss in week | 1, 1 - B. On weekly ratings by ward - when actual weight changes are measured, more than 1 lbs loss in a week | 2, 2 - B. On weekly ratings by ward - when actual weight changes are measured, more than 2 lbs loss in a week | - | - | |
| 6) Insomnia Early: How have you been sleeping over the last week? Have you had any trouble falling asleep at the beginning of the night? (Right after you go to bed, how long has it been taking you to fall asleep?) How many nights this week have you had trouble falling asleep? | sighd_6 | N | radio | 0, 0 - no difficulty falling asleep | 1, 1 - complains of occasional difficulty falling asleep - i.e. more than 1/2 hour | 2, 2 - complains of nightly difficulty falling asleep | - | - | |
| - | nphamd6_mm_note | Y | notes | - | - | - | |
| 7) Insomnia Middle: During the past week, have you been waking up in the middle of the night? IF YES: Do you get out of bed? What do you do? (Only go to the bathroom?) When you get back in bed, are you able to fall right back asleep? Have you felt your sleeping has been restless or disturbed some nights? | sighd_7 | N | radio | 0, 0 - no difficulty | 1, 1 - complains of being restless and disturbed during the night | 2, 2 - waking during the night - any getting out of bed (except to void) | - | - | |
| - | nphamd7_mm_note | Y | notes | - | - | - | |
| 8) Insomnia Late: What time have you been waking up in the morning for the last time, this past week? IF EARLY: Is that with an alarm clock, or do you just wake up yourself? What time do you usually wake up (that is, before you got depressed)? | sighd_8 | N | radio | 0, 0 - no difficulty | 1, 1 - waking in early hours of morning but goes back to sleep | 2, 2 - unable to fall asleep again if gets out of bed | - | - | |
| - | nphamd8_mm_note | Y | notes | - | - | - | |
| 9) Anxiety Psychic: Have you been feeling especially tense or irritable this past week? Have you been worrying a lot about little unimportant things, things you wouldn't ordinarily worry about? IF YES: Like what, for example? | sighd_9 | N | radio | 0, 0 - no difficulty | 1, 1 - subjective tension and irritability | 2, 2 - worrying about minor matters | 3, 3 - apprehensive attitude apparent in face or speech | 4, 4 - fears expressed without questioning | - | - | |
| - | nphamd9_mm_note | Y | notes | - | - | - | |
| 10) Anxiety Somatic: In the past week, have you had any of these physical symptoms? READ LIST, PAUSING AFTER EACH SX FOR REPLY GI - dry mouth, gas, indigestion, diarrhea, cramps, belching C-V - heart palpitations, headaches Resp - hyperventilating, sighing, having to urinate frequently, sweating How much have these things been bothering you this past week? How bad have they gotten? How much of the time, or how often, have you had them? | sighd_10 | N | radio | 0, 0 - absent | 1, 1 - mild | 2, 2 - moderate | 3, 3 - severe | 4, 4 - incapacitated | Don't rate if clearly due to medication | - | |
| - | nphamd10_mm_note | Y | notes | - | - | - | |
| 11) Somatic Symptoms General: How has your energy been this past week? Have you been tired all the time? This week have you had any backaches, headaches, or muscle aches? This week have you felt any heaviness in your limbs, back, or head? | sighd_11 | N | radio | 0, 0 - none | 1, 1 - heaviness in limbs, back or head; headaches, backaches, muscle aches; loss of energy and fatiguability | 2, 2 - any clear-cut symptom | - | - | |
| - | nphamd11_mm_note | Y | notes | - | - | - | |
| 12) Hypochondriasis: In the last week, how much have your thoughts been focused on your physical health or how your body is working (compared to your normal thinking)? Do you complain much about how you feel physically? Have you found yourself asking for help with things you could really do yourself? IF YES: Like what, for example? How often has that happened? | sighd_12 | N | radio | 0, 0 - not present | 1, 1 - self-absorption (bodily) | 2, 2 - preoccupation with health | 3, 3 - frequent complaints, request for help, etc. | 4, 4 - hypochondriacal delusions | - | - | |
| - | nphamd12_mm_note | Y | notes | - | - | - | |
| 13) Insight: RATING BASED ON OBSERVATION | sighd_13 | N | radio | 0, 0 - acknowledges being depressed and ill OR not currently depressed | 1, 1 - acknowledges illness, but attributes cause to bad food, climate, overwork, virus, need for rest, etc. | 2, 2 - denies being ill at all | - | - | |
| - | nphamd13_mm_note | Y | notes | - | - | - | |
| 14) Retardation (slowness of thought and speech; Impaired ability to concentrate; decreased motor activity): RATING BASED ON OBSERVATION | sighd_14 | N | radio | 0, 0 - normal speech and thought | 1, 1 - slight retardation at interview | 2, 2 - obvious retardation at interview | 3, 3 - interview difficult | 4, 4 - complete stupor | - | - | |
| - | nphamd14_mm_note | Y | notes | - | - | - | |
| 15) Agitation: RATING BASED ON OBSERVATION | sighd_15 | N | radio | 0, 0 - none | 1, 1 - fidgetiness | 2, 2 - playing with hands, hair, etc. | 3, 3 - moving about, can't sit still | 4, 4 - hand-wringing, nail biting, hair-pulling, biting of lips | - | - | |
| - | nphamd15_mm_note | Y | notes | - | - | - | |
| 16) Somatic Symptoms Gastrointestinal: How has your appetite been this past week? (What about compared to your usual appetite?) Have you had to force yourself to eat? Have other people had to urge you to eat? | sighd_16 | N | radio | 0, 0 - none | 1, 1 - loss of appetite but eating without encouragement | 2, 2 - difficulty eating without urging | - | - | |
| - | nphamd16_mm_note | Y | notes | - | - | - | |
| 17) Genital Symptoms (such as loss of libido, menstrual disturbances): How has your interest in sex been this week? (I'm not asking about performance, but about your interest in sex - how much you think about it.) Has there been any change in your interest in sex (from when you were not depressed)? Is it something you've thought much about? IF NO: Is that unusual for you? | sighd_17 | N | radio | 0, 0 - absent | 1, 1 - mild | 2, 2 - severe | - | - | |
| - | nphamd17_mm_note | Y | notes | - | - | - | |
| 18) Diurnal Variation Type A Time: This past week have you been feeling better or worse at any particular time of day - morning or evening? | sighd_18 | N | dropdown | 0, 0 - no variation OR not currently depressed | 1, 1 - worse in AM | 2, 2 - worse in PM | - | - | |
| 18) Diurnal Variation Type A Severity: How much worse do you feel in the (MORNING OR EVENING)? IF UNSURE: A little bit worse or a lot worse? | sighd_18b | N | radio | 0, 0 - none | 1, 1 - mild | 2, 2 - severe | - | - | |
| - | nphamd18_mm_note | Y | notes | - | - | - | |
| 19) Depersonalization and Derealization (such as feelings of unreallty and nihilistic ideas): In the past week have you ever suddenly had the feeling that everything is unreal or you're in a dream or cut off from other people in some strange way? Any spacey feelings? IF YES: How bad has that been? How often this week has that happened? | sighd_19 | N | radio | 0, 0 - absent | 1, 1 - mild | 2, 2 - moderate | 3, 3 - severe | 4, 4 - incapcitating | - | - | |
| - | nphamd19_mm_note | Y | notes | - | - | - | |
| 20) Paranoid Symptoms: This past week have you felt that anyone was trying to give you a hard time or hurt you? IF NO: What about talking about you behind your back? IF YES: Tell me about that. | sighd_20 | N | radio | 0, 0 - none | 1, 1 - suspicious | 2, 2 - ideas of reference | 3, 3 - delusions of reference and persecution | - | - | |
| - | nphamd20_mm_note | Y | notes | - | - | - | |
| 21) Obsessional and Compulsive Symptoms: In the past week have there been things you've had to do over and over again like checking the locks on doors several times? IF YES: Can you give me an example? Have you had any thoughts that don't make any sense to you, but that keep running over and over in your mind? IF YES: Can you give me an example? | sighd_21 | N | radio | 0, 0 - absent | 1, 1 - mild | 2, 2 - severe | - | - | |
| - | nphamd21_mm_note | Y | notes | - | - | - | |
| 22) Social Withdrawal: In the last week have you been as social as usual? IF NO: Tell me which fits you best. (READ DOWN ANCHOR DESCRIPTIONS AND RATE ACCORDINGLY.) | sighd_a1 | N | radio | 0, 0 - interacts with other people as usual | 1, 1 - less interested in socializing with others but continues to do so | 2, 2 - interacting less with other people in social (optional) situations | 3, 3 - interacting less with other people in work or family situations (i.e. where this is necessary) | 4, 4 - marked withdrawal from others in family or work situations | - | - | |
| - | nphamd22_mm_note | Y | notes | - | - | - | |
| 23) Weight Gain: Have you gained any weight in the last week? IF YES: How much? | sighd_a2 | N | radio | 0, 0 - probable weight gain | 1, 1 - probable weight gain due to current depression | 2, 2 - definite (according to patient) weight gain due to depression | - | - | |
| - | nphamd23_mm_note | Y | notes | - | - | - | |
| 24) Appetite Increase: In the past week has your appetite been greater than when you feel well or okay? IF YES: Do you want to eat a little more, somewhat more, or much more than when you feel well or okay? | sighd_a3 | N | radio | 0, 0 - no increase in appetite | 1, 1 - wants to eat a little or more than usual | 2, 2 - wants to eat somewhat more than usual | 3, 3 - wants to eat much more than usual | - | - | |
| - | nphamd24_mm_note | Y | notes | - | - | - | |
| 25) Increased Eating: In the past week have you been eating more than when you feel well or okay? IF YES: A little more, somewhat more, or much more than when you feel well or okay? | sighd_a4 | N | radio | 0, 0 - is not eating more than usual | 1, 1 - is eating a little more than usual | 2, 2 - is eating somewhat more than usual | 3, 3 - is eating much more than normal | - | - | |
| - | nphamd25_mm_note | Y | notes | - | - | - | |
| 26) Carbohydrate Craving (in relation to total amount of food desired or eaten): In the last week have you been craving or eating more starches or sugars? IF YES: Have you been eating more starches or sugars than when you feel well or okay, much more, or irresistibly craving them? | sighd_a5 | N | radio | 0, 0 - no change in food preference | 1, 1 - craving more carbohydrates (starches or sugars) than before | 2, 2 - craving much more carbohydrates than before | 3, 3 - irresistible craving for sweets or starches | - | - | |
| - | nphamd26_mm_note | Y | notes | - | - | - | |
| 27) Hypersomnia (Compare sleep length to euthymic and NOT to hypomanic sleep length. If this cannot be established, use 8 hours): Have you been sleeping more than usual this past week? IF YES: How much more? IF NO: What about weekends? | sighd_a6 | N | radio | 0, 0 - no increase in sleep length | 1, 1 - at least one hour increase in sleep length | 2, 2 - 2+ hour increase | 3, 3 - 3+ hour increase | 4, 4 - 4+ hour increase | - | - | |
| - | nphamd27_mm_note | Y | notes | - | - | - | |
| 28) Fatigability (or low energy or feelings of being heavy, leaden, weighed down): How has your energy been this past week? IF LOW ENERGY: Have you felt tired? (How much of the time? How bad has it been?) This week, have you had any aches or pains? (What about backaches, headaches, or muscle aches?) Have you felt any heaviness in your limbs, back, or head? | sighd_a7 | N | radio | 0, 0 - does not feel more fatigued than usual | 1, 1 - feels more fatigued than usual but this has not impaired function significantly; less frequent than in 2 | 2, 2 - more fatigued than usual; at lease one hour a day; at least three days a week | 3, 3 - fatigued much of the time most days | 4, 4 - fatigued almost all the time | - | - | |
| - | nphamd28_mm_note | Y | notes | - | - | - | |
| 29) Diurnal Variation Type B - Severity: This week have you regularly had a slump in your mood or energy in the afternoon or evening? | sighd_a8 | N | radio | 0, 0 - no | 1, 1 - yes, of mild intensity | 2, 2 - yes, of moderate intensity | 3, 3 - yes, of severe intensity | - | - | |
| 29) Diurnal Variation Type B - Time: IF YES: Is that every day? At what time has the slump actually occurred? How big a slump - would you say it's generally mild, moderate, or severe? | nphamd29_time_mm | N | text | - | - | - | |
| - | nphamd29_mm_note | Y | notes | - | - | - | |
| Elevated Mood | ymrs_1 | N | radio | 0, 0 - absent | 1, 1 - mildly or possibly increased on questioning | 2, 2 - definite subjective elevation; optimistic, self-confident; cheerful; appropriate to content | 3, 3 - elevated; inappropriate to content; humorous | 4, 4 - euphoric; inappropriate to content; singing | - | Young Mania Rating Scale (YMRS) | |
| Notes | npymrs1_mm_note | Y | notes | - | - | - | |
| Increased Motor Activity - Energy | ymrs_2 | N | radio | 0, 0 - absent | 1, 1 - subjectively increased | 2, 2 - animated; gestures increased | 3, 3 - excessive energy; hyperactive at times; restless (can be calmed) | 4, 4 - motor excitement; continuous hyperactivity (cannot be calmed) | - | - | |
| - | npymrs2_mm_note | Y | notes | - | - | - | |
| Sexual Interest | ymrs_3 | N | radio | 0, 0 - normal; not increased | 1, 1 - mildly or possibly increased | 2, 2 - definitive subjective increase on questioning | 3, 3 - spontaneous sexual content; elaborates on sexual matters; hypersexual by self-report | 4, 4 - overt sexual acts (towards patients, staff, or interviewer) | - | - | |
| - | npymrs3_mm_note | Y | notes | - | - | - | |
| Sleep | ymrs_4 | N | radio | 0, 0 - reports no decrease in sleep | 1, 1 - sleeping less than normal amount by up to one hour | 2, 2 - sleeping less than normal by more than one hour | 3, 3 - reports decreased need for sleep | 4, 4 - denies need for sleep | - | - | |
| - | npymrs4_mm_note | Y | notes | - | - | - | |
| Irritability | ymrs_5 | N | radio | 0, 0 - absent | 1, 1 | 2, 2 - subjectively increased | 3, 3 | 4, 4 - irritable at times during interview; recent episodes of anger or annoyance on ward | 5, 5 | 6, 6 - frequently irritable during interview; short, curt throughout | 7, 7 | 8, 8 - hostile, uncooperative; interview impossible | - | - | |
| - | npymrs5_mm_note | Y | notes | - | - | - | |
| Speech (Rate and Amount) | ymrs_6 | N | radio | 0, 0 - no increase | 1, 1 | 2, 2 - feels talkative | 3, 3 | 4, 4 - increased rate or amount at times; verbose at times | 5, 5 | 6, 6 - push; consistently increased rate and amount; difficult to interrupt | 7, 7 | 8, 8 - pressured; uninterruptible, continuous speech | - | - | |
| - | npymrs6_mm_note | Y | notes | - | - | - | |
| Language - Thought Disorder | ymrs_7 | N | radio | 0, 0 - absent | 1, 1 - circumstantial; mild distractibility; quick thoughts | 2, 2 - distractible; loses goal of thought; changes topics frequently; racing thoughts | 3, 3 - flight of ideas; tangentiality; difficult to follow; rhyming; echolalia | 4, 4 - incoherent; communication impossible | - | - | |
| - | npymrs7_mm_note | Y | notes | - | - | - | |
| Content | ymrs_8 | N | radio | 0, 0 - normal | 1, 1 | 2, 2 - questionable plans, new interest | 3, 3 | 4, 4 - special project(s); hyperreligious | 5, 5 | 6, 6 - grandiose or paranoid ideas; ideas of reference | 7, 7 | 8, 8 - delusions; hallucination | - | - | |
| - | npymrs8_mm_note | Y | notes | - | - | - | |
| Disruptive - Aggressive Behavior | ymrs_9 | N | radio | 0, 0 - absent; cooperative | 1, 1 | 2, 2 - sarcastic; loud at times; guarded | 3, 3 | 4, 4 - demanding; threats on ward | 5, 5 | 6, 6 - threatens interviewer; shouting; interview difficult | 7, 7 | 8, 8 - assaultive; destructive; interview impossible | - | - | |
| - | npymrs9_mm_note | Y | notes | - | - | - | |
| Appearance | ymrs_10 | N | radio | 0, 0 - appropriate dress and grooming | 1, 1 - minimally unkempt | 2, 2 - poorly groomed; moderately disheveled; overdressed | 3, 3 - disheveled; partly clothed; garish makeup | 4, 4 - completely unkempt; decorated; bizarre garb | - | - | |
| - | npymrs10_mm_note | Y | notes | - | - | - | |
| Insight | ymrs_11 | N | radio | 0, 0 - present; admits illness; agrees with need for treatment | 1, 1 - possibly ill | 2, 2 - admits behavior change, but denies illness | 3, 3 - admits possible change in behavior, but denies illness | 4, 4 - denies any behavior change | - | - | |
| - | npymrs11_mm_note | Y | notes | - | - | - | |
| Total 17-item HAMD Score | nphamd17tot_mm | N | calc | ([sighd_1] + [sighd_2] + [sighd_3] + [sighd_4] + [sighd_5] + [sighd_6] + [sighd_7] + [sighd_8] + [sighd_9] + [sighd_10] + [sighd_11] + [sighd_12] + [sighd_13] + [sighd_14] + [sighd_15] + [sighd_16] + [sighd_17]) | - | Mood Measure Totals | |
| Total 21-item HAMD Score | nphamd21tot_mm | N | calc | ([nphamd17tot_mm] + [sighd_18b] + [sighd_19] +[sighd_20] + [sighd_21]) | - | - | |
| Total 21-item + Seasonal HAMD Score | nphamdseastot_mm | N | calc | ([nphamd21tot_mm] + [sighd_a1] + [sighd_a2] + [sighd_a3] + [sighd_a4] + [sighd_a5] + [sighd_a6] + [sighd_a7] + [sighd_a8]) | - | - | |
| YMRS Total | npymrstot_mm | N | calc | ([ymrs_1] + [ymrs_2] + [ymrs_3] + [ymrs_4] + [ymrs_5] + [ymrs_6] + [ymrs_7] + [ymrs_8] + [ymrs_9] + [ymrs_10] + [ymrs_11]) | - | - | |
| Hamilton Depression Scale 17-Item Neuropsych | hamd17np | N | text | - | - | Mood Assessments Summary Scores from prior database | |
| Hamilton Depression Scale 21-Item Neuropsych | hamd21np | N | text | - | - | - | |
| Hamilton Depression Scale 21-Item + Seasonal Neuropsych | hamd21seasnp | N | text | - | - | - | |
| Brief Social Phobia Scale | bspsnp | N | text | - | - | - | |
| Young Mania Rating Scale Neuropsych | ymrsnp | N | text | - | - | - | |
| <h6 style="background-color:powderblue;border-left: 6px solid gray;">The clinician will rate the time period covering the previous week. If a patient has not been exposed to the feared situation in the past week,the clinician should rate the fear, avoidance and physiological symptoms according to how the patient would feel now if faced with each situation</h6> | bsps_instruction | N | descriptive | - | - | - | |
| 1. Speaking in public or in front of others | bsps_1a | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | Fear How much do you fear the following situations? | |
| 2. Talking to people in authority | bsps_1b | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 3. Talking to strangers | bsps_1c | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 4. Being embarrassed or humiliated | bsps_1d | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 5. Being crtiticized | bsps_1e | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 6. Social gatherings | bsps_1f | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 7. Doing something while being watched (this does not include speaking) | bsps_1g | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Speaking in public or in front of others | bsps_2a | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | Avoidance: How much do I avoid the following situation? | |
| Talking to people in authority | bsps_2b | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Talking to strangers | bsps_2c | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Being embarrassed or humiliated | bsps_2d | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Being criticized | bsps_2e | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Social gatherings | bsps_2f | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Doing something while being watched (this does not include speaking) | bsps_2g | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Blushing | bsps_3a | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | Physiology: When you are in a situation which involves contact with other people, or when you are thinking about such a situation, do you experience any of the following symptoms? | |
| Palpitation | bsps_3b | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Trembling or shaking | bsps_3c | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Sweating | bsps_3d | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Note | bsps_note | Y | notes | - | - | - | |
| Fear Score | bsps_fear | N | calc | sum([bsps_1a],[bsps_1b],[bsps_1c],[bsps_1d],[bsps_1e],[bsps_1f],[bsps_1g]) | Based on the questions that were answered | - | |
| Fear: Count of questions that were unanswered | bsps_fear_missing | N | calc | if([bsps_1a]="",1,0)+ if([bsps_1b]="",1,0)+ if([bsps_1c]="",1,0)+ if([bsps_1d]="",1,0)+ if([bsps_1e]="",1,0)+ if([bsps_1f]="",1,0)+ if([bsps_1g]="",1,0) | Based on the questions that were answered | - | |
| Avoidance Score | bsps_avoid | N | calc | sum([bsps_2a],[bsps_2b],[bsps_2c],[bsps_2d],[bsps_2e],[bsps_2f],[bsps_2g]) | Based on the questions that were answered | - | |
| Avoidance: Count of questions that were unanswered | bsps_avoid_missing | N | calc | if([bsps_2a]="",1,0)+ if([bsps_2b]="",1,0)+ if([bsps_2c]="",1,0)+ if([bsps_2d]="",1,0)+ if([bsps_2e]="",1,0)+ if([bsps_2f]="",1,0)+ if([bsps_2g]="",1,0) | - | - | |
| Physiological Score | bsps_physiological | N | calc | sum([bsps_3a],[bsps_3b],[bsps_3c],[bsps_3d]) | Based on the questions that were answered | - | |
| Physiological: Count of questions that were unanswered | bsps_physiological_missing | N | calc | if([bsps_3a]="",1,0)+ if([bsps_3b]="",1,0)+ if([bsps_3c]="",1,0)+ if([bsps_3d]="",1,0) | - | - | |
| Total BSPS Score | bsps_total | N | calc | sum([bsps_1a],[bsps_1b],[bsps_1c],[bsps_1d],[bsps_1e],[bsps_1f],[bsps_1g],[bsps_2a],[bsps_2b],[bsps_2c],[bsps_2d],[bsps_2e],[bsps_2f],[bsps_2g],[bsps_3a],[bsps_3b],[bsps_3c],[bsps_3d]) | Based on the questions that were answered | - |