PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| What is your present occupation? | pf_work_1 | N | text | - | - | EMPLOYMENT OR SELF - EMPLOYMENT | |
| Work since last diagnostic interview | work_since_last_diagnostic | N | text | - | - | ||
| Since the last interview, have you worked: | since_the_last_interview_h | N | checkbox | 1, 1 - Full-Time gainful employment | 2, 2 - Part-time gainful employment (anything 30 hours or less a week) | 3, 3 - Unemployed but expected to work by self or others | 4, 4 - Unemployed but not expected to work by self or others (e.g. physically disabled) | 5, 5 - Retired | 6, 6 - Homemaker | 7, 7 - Student (includes part-time) | 8, 8 - Leave of absence due to medical reasons - holding job,plans to return | 9, 9 - Volunteer work,full-time | 10, 10 - Volunteer work,part-time | 11, 11 - Others | - | ||
| If the participant has not worked since the last interview, was this because of psychopathology? | if_the_participant_has_not | N | yesno | - | - | ||
| In the past four weeks, have you worked: | since_the_last_interv2_2d0 | N | checkbox | 1, 1 - Full-Time gainful employment | 2, 2 - Part-time gainful employment (anything 30 hours or less a week) | 3, 3 - Unemployed but expected to work by self or others | 4, 4 - Unemployed but not expected to work by self or others (e.g. physically disabled) | 5, 5 - Retired | 6, 6 - Homemaker | 7, 7 - Student (includes part-time) | 8, 8 - Leave of absence due to medical reasons - holding job,plans to return | 9, 9 - Volunteer work,full-time | 10, 10 - Volunteer work,part-time | 11, 11 - Others | - | ||
| How many times have you changed jobs since the last interview? | how_many_times_have_you_ch | N | radio | 0, Never | 1, Unemployed | 2, 1-2 times | 3, 3-5 times | 4, more than 5 times | - | ||
| How many times have you had to interrupt your work for mental health reasons since the last interview? | how_many_times_have_y2_7fa | N | radio | 0, Never | 1, Unemployed | 2, 1-2 times | 3, 3-5 times | 4, more than 5 times | - | ||
| How many times have you had to interrupt your work for mental health reasons in the past four weeks? | how_many_times_have_y2_7be | N | radio | 0, Never | 1, Unemployed | 2, 1-2 times | 3, 3-5 times | 4, more than 5 times | - | ||
| What best characterizes your level of impairment at work (due to mental health) in the past four weeks? (Rate in terms of quantity and quality of work carried out; rate worse week during past four weeks OR rate the worst week in the worst month of functioning): | pf_emp | N | radio | 0, 0 - Not applicable, did not work for reasons other than psychopathology | 1, 1 - No impairment, high level (e.g., has worked as much as someone in his/her social situation would be expected to work, and worked at a high level) | 2, 2 - No impairment, satisfactory level (e.g., has worked as much as someone in his/her social situation would be expected to work, and worked at a satisfactory level) | 3, 3 - Mild impairment (e.g., worked somewhat less than someone in his/her social situation would be expected to work and/or had mild difficulties in carrying out work activities) | 4, 4 - Moderate impairment (e.g., has missed a great deal of work and/or had considerable difficulties in carrying out work activities) | 5, 5 - Severe impairment (e.g., has missed a great deal of work and/or has been virtually incapable of carrying out work activities). | 6, 6 - Subject did not work since last interview for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| At the time when you were struggling the most with your mental health since the last interview, which of the following best characterizes your level of impairment at work? | pf_emp2_a93 | N | radio | 0, 0 - Not applicable, did not work for reasons other than psychopathology | 1, 1 - No impairment, high level (e.g., has worked as much as someone in his/her social situation would be expected to work, and worked at a high level) | 2, 2 - No impairment, satisfactory level (e.g., has worked as much as someone in his/her social situation would be expected to work, and worked at a satisfactory level) | 3, 3 - Mild impairment (e.g., worked somewhat less than someone in his/her social situation would be expected to work and/or had mild difficulties in carrying out work activities) | 4, 4 - Moderate impairment (e.g., has missed a great deal of work and/or had considerable difficulties in carrying out work activities) | 5, 5 - Severe impairment (e.g., has missed a great deal of work and/or has been virtually incapable of carrying out work activities). | 6, 6 - Subject did not work since last interview for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| How many times have you moved since the last interview? | how_many_times_have_you_mo | N | radio | 0, None | 1, Once | 2, 2-3 times | 3, More than 3 times | - | HOUSEHOLD DUTIES (Includes housecleaning, cooking, shopping, gardening, carpentry, plumbing, chauffeuring children and child care) | |
| Are you currently living alone or with others? | are_you_currently_living_a | N | radio | 1, Alone | 2, With partner (for at least one year), but not legally married | 3, In own home with spouse or children | 4, In home of parents or children | 5, In home of siblings or other relatives or friends | 6, In residential treatment facility | 7, Others [specify] | - | ||
| Only if the subject has not performed any household duties since the last interview, indicate here if this was because of the following : | pf_hd_init | N | descriptive | - | - | ||
| If the participant has not performed any household activities since the last interview, was this because of psychopathology? | hd_init_1 | N | yesno | - | - | ||
| What best characterizes your level of impairment in household activities (due to mental health) in the past four weeks (Rate in terms of quality of work carried out; rate the worst week during past four weeks OR rate the worst week in the worst month of functioning): | pf_hw_1 | N | radio | 0, 0 - Not applicable, did not work for reasons other than psychopathology | 1, 1 - No impairment, high level (e.g.,has carried out housework most of the time that would be expected, and worked at a high level) | 2, 2 - No impairment (e.g., has carried out housework most of the time that would be expected, and worked at a satisfactory level) | 3, 3 - Mild impairment (e.g., worked somewhat less than expected and/or had mild difficulties in carrying out housework) | 4, 4 - Moderate impairment (e.g., has missed a lot of housework and/or has considerable difficulties in carrying out housework.) | 5, 5 - Severe impairment (e.g., has missed a great deal of housework and/or has been virtually incapable of carrying out housework activities when he/she attempts it). | 6, 6 - Subject did not carry out housework during a month for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| At the time when you were struggling the most with your mental health since the last interview, what best characterizes your level of impairment in household activities? | pf_hw_12_cbc | N | radio | 0, 0 - Not applicable, did not work for reasons other than psychopathology | 1, 1 - No impairment, high level (e.g.,has carried out housework most of the time that would be expected, and worked at a high level) | 2, 2 - No impairment (e.g., has carried out housework most of the time that would be expected, and worked at a satisfactory level) | 3, 3 - Mild impairment (e.g., worked somewhat less than expected and/or had mild difficulties in carrying out housework) | 4, 4 - Moderate impairment (e.g., has missed a lot of housework and/or has considerable difficulties in carrying out housework.) | 5, 5 - Severe impairment (e.g., has missed a great deal of housework and/or has been virtually incapable of carrying out housework activities when he/she attempts it). | 6, 6 - Subject did not carry out housework during a month for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| Definition of Student: Enrolled in a course of study being carried out under the auspices of a recognized institution (e.g., university, high school, technical or trade school, extension courses). Do not include activities which are better classified as hobbies (e.g., night courses in bridge or macrame). ONLY if the subject has not been formally enrolled in some kind of student program at all since the last interview, indicate here if this was because of the following: | pf_sw_desc_1 | N | descriptive | - | - | SCHOOL | |
| Schooling since the last diagnostic interview | schooling_since_the_last_d | N | text | - | - | ||
| If not in school, was this for reasons of psychopathology? | pf_sw_init_1 | N | yesno | - | - | ||
| School History: | school_history | N | radio | 1, Was in school Part time since the last interview, but not currently in school | 2, Was in school Full time since the last interview, but not currently in school | 3, Currently in school | - | ||
| If in school since the last diagnostic interview, how many times have you changed schools? | if_in_school_since_the_las | N | radio | 0, Never | 1, Once | 2, 2-3 times | 3, More than 3 times | - | ||
| If in school since the last diagnostic interview, how many times have you had to interrupt your school for mental health reasons? | if_in_school_since_th2_338 | N | radio | 0, Never | 1, Once | 2, 2-3 times | 3, More than 3 times | - | ||
| What best characterizes your level of impairment at school (due to mental health) in the past four weeks? (Rate in terms of quantity and quality of work carried out; rate worse week during the past four weeks OR rate the worst week in the worst month of functioning): | what_best_characterizes_yo | N | radio | 0, 0 - Not applicable because not enrolled in a student program for reasons other than psychopathology. | 1, 1 - No impairment, high level (e.g., worked as much as would be expected if not symptomatic and got high grades). | 2, 2 - Not impairment, satisfactory level (e.g., worked as much as would be expected if not symptomatic, and got satisfactory grades) | 3, 3 - Mild impairment (e.g., worked somewhat less than expected and/or got grades somewhat below expected if not symptomatic). | 4, 4 - Moderate impairment (e.g., missed a lot of school work and/or got grades far consistently below those expected). | 5, 5 - Severe impairment (e.g., missed most of school and dropped out, and/or got grades far below those expected). | 6, 6 - Subject did no school work during a month for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| At the time when you were struggling the most with your mental health since the last interview, which of the following best characterizes your level of impairment at school? | what_best_characteriz2_adf | N | radio | 0, 0 - Not applicable because not enrolled in a student program for reasons other than psychopathology. | 1, 1 - No impairment, high level (e.g., worked as much as would be expected if not symptomatic and got high grades). | 2, 2 - Not impairment, satisfactory level (e.g., worked as much as would be expected if not symptomatic, and got satisfactory grades) | 3, 3 - Mild impairment (e.g., worked somewhat less than expected and/or got grades somewhat below expected if not symptomatic). | 4, 4 - Moderate impairment (e.g., missed a lot of school work and/or got grades far consistently below those expected). | 5, 5 - Severe impairment (e.g., missed most of school and dropped out, and/or got grades far below those expected). | 6, 6 - Subject did no school work during a month for both reasons of psychopathology and some other reasons | 7, 7 - No information | - | ||
| Which of the following best characterizes your level of interpersonal relationships with family in the past four weeks? (rate the worst week for the past four weeks OR rate the worst week in the worst month of functioning) | which_of_the_following_bes | N | radio | 0, 0 - Not applicable because does not have relatives in this category | 1, 1 - Very good (e.g., experiences very close emotional relationships with this/these family member(s), with only transient friction which is rapidly resolved. Feels only very minor or occasional need to improve quality of relationship, which is usually close or satisfying | 2, 2 - Good (e.g., argues occasionally, but arguments are usually resolved satisfactorily within short time. May occasionally prefer not to be with them because of dissatisfaction with them or be actively working with them to improve relationship.) | 3, 3 - Fair (e.g., often argues with this/these family member(s) and takes long time to resolve arguments. May withdraw from this/these person(s) due to dissatisfaction. Often thinks that relationship needs to be either more harmonious or closer emotionally even when no conflict is present. For those relatives not living with the subject, contacts with them are less frequent by choice than feasible or rarely enjoyed very much when made.) | 4, 4 - Poor (e.g., often argues with this/these family member(s) and such arguments are rarely resolved satisfactorily. Regularly prefers to avoid contact with them and feels great deficit in emotional closeness. For those family members out of household, subject avoids seeing as much as possible and derives little pleasure from contact when made.) | 5, 5 - Very poor (e.g., either constantly argues with this(these) family member(s) or withdraws from them most of the time). | 6, 6 - Variable, different levels for various members of this group, and would not warrant a rating of good or better (2,1) with at least one member of this group. | 7, 7 - Variable, different levels for various members of this group, and would not warrant a rating of (2,1) with any member of this group. | 8, 8 - No information | - | INTERPERSONAL RELATIONSHIPS | |
| At the time when you were struggling the most with your mental health since the last interview, which of the following best characterizes your level of interpersonal relationships with family? | which_of_the_followin2_90e | N | radio | 0, 0 - Not applicable because does not have relatives in this category | 1, 1 - Very good (e.g., experiences very close emotional relationships with this/these family member(s), with only transient friction which is rapidly resolved. Feels only very minor or occasional need to improve quality of relationship, which is usually close or satisfying | 2, 2 - Good (e.g., argues occasionally, but arguments are usually resolved satisfactorily within short time. May occasionally prefer not to be with them because of dissatisfaction with them or be actively working with them to improve relationship.) | 3, 3 - Fair (e.g., often argues with this/these family member(s) and takes long time to resolve arguments. May withdraw from this/these person(s) due to dissatisfaction. Often thinks that relationship needs to be either more harmonious or closer emotionally even when no conflict is present. For those relatives not living with the subject, contacts with them are less frequent by choice than feasible or rarely enjoyed very much when made.) | 4, 4 - Poor (e.g., often argues with this/these family member(s) and such arguments are rarely resolved satisfactorily. Regularly prefers to avoid contact with them and feels great deficit in emotional closeness. For those family members out of household, subject avoids seeing as much as possible and derives little pleasure from contact when made.) | 5, 5 - Very poor (e.g., either constantly argues with this(these) family member(s) or withdraws from them most of the time). | 6, 6 - Variable, different levels for various members of this group, and would not warrant a rating of good or better (2,1) with at least one member of this group. | 7, 7 - Variable, different levels for various members of this group, and would not warrant a rating of (2,1) with any member of this group. | 8, 8 - No information | - | ||
| Which of the following best characterizes your level of interpersonal relationships with friends in the past four weeks? | which_of_the_following_friends | N | radio | 1, 1 - Very good (e.g., had several special friends that he/she saw regularly and frequently and felt close to | 2, 2 - Good (e.g., had at least two special friends that he/she saw regularly and was fairly close to.) | 3, 3 - Fair (e.g., had only one special friend that he/she saw from time to time and felt fairly close to, or contacts limited to one or two friends that he/she is not close to.) | 4, 4 - Poor (e.g., had no special friends that he/she saw from time to time and felt fairly close to, or contacts limited to one or two friends that he/she is not close to.) | 5, 5 - Very poor (e.g., had no special friends and practically no social contacts.) | 6, 6 - No information | - | ||
| At the time when you were struggling the most with your mental health since the last interview, which of the following best characterizes your level of interpersonal relationships with friends? | which_of_the_followin2_3b1 | N | radio | 1, 1 - Very good (e.g., had several special friends that he/she saw regularly and frequently and felt close to | 2, 2 - Good (e.g., had at least two special friends that he/she saw regularly and was fairly close to.) | 3, 3 - Fair (e.g., had only one special friend that he/she saw from time to time and felt fairly close to, or contacts limited to one or two friends that he/she is not close to.) | 4, 4 - Poor (e.g., had no special friends that he/she saw from time to time and felt fairly close to, or contacts limited to one or two friends that he/she is not close to.) | 5, 5 - Very poor (e.g., had no special friends and practically no social contacts.) | 6, 6 - No information | - | ||
| Has your relationship status changed since last interview? | has_your_relationship_stat | N | yesno | - | - | SEXUAL ACTIVITIES | |
| At the time you were struggling the most with your mental health since the last interview, what was your relationship status? | at_the_time_you_were_strug | N | radio | 1, Married | 2, Separated | 3, Divorced | 4, Widowed | 5, Never Married | 6, In a relationship | - | ||
| What is your current relationship status? | what_is_your_current_relat | N | radio | 1, Married | 2, Separated | 3, Divorced | 4, Widowed | 5, Never Married | 6, In a relationship | - | ||
| Sexual Orientation | sf_so | N | radio | 0, No information - not sure | 1, Heterosexual | 2, Homosexual | 3, Bisexual | 10, Other | - | ||
| Specify: | sf_so_specify | N | text | - | - | - | |
| How satisfied have you been with your sexual activities with another person in the past four weeks? (rate the worst for the two weeks OR rate the worst week in the worst month of functioning). | how_satisfied_have_you_bee | N | radio | 1, 1 - Not having sexual activities, satisfied | 2, 2 - Not having sexual activities, dissatisfied | 3, 3 - Having sexual activities, good | 4, 4 - Having sexual activities, fair | 5, 5 - Having sexual activities, poor | 6, 6 - No information | - | ||
| Which of the following best characterizes your usual frequency of sexual activities with another person in the past four weeks? | fsa_4 | N | radio | 1, At least three times weekly | 2, At least once a week | 3, At least once a month | 4, Never | 5, No information | - | ||
| At the time when you were struggling the most with your mental health since the last interview, how satisfied were you with your sexual activities with another person? | how_satisfied_have_yo2_880 | N | radio | 1, 1 - Not having sexual activities, satisfied | 2, 2 - Not having sexual activities, dissatisfied | 3, 3 - Having sexual activities, good | 4, 4 - Having sexual activities, fair | 5, 5 - Having sexual activities, poor | 6, 6 - No information | - | ||
| At the time you were struggling the most with your mental health since the last interview, which of the following best characterizes your usual frequency of sexual activities with another person? | fsa_42_4f3 | N | radio | 1, At least three times weekly | 2, At least once a week | 3, At least once a month | 4, Never | 5, No information | - | ||
| What type of recreational activities and hobbies are you involved in and are able to enjoy the past four weeks? | what_type_of_recreational | N | radio | 1, 1 - Very good (e.g., has at least two activities which he/she enjoys fully and frequently.) | 2, 2 - Good (e.g., participates in several activities and does not always enjoy them fully; or participates in fewer activities or less frequently than optimal but enjoys participation | 3, 3 - Fair (e.g., occasional participation in recreational activities or hobbies, or limited enjoyment from such activities.) | 4, 4 - Poor (e.g., some participation in recreational activities or hobbies, but derives very little enjoyment from such activities.) | 5, 5 - Very poor (e.g., no involvement in recreational activities or hobbies.) | 6, 6 - No information. | - | RECREATION | |
| At the time when you were struggling the most with your mental health since the last interview, what type of recreational activities and hobbies were you involved in and are able to enjoy? | what_type_of_recreati2_cde | N | radio | 1, 1 - Very good (e.g., has at least two activities which he/she enjoys fully and frequently.) | 2, 2 - Good (e.g., participates in several activities and does not always enjoy them fully; or participates in fewer activities or less frequently than optimal but enjoys participation | 3, 3 - Fair (e.g., occasional participation in recreational activities or hobbies, or limited enjoyment from such activities.) | 4, 4 - Poor (e.g., some participation in recreational activities or hobbies, but derives very little enjoyment from such activities.) | 5, 5 - Very poor (e.g., no involvement in recreational activities or hobbies.) | 6, 6 - No information. | - | ||
| Which of the following categories best characterizes your level of satisfaction (contentment, degree to which you feel fulfilled, gratification derived from activities) in the past four weeks, based on everything we talked about? (rate the worst in the past four weeks OR rate the worst week in the worst month of functioning) | which_of_the_following_cat | N | radio | 1, 1 - Very good (e.g., transient problems may occur, but generally satisfied with all aspects of his/her life.Occasional minor dissatisfaction in one area, but overall is quite content with him(her)self, job, family, friends, activities and finances | 2, 2 - Good (e.g., mild dissatisfaction persists, but only in one area or is intermittent in several areas.In balance, is generally content and able to enjoy life most of the time, but does think there should be some improvement in either occupational role, interpersonal relations, sexual activities, or finances.) | 3, 3 - Fair(e.g., moderate dissatisfaction in one or more areas, which is relatively persistent.Either discontent with occupational role, interpersonal relations, or sexual activities or finances) | 4, 4 - Poor(e.g., very dissatisfied in most areas and derives little pleasure from life.Rarely able to derive any satisfaction from activities or relationships.) | 5, 5 - Very poor (e.g., derives no satisfaction from anything. May feel no desire to carry out the smallest task or to be with other people.) | 6, 6 - No information | - | OVERALL LEVEL OF SATISFACTION | |
| At the time when you were struggling the most with your mental health since the last interview, which of the following categories best characterizes your level of satisfaction (contentment, degree to which you feel fulfilled, gratification derived from activities)? (rate the worst in the past four weeks OR rate the worst week in the worst month of functioning) | which_of_the_followin2_a83 | N | radio | 1, 1 - Very good (e.g., transient problems may occur, but generally satisfied with all aspects of his/her life.Occasional minor dissatisfaction in one area, but overall is quite content with him(her)self, job, family, friends, activities and finances | 2, 2 - Good (e.g., mild dissatisfaction persists, but only in one area or is intermittent in several areas.In balance, is generally content and able to enjoy life most of the time, but does think there should be some improvement in either occupational role, interpersonal relations, sexual activities, or finances.) | 3, 3 - Fair(e.g., moderate dissatisfaction in one or more areas, which is relatively persistent.Either discontent with occupational role, interpersonal relations, or sexual activities or finances) | 4, 4 - Poor(e.g., very dissatisfied in most areas and derives little pleasure from life.Rarely able to derive any satisfaction from activities or relationships.) | 5, 5 - Very poor (e.g., derives no satisfaction from anything. May feel no desire to carry out the smallest task or to be with other people.) | 6, 6 - No information | - |