PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| DEPRESSION SCORE (17 ITEMS) | sighd_17_score | N | calc | sum([sighd_1] , [sighd_2] , [sighd_3] , [sighd_4] , if([sighd_5] > [sighd_5b], [sighd_5], [sighd_5b]) , [sighd_6] , [sighd_7] , [sighd_8] , [sighd_9] , [sighd_10] , [sighd_11] , [sighd_12] , [sighd_13] , [sighd_14] , [sighd_15] , [sighd_16] , [sighd_17] ) | - | - | |
| DEPRESSION SCORE (21 items) | sighd_21_score | N | calc | sum([sighd_1] , [sighd_2] , [sighd_3] , [sighd_4] , if([sighd_5] > [sighd_5b], [sighd_5], [sighd_5b]) , [sighd_6] , [sighd_7] , [sighd_8] , [sighd_9] , [sighd_10] , [sighd_11] , [sighd_12] , [sighd_13] , [sighd_14] , [sighd_15] , [sighd_16] , [sighd_17] , [sighd_18b] , [sighd_19] , [sighd_20] , [sighd_21] ) | - | - | |
| ATYPICAL SCORE | sighd_atypical | N | calc | sum([sighd_a1],[sighd_a2],[sighd_a3],[sighd_a4],[sighd_a5],[sighd_a6],[sighd_a7],[sighd_a8]) | - | - | |
| SIGHD: Count of questions that were unaswered | sighd_missing | N | calc | if([sighd_1]="",1,0)+ if([sighd_2]="",1,0)+ if([sighd_3]="",1,0)+ if([sighd_4]="",1,0)+ if([sighd_5]="",1,0)+ if([sighd_6]="",1,0)+ if([sighd_7]="",1,0)+ if([sighd_8]="",1,0)+ if([sighd_9]="",1,0)+ if([sighd_10]="",1,0)+ if([sighd_11]="",1,0)+ if([sighd_12]="",1,0)+ if([sighd_13]="",1,0)+ if([sighd_14]="",1,0)+ if([sighd_15]="",1,0)+ if([sighd_16]="",1,0)+ if([sighd_17]="",1,0)+ if(([sighd_18] or [sighd_18b])=0,1,0)+ if([sighd_19]="",1,0)+ if([sighd_20]="",1,0)+ if([sighd_21]="",1,0) | - | - | |
| <u>DEPRESSED MOOD: </u>(sadness, hopeless, helpless, worthless) <h6 style="background-color:powderblue;border-left: 6px solid gray;">What's your mood like 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)? Everyday? All day? Have you been crying at all? If SCORED 1-4 ASK: How long have you been feeling this way?</h6> | 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 is spontaneous verbal and non-verbal communication | - | - | |
| <u>FEELING OF GUILT</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">Have you been especially critical of yourself this past week, feeling you've done things wrong, or let others down? IF YES: What have your thoughts been? Have you been feeling guilty about anything that you have done or not done? Have you thought that you have brought (THIS DEPRESSION) on yourself in some way? Do you feel you are being punished by being sick?</h6> | 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 | - | - | |
| <u>SUICIDE</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | sighd_3 | N | radio | 0, 0 - Absent | 1, 1 - Feels life is not worth living | 2, 2 - Wishes he were deead or any thoughts of possible death to self | 3, 3 - Suicidal ideas or gestures | 4, 4 - Attempts at suicide | - | - | |
| <u>WORK AND ACTIVITIES</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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 look forward to? (AT FOLLOW-UP: Has your interest been back to normal?)</h6> | sighd_4 | N | radio | 0, 0 - No difficulty | 1, 1 - Thoughts and feelings of incapacity, fatigue or weakness related to work, activities or hobbies | 2, 2 - Loss of interest in activity, hobbies or work - by direct report of patient or indirect in listlessness, indecision and vacillation (feels he has to push self to work/activities) | 3, 3 - Decrease in actual time spent in activities or decrease in productivity.In hospital patient spends less than 3 hours per day in activities (hospital jobs or hobbies) exclusive of ward chores | 4, 4 - Stopped working because of present illness.In hospital, no activities except ward chores, or fails to perform ward chores unassisted | - | - | |
| <u>A. LOSS OF WEIGHT </u> (Rate either A or B) <h6 style="background-color:powderblue;border-left: 6px solid gray;">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? AT FOLLOW-UP: Have you gained any of the weight back?</h6> | sighd_5 | N | radio | 0, 0 - A. When rating by history - No weight loss | 1, 1 - A. When rating by history - Probable weight loss associated with present illness | 2, 2 - A. When rating by history - Definite (according to patient weight loss) | - | - | |
| <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 | - | - | |
| <u>INSOMNIA EARLY</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | 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 | - | - | |
| <u>INSOMNIA MIDDLE</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">During the past week, have you been waking up in the middle of the night? IF YES: Do you get out of the 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?</h6> | 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) | - | - | |
| <u>INSOMNIA LATE</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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)?</h6> | 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 | - | - | |
| <u>ANXIETY PSYCHIC</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | 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 | - | - | |
| <u>ANXIETY SOMATIC</u> (Physiologic concomitents of anxiety, such as GI - dry mouth, gas, indigestion, diarrhea, cramps, belching C.V - heart palpitations, headaches Resp - hyperventillating, sighing Having to urinate frequently Sweating): NOTE: DON'T RATE IF CLEARLY DUE TO MEDICATION (E.G. DRY MOUTH & IMIPRAMINE) <h6 style="background-color:powderblue;border-left: 6px solid gray;">In this past week, have you had any of the physical symptoms? READ LIST, PAUSING AFTER EACH SX FOR REPLY.</h6> | sighd_10 | N | radio | 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Moderate | 3, 3 - Severe | 4, 4 - Incapacitated | - | - | |
| <u>SOMATIC SYMPTOMS GENERAL</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | 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 | - | - | |
| <u>HYPOCHODRIASIS</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | 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 | - | - | |
| <u>INSIGHT</u> <h6>RATING BASED ON OBSERVATION</h6> | 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 | - | - | |
| <u>RETARDATION</u> <h6>RATING BASED ON OBSERVATION DURING INTERVIEW<h6> | 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 | - | - | |
| <u>AGITATION</u> <h6>RATING BASED ON OBSERVATION DURING INTERVIEW</h6> | 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 | - | - | |
| <u>SOMATIC SYMPTOMS GASTROINTESTINAL</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | sighd_16 | N | radio | 0, 0 - None | 1, 1 - Loss of appetite but eating without encouragement | 2, 2- Difficulty eating without urging | - | - | |
| <u>GENITAL SYMPTOMS</u> (such as loss of libido, menstrual disturbances) <h6 style="background-color:powderblue;border-left: 6px solid gray;">How has your interest in sex been this week? (I am 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 have thought much about? IF NO: Is that unusual for you?</h6> | sighd_17 | N | radio | 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Severe | - | - | |
| <u>DIURNAL VARIATION A.</u> Note whether symptoms are worse in morning or evening. If no diurnal variation rate is zero <h6 style="background-color:powderblue;border-left: 6px solid gray;">This past week have you been feeling better or worse at any particular time of day - morning or evening? IN VARIATION: How much worse do you feel in the (MORNING OR EVENING)? IF UNSURE: A little bit worse or a lot worse?</h6> <h6>(USE B SCORE FOR RATING)</h6> | sighd_18 | N | radio | 0, 0 - No variation | 1, 1 - Worse in A.M. | 2, 2 - Worse in P.M. | - | - | |
| <u>DIURNAL VARIATION B.</u> When present, mark the severity of the variation | sighd_18b | N | radio | 0, 0 - None | 1, 1 - Mild | 2, 2 - Severe | - | - | |
| <u>DEPERSONALIZATION AND DEREALIZATION</u> Feeling of unreality <h6 style="background-color:powderblue;border-left: 6px solid gray;">In the past week, have you ever suddenly had the feeling that everything is unreal, or you are in a dream, or cut off from other people in some strange way? Any special feelings? IF YES: How bad has that been? How often this week has that happened?</h6> | sighd_19 | N | radio | 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Moderate | 3, 3 - Severe | 4, 4 - Incapacitating | - | - | |
| <u>PARANOID SYMPTOMS:</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">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.</h6> | sighd_20 | N | radio | 0, 0 - None | 1, 1 - Suspicious | 2, 2 - Ideas of reference | 3, 3 - Delusions of reference and persecution | - | - | |
| <u>OBSESSIONAL AND COMPULSIVE SYMPTOMS:</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">In the past week, have there been things you have had to do over and over again, like checking the locks on the door 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 again in your mind? IF YES: Can you give me an example?</h6> | sighd_21 | N | radio | 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Severe | - | - | |
| <u>Social Withdrawal</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">In the last week, have you been as social as usual? IF NO: Tell me which fits you best.</h6> <h6>(READ DOWN ANCHOR DESCRIPTIONS AND RATE ACCORDINGLY.)</h6> | sighd_a1 | N | radio | 0, 0 - Interacts with other peopla 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 situation | - | - | |
| <u>Weight Gain</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">Have you gained any weight in the last week? IF YES: How much?</h6> | sighd_a2 | N | radio | 0, 0 - No Weight Gain | 1, 1 - Probable weight gain due to current depression | 2, 2 - Definite (according to patient) weight gain due to depression. | - | - | |
| <u>Appetite Increase</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">In the past week, has your appetite been greater than when you feel well or OK? IF YES: Do you want to eat a little more, somewhat more, or much more than when you feel well or OK?</h6> | sighd_a3 | N | radio | 0, 0 - No increase in appetite | 1, 1 - Wants to eat a little more than usual | 2, 2 - Wants to eat somewhat more than normal | 3, 3 - Wants to eat much more than usual | - | - | |
| <u>Increased Eating</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">In the past week, have you actually been eating more than when you feel well or OK? IF YES: A little more, somewhat more, or much more than when you feel well or OK?</h6> | 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 usual | - | - | |
| <u>Carbohydrate Craving</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">In relation to the 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 OK, much more, or irresistibly craving them?</h6> | 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 | - | - | |
| <u>Hypersomnia</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">Have you been sleeping more than usual this past week? IF YES: How much more? IF NO: What about weekends?</h6> | sighd_a6 | N | radio | 0, 0 - No increase in sleep length | 1, 1 - At least 1 hour increase in sleep length | 2, 2 - 2+ hour increase | 3, 3 - 3+ hour increase | 4, 4 - 4+ hour increase | - | - | |
| <u>Fatigability </u> (or low energy, or feelings of being heavy, leaden, weighed down) <h6 style="background-color:powderblue;border-left: 6px solid gray;">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?</h6> | 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 least one hour a day; at least three times a week | 3, 3 - Fatigues much of the time most days | 4, 4 - Fatigued almost all the time | - | - | |
| <u>Diurnal variation type B</u> <h6 style="background-color:powderblue;border-left: 6px solid gray;">This week, have you regularly had a slump in your mood or energy in the afternoon or evening? IF YES: Is that everyday? At what time has the slump usually occurred? How big a slump - would you say it's generally mild, moderate or severe?</h6> | 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 | - | - | |
| Note | sighd_note | Y | notes | - | - | - |