PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| What has your alcohol intake been like since the last interview? Has there been a time when you were drinking too much, or when family members or others objected to your drinking? When was that? How long did it last? | ed_3_1 | N | yesno | - | - | SUBSTANCE DEPENDENCE | |
| Have you used any of these (list of drugs and medications) to get high, to sleep better, to lose weight, or to change your mood? | ed_3_2 | N | yesno | - | - | ||
| DIAGNOSTIC CRITERIA FOR SUBSTANCE DEPENDENCE A maladaptive pattern of substance use, leading to a clinically significant impairment or distress, as manifested by three (or more) of the following occurring at any time in the same twelve month period Note: 3 (or more) of all the boxes are needed for diagnosis | ed_3a | N | checkbox | 1, Tolerance as defined by the need for markedly increased amounts of the substance to achieve intoxication or desired effect AND/OR markedly diminished effect with continued use of the same amount of the substance | 2, Withdrawal as manifested by the characteristic Withdrawal syndrome for the substance (refer to criteria A and B of the criteria sets for Withdrawal from the specific substances) AND/OR when the same substance is taken to relieve or avoid withdrawal symptoms | 3, The substance is often taken in larger amounts or over a longer period than was intended | 4, There is a persistent desire or unsuccessful efforts to cut down or control substance use | 5, A great deal of time is spent in activities necessary to obtain the substance (e.g. visiting multiple doctors or driving long distances), use the substance (e.g., chain smoking), or recover from its effects | 6, Important social, occupational, or recreational activities are given up or reduced because of substance use | 7, Continued substance use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (e.g. current cocaine use despite recognition of cocaine-induced depression, or continued drinking despite recognition that an ulcer was made worse by alcohol consumption) | - | ||
| Alcohol Abuse? | ed_4_1 | N | yesno | - | - | SUBSTANCE ABUSE | |
| Drug /abuse? | ed_4_2 | N | yesno | - | - | ||
| DIAGNOSTIC CRITERIA FOR SUBSTANCE ABUSE A maladaptive pattern of substance use leading to a clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a twelve month period: | ed_4a | N | checkbox | 1, recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to substance use; substance-related absences, suspensions or expulsions from school; neglect of children or household) | 2, recurrent substance use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by substance use) | 3, recurrent substance related legal problems (e.g., arrest for substance related disorderly conduct) | 4, continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (e.g., arguments with spouse about consequences of intoxication, physical fights) | 5, The symptoms have never met the criteria for Substance Dependence for this class of substance | - |