|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
guid |
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
subjid |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
|
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0 :: 1260
|
Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
|
subject_age |
|
sex |
String |
20
|
Required |
Sex of the subject |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
fspgod |
String |
70
|
Recommended |
Subject's gender OTHER describe |
|
|
|
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
|
|
aescode |
Integer |
|
Recommended |
Staff code number of person completing this form |
|
|
|
|
eng_first |
Integer |
|
Recommended |
Is English your first language? |
|
0 = No; 1 = Yes
|
efl |
|
wtar_validity_issues |
Integer |
|
Recommended |
Were there any validity issues? |
|
0=No; 1=Yes
|
ovi |
|
ah_psd |
Integer |
|
Recommended |
Current: Auditory Hallucination - Physical Severity |
0::20
|
|
|
|
ah_csd |
Integer |
|
Recommended |
Current: Auditory Hallucination - Cognitive Severity |
0::12
|
|
|
|
ah_esd |
Integer |
|
Recommended |
Current: Auditory Hallucination - Emotional Severity |
0::16
|
|
|
|
ah_totals |
Integer |
|
Recommended |
Current: Auditory Hallucination -Totals |
0::48
|
|
|
|
vh_psd |
Integer |
|
Recommended |
Current: Visual Hallucination - Physical Severity |
0::24
|
|
|
|
vh_csd |
Integer |
|
Recommended |
Current: Visual Hallucination - Cognitive Severity |
0::12
|
|
|
|
vh_esd |
Integer |
|
Recommended |
Current: Visual Hallucination - Emotional Severity |
0::16
|
|
|
|
vh_totals |
Integer |
|
Recommended |
Current: Visual Hallucination -Totals |
0::52
|
|
|
|
oh_psd |
Integer |
|
Recommended |
Current: Olfactory Hallucination - Physical Severity |
0::16
|
|
|
|
oh_csd |
Integer |
|
Recommended |
Current: Olfactory Hallucination - Cognitive Severity |
0::12
|
|
|
|
oh_esd |
Integer |
|
Recommended |
Current: Olfactory Hallucination - Emotional Severity |
0::16
|
|
|
|
oh_totals |
Integer |
|
Recommended |
Current: Olfactory Hallucination -Totals |
0::44
|
|
|
|
th_psd |
Integer |
|
Recommended |
Current: Tactile Hallucination - Physical Severity |
0::20
|
|
|
|
th_csd |
Integer |
|
Recommended |
Current: Tactile Hallucination - Cognitive Severity |
0::12
|
|
|
|
th_esd |
Integer |
|
Recommended |
Current: Tactile Hallucination - Emotional Severity |
0::16
|
|
|
|
th_totals |
Integer |
|
Recommended |
Current: Tactile Hallucination -Totals |
0::48
|
|
|
|
gh_psd |
Integer |
|
Recommended |
Current: Gustatory Hallucination - Physical Severity |
0::20
|
|
|
|
gh_csd |
Integer |
|
Recommended |
Current: Gustatory Hallucination - Cognitive Severity |
0::12
|
|
|
|
gh_esd |
Integer |
|
Recommended |
Current: Gustatory Hallucination - Emotional Severity |
0::16
|
|
|
|
gh_totals |
Integer |
|
Recommended |
Current: Gustatory Hallucination -Totals |
0::48
|
|
|
|
ah_psd_past |
Integer |
|
Recommended |
Past: Auditory Hallucination - Physical Severity |
0::20
|
|
|
|
ah_csd_past |
Integer |
|
Recommended |
Past: Auditory Hallucination - Cognitive Severity |
0::12
|
|
|
|
ah_esd_past |
Integer |
|
Recommended |
Past: Auditory Hallucination - Emotional Severity |
0::16
|
|
|
|
ah_totals_past |
Integer |
|
Recommended |
Past: Auditory Hallucination -Totals |
0::48
|
|
|
|
vh_psd_past |
Integer |
|
Recommended |
Past: Visual Hallucination - Physical Severity |
0::24
|
|
|
|
vh_csd_past |
Integer |
|
Recommended |
Past: Visual Hallucination - Cognitive Severity |
0::12
|
|
|
|
vh_esd_past |
Integer |
|
Recommended |
Past: Visual Hallucination - Emotional Severity |
0::16
|
|
|
|
vh_totals_past |
Integer |
|
Recommended |
Past: Visual Hallucination -Totals |
0::52
|
|
|
|
oh_psd_past |
Integer |
|
Recommended |
Past: Olfactory Hallucination - Physical Severity |
0::16
|
|
|
|
oh_csd_past |
Integer |
|
Recommended |
Past: Olfactory Hallucination - Cognitive Severity |
0::12
|
|
|
|
oh_esd_past |
Integer |
|
Recommended |
Past: Olfactory Hallucination - Emotional Severity |
0::16
|
|
|
|
oh_totals_past |
Integer |
|
Recommended |
Past: Olfactory Hallucination -Totals |
0::44
|
|
|
|
th_psd_past |
Integer |
|
Recommended |
Past: Tactile Hallucination - Physical Severity |
0::20
|
|
|
|
th_csd_past |
Integer |
|
Recommended |
Past: Tactile Hallucination - Cognitive Severity |
0::12
|
|
|
|
th_esd_past |
Integer |
|
Recommended |
Past: Tactile Hallucination - Emotional Severity |
0::16
|
|
|
|
th_totals_past |
Integer |
|
Recommended |
Past: Tactile Hallucination -Totals |
0::48
|
|
|
|
gh_psd_past |
Integer |
|
Recommended |
Past: Gustatory Hallucination - Physical Severity |
0::20
|
|
|
|
gh_csd_past |
Integer |
|
Recommended |
Past: Gustatory Hallucination - Cognitive Severity |
0::12
|
|
|
|
gh_esd_past |
Integer |
|
Recommended |
Past: Gustatory Hallucination - Emotional Severity |
0::16
|
|
|
|
gh_totals_past |
Integer |
|
Recommended |
Past: Gustatory Hallucination -Totals |
0::48
|
|
|
|
infosrc |
String |
15
|
Recommended |
Sources of information |
|
1= Participant; 2= Parents/relatives; 3= Mental health professionals; 4= Chart, 5 = Collateral (specify relationship below)
|
|
|
relashionship |
String |
255
|
Recommended |
relashionship of respondent to individual |
|
|
|
|
chat2 |
String |
15
|
Recommended |
Modalities already endorsed prior to this screen |
|
1 = Auditory; 2 = Visual; 3 = Olfactory; 4 = Tactile; 5 = Gustatory
|
|
|
chat3 |
Integer |
|
Recommended |
Have you ever thought you heard someone call your name, but then realized you must have been mistaken? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat4 |
Integer |
|
Recommended |
Have you ever heard your phone ringing, but then realized the phone hadn't rung? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat_5 |
Integer |
|
Recommended |
When you are falling asleep, do you ever hear strange noises? What about when you are waking up in the morning? |
0;1
|
0 = No ; 1 = Yes
|
chat5 |
|
chat6 |
Integer |
|
Recommended |
What about hearing music or other noises that other people around you did not seem to hear? |
0;1
|
0 = No ; 1 = Yes
|
|
|
primemd_l6a |
Integer |
|
Recommended |
Have you ever heard things other people couldn't hear, such as voices? |
0;1
|
0= No; 1= Yes
|
|
|
chat8 |
Integer |
|
Recommended |
Have you ever had an auditory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat9 |
Integer |
|
Recommended |
Have you ever been told that you are hearing things that are not real or are not really there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat10 |
Integer |
|
Recommended |
Has a doctor or family member ever told you that you have had an auditory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
comments1 |
String |
1,000
|
Recommended |
Comments 1 |
|
|
|
|
chat12 |
Integer |
|
Recommended |
Need to do Auditory Hallucinations follow-up? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat13 |
Integer |
|
Recommended |
Have you ever had an experience in which you thought you saw something, but when you looked, nothing was there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat14 |
Integer |
|
Recommended |
When you are falling asleep, do you ever see things? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat15 |
Integer |
|
Recommended |
Have you ever seen things move, but then realized that your eyes were playing tricks on you? |
0;1
|
0 = No ; 1 = Yes
|
|
|
mini_m7a_c |
Integer |
|
Recommended |
Psychotic Disorders: M7a (clinician judgment) Have you ever had visions when you were awake or have you ever seen things other people couldn't see? |
0;1
|
0=no; 1=yes
|
|
|
chat17 |
Integer |
|
Recommended |
Have you ever had a visual hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat18 |
Integer |
|
Recommended |
Have you ever been told that you are seeing things that are not real or are not really there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat19 |
Integer |
|
Recommended |
Has a friend, family member, or doctor ever told you that you have had a visual hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
comments2 |
String |
1,000
|
Recommended |
Comments 2 |
|
|
|
|
chat21 |
Integer |
|
Recommended |
Need to do Visual Hallucinations follow-up? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat22 |
Integer |
|
Recommended |
Have you ever detected an odor, such as perfume, burning, food, or trash, but could not figure out where it was coming from? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat23 |
Integer |
|
Recommended |
Have you ever been near an object that seemed to have an odor it shouldn't, or to a place that had a very unusual, mismatched odor? (such as the smell of rotting eggs when you were nowhere near a trash bin, or the smell of smoke when you couldn't see any?) |
0;1
|
0 = No ; 1 = Yes
|
|
|
cardiff_29 |
Integer |
|
Recommended |
Do you ever notice smells or odours that people next to you seem unaware of? |
0;1
|
0= No; 1= Yes
|
|
|
chat25 |
Integer |
|
Recommended |
Have you ever smelled something but then realized that it must have been your mind playing tricks on you? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat26 |
Integer |
|
Recommended |
Have you ever had an olfactory, or smell, hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat27 |
Integer |
|
Recommended |
Have you ever been told that you are smelling things that are not real or are not really there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat28 |
Integer |
|
Recommended |
Has a family member or doctor ever told you that you have had an olfactory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
comments3 |
String |
1,000
|
Recommended |
Comments 3 |
|
|
|
|
chat30 |
Integer |
|
Recommended |
Need to do Olfactory Hallucination follow-up? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat31 |
Integer |
|
Recommended |
Have you ever felt something on or under your skin, but then realized you just had an itch? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat32 |
Integer |
|
Recommended |
Have you ever had a sensation on or under your skin that didn't make any sense to you? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat33 |
Integer |
|
Recommended |
Have you ever felt things on or under your skin, like bugs crawling or something scratching or biting you, but when you looked there was nothing there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat34 |
Integer |
|
Recommended |
Have you ever told a doctor about sensations on your body that concerned you but you were told nothing is wrong? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat35 |
Integer |
|
Recommended |
Have you ever had a tactile hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat36 |
Integer |
|
Recommended |
Have you ever been told that you are feeling tingling, itches or other sensations on your body that are not real? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat37 |
Integer |
|
Recommended |
Has a family member or doctor ever told you that you have had somatic or tactile hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
comments4 |
String |
1,000
|
Recommended |
Comments 4 |
|
|
|
|
chat39 |
Integer |
|
Recommended |
Need to do Tactile Hallucination follow-up? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat40 |
Integer |
|
Recommended |
Have you ever been so hungry you thought you could actually taste food in your mouth? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat41 |
Integer |
|
Recommended |
Have you ever eaten or drank something that tasted much different than you thought it should? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat42 |
Integer |
|
Recommended |
Have you ever suddenly had a taste in your mouth as if out of the blue, when you were not eating or drinking anything at the time? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat43 |
Integer |
|
Recommended |
Have you ever had a gustatory, or taste, hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat44 |
Integer |
|
Recommended |
Have you ever been told that you were tasting things in your mouth that are not real, or are not really there? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat45 |
Integer |
|
Recommended |
Has a family member or doctor ever told you that you were having a gustatory, or taste, hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
comments5 |
String |
200
|
Recommended |
Comments 5 |
|
|
|
|
chat47 |
Integer |
|
Recommended |
Need to do Gustatory Hallucination follow-up? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat48 |
Integer |
|
Recommended |
Have you even been told that you have had any kind of hallucination that I did not ask about? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat49 |
String |
15
|
Recommended |
Specify all modalities needing follow-up: |
|
1 = Auditory; 2 = Visual; 3 = Olfactory; 4 = Tactile; 5 = Gustatory
|
|
|
chat50 |
Integer |
|
Recommended |
Using drugs or alcohol at time of auditory hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat51 |
Integer |
|
Recommended |
Auditory hallucinations experienced when not intoxicated? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat52 |
String |
300
|
Recommended |
Description of auditory hallucinations |
|
|
|
|
chat53 |
String |
100
|
Recommended |
When did you first hear [hallucination]? |
|
|
|
|
chat54 |
Integer |
|
Recommended |
Any similar experiences hearing things before first auditory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat55 |
String |
100
|
Recommended |
If any similar experiences hearing things before first auditory hallucination, then when were they? |
|
|
|
|
chat56 |
String |
100
|
Recommended |
If any similar experiences hearing things before first auditory hallucination, then were there any others? |
|
|
|
|
chat57 |
Integer |
|
Recommended |
Types of separately recurring auditory hallucinations |
1;2
|
1 = History of only 1 type; 2 = History of 2 or more types
|
|
|
chat58 |
String |
5
|
Recommended |
Auditory Hallucinations include (check all that apply) |
|
1 = Voices; 2 = Other Sounds
|
|
|
chat59 |
Date |
|
Recommended |
Estimated date of first Auditory Hallucination (month/day/year): |
|
|
|
|
chat60 |
Date |
|
Recommended |
When was the last time you heard any of these auditory hallucinations? |
|
|
|
|
chat61 |
String |
100
|
Recommended |
When were auditory hallucinations at their worst? |
|
|
|
|
chat62 |
Integer |
|
Recommended |
Were you receiving medication during the period when auditory hallucinations were at their worst? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat63 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat64 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat65 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat66 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat67 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Intensity/Loudness |
0::4
|
0 = Not present; 1 = Quieter than participant's own voice; 2 = About same loudness as participant's voice; 3 = Somewhat louder than participant's voice; 4 = Extremely loud (e.g., shouting)
|
|
|
chat68 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Intensity/Loudness |
0::4
|
0 = Not present; 1 = Quieter than participant's own voice; 2 = About same loudness as participant's voice; 3 = Somewhat louder than participant's voice; 4 = Extremely loud (e.g., shouting)
|
|
|
chat69 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Simple, meaningless sounds; 2 = Word-like sounds, simple melody, or wordless meaningful sounds (e.g., laughter), or coherent/isolated nonhuman sound (e.g., whistle); 3 = Words, short phrases, or parts of songs; 4 = Complete sentences, songs, or multiple voices conversing
|
|
|
chat70 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Simple, meaningless sounds; 2 = Word-like sounds, simple melody, or wordless meaningful sounds (e.g., laughter), or coherent/isolated nonhuman sound (e.g., whistle); 3 = Words, short phrases, or parts of songs; 4 = Complete sentences, songs, or multiple voices conversing
|
|
|
chat71 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Interference with other sounds |
0::4
|
0 = Not present; 1 = No interference; 2 = Mild; 3 = Moderate; 4 = Severe interference (e.g., unable to follow a conversation)
|
|
|
chat72 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Interference with other sounds |
0::4
|
0 = Not present; 1 = No interference; 2 = Mild; 3 = Moderate; 4 = Severe interference (e.g., unable to follow a conversation)
|
|
|
chat73 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during auditory hallucinations
|
|
|
chat74 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during auditory hallucinations
|
|
|
chat75 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat76 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat77 |
String |
15
|
Recommended |
If auditory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply) |
|
1 = Frequency, 2 = Duration; 3 = Intensity; 4 = Other (specify)
|
|
|
chat78 |
String |
100
|
Recommended |
If auditory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply), Other: specify |
|
|
|
|
chat79 |
String |
300
|
Recommended |
Is there anything you do to cope with these auditory hallucinations? |
|
|
|
|
chat80 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat81 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat82 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat83 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat84 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely morbid or violent comments); 3 = Moderate (may include explicit morbid or violent comments); 4 = Severe (Contents perceived as threatening, excessively morbid, or violent)
|
|
|
chat85 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely morbid or violent comments); 3 = Moderate (may include explicit morbid or violent comments); 4 = Severe (Contents perceived as threatening, excessively morbid, or violent)
|
|
|
chat86 |
Integer |
|
Recommended |
Check if auditory hallucination content is definitively pleasant |
0;1
|
0 = Not checked; 1 = Checked
|
|
|
chat87 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat88 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat89 |
Integer |
|
Recommended |
Current: Auditory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat90 |
Integer |
|
Recommended |
Past: Auditory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat91 |
Integer |
|
Recommended |
Did you ever try a medication that somehow improved, reduced, or stopped your experiences of auditory hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat92 |
String |
15
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of auditory hallucinations: What about your experiences improved? (check all that may apply) |
|
1 = Reduced frequency; 2 = Shorter duration; 3 = Reduced intensity; 4 = Other (specify)
|
|
|
chat93 |
String |
100
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of auditory hallucinations: What about your experiences improved? (check all that may apply) - Other, specify |
|
|
|
|
chat94 |
Integer |
|
Recommended |
Are you currently taking medication that has (reduced, improved) these experiences (auditory hallucinations)? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat95 |
Integer |
|
Recommended |
Have you continued to have these experiences (auditory hallucinations) while taking medication? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat96 |
Integer |
|
Recommended |
If auditory hallucinations continued while taking medication that reduced them: Is a family member or doctor still concerned about the hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat97 |
Integer |
|
Recommended |
Auditory Hallucinations-Antipsychotic Effects LIFETIME (Circle ONE): |
1::6
|
1 = Lifetime responder; 2 = Lifetime partial responder; 3 = Lifetime minimal responder; 4 = Lifetime non-responder; 5 = No history of trying antipsychotics while experiencing Auditory Hallucinations; 6 = Unknown
|
|
|
chat98 |
Integer |
|
Recommended |
Auditory Hallucinations-Antipsychotic Effects CURRENT (Circle ONE): |
1::5
|
1 = Current responder; 2 = Current partial responder; 3 = Current minimal responder; 4 = Current non-responder; 5 = Not currently taking an antipsychotic that has reduced Auditory Hallucinations
|
|
|
chat99 |
String |
100
|
Recommended |
Auditory Hallucinations: Are they more common during a particular time of day, like morning or at night? |
|
|
|
|
chat100 |
Integer |
|
Recommended |
Auditory Hallucinations: familiar or unfamiliar in content? |
1;2
|
1 = Familiar; 2 = Unfamiliar
|
|
|
chat101 |
Integer |
|
Recommended |
Auditory Hallucinations: If voices are heard, does it sound like anyone you know? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat102 |
Integer |
|
Recommended |
Auditory Hallucinations: If voices are heard, how many voices are talking at a time usually? |
|
|
|
|
chat103 |
String |
100
|
Recommended |
Auditory Hallucinations: Does anything trigger the hallucination? (e.g. specific locations, sights, memories) |
|
|
|
|
chat104 |
Integer |
|
Recommended |
Auditory Hallucinations: Are hallucinations present at a social setting or during social interactions? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat105 |
Integer |
|
Recommended |
Using drugs or alcohol at time of visual hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat106 |
Integer |
|
Recommended |
Visual hallucinations experienced when not intoxicated? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat107 |
String |
300
|
Recommended |
Description of visual hallucinations |
|
|
|
|
chat108 |
String |
100
|
Recommended |
When did you first see [hallucination]? |
|
|
|
|
chat109 |
Integer |
|
Recommended |
Any similar experiences seeing things before first visual hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat110 |
String |
100
|
Recommended |
If any similar experiences seeing things before first visual hallucination, then when were they? |
|
|
|
|
chat111 |
String |
100
|
Recommended |
If any similar experiences seeing things before first visual hallucination, then were there any others? |
|
|
|
|
chat112 |
Integer |
|
Recommended |
Types of separately recurring visual hallucinations |
1;2
|
1 = History of only 1 type; 2 = History of 2 or more types
|
|
|
chat113 |
Date |
|
Recommended |
Estimated date of first Visual Hallucination (month/day/year): |
|
|
|
|
chat114 |
Date |
|
Recommended |
When was the last time you saw any of these visual hallucinations? |
|
|
|
|
chat115 |
String |
100
|
Recommended |
When were visual hallucinations at their worst? |
|
|
|
|
chat116 |
Integer |
|
Recommended |
Were you receiving medication during the period when visual hallucinations were at their worst? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat117 |
Integer |
|
Recommended |
Current: Visual Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat118 |
Integer |
|
Recommended |
Past: Visual Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat119 |
Integer |
|
Recommended |
Current: Visual Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat120 |
Integer |
|
Recommended |
Past: Visual Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat121 |
Integer |
|
Recommended |
Current: Visual Hallucination: Intensity/Transparency |
0::4
|
0 = Not present; 1 = Transparent (similar to shadows, occur only in dim light/darkness); 2 = Transparent (similar to shadows, but not exclusive to dim light/darkness); 3 = Mixed or intermediate between opaque and shadlowlike/transparent; 4 = Always opaque
|
|
|
chat122 |
Integer |
|
Recommended |
Past: Visual Hallucination: Intensity/Transparency |
0::4
|
0 = Not present; 1 = Transparent (similar to shadows, occur only in dim light/darkness); 2 = Transparent (similar to shadows, but not exclusive to dim light/darkness); 3 = Mixed or intermediate between opaque and shadlowlike/transparent; 4 = Always opaque
|
|
|
chat123 |
Integer |
|
Recommended |
Current: Visual Hallucination: Intensity/Brightness |
0::4
|
0 = Not present; 1 = Dimmer than other objects; 2 = Equally as bright as other objects; 3 = Brighter than other objects; 4 = Extremely bright
|
|
|
chat124 |
Integer |
|
Recommended |
Past: Visual Hallucination: Intensity/Brightness |
0::4
|
0 = Not present; 1 = Dimmer than other objects; 2 = Equally as bright as other objects; 3 = Brighter than other objects; 4 = Extremely bright
|
|
|
chat125 |
Integer |
|
Recommended |
Current: Visual Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Formless; 2 = Simple forms; 3 = Somewhat resemble objects/human figures but not fully formed; 4 = Fully formed detailed humans, animals, or other objects
|
|
|
chat126 |
Integer |
|
Recommended |
Past: Visual Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Formless; 2 = Simple forms; 3 = Somewhat resemble objects/human figures but not fully formed; 4 = Fully formed detailed humans, animals, or other objects
|
|
|
chat127 |
Integer |
|
Recommended |
Current: Visual Hallucination: Visual Field Interference |
0::4
|
0 = Not present; 1 = Small; 2 = Medium; 3 = Large; 4 = Entire environment is altered
|
|
|
chat128 |
Integer |
|
Recommended |
Past: Visual Hallucination: Visual Field Interference |
0::4
|
0 = Not present; 1 = Small; 2 = Medium; 3 = Large; 4 = Entire environment is altered
|
|
|
chat129 |
Integer |
|
Recommended |
Current: Visual Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Severe: Unable to concentrate on anything else during visual hallucinations
|
|
|
chat130 |
Integer |
|
Recommended |
Past: Visual Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Severe: Unable to concentrate on anything else during visual hallucinations
|
|
|
chat131 |
Integer |
|
Recommended |
Current: Visual Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat132 |
Integer |
|
Recommended |
Past: Visual Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat133 |
String |
15
|
Recommended |
If visual hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply) |
|
1 = Frequency, 2 = Duration; 3 = Intensity; 4 = Other (specify)
|
|
|
chat134 |
String |
100
|
Recommended |
If visual hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply), Other: specify |
|
|
|
|
chat135 |
String |
300
|
Recommended |
Is there anything you do to cope with these visual hallucinations? |
|
|
|
|
chat136 |
Integer |
|
Recommended |
Current: Visual Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat137 |
Integer |
|
Recommended |
Past: Visual Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat138 |
Integer |
|
Recommended |
Current: Visual Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat139 |
Integer |
|
Recommended |
Past: Visual Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat140 |
Integer |
|
Recommended |
Current: Visual Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely morbid or violent images); 3 = Moderate (may include explicit morbid or violent images); 4 = Severe (Contents perceived as threatening, excessively morbid, or violent)
|
|
|
chat141 |
Integer |
|
Recommended |
Past: Visual Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely morbid or violent images); 3 = Moderate (may include explicit morbid or violent images); 4 = Severe (Contents perceived as threatening, excessively morbid, or violent)
|
|
|
chat142 |
Integer |
|
Recommended |
Check if visual hallucination content is definitively pleasant |
0;1
|
0 = Not checked; 1 = Checked
|
|
|
chat143 |
Integer |
|
Recommended |
Current: Visual Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat144 |
Integer |
|
Recommended |
Past: Visual Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat145 |
Integer |
|
Recommended |
Current: Visual Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat146 |
Integer |
|
Recommended |
Past: Visual Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat147 |
Integer |
|
Recommended |
Did you ever try a medication that somehow improved, reduced, or stopped your experiences of visual hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat148 |
String |
15
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of visual hallucinations: What about your experiences improved? (check all that may apply) |
|
1 = Reduced frequency; 2 = Shorter duration; 3 = Reduced intensity; 4 = Other (specify)
|
|
|
chat149 |
String |
100
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of visual hallucinations: What about your experiences improved? (check all that may apply) - Other, specify |
|
|
|
|
chat150 |
Integer |
|
Recommended |
Are you currently taking medication that has (reduced, improved) these experiences (visual hallucinations)? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat151 |
Integer |
|
Recommended |
Have you continued to have these experiences (visual hallucinations) while taking medication? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat152 |
Integer |
|
Recommended |
If visual hallucinations continued while taking medication that reduced them: Is a family member or doctor still concerned about the hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat153 |
Integer |
|
Recommended |
Visual Hallucinations-Antipsychotic Effects LIFETIME (Circle ONE): |
1::6
|
1 = Lifetime responder; 2 = Lifetime partial responder; 3 = Lifetime minimal responder; 4 = Lifetime non-responder; 5 = No history of trying antipsychotics while experiencing Visual Hallucinations; 6 = Unknown
|
|
|
chat154 |
Integer |
|
Recommended |
Visual Hallucinations-Antipsychotic Effects CURRENT (Circle ONE): |
1::5
|
1 = Current responder; 2 = Current partial responder; 3 = Current minimal responder; 4 = Current non-responder; 5 = Not currently taking an antipsychotic that has reduced Visual Hallucinations
|
|
|
chat155 |
String |
100
|
Recommended |
Visual Hallucinations: Are they more common during a particular time of day, like morning or at night? |
|
|
|
|
chat156 |
Integer |
|
Recommended |
Visual Hallucinations: Does this occur right in front of you, or is it more like in the corner of your eye? |
1;2
|
1 = Front; 2 = Periphery
|
|
|
chat157 |
Integer |
|
Recommended |
Visual Hallucinations: Do you usually see this more in your left or right field of vision? |
1::3
|
1 = Left; 2 = Right; 3 = Central
|
|
|
chat158 |
Integer |
|
Recommended |
Visual Hallucinations: Does it look close by or far away? |
1;2
|
1 = Close; 2 = Far
|
|
|
chat159 |
Integer |
|
Recommended |
Visual Hallucinations: Does it seem close enough to touch? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat160 |
Integer |
|
Recommended |
Visual Hallucinations: Does the image move when you turn your head? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat161 |
Integer |
|
Recommended |
Visual Hallucinations: If human, did it talk or make noise? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat162 |
Integer |
|
Recommended |
Visual Hallucinations: Is it familiar or unfamiliar in content? |
1;2
|
1 = Familiar; 2 = Unfamiliar
|
|
|
chat163 |
Integer |
|
Recommended |
Visual Hallucinations: Does it look like anyone you know? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat164 |
String |
100
|
Recommended |
Visual Hallucinations: Did it seem to be black and white, one color, or many colors? |
|
|
|
|
chat165 |
String |
100
|
Recommended |
Visual Hallucinations: Does anything trigger the hallucination? (e.g. specific locations, sights, memories) |
|
|
|
|
scidv_b21_al |
Integer |
|
Recommended |
olfactory hallucinations, were you using drugs or alcohol at that time? |
1;3
|
1=No; 3= Yes
|
|
|
chat167 |
Integer |
|
Recommended |
Olfactory hallucinations experienced when not intoxicated? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat168 |
String |
300
|
Recommended |
Description of olfactory hallucinations |
|
|
|
|
chat169 |
String |
100
|
Recommended |
When did you first smell [hallucination]? |
|
|
|
|
chat170 |
Integer |
|
Recommended |
Any similar experiences smelling things before first olfactory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat171 |
String |
100
|
Recommended |
If any similar experiences smelling things before first olfactory hallucination, then when were they? |
|
|
|
|
chat172 |
String |
100
|
Recommended |
If any similar experiences smelling things before first olfactory hallucination, then were there any others? |
|
|
|
|
chat173 |
Integer |
|
Recommended |
Types of separately recurring olfactory hallucinations |
1;2
|
1 = History of only 1 type; 2 = History of 2 or more types
|
|
|
chat174 |
Date |
|
Recommended |
Estimated date of first olfactory Hallucination (month/day/year): |
|
|
|
|
chat175 |
Date |
|
Recommended |
When was the last time you smelled any of these olfactory hallucinations? |
|
|
|
|
chat176 |
String |
100
|
Recommended |
When were olfactory hallucinations at their worst? |
|
|
|
|
chat177 |
Integer |
|
Recommended |
Were you receiving medication during the period when olfactory hallucinations were at their worst? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat178 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat179 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat180 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat181 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat182 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Intensity/Pungency |
0::4
|
0 = Not present; 1 = Fainter than other external odors; 2 = Equally as strong as external odors; 3 = Stronger than external odors; 4 = Extremely strong or pungent
|
|
|
chat183 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Intensity/Pungency |
0::4
|
0 = Not present; 1 = Fainter than other external odors; 2 = Equally as strong as external odors; 3 = Stronger than external odors; 4 = Extremely strong or pungent
|
|
|
chat184 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Interference with other odors |
0::4
|
0 = Not present; 1 = No interference; 2 = Mild; 3 = Moderate; 4 = Severe interference (unable to smell anything else during hallucination)
|
|
|
chat185 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Interference with other odors |
0::4
|
0 = Not present; 1 = No interference; 2 = Mild; 3 = Moderate; 4 = Severe interference (unable to smell anything else during hallucination)
|
|
|
chat186 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during olfactory hallucinations
|
|
|
chat187 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during olfactory hallucinations
|
|
|
chat188 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat189 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat190 |
String |
15
|
Recommended |
If olfactory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply) |
|
1 = Frequency, 2 = Duration; 3 = Intensity; 4 = Other (specify)
|
|
|
chat191 |
String |
100
|
Recommended |
If olfactory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply), Other: specify |
|
|
|
|
chat192 |
String |
300
|
Recommended |
Is there anything you do to cope with these olfactory hallucinations? |
|
|
|
|
chat193 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat194 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat195 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat196 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat197 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include negative or offensive odors); 3 = Moderate (may include explicit negative or offensive odors); 4 = Severe (Contents perceived as threatening, excessively offensive, morbid, or dangerous)
|
|
|
chat198 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include negative or offensive odors); 3 = Moderate (may include explicit negative or offensive odors); 4 = Severe (Contents perceived as threatening, excessively offensive, morbid, or dangerous)
|
|
|
chat199 |
Integer |
|
Recommended |
Check if Olfactory hallucination content is definitively pleasant |
0;1
|
0 = Not checked; 1 = Checked
|
|
|
chat200 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat201 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat202 |
Integer |
|
Recommended |
Current: Olfactory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat203 |
Integer |
|
Recommended |
Past: Olfactory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat204 |
Integer |
|
Recommended |
Did you ever try a medication that somehow improved, reduced, or stopped your experiences of olfactory hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat205 |
String |
15
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of olfactory hallucinations: What about your experiences improved? (check all that may apply) |
|
1 = Reduced frequency; 2 = Shorter duration; 3 = Reduced intensity; 4 = Other (specify)
|
|
|
chat206 |
String |
100
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of olfactory hallucinations: What about your experiences improved? (check all that may apply) - Other, specify |
|
|
|
|
chat207 |
Integer |
|
Recommended |
Are you currently taking medication that has (reduced, improved) these experiences (olfactory hallucinations)? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat208 |
Integer |
|
Recommended |
Have you continued to have these experiences (olfactory hallucinations) while taking medication? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat209 |
Integer |
|
Recommended |
If olfactory hallucinations continued while taking medication that reduced them: Is a family member or doctor still concerned about the hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat210 |
Integer |
|
Recommended |
Olfactory Hallucinations-Antipsychotic Effects LIFETIME (Circle ONE): |
1::6
|
1 = Lifetime responder; 2 = Lifetime partial responder; 3 = Lifetime minimal responder; 4 = Lifetime non-responder; 5 = No history of trying antipsychotics while experiencing Olfactory Hallucinations; 6 = Unknown
|
|
|
chat211 |
Integer |
|
Recommended |
Olfactory Hallucinations-Antipsychotic Effects CURRENT (Circle ONE): |
1::5
|
1 = Current responder; 2 = Current partial responder; 3 = Current minimal responder; 4 = Current non-responder; 5 = Not currently taking an antipsychotic that has reduced Olfactory Hallucinations
|
|
|
chat212 |
String |
100
|
Recommended |
Olfactory Hallucinations: Are they more common during a particular time of day, like morning or at night? |
|
|
|
|
chat213 |
Integer |
|
Recommended |
Olfactory Hallucinations: Is it familiar or unfamiliar in content? |
1;2
|
1 = Familiar; 2 = Unfamiliar
|
|
|
chat214 |
String |
100
|
Recommended |
Olfactory Hallucinations: Does anything trigger the hallucination? (e.g. specific locations, sights, memories) |
|
|
|
|
chat215 |
Integer |
|
Recommended |
Using drugs or alcohol at time of tactile hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat216 |
Integer |
|
Recommended |
Tactile hallucinations experienced when not intoxicated? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat217 |
String |
300
|
Recommended |
Description of tactile hallucinations |
|
|
|
|
chat218 |
String |
100
|
Recommended |
When did you first feel [hallucination]? |
|
|
|
|
chat219 |
Integer |
|
Recommended |
Any similar experiences feeling things before first tactile hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat220 |
String |
100
|
Recommended |
If any similar experiences feeling things before first tactile hallucination, then when were they? |
|
|
|
|
chat221 |
String |
100
|
Recommended |
If any similar experiences feeling things before first tactile hallucination, then were there any others? |
|
|
|
|
chat222 |
Integer |
|
Recommended |
Types of separately recurring tactile hallucinations |
1;2
|
1 = History of only 1 type; 2 = History of 2 or more types
|
|
|
chat223 |
Date |
|
Recommended |
Estimated date of first Tactile Hallucination (month/day/year): |
|
|
|
|
chat224 |
Date |
|
Recommended |
When was the last time you felt any of these tactile hallucinations? |
|
|
|
|
chat225 |
String |
100
|
Recommended |
When were tactile hallucinations at their worst? |
|
|
|
|
chat226 |
Integer |
|
Recommended |
Were you receiving medication during the period when tactile hallucinations were at their worst? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat227 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat228 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat229 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat230 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat231 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Intensity/Strength |
0::4
|
0 = Not present; 1 = Fainter than other external sensations; 2 = Equally as strong as as external sensations; 3 = Stronger than external sensations; 4 = Extremely strong
|
|
|
chat232 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Intensity/Strength |
0::4
|
0 = Not present; 1 = Fainter than other external sensations; 2 = Equally as strong as as external sensations; 3 = Stronger than external sensations; 4 = Extremely strong
|
|
|
chat233 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Formless; 2 = Simple sensations; 3 = Somewhat resemble textures or more complex sensations; 4 = Consist of fully discernible/identifiable sensations
|
|
|
chat234 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Formless; 2 = Simple sensations; 3 = Somewhat resemble textures or more complex sensations; 4 = Consist of fully discernible/identifiable sensations
|
|
|
chat235 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Interference with other skin sensations |
0::4
|
0 = Not present; 1 = No interference with other sensations; 2 = Mild; 3 = Moderate; 4 = Severe
|
|
|
chat236 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Interference with other skin sensations |
0::4
|
0 = Not present; 1 = No interference with other sensations; 2 = Mild; 3 = Moderate; 4 = Severe
|
|
|
chat237 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during tactile hallucinations
|
|
|
chat238 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during tactile hallucinations
|
|
|
chat239 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat240 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat241 |
String |
15
|
Recommended |
If tactile hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply) |
|
1 = Frequency, 2 = Duration; 3 = Intensity; 4 = Other (specify)
|
|
|
chat242 |
String |
100
|
Recommended |
If tactile hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply), Other: specify |
|
|
|
|
chat243 |
String |
300
|
Recommended |
Is there anything you do to cope with these tactile hallucinations? |
|
|
|
|
chat244 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat245 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat246 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat247 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat248 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely unpleasant sensations); 3 = Moderate (may include decidedly unpleasant sensations); 4 = Severe (Contents perceived as threatening, excessively violent or painful sensations)
|
|
|
chat249 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely unpleasant sensations); 3 = Moderate (may include decidedly unpleasant sensations); 4 = Severe (Contents perceived as threatening, excessively violent or painful sensations)
|
|
|
chat250 |
Integer |
|
Recommended |
Check if Tactile hallucination content is definitively pleasant |
0;1
|
0 = Not checked; 1 = Checked
|
|
|
chat251 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat252 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat253 |
Integer |
|
Recommended |
Current: Tactile Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat254 |
Integer |
|
Recommended |
Past: Tactile Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat255 |
Integer |
|
Recommended |
Did you ever try a medication that somehow improved, reduced, or stopped your experiences of tactile hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat256 |
String |
15
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of tactile hallucinations: What about your experiences improved? (check all that may apply) |
|
1 = Reduced frequency; 2 = Shorter duration; 3 = Reduced intensity; 4 = Other (specify)
|
|
|
chat257 |
String |
100
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of tactile hallucinations: What about your experiences improved? (check all that may apply) - Other, specify |
|
|
|
|
chat258 |
Integer |
|
Recommended |
Are you currently taking medication that has (reduced, improved) these experiences (tactile hallucinations)? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat259 |
Integer |
|
Recommended |
Have you continued to have these experiences (tactile hallucinations) while taking medication? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat260 |
Integer |
|
Recommended |
If tactile hallucinations continued while taking medication that reduced them: Is a family member or doctor still concerned about the hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat261 |
Integer |
|
Recommended |
Tactile Hallucinations-Antipsychotic Effects LIFETIME (Circle ONE): |
1::6
|
1 = Lifetime responder; 2 = Lifetime partial responder; 3 = Lifetime minimal responder; 4 = Lifetime non-responder; 5 = No history of trying antipsychotics while experiencing Tactile Hallucinations; 6 = Unknown
|
|
|
chat262 |
Integer |
|
Recommended |
Tactile Hallucinations-Antipsychotic Effects CURRENT (Circle ONE): |
1::5
|
1 = Current responder; 2 = Current partial responder; 3 = Current minimal responder; 4 = Current non-responder; 5 = Not currently taking an antipsychotic that has reduced Tactile Hallucinations
|
|
|
chat263 |
String |
100
|
Recommended |
Tactile Hallucinations: Are they more common during a particular time of day, like morning or at night? |
|
|
|
|
chat264 |
Integer |
|
Recommended |
Tactile Hallucinations: Is it familiar or unfamiliar in content? |
1;2
|
1 = Familiar; 2 = Unfamiliar
|
|
|
chat265 |
String |
100
|
Recommended |
Tactile Hallucinations: Does anything trigger the hallucination? (e.g. specific locations, sights, memories) |
|
|
|
|
scid_bc25_al |
Integer |
|
Recommended |
Gustatory hallucinations, were you using drugs or alcohol at that time? |
1;3
|
1=No; 3= Yes
|
|
|
chat267 |
Integer |
|
Recommended |
gustatory hallucinations experienced when not intoxicated? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat268 |
String |
300
|
Recommended |
Description of gustatory hallucinations |
|
|
|
|
chat269 |
String |
100
|
Recommended |
When did you first taste [hallucination]? |
|
|
|
|
chat270 |
Integer |
|
Recommended |
Any similar experiences tasting things before first gustatory hallucination? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat271 |
String |
100
|
Recommended |
If any similar experiences tasting things before first gustatory hallucination, then when were they? |
|
|
|
|
chat272 |
String |
100
|
Recommended |
If any similar experiences tasting things before first gustatory hallucination, then were there any others? |
|
|
|
|
chat273 |
Integer |
|
Recommended |
Types of separately recurring gustatory hallucinations |
1;2
|
1 = History of only 1 type; 2 = History of 2 or more types
|
|
|
chat274 |
Date |
|
Recommended |
Estimated date of first gustatory Hallucination (month/day/year): |
|
|
|
|
chat275 |
Date |
|
Recommended |
When was the last time you tasted any of these gustatory hallucinations? |
|
|
|
|
chat276 |
String |
100
|
Recommended |
When were gustatory hallucinations at their worst? |
|
|
|
|
chat277 |
Integer |
|
Recommended |
Were you receiving medication during the period when gustatory hallucinations were at their worst? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat278 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat279 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Frequency |
0::4
|
0 = Not present; 1 = Less than once a week; 2 = At least once a week; 3 = At least once a day; 4 = Continuous or almost continuous
|
|
|
chat280 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat281 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Duration |
0::4
|
0 = Not present; 1 = A few seconds; 2 = Several minutes; 3 = At least one hour; 4 = For hours at a time
|
|
|
chat282 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Intensity/Strength |
0::4
|
0 = Not present; 1 = Fainter than external tastes; 2 = Equally as strong as as external tastes; 3 = Stronger than external tastes; 4 = Extremely strong
|
|
|
chat283 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Intensity/Strength |
0::4
|
0 = Not present; 1 = Fainter than external tastes; 2 = Equally as strong as as external tastes; 3 = Stronger than external tastes; 4 = Extremely strong
|
|
|
chat284 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Present, but too faint to distinguish; 2 = Simple tastes; 3 = Somewhat resemble food/drink/medicine; 4 = Consist of fully formed rich flavors and temperature
|
|
|
chat285 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Complexity |
0::4
|
0 = Not present; 1 = Present, but too faint to distinguish; 2 = Simple tastes; 3 = Somewhat resemble food/drink/medicine; 4 = Consist of fully formed rich flavors and temperature
|
|
|
chat286 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Interference with other tastes |
0::4
|
0 = Not present; 1 = No interference with other tastes; 2 = Mild; 3 = Moderate; 4 = Severe
|
|
|
chat287 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Interference with other tastes |
0::4
|
0 = Not present; 1 = No interference with other tastes; 2 = Mild; 3 = Moderate; 4 = Severe
|
|
|
chat288 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during gustatory hallucinations
|
|
|
chat289 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Interruption of Thought Processes/Concentration |
0::4
|
0 = Not present; 1 = No concentration difficulties; 2 = Mild; 3 = Moderate; 4 = Unable to concentrate on anything else during gustatory hallucinations
|
|
|
chat290 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat291 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Frequency of Control |
0::4
|
0 = Not present; 1 = Participant always feels some type of control; 2 = More than half the time can control; 3 = Less than half the time can control; 4 = Never able to control
|
|
|
chat292 |
String |
15
|
Recommended |
If gustatory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply) |
|
1 = Frequency, 2 = Duration; 3 = Intensity; 4 = Other (specify)
|
|
|
chat293 |
String |
100
|
Recommended |
If gustatory hallucination frequency of control is rated 1, 2, or 3, then what about the experience does the individual feel they can control? (circle all that apply), Other: specify |
|
|
|
|
chat294 |
String |
300
|
Recommended |
Is there anything you do to cope with these gustatory hallucinations? |
|
|
|
|
chat295 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat296 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Attentional Demand |
0::4
|
0 = Not present; 1 = Easy to ignore; 2 = Moderate difficulty ignoring; 3 = Difficult to ignore; 4 = Unable to ignore
|
|
|
chat297 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat298 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Amount of Negative Content |
0::4
|
0 = Not present; 1 = No unpleasant/negative content; 2 = Minority (less than half) of contents are unpleasant/negative; 3 = Majority but not all of contents are unpleasant/negative (more than half the time); 4 = All of contents are unpleasant or negative
|
|
|
chat299 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely negative or offensive tastes); 3 = Moderate (may include decidedly negative or offensive tastes); 4 = Severe (Contents perceived as threatening, excessively offensive or dangerous/noxious tastes)
|
|
|
chat300 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Degree of Negative Content (Rater's Judgment) |
0::4
|
0 = Not present; 1 = No unpleasant or negative content; 2 = Mild (may include vaguely negative or offensive tastes); 3 = Moderate (may include decidedly negative or offensive tastes); 4 = Severe (Contents perceived as threatening, excessively offensive or dangerous/noxious tastes)
|
|
|
chat301 |
Integer |
|
Recommended |
Check if gustatory hallucination content is definitively pleasant |
0;1
|
0 = Not checked; 1 = Checked
|
|
|
chat302 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat303 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Frequency of Negative emotion Associated with Hallucination |
0::4
|
0 = Not present; 1 = Never distressed; 2 = Distressed less than half the time; 3 = Distressed more than half the time; 4 = Always distressed
|
|
|
chat304 |
Integer |
|
Recommended |
Current: Gustatory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat305 |
Integer |
|
Recommended |
Past: Gustatory Hallucination: Intensity of negative emotional Impact |
0::4
|
0 = Not present; 1 = Not distressing; 2 = Somewhat distressing; 3 = Very distressing; 4 = Extremely distressing (worst participant could possibly feel)
|
|
|
chat306 |
Integer |
|
Recommended |
Did you ever try a medication that somehow improved, reduced, or stopped your experiences of gustatory hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat307 |
String |
15
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of gustatory hallucinations: What about your experiences improved? (check all that may apply) |
|
1 = Reduced frequency; 2 = Shorter duration; 3 = Reduced intensity; 4 = Other (specify)
|
|
|
chat308 |
String |
100
|
Recommended |
If you have ever tried a medication that somehow improved, reduced, or stopped your experiences of gustatory hallucinations: What about your experiences improved? (check all that may apply) - Other, specify |
|
|
|
|
chat309 |
Integer |
|
Recommended |
Are you currently taking medication that has (reduced, improved) these experiences (gustatory hallucinations)? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat310 |
Integer |
|
Recommended |
Have you continued to have these experiences (gustatory hallucinations) while taking medication? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat311 |
Integer |
|
Recommended |
If gustatory hallucinations continued while taking medication that reduced them: Is a family member or doctor still concerned about the hallucinations? |
0;1
|
0 = No ; 1 = Yes
|
|
|
chat312 |
Integer |
|
Recommended |
Gustatory Hallucinations-Antipsychotic Effects LIFETIME (Circle ONE): |
1::6
|
1 = Lifetime responder; 2 = Lifetime partial responder; 3 = Lifetime minimal responder; 4 = Lifetime non-responder; 5 = No history of trying antipsychotics while experiencing gustatory hallucinations; 6 = Unknown
|
|
|
chat313 |
Integer |
|
Recommended |
Gustatory Hallucinations-Antipsychotic Effects CURRENT (Circle ONE): |
1::5
|
1 = Current responder; 2 = Current partial responder; 3 = Current minimal responder; 4 = Current non-responder; 5 = Not currently taking an antipsychotic that has reduced gustatory hallucinations
|
|
|
chat314 |
String |
100
|
Recommended |
Gustatory Hallucinations: Are they more common during a particular time of day, like morning or at night? |
|
|
|
|
chat315 |
Integer |
|
Recommended |
Gustatory Hallucinations: Is it familiar or unfamiliar in content? |
1;2
|
1 = Familiar; 2 = Unfamiliar
|
|
|
chat316 |
String |
100
|
Recommended |
Gustatory Hallucinations: Does anything trigger the hallucination? (e.g. specific locations, sights, memories) |
|
|
|
|
chat_prelim1 |
Integer |
|
Recommended |
How good is your mood today on a scale of 1 to 4? |
1::4
|
1 = Bad; 4 = Good
|
|
|
chat_prelim2 |
Integer |
|
Recommended |
On a scale of 1 to 4, how stressful has your day been so far? |
1::4
|
1 = Unstressful; 4 = Extremely stressful
|
|
|
chat_prelim3 |
Integer |
|
Recommended |
How are you feeling today, physically, on a scale of 1 to 4? |
1::4
|
1 = Bad; 4 = Good
|
|
|
chat_prelim3a |
String |
200
|
Recommended |
If physical feeling is less than 4 and not specified: What kinds of things are bothering you? |
|
|
|
|
chat_prelim4 |
Integer |
|
Recommended |
Have you ever been diagnosed with a neurological condition? |
0;1
|
0 = No; 1 = Yes
|
|
|
medication1_name |
String |
500
|
Recommended |
Name first medication that the participant has taken |
|
0 = No medication; 999= Legitimately skipped
|
|
|
medication2_name |
String |
200
|
Recommended |
Name second medication that the participant has taken |
|
0 = No medication; 999= Legitimately skipped
|
|
|
medication3_name |
String |
150
|
Recommended |
Name third medication that the participant has taken |
|
0 = No medication; 999= Legitimately skipped
|
|
|
medication4_name |
String |
100
|
Recommended |
Name fourth medication that the participant has taken |
|
0 = No medication; 999= Legitimately skipped
|
|
|
medication5_name |
String |
500
|
Recommended |
Name fifth medication that the participant has taken |
|
0 = No medication; 999= Legitimately skipped
|
|
|
dem_med1_trimester_12 |
String |
100
|
Recommended |
Please specify the period(s) of time that you took medication 1:
(You may choose more than one answer) |
|
|
|
|
dem_med2_trimester_12 |
String |
100
|
Recommended |
Please specify the period(s) of time that you took medication 2:
(You may choose more than one answer) |
|
|
|
|
dem_med3_trimester_12 |
String |
100
|
Recommended |
Please specify the period(s) of time that you took medication 3:
(You may choose more than one answer) |
|
|
|
|
dem_med4_trimester_12 |
String |
100
|
Recommended |
Please specify the period(s) of time that you took medication 4:
(You may choose more than one answer) |
|
|
|
|
dem_med5_trimester_12 |
String |
100
|
Recommended |
Please specify the period(s) of time that you took medication 5:
(You may choose more than one answer) |
|
|
|
|
medication1_dose |
String |
50
|
Recommended |
Medication 1 dose last taken |
|
|
|
|
medication2_dose |
String |
50
|
Recommended |
Medication 2 dose last taken |
|
|
|
|
medication3_dose |
String |
50
|
Recommended |
Medication 3 dose last taken |
|
|
|
|
medication4_dose |
String |
50
|
Recommended |
Medication 4 dose last taken |
|
|
|
|
medication5_dose |
String |
50
|
Recommended |
Medication 5 dose last taken |
|
|
|
|
chat_prelim20 |
Integer |
|
Recommended |
Do you feel like medication has been helpful to you? |
0;1
|
0 = No; 1 = Yes
|
|
|
chat_prelim21 |
String |
100
|
Recommended |
If your medication has been helpful to you, then how so? |
|
|
|
|
tr105des |
String |
50
|
Recommended |
Uses alcohol or drugs for nonmedical purposes (don't include tobacco) (describe): |
|
|
|
|
chat_hallucination1 |
Integer |
|
Recommended |
Genuine hallucination? Current: Auditory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination2 |
Integer |
|
Recommended |
Genuine hallucination? Past: Auditory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination3 |
Integer |
|
Recommended |
Genuine hallucination? Current: Visual |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination4 |
Integer |
|
Recommended |
Genuine hallucination? Past: Visual |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination5 |
Integer |
|
Recommended |
Genuine hallucination? Current: Olfactory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination6 |
Integer |
|
Recommended |
Genuine hallucination? Past: Olfactory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination7 |
Integer |
|
Recommended |
Genuine hallucination? Current: Tactile |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination8 |
Integer |
|
Recommended |
Genuine hallucination? Past: Tactile |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination9 |
Integer |
|
Recommended |
Genuine hallucination? Current: Gustatory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_hallucination10 |
Integer |
|
Recommended |
Genuine hallucination? Past: Gustatory |
1::3
|
1 = Not genuine; 2 = Possibly genuine; 3 = Confirmed genuine
|
|
|
chat_chronicity1 |
Integer |
|
Recommended |
Hallucination chronicity: Chronic: Auditory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity2 |
Integer |
|
Recommended |
Hallucination chronicity: Sparse: Auditory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity3 |
Integer |
|
Recommended |
Hallucination chronicity: Once or twice: Auditory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity4 |
Integer |
|
Recommended |
Hallucination chronicity: Chronic: Visual |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity5 |
Integer |
|
Recommended |
Hallucination chronicity: Sparse: Visual |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity6 |
Integer |
|
Recommended |
Hallucination chronicity: Once or twice: Visual |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity7 |
Integer |
|
Recommended |
Hallucination chronicity: Chronic: Olfactory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity8 |
Integer |
|
Recommended |
Hallucination chronicity: Sparse: Olfactory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity9 |
Integer |
|
Recommended |
Hallucination chronicity: Once or twice: Olfactory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity10 |
Integer |
|
Recommended |
Hallucination chronicity: Chronic: Tactile |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity11 |
Integer |
|
Recommended |
Hallucination chronicity: Sparse: Tactile |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity12 |
Integer |
|
Recommended |
Hallucination chronicity: Once or twice: Tactile |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity13 |
Integer |
|
Recommended |
Hallucination chronicity: Chronic: Gustatory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity14 |
Integer |
|
Recommended |
Hallucination chronicity: Sparse: Gustatory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity15 |
Integer |
|
Recommended |
Hallucination chronicity: Once or twice: Gustatory |
1::3
|
1 = No/does not apply; 2 = Unclear; 3 = Yes, meets criteria
|
|
|
chat_chronicity16 |
String |
500
|
Recommended |
CHAT Chronicity ratings: Explain any ratings of 2 (Unclear) |
|
|
|