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COGA SSAGA5: Spouse

0 Shared Subjects

The SSAGA-5, similar to prior versions of the SSAGA based on earlier DSM classification, covers a range of symptoms and behaviors that map onto DSM-5 criteria in order to yield DSM5 lifetime diagnoses of specific substance use disorders (tobacco, alcohol, cannabis, cocaine, other stimulants, opiates, and sedatives). DSM-4, 3R and ICD-10 substance dependence and abuse are also covered. Other lifetime disorders assessed are major depression, antisocial personality disorder, social phobia, panic with and without agoraphobia, obsessive-compulsive disorder, and PTSD. As well, nondiagnostic sections covering demographics, medical history, suicidality, current social relationships and religiosity are included. In the SUD sections, questions probing timing and specifics of treatment history and recovery are included. The SSAGA-5 has been programmed in Blaise and is designed for administration by a trained interviewer. Diagnostic scoring algorithms are available.
Clinical Assessments
Relationships
08/10/2022
coga_ssaga5_sr01
08/22/2022
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
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::1440 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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
coga_ssaga5_skip_sr Integer Recommended SKIP_SR INTERVIEWER: Skip section SR? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL skip_sr
coga_ssaga5_sr2 Integer Recommended SR2 Are you currently dating someone exclusively, are you engaged, are you dating several people, or are you not dating? 1::4;-8 1=Currently dating someone exclusively;2=Engaged;3=Dating several people;4=Not dating; -8= DK AND REFUSAL sr2
coga_ssaga5_sr3_num Integer Recommended SR3 Num Now I would like to ask a few questions about your current (spouse/partner). How long have you been with your current (spouse/partner)? FIRST ENTER A NUMBER. Number; -8= DK AND REFUSAL sr3_num
coga_ssaga5_sr3_unit Integer Recommended SR3 Unit How long have you been with your current (spouse/partner)? ENTER THE UNIT 1;2;-8 1=MONTHS;2=YEARS; -8= DK AND REFUSAL sr3_unit
coga_ssaga5_sr4 Integer Recommended SR4 What gender is your (spouse/partner)? 1;2;-8 1=Male;2=Female; -8= DK AND REFUSAL sr4
coga_ssaga5_sr5 Integer Recommended SR5 In what year was (he/she) born? __ __ __ __ YEAR YYYY; -8= DK AND REFUSAL sr5
coga_ssaga5_sr6a Integer Recommended SR6a How much does your (spouse/partner) make you feel loved and cared for? Would you say a great deal, quite a bit, somewhat, a little, or not at all? 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6a
coga_ssaga5_sr6b Integer Recommended SR6b How much do you feel (he/she) makes too many demands on you? (IF NEEDED: Would you say) 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6b
coga_ssaga5_sr6c Integer Recommended SR6c How much is (he/she) willing to listen when you need to talk about your worries or problems? (Would you say) 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6c
coga_ssaga5_sr6d Integer Recommended SR6d How much is (he/she) critical of you or what you do? (Would you say) 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6d
coga_ssaga5_sr6e Integer Recommended SR6e How much can you depend on your (spouse/partner) to be there when you really need (him/her) (Would you say)? 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6e
coga_ssaga5_sr6f Integer Recommended SR6f How much tension is there between you and your (spouse/partner)? (Would you say) 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6f
coga_ssaga5_sr6g Integer Recommended SR6g How much can you open up to (him/her) about things which are really important to you? (Would you say) 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6g
coga_ssaga5_sr6h Integer Recommended SR6h Over the last year, how often did you and your (spouse/partner) have unpleasant disagreements or conflicts? 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr6h
coga_ssaga5_sr7a Integer Recommended SR7a Think about your (spouses/partners) use of alcohol over the past 6 months. In a TYPICAL week when (he/she) drank any alcohol in the past 6 months, on how many days do you think (he/she) drank alcohol (including beer, malt liquor, wine, liquor, mixed drinks, etc.)? Number of Days; -8= DK AND REFUSAL sr7a
coga_ssaga5_sr7b Integer Recommended SR7b In a TYPICAL week when your (spouse/partner) drank any alcohol in the past 6 months, how many drinks did (he/she) drink on a TYPICAL drinking day? __ __ __ DRINKS Number of Drinks; -8= DK AND REFUSAL sr7b
coga_ssaga5_sr7c Integer Recommended SR7c HAND CARD AL2. How often do you think your (spouse/partner) got drunk during the last 6 months? By drunk I mean that (his/her) r speech was slurred or (he/she) was unsteady on (his/her) feet? 1::13;-8 1=Every day;2=5 to 6 days a week;3=4 days a week;4=3 days per week;5=2 days per week;6=1 day per week;7=3 days per month;8=2 days per month;9=1 day per month;10=6 to 11 days;11=3 to 5 days;12=1 to 2 days;13=Never; -8= DK AND REFUSAL sr7c
coga_ssaga5_sr7d Integer Recommended SR7d How often do you think your (spouse/partner) drank (MALE: 5 or more drinks/FEMALE: 4 or more drinks) in a 24 hour period during the last 6 months? USE CARD AL2. 1::13;-8 1=Every day;2=5 to 6 days a week;3=4 days a week;4=3 days per week;5=2 days per week;6=1 day per week;7=3 days per month;8=2 days per month;9=1 day per month;10=6 to 11 days;11=3 to 5 days;12=1 to 2 days;13=Never; -8= DK AND REFUSAL sr7d
coga_ssaga5_sr7e Integer Recommended SR7e How often do you think your (spouse/partner) smoked cigarettes or used other tobacco products (hookah, e-cigarettes, cigarillos, cigars, etc.) during the last 6 months? USE CARD AL2. 1::13;-8 1=Every day;2=5 to 6 days a week;3=4 days a week;4=3 days per week;5=2 days per week;6=1 day per week;7=3 days per month;8=2 days per month;9=1 day per month;10=6 to 11 days;11=3 to 5 days;12=1 to 2 days;13=Never; -8= DK AND REFUSAL sr7e
coga_ssaga5_sr7e1 Integer Recommended SR7e1 How many cigarettes do you think your (spouse/partner) typically smoked on days (he/she) smoked during the last 6 months? IF DIDN T SMOKE CIGARETTES, ENTER A ZERO Number of Cigarettes; -8= DK AND REFUSAL sr7e1
coga_ssaga5_sr7f Integer Recommended SR7f How often do you think your (spouse/partner) used marijuana during the last 6 months? USE CARD AL2. 1::13;-8 1=Every day;2=5 to 6 days a week;3=4 days a week;4=3 days per week;5=2 days per week;6=1 day per week;7=3 days per month;8=2 days per month;9=1 day per month;10=6 to 11 days;11=3 to 5 days;12=1 to 2 days;13=Never; -8= DK AND REFUSAL sr7f
coga_ssaga5_sr7g Integer Recommended SR7g How often do you think your (spouse/partner) used other drugs (like cocaine, uppers, or any of the other drugs we have talked about) during the last 6 months? USE CARD AL2. 1::13;-8 1=Every day;2=5 to 6 days a week;3=4 days a week;4=3 days per week;5=2 days per week;6=1 day per week;7=3 days per month;8=2 days per month;9=1 day per month;10=6 to 11 days;11=3 to 5 days;12=1 to 2 days;13=Never; -8= DK AND REFUSAL sr7g
coga_ssaga5_sr8 Integer Recommended SR8 Now I would like to ask a few questions about your best friends behavior in the last 6 months. READ ONLY IF R IS IN RELATIONSHIP: Please think about best friends other than your romantic partner. DOES R VOLUNTEER THAT SHE/HE HAS NO BEST FRIENDS? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr8
coga_ssaga5_sr8a Integer Recommended SR8a In the last 6 months... How many of your best friends smoked cigarettes or used other tobacco products (like e-cigarettes, hookah, etc) regularly? By regularly I mean more days than not. Would you say none of them, a few of them, most of them, or all of them? 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr8a
coga_ssaga5_sr8b Integer Recommended SR8b In the last 6 months... How many of your best friends got drunk regularly? By regularly I mean once a week or more. [ If needed: by drunk I mean that their speech was slurred or they were unsteady on their feet.] Would you say none of them, a few of them, most of them, or all of them? 1::5;-8 1=A GREAT DEAL;2=QUITE A BIT;3=SOMEWHAT;4=A LITTLE;5=NOT AT ALL; -8= DK AND REFUSAL sr8b
coga_ssaga5_sr8b1 Integer Recommended SR8b1 In the last 6 months... Focusing on your best friend other than your spouse, what would you consider to be his or her drinking status? 1::5;-8 5=HEAVY DRINKER;4=MODERATE DRINKER;3=LIGHT DRINKER;2=DOES NOT DRINK;1=RECOVERING ALCOHOLIC; -8= DK AND REFUSAL sr8b1
coga_ssaga5_sr8b2 Integer Recommended SR8b2 In the last 6 months... To the best of your knowledge, how often did your best friend drink alcohol? 0::7;-8 7=DAILY;6=3 to 6Xs per WK;5=1 to 2Xs per WK;4=EVERY OTHER WEEK;3=ABOUT 1 per MONTH;2= LESS THAN MONTHLY;1=ONCE;0=NOT AT ALL; -8= DK AND REFUSAL sr8b2
coga_ssaga5_sr8b3 Integer Recommended SR8b3 In the last 6 months... To the best of your knowledge, what is the most drinks he or she consumed in a day? 0::4;-8 4=10 (or more) DRINKS;3=6 to 9 DRINKS;2=3 to 5 DRINKS;1=1 to 2 DRINKS;0=DOES NOT DRINK sr8b3
coga_ssaga5_sr8c Integer Recommended SR8c In the last 6 months... How many of your male best friends drank 5 or more drinks in a 24 hour period? (Would you say none, a few, most or all of them?) 1::5;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; 5=NO MALE BEST FRIENDS;-8= DK AND REFUSAL sr8c
coga_ssaga5_sr8d Integer Recommended SR8d In the last 6 months... How many of your female best friends drank 4 or more drinks in a 24 hour period? (Would you say none, a few, most or all of them?) 1::5;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM;5=NO FEMALE BEST FRIENDS; -8= DK AND REFUSAL sr8d
coga_ssaga5_sr8e Integer Recommended SR8e In the last 6 months... How many of your best friends used marijuana regularly? By regularly I mean once a week or more. (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr8e
coga_ssaga5_sr8f Integer Recommended SR8f In the last 6 months... How many of your best friends used other drugs (like cocaine, uppers, or any of the other drugs we have talked about)? (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr8f
coga_ssaga5_sr9 Integer Recommended SR9 Now I would like to ask a few questions about your peer group more broadly than just best friends. Please think about the people from your school, work, as well as those from recreational sports teams, church groups, or other groups you are a part of. We would like to know how often these people used various substances in the last 6 months, not necessarily when you see them, but maybe in their free time. 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr9
coga_ssaga5_sr9a Integer Recommended SR9a In the last 6 months... How many of these people smoked cigarettes or used other tobacco products (like e-cigarettes, hookah, etc) regularly? By regularly I mean more days than not. Would you say none of them, a few of them, most of them, or all of them? 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9a
coga_ssaga5_sr9b Integer Recommended SR9b In the last 6 months... How many of these people got drunk regularly? By regularly I mean once a week or more. [If needed: by drunk I mean that their speech was slurred or they were unsteady on their feet.] (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9b
coga_ssaga5_sr9c Integer Recommended SR9c In the last 6 months... How many of these men drank 5 or more drinks in a 24 hour period? (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9c
coga_ssaga5_sr9d Integer Recommended SR9d In the last 6 months... How many of these women drank 4 or more drinks in a 24 hour period? (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9d
coga_ssaga5_sr9e Integer Recommended SR9e In the last 6 months... How many of these people used marijuana regularly? By regularly I mean once a week or more. (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9e
coga_ssaga5_sr9f Integer Recommended SR9f In the last 6 months... How many of these people used other drugs (like cocaine, uppers, or any of the other drugs we ve talked about)? (Would you say none, a few, most or all of them?) 1::4;-8 1=NONE OF THEM;2=A FEW OF THEM;3=MOST OF THEM;4=ALL OF THEM; -8= DK AND REFUSAL sr9f
coga_ssaga5_sr10a Integer Recommended SR10a Now I'd like to ask you some questions about whether anyone in your immediate family has a history of alcoholism or problem drinking. By this I mean a person who has physical or emotional problems because of drinking; problems with a spouse, partner, family or friends because of drinking; problems at work or school because of drinking, problems because of driving after drinking, or a person who seems to spend a lot of time drinking or being hung over. Did your biological father have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10a
coga_ssaga5_sr10b Integer Recommended SR10b How about your biological mother? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10b
coga_ssaga5_sr10c Integer Recommended SR10c How many full brothers do you have? By that I mean brothers who have the same mother and father as you. Number; -8= DK AND REFUSAL sr10c
coga_ssaga5_sr10c1 Integer Recommended SR10c1 (Does your brother/do any of your brothers) have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10c1
coga_ssaga5_sr10d Integer Recommended SR10d How many full sisters do you have? By that I mean sisters who have the same mother and father as you. Number; -8= DK AND REFUSAL sr10d
coga_ssaga5_sr10d1 Integer Recommended SR10d1 (Does your sister/do any of your sisters) have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10d1
coga_ssaga5_sr10d2 Integer Recommended SR10d2 How many biological sons do you have? Number; -8= DK AND REFUSAL sr10d2
coga_ssaga5_sr10d3 Integer Recommended SR10d3 (Does your son/do any of your sons) have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10d3
coga_ssaga5_sr10d4 Integer Recommended SR10d4 How many biological daughters do you have? Number; -8= DK AND REFUSAL sr10d4
coga_ssaga5_sr10d5 Integer Recommended SR10d5 (Does your daughter/do any of your daughters) have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10d5
coga_ssaga5_sr10e Integer Recommended SR10e What about your (spouse/partner)? Does (he/she) have a history of alcoholism or problem drinking? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr10e
coga_ssaga5_sr11a Integer Recommended SR11a Did your biological father ever have any problems with drugs at any time in his life? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11a
coga_ssaga5_sr11b Integer Recommended SR11b How about your biological mother? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11b
coga_ssaga5_sr11c Integer Recommended SR11c How about your brother(s)? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11c
coga_ssaga5_sr11d Integer Recommended SR11d How about your sister(s)? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11d
coga_ssaga5_sr11d1 Integer Recommended SR11d1 How about your son(s)? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11d1
coga_ssaga5_sr11d2 Integer Recommended SR11d2 How about your daughter(s)? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11d2
coga_ssaga5_sr11e Integer Recommended SR11e What about your (spouse/partner)? Has (he/she) ever had any problems with drugs at any time in His/Her life? 1;5;-8 1=NO; 5=YES; -8= DK AND REFUSAL sr11e
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