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Filter Cart

Viewable at the top right of NDA pages, the Filter Cart is a temporary holder for filters and data they select. Filters are added to the Workspace first, before being submitted to The Filter Cart. Data selected by filters in the Filter Cart can be added to a Data Package or an NDA Study from the Data Packaging Page, by clicking the 'Create Data Package / Add Data to Study' button.

The filter cart supports combining multiple filters together, and depending on filter type will use "AND" or "OR"  when combining filters.

Multiple selections from the same filter type will result in those selections being applied with an ‘OR’ condition. For example, if you add an NDA Collection Filter with selections for both collections 2112 and 2563 to an empty Workspace, the subjects from NDA Collection 2112 ‘OR’ NDA Collection 2563 will be added to your Workspace even if a subject is in both NDA Collections. You can then add other NDA Collections to your Workspace which further extends the ‘OR’ condition.

If a different filter type is added to your Workspace, or a filter has already been submitted to the Filter Cart, the operation then performs a logical ‘AND’ operation. This means that given the subjects returned from the first filter, only those subjects that matched the first filter are returned by the second filter (i.e., subjects that satisfied both filters). Note that only the subjects specific to your filter will be added to your Filter Cart and only on data shared with the research community. Other data for those same subjects may exist (i.e., within another NDA Collection, associated with a data structure that was not requested in the query, etc.). So, users should select ‘Find all Subjects Data’ to identify all data for those specific subjects. 

Additional Tips:

  • You may query the data without an account, but to gain access you will need to create an NDA user account and apply for access.  Most data access requires that you or your lab are sponsored by an NIH recognized institution with Federal Wide Assurance (FWA).  Without access, you will not be able to obtain individual-level data. 

    Once you have selected data of interest you can:
  • Create a data package - This allows you to specify format for access/download
  • Assign to Study Cohort - Associate the data to an NDA Study allowing for a DOI to be generated and the data to be linked directly to a finding, publication, or data release. 
  • Find All Subject Data - Depending on filter types being used, not all data associated with a subject will be selected.  Data may be restricted by data structure, NDA Collection, or outcome variables (e.g., NDA Study). ‘Find All Data’ expands the fliter criteria by replacing all filters in your Filter Cart with a single Query by GUID filter for all subjects selected by those filters.

    Please Note:
  • When running a query, it may take a moment to populate the Filter Cart. Queries happen in the background so you can define other queries during this time. 
  • When you add your first filter, all data associated with your query will be added to the Filter Cart (e.g., a Concept, an NDA Collection, a Data Structure/Element, etc.). As you add additional filters, they will also display in the Filter Cart. Only the name of filter will be shown in the Filter Cart, not the underlying structures. 
  • Information about the contents of the Filter Cart can be seen by clicking "Edit”.
  • Once your results appear in the Filter Cart, you can create a data package or assign subjects to a study by selecting the 'Package/Assign to Study' option. You can also 'Edit' or 'Clear' filters.
     

Frequently Asked Questions

  • The Filter Cart currently employs basic AND/OR Boolean logic. A single filter may contain multiple selections for that filter type, e.g., a single NDA Study filter might contain NDA Study 1 and NDA Study 2. A subject that is in EITHER 1 OR 2 will be returned.  Adding multiple filters to the cart, regardless of type, will AND the result of each filter.  If NDA Study 1 and NDA Study 2 are added as individual filters, data for a subject will only be selected if the subject is included in  BOTH 1 AND 2.

  • Viewable at the top right of NDA pages, the Filter Cart is a temporary holder of data identified by the user, through querying or browsing, as being of some potential interest. The Filter Cart is where you send the data from your Workspace after it has been filtered.

  • After filters are added to the Filter Cart, users have options to ‘Create a Package’ for download, ‘Associate to Study Cohort’, or ‘Find All Subject Data’. Selecting ‘Find All Subject Data’ identifies and pulls all data for the subjects into the Filter Cart. Choosing ‘Create a Package’ allows users to package and name their query information for download. Choosing ‘Associate to Study Cohort’ gives users the opportunity to choose the Study Cohort they wish to associate this data.

Glossary

  • Once your filter cart contains the subjects of interest, select Create Data Package/Assign to Data Study which will provide options for accessing item level data and/or assigning to a study.  

  • Once queries have been added to your workspace, the next step is to Submit the Filters in the workspace to the Filter Cart.  This process runs the queries selected, saving the results within a filter cart attached to your account.  

  • The Workspace within the General Query Tool is a holding area where you can review your pending filters prior to adding them to Filter Cart. Therefore, the first step in accessing data is to select one or more items and move it into the Workspace. 

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Diagnostic Interview for Psychosis and Affective Disorders

0 Shared Subjects

N/A
Clinical Assessments
Diagnostic
01/27/2020
dipad01
01/27/2020
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 dip_subject_id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY Required field dip_date
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. dip_age
sex String 20 Required Sex of the subject M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported dip_op03_sex, gender
relationship Integer Recommended Relationship of respondent to individual 1::93;-999 1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 13 = 90=Other; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 27=Missing Data; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent dip_relation
respondent_other_specify String 50 Recommended Respondent: Other (specify) dip_relation_other
dip_op01_source Integer Recommended Source of rating (OPCRIT 1) 1::6 1=Hospital case notes (charts); 2=Structured interview with subject; 3=Prepared abstract; 4=Interview with informant; 5=Combined sources including structured interview; 6=Combined sources not including structured interview
maritalstatus Integer Recommended Marital Status: 0::5;-99;77;88 0= Married ; 1= Living together ; 2= Separated ; 3= Divorced ; 4= Single ; 5 = Widowed -99= N/A ; 77= Refused ; 88= Missing dip_op06_single
dip_op04_age_onset Integer Recommended Age of onset (OPCRIT 4) I would like to ask you about the first time you became ill with a psychiatric problem. When did you first experience psychiatric problems? When did others first say that they thought you had a psychiatric problem? How old were you when you first received treatment? Can you tell me about that? Age of onset is defined as the earliest age at which psychiatric treatment was sought OR when symptoms began to cause subjective distress or impair functioning, whichever occurs first. If denies illness, use all available sources (e.g. hospital records, family informants). Code earliest age; 0= No episode; 999= Unknown
dip_op05_mode_onset Integer Recommended Mode of onset (OPCRIT 5) How did that first episode of psychiatric illness start? Did the problem start quickly, or was there a long period when you knew you were becoming ill? How long would you say that was? 0::5 0=No episode; 1=Abrupt onset definable within hours or days; 2=Acute onset definable within one month; 3=Moderately acute onset definable within one month; 4=Gradual onset over period up to six months; 5=Insidious onset over period greater than six months
dip_op16_stressors Integer Recommended Psychosocial stressors prior to onset of first episode (OPCRIT 16) What was going on in your life when you first became ill? Were there a lot of stresses in your life at that time? Can you tell me what sort of things were going on then? A severely or moderately severely threatening event has occurred prior to onset of disorder that is unlikely to have resulted from the subject's own behavior (i.e. the event can be seen as independent or uncontrollable). 0;1 0=Stressor not present; 1=Stressor present
dip_op07_employment Integer Recommended Employment status at onset (OPCRIT 7) At the time you first became ill, were you working or studying full time, a homemaker, or retired? 0;1 0=Employed at onset (includes full time students and homemakers); 1=Not employed at onset
dip_op09_prework Integer Recommended Premorbid work adjustment (OPCRIT 9) Tell me about jobs you had before you became ill? What was the longest time you worked in one job before you first became ill? (If student ask about studies; if homemaker ask about standard of housework.) Refers to work history before onset of illness. If working and unable to keep any job for more than six months, had a history of frequent changes of job or was only able to sustain a job well below that expected by his/her educational level or training at time of first psychiatric contact. If homemaker and persistently very poor standard of housework. If student and badly failing to keep up with studies. 0;1 0=Good premorbid work adjustment; 1=Poor premorbid work adjustment
dip_op10_presocial Integer Recommended Premorbid social adjustment (OPCRIT 10) Before you had psychiatric problems for the first time, were you the sort of person who had a lot of friends, or just a few special friends, or no friends? Did you get along easily with other people? Did you tend to do things alone or with other people? Were you suspicious or mistrustful of people? Were you often moody or irritable with other people? Were you ever in trouble with the law before you became ill? Can you tell me about that? Refers to social adjustment before onset of illness. Rate if subject found difficulty entering or maintaining normal social relationships, showed persistent social isolation, withdrawal or maintained solitary interests prior to onset of psychotic symptoms. 0;1 0=Good premorbid social adjustment; 1=Poor premorbid social adjustment
dip_op15_coarse Integer Recommended Coarse brain disorder prior to onset (OPCRIT 15) Were you suffering from any physical or neurological disorders before you first became psychiatrically ill? What was it? How long did you have this problem before psychiatric symptoms appeared? Considerable evidence of a physical illness that could explain most or all psychiatric symptoms. This may include overt brain lesions or marked metabolic disturbances known to cause psychotic symptoms. Non-specific abnormalities (e.g. enlarged lateral ventricles on brain scan) should not be included. Note: Include medical screening questions and medical records when determining this answer. Rate only if clear evidence is present. 0;1 0=No prior brain disease present; 1=Prior brain disease present
dip_op13_fam_sz Integer Recommended Family history of schizophrenia (OPCRIT 13) Do you know of anyone in your family (including aunts, uncles, cousins) who has had schizophrenia? First or second degree relative has schizophrenia severe enough to warrant psychiatric referral. 0;1 0=No family history of schizophrenia; 1=Family history of schizophrenia
dip_op14_fam_other Integer Recommended Family history of psychiatric disorder other than schizophrenia (OPCRIT 14) Do you know of anyone in your family (including aunts, uncles, cousins) who has had any other psychiatric disorder? Did they see a doctor for that problem? Have they been in hospital for that problem? Do you know what treatment they received (medications, ECT)? Do you know what the doctors said was wrong with them? First or second degree relative has a psychiatric disorder (other than schizophrenia) severe enough to warrant psychiatric referral. 0;1 0=No family history; 1=Family history of psychiatric disorder other than schizophrenia
dip_op37a_dysphoria Integer Recommended Dysphoria (OPCRIT 37a) Have you ever been sad, down, depressed, or blue most of the day, nearly every day, for at least two weeks? 0;1 0=Not present; 1=Present
dip_op37b_dysphoria Integer Recommended (OPCRIT 37b) Have you ever found you were easily irritated, that any little problem provoked you, or that other people said you were much too impatient? Did this last most of the day, nearly every day for at least two weeks? 0;1 0=Not present; 1=Present
dip_op37_dysphoria Integer Recommended How long did you feel like that? (Refers to either sadness or irritability) If more than one episode, interview for the most severe depressive episode. Rate mood on subjective description. Remember that occasional sadness is part of normal human expression; it becomes pathological when it is persistent, pervasive, unresponsive, or out of proportion to events or circumstances. Note: Code maximum time during the most severe episode of either depressed mood or irritable mood, whichever is longer. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_depressive_episodes_a Integer Recommended Please ask the respondent to estimate the number of depressive episodes s/he has had. 0= if no depressive episodes; 99= for "too many episodes to count.
dip_op39_anhedonia Integer Recommended Loss of pleasure (OPCRIT 39) Did you ever have a period of time when you were unable to enjoy things as much as usual? For example, taking a walk, spending time with friends, or working at your hobbies or interests? Did this last most of the day, nearly every day for at least one week? Did you lose interest in your work, recreation activities or your dress and appearance for more than a week? How long did you feel like that? Pervasive inability to enjoy activities. This should be a definite loss compared with the normal state. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_dysphoria_header Integer Recommended Rate items 16-30 in relation to the most severe depressive episode identified in item 14 (dysphoria) and item 15 (loss of pleasure).
dip_op25_energy Integer Recommended Loss of energy or fatigue (OPCRIT 25) During that time, did you have as much energy as usual? Did you get exhausted and worn out during the day, even when you weren't working very hard? Did you feel you had to push yourself to do things? Did you feel as though everything was too much trouble or that you couldn't be bothered? How long did you feel like that? Subjective complaint of being excessively tired, with no energy. There should be a definite loss of energy compared with the normal state. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op24_slowed Integer Recommended Slowed activity (OPCRIT 24) During that time, did you feel as though you were slowed down in your movements or speech? Did your arms and legs feel heavy? Did you feel as though you were talking too slowly? How long did you feel like that? Subject complains that he/she feels slowed down and unable to move. Others may report subjective feelings of retardation or retardation may be noted by examining clinician. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op41_concentration Integer Recommended Impaired concentration (OPCRIT 41) During that time, was your concentration as good as usual or did your attention wander? Were you able to read an article in the paper or watch a TV program and pay attention to what you were reading or watching? Could you concentrate sufficiently to complete tasks properly (e.g. cooking, conversation, work)? How long did that last? Was it difficult to make decisions? How long did you feel like that? Subjective complaint of being unable to think clearly, make decisions etc., which is a definite loss compared with the normal state. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op40_libido Integer Recommended Altered libido (OPCRIT 40) During that time, did your interest in sex change? Were you more or less interested in sex? How long did you feel like that? Definite and persistent change in sexual drive or interest as compared with before onset of depressive episode. 0::2 0=No change; 1=Loss of libido for at least one week; 2=Increase in libido for at least one week
dip_op42_reproach Integer Recommended Excessive self reproach (OPCRIT 42) During that time, did you blame yourself for things you did or thought, or feel very guilty or ashamed of yourself? What kind of things did you blame yourself for or feel guilty about? How much of the time each day did you have these thoughts? Did you have these thoughts nearly every day? How long did you feel like that? Subject describes extreme feelings of guilt or unworthiness. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op43_suicidality Integer Recommended Suicidality (OPCRIT 43) During that time, did you feel that life was not worth living? Were you thinking about death or dying a lot? Did you think about harming yourself or even made an attempt at suicide? What happened? When was this? How long did you feel like that? Thinking of suicide, wishing to be dead, attempts to kill self, whether depressed or not. Preoccupation with death, not necessarily one's own death. Note: Do not rate self-harming behavior outside the context of suicidal ideation or intent. 0::3 0=Not present; 1=Suicidal ideation present at least one week; 2=Suicidal ideation present at least two weeks or suicide attempt; 3=Suicidal ideation present at least one month or suicide attempt
dip_depressive_episodes_b Integer Recommended Please indicate the number of major depressive episodes 0= if no depression; 88= if data not collected; 99= if too many to count
dip_op48_decr_appetite Integer Recommended Decreased appetite (OPCRIT 48) During that time, did your appetite decrease? Did you eat the same amount without really enjoying it? How long did that last? Subjective complaint of poor appetite, not necessarily observed to be eating less. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op49_weightloss Integer Recommended Weight loss (OPCRIT 49) During that time, did you lose weight? How much weight did you lose? Over what period of time? Were you deliberately trying to lose weight? The weight loss must be the result of 'poor appetite' as rated in item 22. Note: Do not rate intentional weight loss due to dieting. 0::3 0=No loss; 1=Loss of at least 1+ lb (0.5 kg) per week for 3 or more weeks, or 4 lbs (2 kg) in less than 3 weeks; 2=Loss of at least 2+ lb (1 kg) per week for 3 or more weeks, or 5 to 9 lbs (2.5 to 4.5 kg) in less than 3 weeks; 3=Loss of at least 10+ lb (5 kg) in less than 1 year
dip_op50_incr_appetitle Integer Recommended Increased appetite (OPCRIT 50) During that time, did your appetite increase? Sometimes when people feel depressed they comfort eat; did you do that? How long did that last? Subject reports increased appetite or 'comfort eating'. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op51_weightgain Integer Recommended Weight gain (OPCRIT 51) During that time, did you gain weight? How much weight did you gain? Over what period of time? Were you deliberately trying to gain weight? Do you think it was a result of medication you are taking? The weight gain must be the result of 'increased appetite' as rated in item 24. Note: Do not rate if there is clear evidence that weight gain is related to medications such as atypical antipsychotics, antidepressants, or steroids. 0::3 0=No gain; 1=Gain of at least 1+ lb (0.5 kg) per week for 3 or more weeks, or 4 lbs (2 kg) in less than 3 weeks; 2=Gain of at least 2+ lb (1 kg) per week for 3 or more weeks, or 5 to 9 lbs (2.5 to 4.5 kg) in less than 3 weeks; 3=Gain of at least 10+ lb (5 kg) in less than 1 year
dip_op44_insomnia1 Integer Recommended Initial insomnia (OPCRIT 44) During that time, did you have problems falling asleep? How long did it take you to get to sleep? How long did you have problems falling asleep? Subject complains that he/she is unable to fall asleep and lies awake for at least one hour. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op45_insomnia2 Integer Recommended Middle insomnia (OPCRIT 45) During that time, did you wake during the night? How many times each night? Did you have difficulty getting back to sleep? How long did you lie awake before you fell asleep again? Sleep is disturbed on most nights; subject wakes in the middle of sleep and experiences difficulty in getting back to sleep. 0;1 0=No waking; 1=Middle insomnia present
dip_op46_insomnia3 Integer Recommended Terminal insomnia (OPCRIT 46) During that time, did you wake up much earlier than usual? What time do you usually wake up in the morning when you are sleeping normally? Were you waking much earlier than this? Were you able to get back to sleep? How long did you have problems waking up too early? Use frequency and time probes, making due allowances for unusual working hours. Subject complains that he/she persistently wakes up at least one hour earlier than usual waking time. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op47a_sleep_hrs_norm Integer Recommended 29. Excessive sleep (OPCRIT 47) During that time, were you sleeping much more than usual? How many hours do you normally sleep?
dip_op47b_sleep_hrs_then Integer Recommended How many hours were you sleeping then?
dip_op47_excess_sleep Integer Recommended How long did you have problems sleeping more than usual? Subject complains of sleeping at least two hours longer than usual, more or less daily. May be accompanied by irresistible sleepiness, and/or a period of 'sleep drunkenness' after waking. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op38_diurnal Integer Recommended 30. Diurnal variation (OPCRIT 38) Was there any time of the day when the depression felt worse? 0;1 0=No depression, or not worse early; 1=Regularly feels worse early in the day
dip_note_diurnal String 1,000 Recommended Notes about appetite or sleep changes:
dip_op35_elevated_mood Integer Recommended 31. Elevated mood (OPCRIT 35) I have asked you some questions about depression; I now want to ask about whether you have ever felt the opposite of depressed (i.e. intensely happy or elated), in a way that was clearly different than your normal self? Did something happen in your life that made you feel this good? Can you describe that feeling? Was it out of character for you? How long were you feeling like that? Were you drinking excessively or taking drugs to get "high"? Subject's predominant mood is one of elation and out of proportion to circumstances. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks OR if lasted < one week but hospitalized for affective disorder
dip_op36_irritable_mood Integer Recommended 32. Irritable mood (OPCRIT 36) Have you ever felt very irritable or excessively annoyed with others, such that you lost your temper often, shouted at people, or even got into fights? Did other people comment on that or say you were much too impatient? Can you describe that feeling? Was it out of character for you? How long were you feeling like that? Subject's mood is predominantly irritable. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks OR if lasted < one week but hospitalized for affective disorder
dip_note_mania_mood String 1,000 Recommended Notes about elevated or irritable mood: Identify the worst episode.
dip_manic_episodes_a String 1,000 Recommended Please ask the respondent to estimate the number of manic episodes s/he has had. Enter 0 if no manic episodes. Enter 99 for "too many episodes to count.
dip_op30_pressured_speech Integer Recommended 33. Pressured speech (OPCRIT 30) During that time, were you more talkative than usual or did you feel pressure to keep on talking? Did you talk so much or so fast that it was difficult for people to follow what you were saying? How long were you acting like that? Subject is much more talkative than usual or there seems to be undue pressure to get the words out. Speech may be over elaborated with unnecessary words added. Include manic type of formal thought disorder with clang associations, punning and rhyming, etc. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op31_racing_thoughts Integer Recommended 34. Racing thoughts (OPCRIT 31) During that time, did you find your thoughts crowding into or racing through your mind, so that you felt like you couldn't keep up with them? Can you describe what that felt like? How long were you feeling like that? Subject experiences thoughts racing through his/her head or others observe flight of ideas that make it difficult to follow what subject is talking about. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op21_distractibility Integer Recommended 35. Distractibility (OPCRIT 21) During that time, were you easily distracted by irrelevant things happening around you? Can you describe what that felt like? How long were you feeling like that? Subject experiences difficulties concentrating on what is going on around him/her because attention is too easily drawn to irrelevant or extraneous factors. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op22a_normal_sleep_hrs String 1,000 Recommended 36. Reduced need for sleep (OPCRIT 22) During that time, did you need far less sleep than usual without feeling tired?How many hours do you normally sleep? (0 to 24)
dip_op22b_reduced_sleep_hrs Integer Recommended How many hours were you sleeping then? (0 to 24) 0::24
dip_op22_reduced_sleep Integer Recommended How many days were you sleeping less than usual? Subject sleeps much less but there is no complaint of insomnia. Extra waking time is usually taken up with excessive activities. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op19_excessive_activity Integer Recommended 37. Excessive activity (OPCRIT 19) During that time, were you taking on more tasks or being more active than usual - so active that you or others thought something was wrong? What sort of things were you doing? How long were you acting like that? Subject is markedly overactive and has tremendous energy. Over-activity includes speech, motor, social, and sexual activity. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op20_reckless_activity Integer Recommended 38. Reckless activity (OPCRIT 20) During that time, did you do anything that could have gotten you into trouble -- like spending too much money, making foolish business investments, have sexual indiscretions, or drive recklessly? Did any problems happen because of this? Did people think you were being reckless or foolish? Did you do things you later regretted? How long were you acting like that? Subject is excessively involved in activities with high potential for painful consequences which is not recognized, e.g. excessive spending, sexual indiscretions, reckless driving, gambling, etc. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op53_sociability Integer Recommended 39. Increased sociability (OPCRIT 53) During that time, were you being much more sociable than usual? In what way? Do you think you were being overly friendly with other people? What sort of things were you doing? How long were you acting like that? 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op56_self_esteem Integer Recommended 40. Increased self-esteem (OPCRIT 56) During that time, did you have grand beliefs or ideas that you later found out were not true? Like believing that you had special powers or abilities others did not have? Or that you could accomplish much more at work or in your daily activities, as if you had super powers or talents? How long did you feel like that? Subject believes that he/she is an exceptional person with special powers, plans, talents or abilities. Rate positively here if overvalued idea. Note: If subject describes delusions of grandiose abilities or grandiose identity, rate delusional beliefs on item 57 (grandiose delusions). 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_note_mania String 1,000 Recommended Notes about mania:
dip_manic_episodes_b String 1,000 Recommended Please indicate the number of major manic episodes: Enter 0 if no mania. Enter 88 if data not collected. Enter 99 if too many to count.
dip_op77_hl Integer Recommended 41. Hallucinations in any modality (OPCRIT 77) Auditory. Olfactory. Somatic. Can you describe these experiences? What is the explanation? Could these be your own thoughts? How frequently did this happen? How long were you having experiences like that? Rate any form of hallucination. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer dip_op77_hallucinations
dip_note_hl_general String 1,000 Recommended Notes about hallucinations: dip_note_hallucinations_general
dip_op76_neutral_voices Integer Recommended 42. Neutral voices or non-verbal hallucinations (OPCRIT 76) Have you ever heard noises like music or birds or muttering or whispering that no one else can hear? Can you describe what you heard? Could you make out if there are any words? How often has this happened? How long were you hearing these things? Include neutral voices and non-verbal hallucinations, such as tapping, hissing, etc. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op75_command_voices Integer Recommended 43. Command, accusatory, abusive, or persecutory voices (OPCRIT 75) Did you ever hear voices that told you what to do, said bad things about you, or put you down?What did the voices say? Was there more than one voice? How often did this happen? How long did you hear the voices? Voices talking to the subject in an accusatory, abusive, persecutory or commanding manner. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op74_commentary Integer Recommended 44. Running commentary (OPCRIT 74) Did you ever hear voices that commented on what you are thinking or doing? For example, describing what you are reading, or watching on television, or commenting on what you are doing as you do it? How often did this happen? How long did you hear the voices? Subject hears voices describing his/her actions, sensations, or emotions as they occur. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op73_third_person Integer Recommended 45. Third person auditory hallucinations (OPCRIT 73) Did you ever hear voices talking to each other about you, rather than talking directly to you? What did they say to each other? How often did this happen? How long did you hear the voices? Rate two or more voices discussing the subject in the third person. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_note_hl_specific String 1,000 Recommended Notes about hallucinations: dip_note_hallucinations_specific
dip_op66_thought_insertion Integer Recommended 46. Thought insertion (OPCRIT 66) Did you ever have thoughts in your mind which were not your own; which seemed to come from somewhere outside you? Who or what did you think was putting those thoughts into your mind? How often has this happened? How long did you have these thoughts? Recognizes that thoughts are being put into his/her head which are not his/her own and which have probably or definitely been inserted by some external agency. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op68_thought_broadcast Integer Recommended 47. Thought broadcast (OPCRIT 68) Have your thoughts ever seemed to be public; not private to yourself, so that others knew what you were thinking? Did it feel like your thoughts were being broadcasted to other people? Did you ever feel as if other people could hear your thoughts? How often has this happened? How long did this experience last? The experience must be described of thoughts diffusing out of subject's mind so they can be shared or even heard by others. The experience is passive, i.e. not willed by subject. Exclude delusions that subject's own thoughts are quoted on TV, in newspapers, etc. Exclude merely the belief that thoughts are being read. Note: Do not rate "as if" statements (e.g. my thoughts are so powerful, it seems as if everyone must know them). 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op67_thought_withdrawal Integer Recommended 48. Thought withdrawal (OPCRIT 67) Did you ever feel that your thoughts were being taken out or sent out of your head? Can you describe that? How often has this happened? How long did this experience last? Subject experiences thoughts ceasing in his/her head, which may be a "thought block" being interpreted as thoughts being removed or "stolen" by some external agency. Must describe active extraction, not "thoughts seem to be outside my head." The experience is not willed by the subject. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op72_thought_echo Integer Recommended 49. Thought echo (OPCRIT 72) Did a single thought in your mind ever seem to be repeated over and over as you thought it? Was it like an echo of a voice? Can you describe that? How often has this happened? How long did this experience last? Subject experiences thoughts repeated or echoed in his or her head. Note: A thought echo is an auditory hallucination. Do not rate repetitive obsessive or ruminative thinking. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_note_thought String 1,000 Recommended Notes about subjective thought disturbances:
dip_screen_delusions Integer Recommended 50. Screen for delusions Have you ever had beliefs or ideas that others did not share or later found out were not true -- like people being against you, people trying to harm you, or people talking about you, or believing you were given special messages (e.g., through the the TV or the radio)? 0;1 0=No delusions; 1=Delusions present
dip_op69_delusions_guilt Integer Recommended 51. Delusions of guilt (OPCRIT 69) Have you ever been convinced that you committed a crime, sinned greatly, or deserved punishment? Did you really believe that these thoughts were true? Did you believe these things only when you were feeling depressed? How often has this happened? How long did you feel like that? Firm belief held by subject that he/she has committed some sin, crime or caused harm to others despite absence of any evidence to support this. 0::3 0=No delusions of guilt; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op70_delusions_poverty Integer Recommended 52. Delusions of poverty (OPCRIT 70) Have you ever had needless concerns about your financial situation? For example, having thoughts about being ruined and doomed to die in poverty? Or fearing that you would have no means to support yourself or your family? Did you actually lose money or property? How often has this happened? How long did you feel like that? Firm belief held by subject that he/she has lost all or much of their money or property and has become impoverished despite the absence of any evidence to support this. 0::3 0=No delusions of poverty; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op71_delusions_nihilistic Integer Recommended 53. Nihilistic delusions (OPCRIT 71) Have you ever believed that your body was unhealthy or strangely diseased (e.g., that your bowels were stopped up, or that your insides had rotted away, or that some part of your body was missing)? Did you ever have thoughts like that? Can you describe what you felt was wrong with your body? Were you experiencing any serious health problems at that time? How often has this happened? How long did you feel like that? Firmly held belief (i.e. delusional intensity), that some part of subject's body has disappeared or is rotting away or is affected by some devastating or malignant disorder despite a lack of any objective supporting evidence. Note: This is often over-rated. If in doubt, rate 0 'no nihilistic delusions'. 0::3 0=No nihilistic delusions; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op61_delusions_passivity Integer Recommended 54. Delusions of passivity (OPCRIT 61) Did you ever feel like your will had been replaced by some force or power outside yourself? Did you feel that your intentions were replaced by those of some external power? Were your feelings controlled, or created by something or somebody outside yourself? Was it like being a robot, zombie, or puppet, controlled from elsewhere? Can you describe that? How often has this happened? How long did this experience last? Subject knows that his/her own feelings, impulses, volitional acts, or bodily sensations are controlled or imposed by an external agency. Include all 'made' sensations, emotions or actions. The experience of replacement is essential, the will is experienced as diminished or replaced by that of some other agency. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op58_delusions_influence Integer Recommended 55. Delusions of influence (OPCRIT 58) Have people ever seemed to drop hints meant for you, or say things with double meanings? Did you see messages for yourself in the newspapers or on TV or radio? Did you feel that some thing or person around you was giving you special messages? Do you sometimes see coded messages in how objects are arranged or in how things happen? Can you describe that? How often has this happened? How long did this experience last? Events, objects or other people in subject's immediate surroundings have a special significance, often of a persecutory nature. Include ideas of reference from the TV or radio, or newspapers, where subject believes that these are providing instructions or prescribing certain behavior. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op54_delusions_persecution Integer Recommended 56. Persecutory delusions (OPCRIT 54) Have you ever felt that people were deliberately acting to harm you? Were they particularly singling you out? Have you felt that a group of people was plotting to cause you harm or injury? Can you describe what might have been happening? How often has this happened? How long did this experience last? Includes all delusions with persecutory ideation, such as belief that someone is trying to harm them; damage their reputation; or drive them mad without reasonable cause. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op57_delusions_grandiose Integer Recommended 57. Grandiose delusions (OPCRIT 57) Have you ever felt that you had any special power, talents, or abilities -- much more than other people? Have you ever felt that you had a special purpose, mission, or identity? Or that you were rich or famous, or related to prominent people? Or, maybe, that you had been chosen by God for a special mission? Do you believe that this really is true? How long have you felt like this? Subject has grossly exaggerated sense of own importance, has exceptional abilities or believes that he/she is rich or famous, titled or related to royalty. Also included are delusions of identification with God, angels, the Messiah, etc. 0::3 0=Not present; 1=Present at least four days; 2=Present at least one week; 3=Present at least two weeks
dip_op63_delusional_moods Integer Recommended 58. Delusional moods (OPCRIT 63) Did you ever have the feeling that something odd was going on that you couldn't explain? Can you describe what you felt was happening? Have you felt puzzled by strange happenings that were difficult to account for? Did familiar surroundings seem strange? How often has this happened? How long did you feel like that? A delusional mood is a strange mood in which the environment appears changed in a threatening way but the significance of the change cannot be understood by the subject who is usually tense, anxious or bewildered.A delusional idea appears abruptly in the subject's mind fully developed and is unrelated to other thoughts or perceptions. If a delusional idea is described, code it on item 59 (primary delusional ideas).Note: These are rare. If in doubt, rate this down. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op62_delusional_ideas Integer Recommended 59. Primary delusional ideas (OPCRIT 62) When you experienced [examples of delusions from items 51 - 58], how did you know what it meant? Did you know at once what it meant? Did you have any other experiences that made you suspect something like this might happen? How often has this happened? How long did this experience last? Intrusive, often sudden knowledge of a radically transformed meaning of a common perception. Subject has an ordinary perception which triggers a firmly held false belief. The belief arises from the perception in an inexplicable way. Example: a woman saw a plane cross the sun and at once knew that alien beings had chosen her for their ambassador on the earth. Exclude if apparently based on abnormal mood, or is part of a culture bound religious experience. Note: If it doubt, rate 0 'not present'. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op59_delusions_bizarre Integer Recommended 60. Bizarre delusions (OPCRIT 59) Have you ever had any odd or unusual experiences -- things that other people don't usually experience or things that other people might find hard to believe? Can you give me an example? Did you ever feel influenced or affected by X-rays, radio waves or machines or anything like that? How often has this happened? How long did this experience last? Delusions are deemed "bizarre" if they are clearly implausible, not understandable, and do not derive from ordinary experiences. Strange, absurd or fantastic delusions that are physically impossible, e.g. "my skin is inside out", or "there were real little people inside the TV". The delusional content may have a mystical, magical or "science fiction" quality. Consider the subject's cultural, educational and social background.If YES to Thought Insertion, Thought Withdrawal or Delusions of Passivity, please rate PRESENT on BIZARRE Delusions. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_note_delusions String 1,000 Recommended Notes about delusions:
dip_op85_insight Integer Recommended 61. Insight (OPCRIT 85) Do you feel you are or have been psychiatrically ill? If Yes, how do you explain it? Do you think you needed to see a doctor or psychiatrist? Do you think you needed medication and/or treatment? Rate here overall insight into nature of psychotic symptoms more generally, including associated behavior. Subject is unable to recognize that his/her experiences are abnormal or that they are the product of anomalous mental processes, or recognizes that his/her experiences are abnormal but gives a delusional explanation. 0;1 0=Insight present; 1=Insight impaired
dip_op52_psychotic_affective Integer Recommended 62. Relationship between psychotic and affective symptoms (OPCRIT 52) Let us review what you told me about (refer to specific psychotic experiences: delusions, hallucinations, or subjective thought disorder], and also what you said about changes in your mood or feelings. Would you say that the two always occur together, or seem to be independent of one another? Note:This is a very important item. Use all information available. If necessary, ask additional clarifying questions. Rate over lifetime course. If no affective disorder or no psychosis ever, rate 0 'no co-occurrence'. 0::3 0=No co-occurrence; 1=Psychotic symptoms dominate the clinical picture although occasional affective disturbance may also occur.; 2=Psychotic and affective symptoms are balanced, with neither group of symptoms dominating the overall course of the illness. ; 3=Affective symptoms predominate although psychotic symptoms may also occur.
dip_psych_aff_symptoms Integer Recommended Psychotic symptoms present for 2 weeks in the absence of mood symptoms: 0;1 0= No; 1= Yes dip_psychotic_affective_symptoms
dip_note_psychotic_affective String 1,000 Recommended Notes about insight or about relationship between psychotic and affective symptoms:
dip_op89_antipsychotics Integer Recommended 63. Psychotic symptoms respond to antipsychotic medications (OPCRIT 89) What medications are you currently taking? Do you feel the medications have helped in any way? If yes, how? Have you ever taken any medications that you felt were helpful in any way? If yes, how? Use all information available and rate globally over total period. Illness appears to respond to any type of neuroleptics (depot or oral) OR if relapse occurs when medication is stopped. This is not a subjective judgment by the subject but an objective rating by the interviewer. 0;1 0=No response to psychiatric medications, or psychiatric medications have never been taken; 1=Positive response to psychiatric medications
dip_note_meds String 1,000 Recommended Record past and present psychiatric medications:
dip_op55_delusions_organized Integer Recommended 64. Well organized delusions (OPCRIT 55) Base the rating on the extent to which all the delusions have a common theme or development. Systematization implies that if the initial premise is granted, the rest of the delusion is logically constructed and internally consistent. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op60_delusions_widespread Integer Recommended 65. Widespread delusions (OPCRIT 60) Delusions which intrude into most aspects of the subject's life and/or preoccupy the subject for most of his/her time. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op64_delusions_1week Integer Recommended 66. Delusions and hallucinations last for one week (OPCRIT 64) Any type of delusion accompanied by hallucinations of any type lasting at least one week (both at the same time). 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op65_delusions_persecutory Integer Recommended 67. Persecutory or jealous delusions and hallucinations (OPCRIT 65) The abnormal beliefs are of delusional intensity and quality and are accompanied by hallucinations (both at the same time). 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op08_duration Integer Recommended 68. Duration of illness in weeks (OPCRIT 8) Total duration of illness includes PRODROMAL and RESIDUAL disabilities as well as the active phase of illness. This must be calculated from first onset of disorder regardless of pattern or course of illness. Refer to question 6 to help determine the number of weeks of prodromal symptoms. Prodromal or residual phase is when any 2 of the following symptoms are present before (prodromal) or after (residual) an active episode:Social isolation / marked impairment in role Markedly peculiar behavior Marked impairment in personal hygiene Blunted, flat or inappropriate affect Digressive, vague, over-elaborate speech Odd or bizarre ideations Unusual perceptual experiences 0::99 weeks
dip_op87_impairment Integer Recommended 69. Impairment or incapacity during disorder (OPCRIT 87) Rate on basis of worst episode. 0::3 0=No impairment.; 1=Subjective impairment only (at work, school, family or social functioning).; 2=Evidence of objective functional impairment In major life role with definite reduction in productivity and/or criticism about functioning or performance has been received. ; 3=Inpatient treatment (any duration) has been received, or no functioning at all in major life role for more than two days, or active psychotic symptoms such as delusions or hallucinations have occurred.
dip_op88_deterioration Integer Recommended 70. Deterioration from premorbid level of functioning (OPCRIT 88) Has not regained premorbid social, occupational or emotional functioning after an acute episode of illness. For a significant portion of the time since onset there has been deterioration in work, interpersonal relations, or self-care. If the onset was in childhood or adolescence, there has been failure to achieve the expected interpersonal, academic, or occupational level. 0;1 0=No deterioration present; 1=Deterioration from premorbid level of functioning
dip_op90_course Integer Recommended 71. Course of disorder (OPCRIT 90) Note:Rate clinical symptoms and functional impairment Score this item in hierarchical fashion. If subject's course in past rated 2, but subsequently changed to 4, then the correct rating is 4. If in doubt, rate down (ie. 2 rather than 3). 0::5 0, No episode; 1=Single episode with good recovery; 2=Multiple episodes with good recovery between; 3=Multiple episodes with partial recovery between; 4=Continuous chronic illness; 5=Continuous chronic illness with deterioration
dip_op86_rapport Integer Recommended 72. Rapport (OPCRIT 86) Rapport difficult. Interviewer finds difficulty in establishing contact with subject and in conducting examination because the subject appears remote. Does not include subjects who are difficult to interview because of hostility or irritability. Use your own judgment to rate the adequacy of information from medical records. Note: If rating from case records, rate 1 'rapport difficult' if poor quality information from case records. 0;1 0=Rapport established without difficulty; 1=Rapport difficult
dip_op84_credibility Integer Recommended 73. Credibility of information (OPCRIT 84) Subject gives misleading answers to questions or provides a jumbled, incoherent or inconsistent account. When rating from medical records, use own judgment to rate validity of available information. 0;1 0=Information credible; 1=Information not credible
dip_op18_catatonia Integer Recommended 74. Catatonia (OPCRIT 18) Mannerisms: Odd, idiosyncratic movements or actions, e.g. tapping foot four times before entering a doorway, may be suggestive of specific meaning or purpose. Stereotypes: Simple, repetitive movements, e.g. rocking, rubbing, nodding, swaying, feeling surfaces, which do not seem to have special significance. Posturing: Assumes and maintains for >10 minutes, or even hours at a time, odd postures of parts of body which would be very difficult for most people to sustain for long periods. Flexibilitas cerea: The muscles of a limb become fairly rigid (e.g., if an arm is raised by an examiner into a certain position, the patient will hold it for > 15 seconds). Stupor: Total or nearly total lack of spontaneous movement and marked decrease of reactivity to the environment. Excitement: Bouts of uncontrollable, chaotic over-activity (e.g., running around the room, jumping, perhaps shouting, may throw things or be aggressive during such episodes). 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op17_bizarre_behavior Integer Recommended 75. Bizarre behavior (OPCRIT 17) Grossly odd appearance or behaviors likely to be determined by the subject's psychotic symptoms, for example clothes or ornaments having special significance to the subject (do not include eccentricity determined by membership in a specific social or cultural group).Includes behavior suggestive of response to auditory hallucinations or thought interference (e.g., lips moving soundlessly; looks around as if voices might be calling).Note: These behaviors to not necessarily indicate hallucinations or thought interference. 0;1 0=Not present; 1=Present
dip_op23_agitated_activity Integer Recommended 76. Agitated activity (OPCRIT 23) Excessive repetitive activity, such as fidgety restlessness, wringing of hands, pacing up and down, all usually accompanied by expression of mental anguish. 0::3 0=Not present; 1=Present at least one week; 2=Present at least two weeks; 3=Present at least one month
dip_op32_restricted_affect Integer Recommended 77. Restricted affect (OPCRIT 32) Subject's emotional responses are restricted in range and at interview there is an impression of bland indifference or 'lack of contact.' A relatively expressionless face or unchanging facial expression. Reduced expressive gestures. Diminished vocal inflection. Distinguish from a guarded speaking or a relatively normal reticence or shyness. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op33_blunted_affect Integer Recommended 78. Blunted affect (OPCRIT 33) A global diminution of emotional response. Subject's emotional responses are persistently flat and show a complete failure to 'resonate' to external change. The difference between restricted and blunted affect should be regarded as one of degree, with 'blunted' only being rated in extreme cases. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op34_inappropriate_affect Integer Recommended 79. Inappropriate affect (OPCRIT 34) The range of emotional expression is not necessarily diminished but the subject's emotional responses are inappropriate to the circumstance (e.g., laughter when discussing painful or sad occurrences, fatuous giggling without apparent reason). 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op26_speech_difficult Integer Recommended 80. Speech difficult to understand (OPCRIT 26) Rambling on in a vague, muddled way, beginning more or less on the point but gradually wandering far from it. The overall effect is one of speech that is difficult to understand but short sections of speech may appear within normal limits. Speech makes communication difficult because of a lack of logical or understandable organization (does not include dysarthria or speech impediment). 0;1 0=Not present; 1=Present
dip_op27_speech_incoherent Integer Recommended 81. Speech incoherent (OPCRIT 27) As above but with added distortion of grammar. Normal grammatical sentence construction has broken down. Includes "word salad". Note: Rate conservatively for only extreme forms of formal thought disorder. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op28_positive_formal Integer Recommended 82. Positive formal thought disorder (OPCRIT 28) Subject has fluent speech but tends to communicate poorly due to neologisms (made up words), bizarre use of words, derailments, or loosening of associations. Lack of logical connection between parts of a sentence or between sentences Totally unexpected shifts from topic to topic Answers past the point Answers have little relevance to the questions asked Bizarre use of words and phrases Words that have generally no accepted meaning 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
dip_op29_negative_formal Integer Recommended 83. Negative formal thought disorder (OPCRIT 29) Rate any of the following items: Blocking: Sudden interruption in speech without reason and then begins again on same or different topic. Not distraction, lapse of attention, lack of understanding. Poverty of content of speech: Talks freely but so vaguely that little information is given in spite of the number of words used. Exclude incoherence or flight of ideas. Rate only if severe. Restricted quantity of speech: Frequently fails to answer, questions have to be repeated, restricted to minimum necessary, no extra sentences, no additional comments. 0::2 0=Not present; 1=Present less than one month; 2=Present most of the time in a one month period or longer
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data dip_interviewer_notes
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