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Fear of Illness and Virus Evaluation

0 Shared Subjects

A 35-item self-report measure used to assess fears about contamination and illness and social distancing. https://adaa.org/node/5168
Clinical Assessments
Anxiety
04/05/2021
five01
04/07/2021
View Change History
01
Definition
Submission Template
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 :: 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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
version_form String 121 Recommended Form used/assessment name
five00_1 Integer Recommended C. I am afraid I may get a bad illness or virus / P. My child is afraid they may get a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_1, five2_1
five00_2 Integer Recommended C. I am afraid I will get very, very sick if I catch a bad illness or virus / P. My child is afraid they will get very, very sick if they catch a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_2, five2_2
five00_3 Integer Recommended C. I am afraid I will have to go to the hospital because of a bad illness or virus / P. My child is afraid they will have to go to the hospital because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_3, five2_3
five00_4 Integer Recommended C. I am afraid I might die if I get a bad illness or virus / P. My child is afraid they might die if they get a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_4, five2_4
five00_5 Integer Recommended C. I am afraid my pet might get a bad illness or virus / P. My child is afraid their pet might get a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_5, five2_5
five00_6 Integer Recommended C. I am afraid a family member might get sick or die because of a bad illness or virus / P. My child is afraid that a family member might get sick or die because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_6, five2_6
five00_7 Integer Recommended C. I am afraid I may do something that would cause someone else to get a bad illness or virus / P. My child is afraid they may do something that would cause someone else to get a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_7, five2_7
five00_8 Integer Recommended C. I am afraid a friend might get sick or die because of a bad illness or virus / P. My child is afraid that a friend might get sick or die because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_8, five2_8
five00_9 Integer Recommended C. I am afraid people in the world might get sick or die because of a bad illness or virus / P. My child is afraid that people in the world might get sick or die because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_9, five2_9
five00_10 Integer Recommended C. I am afraid I will be stuck at home because of a bad illness or virus / P. My child is afraid they will be stuck at home because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_10, five2_10
five00_11 Integer Recommended C. I am afraid it will be hard to do things I like because of a bad illness or virus / P. My child is afraid it will be hard to do things they like because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_11, five2_11
five00_12 Integer Recommended C. I am afraid I will miss a lot of work because of a bad illness or virus / P. My child is afraid they will miss a lot of school because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_12, five2_12
five00_13 Integer Recommended C. I am afraid I will not be able to see friends (for a long time) because of a bad illness or virus / P. My child is afraid they will not be able to see friends (for a long time) because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_13, five2_13
five00_14 Integer Recommended I am afraid I will lose my job because of a bad illness or virus 1::4 1 = I am not afraid of this at all; 2 = I am afraid of this some of the time; 3 = I am afraid of this most of the time; 4 = I am afraid of this all of the time five1_14, five2_14
five00_14a Integer Recommended C. I am afraid I will do poorly in school because of a bad illness or virus / P. My child is afraid they will do poorly in school because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time
five00_15 Integer Recommended C. I am afraid I will lose my friends because of a bad illness or virus / P. My child is afraid they will lose friends because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_15, five2_15
five00_16 Integer Recommended C. I am afraid I will be sad and lonely because of a bad illness or virus / P. My child is afraid they will be sad and lonely because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_16, five2_16
five00_17 Integer Recommended C. I am afraid I will not be able to celebrate good things (e.g. weddings, birthday, etc.) because of a bad illness or virus / P. My child is afraid they will not be able to celebrate good things (e.g. graduation, birthday, etc.) because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_17, five2_17
five00_18 Integer Recommended C. I am afraid I will not have enough food to eat because of a bad illness or virus / P. My child is afraid they will not have enough food to eat because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time five1_18, five2_18
five00_19 Integer Recommended I am afraid I will not have enough money to pay my bills or take care of my family because of a bad illness or virus 1::4 1 = I am not afraid of this at all; 2 = I am afraid of this some of the time; 3 = I am afraid of this most of the time; 4 = I am afraid of this all of the time five1_19, five2_19
five00_19a Integer Recommended C. I am afraid my family will not have enough money because of a bad illness or virus / P. My child is afraid that our family will not have enough money because of a bad illness or virus 1::4 1 = I am not afraid of this at all / My child is not afraid of this at all; 2 = I am afraid of this some of the time / My child is afraid of this some of the time; 3 = I am afraid of this most of the time / My child is afraid of this most of the time; 4 = I am afraid of this all of the time / My child is afraid of this all of the time
five00_20 Integer Recommended C. I stay away from people (other than those who live in my house) / P. My child stays away from people (other than those who live in my house) 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_20, five2_20
five00_21 Integer Recommended C. I ask people if they are sick / P. My child asks people if they are sick 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_21, five2_21
five00_22 Integer Recommended C. I avoid news or information about bad illnesses or viruses / P. My child avoids news or information about bad illness or viruses 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_22, five2_22
five00_23 Integer Recommended C. I wash my hands at times other than just after I use the bathroom or before eating / P. My child washes their hands at times other than just after they use the bathroom or before eating 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_23, five2_23
five00_24 Integer Recommended C. I wear a mask over my face or protective gear (e.g. gloves, things to cover my clothes) / P. My child wears a mask over their face or protective gear (e.g. gloves, things to cover my clothes) 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_24, five2_24
five00_25 Integer Recommended C. I use Purell/other sanitizer / P. My child uses Purell/other sanitizer 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_25, five2_25
five00_26 Integer Recommended C. I use Clorox/cleaners to wipe down surfaces / P. My child uses Clorox/cleansers to wipe down surfaces 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_26, five2_26
five00_27 Integer Recommended C. I avoid touching things (e.g., phone, door knobs) / P. My child avoids touching things (e.g., phone, door knobs) 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_27, five2_27
five00_28 Integer Recommended C. I avoid touching people (e.g., hugging, shaking hands) / P. My child avoids touching people (e.g., hugging, shaking hands) 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_28, five2_28
five00_29 Integer Recommended C. I check the internet for illness or virus updates / P. My child checks the internet for illness or virus updates 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_29, five2_29
five00_30 Integer Recommended C. I use social media/Facetime, etc. to stay connected to my friends / P. My child uses social media/FaceTime, etc. to stay connected to friends 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_30, five2_30
five00_31 Integer Recommended C. I exercise or play outside / P. My child exercises or plays outside 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_31, five2_31
five00_32 Integer Recommended C. I stay away from people inside my house (e.g., stay in another room or a certain distance away) / P. My child stays aways from people inside the house (e.g., stays in another room or a certain distance away) 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_32, five2_32
five00_33 Integer Recommended C. I do schoolwork or my job on a computer / P. My child does schoolwork on a computer 1::4 1 = I have not done this in the last week / My child did not do this last week; 2 = I did this some of the time last week / My child did this some of the time last week; 3 = I did this most of the time last week / My child did this most of the time last week; 4 = I did this all the time last week / My child did this all of the time last week five1_33, five2_33
five00_34 Integer Recommended C. On average in the last week, being afraid of an illness or virus has caused me to feel very strong emotions in my body (e.g., anger, anxiety, sadness, irritable feelings, etc.) / P. On average in the last week, being afraid of an illness or virus has caused my child to experience very strong emotions (e.g. anger, anxiety, sadness, irritable feelings, etc.) 1::4 1 = Not true for me at all / Not true for my child at all; 2 = Somewhat true; 3 = Mostly true; 4 = Definitely true five1_34, five2_34
five00_35 Integer Recommended C. On average in the last weeek, being afraid of an illness or virus has gotten in the way of enjoying my life (e.g., caused fights in my house, kept me from connecting with others, made me feel isolate or hopeless about the future, etc.) / P. On average in the last week, being afraid of an illness or virus has gotten in the way of my child enjoying their life (e.g. caused fights in the house, kept them from connecting with others, made them feel isolated or hopeless about the future, etc.) 1::4 1 = Not true for me at all / Not true for my child at all; 2 = Somewhat true; 3 = Mostly true; 4 = Definitely true five1_35, five2_35
five_part1 Integer Recommended Fears about Contamination and Illness Score
five_part2 Integer Recommended Fears about Social Distancing Score
five_part3 Integer Recommended Behaviors Related to Illness and Virus Fears Score
five_part4 Integer Recommended Impact of Illness and Virus Fears Score
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.