This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Children's Affective Lability Scale (CALS)
Short Name:
CALS
Description:
The ChildrenÂ’s Affective Lability Scale (CALS) contains twenty items and assesses affect regulation. It is completed by the childÂ’s parent. Twenty items are answered on a five-level (0 to 4) scale for a total possible score ranging from 0 to 80. Lower scores indicate less affective lability. Copyright 1996 Elsevier Science Ireland Ltd. All rights reserved. Gerson, A., Gerring, J., Freund, L., Joshi, P., Capozzoli, J., Brady, K., and Denckla, M.(1996). The Children's Affective Lability Scale: a psychometric evaluation of reliability. Psychiatry Res 65(3), 189-199
Disease:
General (For all diseases) , Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-12
Owner:
Number of Data Elements:
36
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

Children's Affective Lability Scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Children's Affective Lability Scale (CALS) - Cry sudden scale  Scale related to child suddenly starting to cry for little or no apparent reason, more so than other children his/her age , as a part of the Children's Affective Lability Scale (CALS). CALSCrySudScl Recommended CDE
2 Children's Affective Lability Scale (CALS) - Temper reason unclear scale  Scale related to how hard it is to tell what will set him/her off into a blow-up of temper, as a part of the Children's Affective Lability Scale (CALS). CALSTemperRsnUnclrScl Recommended CDE
3 Children's Affective Lability Scale (CALS) - Tension anxiousness sudden scale  Scale related to the child suddenly becoming tense or anxious, as a part of the Children's Affective Lability Scale (CALS). CALSTensionAnxnssSudScl Recommended CDE
4 Children's Affective Lability Scale (CALS) - Affectionate excessiveness scale  Scale related to the child having bursts of being overly affectionate for little reason, hugging or kissing more than you would expect, as a part of the Children's Affective Lability Scale (CALS). CALSAffectionExcessvnssScl Recommended CDE
5 Children's Affective Lability Scale (CALS) - Interest scale  Scale related to the child suddenly losing interest in what he/she is doing, as a part of the Children's Affective Lability Scale (CALS). CALSInterestScl Recommended CDE
6 Children's Affective Lability Scale (CALS) - Mood reason unclear scale  Scale related to how hard it is to tell what mood he or she will be in, as a part of the Children's Affective Lability Scale (CALS). CALSMoodRanUnclrScl Recommended CDE
7 Children's Affective Lability Scale (CALS) - Sudden temper loss scale  Scale related to the child suddenly losing his/her temper (may yell, cuss, or throw something) when you wouldn't expect it, as a part of the Children's Affective Lability Scale (CALS). CALSSudTempLossScl Recommended CDE
8 Children's Affective Lability Scale (CALS) - Talk burst scale  Scale related to the child having bursts of increased talking, as a part of the Children's Affective Lability Scale (CALS). CALSTalkBrstScl Recommended CDE
9 Children's Affective Lability Scale (CALS) - Difficulty breathing short period scale  Scale related to the child complaining of short periods when he/she feels shaky or his/her heart is pounding or he/she has difficulty breathing (not due to asthma or other medical problems), as a part of the Children's Affective Lability Scale (CALS). CALSDiffBreathScl Recommended CDE
10 Children's Affective Lability Scale (CALS) - Cry reason unclear scale  Scale related to how hard it is to tell what will set him/her off crying, as a part of the Children's Affective Lability Scale (CALS). CALSCryRsnUnclrScl Recommended CDE
11 Children's Affective Lability Scale (CALS) - Silliness reason unclear scale  Scale related to bursts of silliness for little to no apparent reason, as a part of the Children's Affective Lability Scale (CALS). CALSSillinssRsnUnclrScl Recommended CDE
12 Children's Affective Lability Scale (CALS) - Tired suddenly scale  Scale related to doing activities and then suddenly stopping and saying he/she is tired, as a part of the Children's Affective Lability Scale (CALS). CALSSudTiredScl Recommended CDE
13 Children's Affective Lability Scale (CALS) - Blow up unexpectedly scale  Scale related to not knowing when he/she is going to blow up, as a part of the Children's Affective Lability Scale (CALS). CALSBlowUpUnexpectScl Recommended CDE
14 Children's Affective Lability Scale (CALS) - Same topic scale  Scale related to periods of time when he/she talks about the same thing over and over, as a part of the Children's Affective Lability Scale (CALS). CALSSameTopicScl Recommended CDE
15 Children's Affective Lability Scale (CALS) - Laugh suddenly scale  Scale related to the child suddenly starting to laugh about something that most people don't think is very funny, as a part of the Children's Affective Lability Scale (CALS). CALSSudLaughScl Recommended CDE
16 Children's Affective Lability Scale (CALS) - Sad suddenly scale  Scale related to the child suddenly appearing sad, depressed, and/or "down in the dumps" for no apparent reason, as a part of the Children's Affective Lability Scale (CALS). CALSSudSadRsnUnclrScl Recommended CDE
17 Children's Affective Lability Scale (CALS) - Nervous burst scale  Scale related to bursts of being nervous or fidgety, as a part of the Children's Affective Lability Scale (CALS). CALSNvrsBrstScl Recommended CDE
18 Children's Affective Lability Scale (CALS) - Irritable burst scale  Scale related to bursts of crabbiness or irritability, as a part of the Children's Affective Lability Scale (CALS). CALSIrritbleBrstScl Recommended CDE
19 Children's Affective Lability Scale (CALS) - Familiar overly scale  Scale related to the child suddenly being overly familiar with people he/she barely knows, as a part of the Children's Affective Lability Scale (CALS). CALSOvrlyFamlrScl Recommended CDE
20 Children's Affective Lability Scale (CALS) - Angry reason unclear scale  Scale related to the child appearing to be very angry (yelling, using abusive language) in response to a simple request, as a part of the Children's Affective Lability Scale (CALS). CALSAngryRsnUnclrScl Recommended CDE

Children's Affective Lability Scale Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Children's Affective Lability Scale (CALS) - Total score 

(Draft)

Total score for the sum of all the questions, as a part of the Children's Affective lability Scale (CALS) CALSTotalScore Recommended UDE

 Change History

 Administrative Change History