This form structure is an organized set of data definitions for a form that has not been copyrighted

 General Details

Title:
Center for Epidemiologic Studies-Depression Scale (CES-D)
Short Name:
CESD
Description:
The CES-D is a widely used screening scale for depression and employed in stroke and cardiovascular health studies. It measures depressive feelings and behaviors occurring in the past week of a patientÂ’s life.
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-12-22
Version:
1.0
Date Created:
2016-10-07
Owner:
Number of Data Elements:
34
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 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 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

Center for Epidemiologic Studies-Depression Scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Center for Epidemiologic Studies-Depression Scale (CES-D) - bother scale  Scale that represents how often the subject felt bothered by things that don't usually bother in in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDBothrInd Recommended CDE
2 Center for Epidemiologic Studies-Depression Scale (CES-D) - poor appetite scale  Scale that represents how often the subject didn't feel like eating in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDPoorApptitInd Recommended CDE
3 Center for Epidemiologic Studies-Depression Scale (CES-D) - blues family friend scale  Scale that represents how often the subject felt like not able to shake off blues even with help from family and friends in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDBluFamFrndInd Recommended CDE
4 Center for Epidemiologic Studies-Depression Scale (CES-D) - good other people scale  Scale that represents how often the subject felt like good as other people in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDGoodOthrPplInd Recommended CDE
5 Center for Epidemiologic Studies-Depression Scale (CES-D) - trouble keeping mind scale  Scale that represents how often the subject had trouble keeping mind on what the he/she was doing in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDTrblKpngMndInd Recommended CDE
6 Center for Epidemiologic Studies-Depression Scale (CES-D) - depressed scale  Scale that represents how often the subject felt depressed in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDDeprsdInd Recommended CDE
7 Center for Epidemiologic Studies-Depression Scale (CES-D) - everything effort scale  Scale that represents how often the subject felt that everything he/she did was an effort in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDEvrthgEffrtInd Recommended CDE
8 Center for Epidemiologic Studies-Depression Scale (CES-D) - hopeful future scale  Scale that represents how often the subject felt hopefully about the future in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDHpflFutrInd Recommended CDE
9 Center for Epidemiologic Studies-Depression Scale (CES-D) - life failure scale  Scale that represents how often the subject felt that life had been a failure in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDLifFailrInd Recommended CDE
10 Center for Epidemiologic Studies-Depression Scale (CES-D) - fearful scale  Scale that represents how often the subject felt fearful in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDFrflInd Recommended CDE
11 Center for Epidemiologic Studies-Depression Scale (CES-D) - Restless sleep scale  Scale that represents how often the subject had restless sleep in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDRstlssSlpInd Recommended CDE
12 Center for Epidemiologic Studies-Depression Scale (CES-D) - happy scale  Scale that represents how often the subject felt happy in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDHppyInd Recommended CDE
13 Center for Epidemiologic Studies-Depression Scale (CES-D) - talk less scale  Scale that represents how often the subject talked less than usual in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDTlkLssInd Recommended CDE
14 Center for Epidemiologic Studies-Depression Scale (CES-D) - loneliness scale  Scale that represents how often the subject felt lonely in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDLonlinssInd Recommended CDE
15 Center for Epidemiologic Studies-Depression Scale (CES-D) - unfriendly scale  Scale that represents how often the subject felt that people were unfriendly, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDUnfrndInd Recommended CDE
16 Center for Epidemiologic Studies-Depression Scale (CES-D) - enjoy life scale  Scale that represents how often the subject felt like he/she enjoyed life in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDEnjyLifInd Recommended CDE
17 Center for Epidemiologic Studies-Depression Scale (CES-D) - crying spell scale  Scale that represents how often the subject had crying spells in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDCryngSpllInd Recommended CDE
18 Center for Epidemiologic Studies-Depression Scale (CES-D) - sadness scale  Scale that represents how often the subject felt sad in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDSadnssInd Recommended CDE
19 Center for Epidemiologic Studies-Depression Scale (CES-D) - people dislike scale  Scale that represents how often the subject felt that people dislike the subject in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDPplDslikInd Recommended CDE
20 Center for Epidemiologic Studies-Depression Scale (CES-D) - get going scale  Scale that represents how often the subject felt like he/she couldn't get & ;going& ; in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D). CESDGtGngInd Recommended CDE

CESD Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Center for Epidemiologic Studies Depression Scale (CES-D) - total score  CES-D Total Score - summation of the scores for the 20 items (0-60) CESDTotalScore Recommended CDE

 Change History

 Administrative Change History