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

 General Details

Title:
NIH Toolbox Emotion Domain Anger-Affect Survey CAT 18-85
Short Name:
NIHTBAngerAffectCAT18to85
Description:
The NIH Toolbox Anger-Affect Survey is a self-report measure that assesses anger as an emotion for ages 18-85, using a computer-adaptive test format. No versions for other ages are available; however, a fixed-length self-report form is available for ages 18-85, as a supplemental measure.Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-06-21
Owner:
Number of Data Elements:
68
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

NIH Toolbox Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox - Test domain battery type  Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox NIHTBTestDomainBatteryTyp Recommended CDE
2 NIH Toolbox - Test domain battery type other  The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox NIHTBTestDomainBatteryTypOTH Recommended CDE
3 NIH Toolbox - Test name type  Type of NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestNameTyp Recommended CDE
4 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH Recommended CDE
5 NIH Toolbox - Test administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
6 NIH Toolbox - Test administration language type other  Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox NIHTBTestAdminLanguageTypOTH Recommended CDE
7 NIH Toolbox - Form administered type  Type of NIH Toolbox form being administered, as part of the NIH Toolbox NIHTBFormAdminTyp Recommended CDE
8 NIH Toolbox - Test administration flag type  Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagTyp Recommended CDE
9 NIH Toolbox - Test administration flag indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE
10 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox NIHTBStandardError Recommended CDE

NIH Toolbox Anger-Affect Survey CAT 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Frustrated scale  Scale of participant report of statement: When I was frustrated, I let it show, in the past 7 days, for ages 18+ as part of the NIH Toolbox Emotion Anger Affect Computerized Adapative Test NIHTBAACAT18FrustratedScl Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Irritated scale  Scale of participant report of statement: I was irritated more than people knew, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18IrritatedScl Recommended CDE
3 NIH Toolbox Emotion Anger Affect CAT 18+ - Envious scale  Scale of participant report of statement: I felt envious of others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18EnviousScl Recommended CDE
4 NIH Toolbox Emotion Anger Affect CAT 18+ - Disagreed scale  Scale of participant report of statement: I disagreed with people, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18DisagreedScl Recommended CDE
5 NIH Toolbox Emotion Anger Affect CAT 18+ - Made myself angry scale  Scale of participant report of statement: I made myself angry about something just by thinking about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18MadeMyselfAngryScl Recommended CDE
6 NIH Toolbox Emotion Anger Affect CAT 18+ - Tried to get even scale  Scale of participant report of statement: I tried to get even when I was angry with someone, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GetEvenScl Recommended CDE
7 NIH Toolbox Emotion Anger Affect CAT 18+ - Angry scale  Scale of participant report of statement: I felt angry, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngryScl Recommended CDE
8 NIH Toolbox Emotion Anger Affect CAT 18+ - Silent treatment scale  Scale of participant report of statement: When I was mad at someone, I gave them the silent treatment, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18SilentTrtmntScl Recommended CDE
9 NIH Toolbox Emotion Anger Affect CAT 18+ - Breaking things scale  Scale of participant report of statement: I felt like breaking things, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BreakingThngsScl Recommended CDE
10 NIH Toolbox Emotion Anger Affect CAT 18+ - Explode scale  Scale of participant report of statement: I felt like I was ready to explode, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ReadyToExpldScl Recommended CDE
11 NIH Toolbox Emotion Anger Affect CAT 18+ - Sulked scale  Scale of participant report of statement: When I was angry I sulked, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18SulkedScl Recommended CDE
12 NIH Toolbox Emotion Anger Affect CAT 18+ -Resentful scale  Scale of participant report of statement: I was resentful when I didn't get my way, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ResentfulScl Recommended CDE
13 NIH Toolbox Emotion Anger Affect CAT 18+ - Guilty scale  Scale of participant report of statement: I felt guilty about my anger, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GuiltyScl Recommended CDE
14 NIH Toolbox Emotion Anger Affect CAT 18+ - Bitter scale  Scale of participant report of statement: I felt bitter about things, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BitterScl Recommended CDE
15 NIH Toolbox Emotion Anger Affect CAT 18+ - Trying anger scale  Scale of participant report of statement: I felt that people were trying to anger me, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18TryingAngerScl Recommended CDE
16 NIH Toolbox Emotion Anger Affect CAT 18+ - Stayed angry scale  Scale of participant report of statement: I stayed angry for hours, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StayedAngryScl Recommended CDE
17 NIH Toolbox Emotion Anger Affect CAT 18+ - Grudges scale  Scale of participant report of statement: I held grudges toward others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrudgesScl Recommended CDE
18 NIH Toolbox Emotion Anger Affect CAT 18+ - Angrier scale  Scale of participant report of statement: I felt angrier than I thought I should, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngrierScl Recommended CDE
19 NIH Toolbox Emotion Anger Affect CAT 18+ - Grouchy scale  Scale of participant report of statement: I was grouchy, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrouchyScl Recommended CDE
20 NIH Toolbox Emotion Anger Affect CAT 18+ - Stubborn scale  Scale of participant report of statement: I was stubborn with others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StubbornScl Recommended CDE
21 NIH Toolbox Emotion Anger Affect CAT 18+ - Annoyed scale  Scale of participant report of statement: I felt annoyed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AnnoyedScl Recommended CDE
22 NIH Toolbox Emotion Anger Affect CAT 18+ - Bad temper scale  Scale of participant report of statement: I had a bad temper, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BadTemperScl Recommended CDE
23 NIH Toolbox Emotion Anger Affect CAT 18+ - Control temper scale  Scale of participant report of statement: I had trouble controlling my temper, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ControlTemperScl Recommended CDE
24 NIH Toolbox Emotion Anger Affect CAT 18+ - Delayed scale  Scale of participant report of statement: I was angry when I was delayed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18DelayedScl Recommended CDE
25 NIH Toolbox Emotion Anger Affect CAT 18+ - Forget scale  Scale of participant report of statement: Even after I expressed my anger, I had trouble forgetting about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ForgetScl Recommended CDE
26 NIH Toolbox Emotion Anger Affect CAT 18+ - Help scale  Scale of participant report of statement: I felt like I needed help for my anger, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18HelpScl Recommended CDE
27 NIH Toolbox Emotion Anger Affect CAT 18+ - Blocked scale  Scale of participant report of statement: I was angry when something blocked my plans, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BlockedScl Recommended CDE
28 NIH Toolbox Emotion Anger Affect CAT 18+ - Yelling scale  Scale of participant report of statement: I felt like yelling at someone, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18YellingScl Recommended CDE
29 NIH Toolbox Emotion Anger Affect CAT 18+ - Around people irritate scale  Scale of participant report of statement: Just being around people irritated me, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ArndPplIrritateScl Recommended CDE

NIH Toolbox Anger-Affect Survey Fixed Form 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Irritated scale  Scale of participant report of statement: I was irritated more than people knew, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18IrritatedScl Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Made myself angry scale  Scale of participant report of statement: I made myself angry about something just by thinking about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18MadeMyselfAngryScl Recommended CDE
3 NIH Toolbox Emotion Anger Affect CAT 18+ - Angry scale  Scale of participant report of statement: I felt angry, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngryScl Recommended CDE
4 NIH Toolbox Emotion Anger Affect CAT 18+ - Explode scale  Scale of participant report of statement: I felt like I was ready to explode, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ReadyToExpldScl Recommended CDE
5 NIH Toolbox Emotion Anger Affect CAT 18+ - Stayed angry scale  Scale of participant report of statement: I stayed angry for hours, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StayedAngryScl Recommended CDE
6 NIH Toolbox Emotion Anger Affect CAT 18+ - Angrier scale  Scale of participant report of statement: I felt angrier than I thought I should, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngrierScl Recommended CDE
7 NIH Toolbox Emotion Anger Affect CAT 18+ - Grouchy scale  Scale of participant report of statement: I was grouchy, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrouchyScl Recommended CDE
8 NIH Toolbox Emotion Anger Affect CAT 18+ - Annoyed scale  Scale of participant report of statement: I felt annoyed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AnnoyedScl Recommended CDE

NIH Toolbox Anger-Affect Survey CAT 18-85 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Raw score  Raw score, , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18RawScore Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Theta score  Theta score, , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ThetaScore Recommended CDE
3 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROAgeAdjSclScore Recommended CDE
4 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROAgeAdjNationalPctVal Recommended CDE
5 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROFullyAdjSclScore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROUnadjSclScore Recommended CDE

 Change History

 Administrative Change History