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

 General Details

Title:
Personal Health Questionnaire Depression Scale (PHQ-8)
Short Name:
PHQ8
Description:
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies.
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-05-21
Version:
1.0
Date Created:
2015-04-13
Owner:
Number of Data Elements:
21
eForms:
Y

 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 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
8 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Repeat Infinitely)

# 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

PHQ-8 (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Patient Health Questionnaire (PHQ9) - Little interest score  Score of how much the subject has been bothered by having little interest or pleasure in doing things in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9IntrstPleasrActScore Recommended CDE
2 Patient Health Questionnaire (PHQ9) - Depressed score  Score of how much the subject has been feeling down and depressed in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9DwnDeprssnHopelssScore Recommended CDE
3 Patient Health Questionnaire (PHQ9) - Sleep impairment score  Score of how much the subject has been bothered with troubling falling/staying asleep or sleeping too much in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9SleepImpairScore Recommended CDE
4 Patient Health Questionnaire (PHQ9) - Tired little energy score  Score of how much the subject has been feeling tired in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9TirdLittleEnrgyScore Recommended CDE
5 Patient Health Questionnaire (PHQ9) - Abnormal diet score  Score of how much the subject has been bothered by abnormal diet/appetite in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9AbnrmlDietScore Recommended CDE
6 Patient Health Questionnaire (PHQ9) - Feeling failure score  Score of how much the subject has been feeling bad for himself/herself in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9FlngFailrScore Recommended CDE
7 Patient Health Questionnaire (PHQ9) - Concentration impairment score  Score of how much the subject has been bothered with troubling concentrating in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9ConcntrtnImprmntScore Recommended CDE
8 Patient Health Questionnaire (PHQ9) - Movement speech impairment score  Score of how much the subject has been suffering with moving or speaking too slowly in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). PHQ9MovmntSpchImprmntScore Recommended CDE
9 Patient Health Questionnaire Depression (PHQ-8) - Questionnaire total score  Total score, as the part of Patient Health Questionnaire Depression (PHQ-8). PHQ8TotalScore Recommended CDE

 Change History

 Administrative Change History