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

 General Details

Title:
Strengths and Difficulties Questionnaire (SDQ) - Follow up Version
Short Name:
SDQFollowUp
Description:
The SDQ is a screening measure for detecting behavior problems. There are multiple versions of the SDQ, depending on the age of the child, and the specific person completing the form (e.g. teacher/ parent, self-completion). All versions of the SDQ include 25-items pertaining to attributes and are divided into five sub-scales: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems and pro-social behavior. There are two follow-up questions for us after an intervention. The follow-up questions of the SDQ ask about the past one month, as opposed to the past six months or this school year, which is the reference period for the standard versions. May be completed by children 11-16, or by parents or teachers. Copyright 1997. Goodman R (1997) The Strengths and Difficulties Questionnaire: A Research Note. Journal of Child Psychology and Psychiatry, 38, 581-586.http://www.sdqinfo.com/
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-11-01
Owner:
Number of Data Elements:
96
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

SDQ Form Admin (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Strengths and Difficulties Questionnaire (SDQ) - Form type  Type of form, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQFormTyp Recommended UDE
2 Strengths and Difficulties Questionnaire (SDQ) - Age range  Age range of the form being completed. SDQAgeRange Recommended UDE

SDQ 2-10 Follow Up Questions (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Strengths and Difficulties Questionnaire (SDQ) - Considerate scale  Scale of how considerate a participant/subject is, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQConsiderateScl Recommended CDE
2 Strengths and Difficulties Questionnaire (SDQ) - Restless overactive scale  Scale of how restless, and overactive a participant/subject is, as part of the Strengths and Difficulties Questionnaire (SDQ) SDQRstlssOvrctvScl Recommended CDE
3 Strengths and Difficulties Questionnaire (SDQ) - Headache stomach-ache sick scale  Scale of how often participant/subject complains of headaches, stomach-aches or sickness, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQHdcheStmchchSckScl Recommended CDE
4 Strengths and Difficulties Questionnaire (SDQ) - Sharing scale  Scale of how often participant/subject is willing to share, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQShrngScl Recommended CDE
5 Strengths and Difficulties Questionnaire (SDQ) - Temper scale  Scale of how often participant/subject loses their temper, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQTmprScl Recommended CDE
6 Strengths and Difficulties Questionnaire (SDQ) - Solitary scale  Scale of if subject/participant is rather solitary/prefers to play alone, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQSolScl Recommended CDE
7 Strengths and Difficulties Questionnaire (SDQ) - Well-behaved scale  Scale of if subject/participant is well-behaved, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQWllbhvScl Recommended CDE
8 Strengths and Difficulties Questionnaire (SDQ) - Worry scale  Scale of how worried a participant/subject is/appears, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQWrriesScl Recommended CDE
9 Strengths and Difficulties Questionnaire (SDQ) - Helpful someone hurt scale  Scale of how helpful participant is if someone is hurt or upset ,as part of the Strengths and Difficulties Questionnaire (SDQ). SDQHlpflSmnHurtScl Recommended CDE
10 Strengths and Difficulties Questionnaire (SDQ) - Fidget squirm scale  Scale of how much participant/subject fidgets or squirms, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQFdgtSqrmScl Recommended CDE
11 Strengths and Difficulties Questionnaire (SDQ) - One friend scale  Scale of whether participant/subject has at least one friend, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQOneFrndScl Recommended CDE
12 Strengths and Difficulties Questionnaire (SDQ) - Fight bully scale  Scale of whether the participant/subject fights with other children or bullies them, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQFghtBllyScl Recommended CDE
13 Strengths and Difficulties Questionnaire (SDQ) - Unhappy scale  Scale of the participant/subject feeling unhappy, depressed or tearful, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQUnhppyScl Recommended CDE
14 Strengths and Difficulties Questionnaire (SDQ) - Generally like scale  Scale indicating if the participant/subject is generally liked by other children, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQLkeGnScl Recommended CDE
15 Strengths and Difficulties Questionnaire (SDQ) - Distract easy scale  Scale indicating if the participant/subject is easily distracted, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQEsDstrctScl Recommended CDE
16 Strengths and Difficulties Questionnaire (SDQ) - Nervous new situation scale  Scale indicating if the participant/subject is nervous in new situations, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQNvsNwSitScl Recommended CDE
17 Strengths and Difficulties Questionnaire (SDQ) - Kind young child scale  Scale indicating if the participant/subject is kind to young children, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQKndYngChldScl Recommended CDE
18 Strengths and Difficulties Questionnaire (SDQ) - Argument with adults scale  Scale indicating if the participant/subject is argumentative with adults , as part of the Strengths and Difficulties Questionnaire (SDQ). SDQArgAdltScl Recommended CDE
19 Strengths and Difficulties Questionnaire (SDQ) - Picked on scale  Scale indicating if participant/subject is picked on/bullied by others, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQPckOnScl Recommended CDE
20 Strengths and Difficulties Questionnaire (SDQ) - Help other people scale  Scale indicating how often the participant offers to help others, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQHlpOthrScl Recommended CDE
21 Strengths and Difficulties Questionnaire (SDQ) - Stop think before act scale  Scale indicating if participant/subject is able to stop and think things out before acting, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQStpThinkBfActScl Recommended CDE
22 Strengths and Difficulties Questionnaire (SDQ) - Spiteful scale  Scale indicating if the participant/subject can be spiteful to others, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQSptfulScl Recommended CDE
23 Strengths and Difficulties Questionnaire (SDQ) - Gets along better adults than children scale  Scale indicating if the participant/subject gets along better with adults than with other children, as part of the Strengths and Difficulties Questionnaire (SDQ) SDQGtsAlngBtAdltChildScl Recommended CDE
24 Strengths and Difficulties Questionnaire (SDQ) - Many fear scale  Scale indicating if the participant/subject has many fears and is easily scared, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQMnyFrScl Recommended CDE
25 Strengths and Difficulties Questionnaire (SDQ) - Good attention span scale  Scale indicating the participant/subject has a good attention span, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQGdAttnSpnScl Recommended CDE
26 Strengths and Difficulties Questionnaire (SDQ) - Post clinical attendance problem scale  Scale since coming to the clinical of the problems, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQPostClinAttendProbScl Recommended CDE
27 Strengths and Difficulties Questionnaire (SDQ) - Post clinical attendance help other problem scale  Scale of being helpful in other ways since coming to the clinical of the problems, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQPostClinAttHlpOthProScl Recommended CDE
28 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social past month difficulty indicator  The indicator related to having past month difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConcBehSocPstMonDfInd Recommended CDE
29 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty duration  The duration related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQEmoConcBehSocDifDur Recommended CDE
30 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty upset scale  Scale of being upset related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConcBehSocDifUpstScl Recommended CDE
31 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere daily home life scale  Scale of interference in home life related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehScDfIntrDHLScl Recommended CDE
32 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere friendship scale  Scale of interference with friendships related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntrFrScl Recommended CDE
33 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere learn scale  Scale of interference with learning related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntLrnScl Recommended CDE
34 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere leisure scale  Scale of interference with leisure activities related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntrLiScl Recommended CDE
35 Strengths and Difficulties Questionnaire (SDQ) - Burden difficulty scale  Scale of burden from difficulties, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQBurdDiffScl Recommended CDE

SDQ Follow Up Version 11+ (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Strengths and Difficulties Questionnaire (SDQ) 11+ - Considerate scale  Scale of how considerate a participant/subject is, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11ConsiderateScl Recommended CDE
2 Strengths and Difficulties Questionnaire (SDQ) 11+ - Restless overactive scale  Scale of how restless, and overactive a participant/subject is, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+ SDQ11RstlssOvrctvScl Recommended CDE
3 Strengths and Difficulties Questionnaire (SDQ) 11+ - Headache stomach-ache sick scale  Scale of how often participant/subject complains of headaches, stomach-aches or sickness, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11HdcheStmchchSckScl Recommended CDE
4 Strengths and Difficulties Questionnaire (SDQ) 11+ - Sharing scale  Scale of how often participant/subject is willing to share, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11ShrngScl Recommended CDE
5 Strengths and Difficulties Questionnaire (SDQ) 11+ - Temper scale  Scale of how often participant/subject loses their temper, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11TmprScl Recommended CDE
6 Strengths and Difficulties Questionnaire (SDQ) 11+ - Solitary scale  Scale of if subject/participant is rather solitary/prefers to play alone, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11SolScl Recommended CDE
7 Strengths and Difficulties Questionnaire (SDQ) 11+ - Well-behaved scale  Scale of if subject/participant is well-behaved, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11WllbhvScl Recommended CDE
8 Strengths and Difficulties Questionnaire (SDQ) 11+ - Worry scale  Scale of how worried a participant/subject is/appears, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11WrriesScl Recommended CDE
9 Strengths and Difficulties Questionnaire (SDQ) 11+ - Helpful someone hurt scale  Scale of how helpful participant is if someone is hurt or upset ,as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11HlpflSmnHurtScl Recommended CDE
10 Strengths and Difficulties Questionnaire (SDQ) 11+ - Fidget squirm scale  Scale of how much participant/subject fidgets or squirms, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11FdgtSqrmScl Recommended CDE
11 Strengths and Difficulties Questionnaire (SDQ) 11+ - One friend scale  Scale of whether participant/subject has at least one friend, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11OneFrndScl Recommended CDE
12 Strengths and Difficulties Questionnaire (SDQ) 11+ - Fight bully scale  Scale of whether the participant/subject fights with other children or bullies them, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11FghtBllyScl Recommended CDE
13 Strengths and Difficulties Questionnaire (SDQ) 11+ - Unhappy scale  Scale of the participant/subject feeling unhappy, depressed or tearful, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11UnhppyScl Recommended CDE
14 Strengths and Difficulties Questionnaire (SDQ) 11+ - Generally like scale  Scale indicating if the participant/subject is generally liked by other children, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11LkeGnScl Recommended CDE
15 Strengths and Difficulties Questionnaire (SDQ) 11+ - Distract easy scale  Scale indicating if the participant/subject is easily distracted, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11EsDstrctScl Recommended CDE
16 Strengths and Difficulties Questionnaire (SDQ) 11+ - Nervous new situation scale  Scale indicating if the participant/subject is nervous in new situations, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11NvsNwSitScl Recommended CDE
17 Strengths and Difficulties Questionnaire (SDQ) 11+ - Kind young child scale  Scale indicating if the participant/subject is kind to young children, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11KndYngChldScl Recommended CDE
18 Strengths and Difficulties Questionnaire (SDQ) 11+ - Argument with adults scale  Scale indicating if the participant/subject is argumentative with adults , as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11ArgAdltScl Recommended CDE
19 Strengths and Difficulties Questionnaire (SDQ) 11+ - Picked on scale  Scale indicating if participant/subject is picked on/bullied by others, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11PckOnScl Recommended CDE
20 Strengths and Difficulties Questionnaire (SDQ) 11+ - Help other people scale  Scale indicating how often the participant offers to help others, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11HlpOthrScl Recommended CDE
21 Strengths and Difficulties Questionnaire (SDQ) 11+ - Stop think before act scale  Scale indicating if participant/subject is able to stop and think things out before acting, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11StpThinkBfActScl Recommended CDE
22 Strengths and Difficulties Questionnaire (SDQ) 11+ - Spiteful scale  Scale indicating if the participant/subject can be spiteful to others, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11SptfulScl Recommended CDE
23 Strengths and Difficulties Questionnaire (SDQ) 11+ - Gets along better adults than children scale  Scale indicating if the participant/subject gets along better with adults than with other children, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+ SDQ11GtsAlngBtAdltChildScl Recommended CDE
24 Strengths and Difficulties Questionnaire (SDQ) 11+ - Many fear scale  Scale indicating if the participant/subject has many fears and is easily scared, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11MnyFrScl Recommended CDE
25 Strengths and Difficulties Questionnaire (SDQ) 11+ - Good attention span scale  Scale indicating the participant/subject has a good attention span, as part of the Strengths and Difficulties Questionnaire (SDQ) 11+. SDQ11GdAttnSpnScl Recommended CDE
26 Strengths and Difficulties Questionnaire (SDQ) - Post clinical attendance problem scale  Scale since coming to the clinical of the problems, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQPostClinAttendProbScl Recommended CDE
27 Strengths and Difficulties Questionnaire (SDQ) - Post clinical attendance help other problem scale  Scale of being helpful in other ways since coming to the clinical of the problems, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQPostClinAttHlpOthProScl Recommended CDE
28 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social past month difficulty indicator  The indicator related to having past month difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConcBehSocPstMonDfInd Recommended CDE
29 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty duration  The duration related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQEmoConcBehSocDifDur Recommended CDE
30 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty upset scale  Scale of being upset related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConcBehSocDifUpstScl Recommended CDE
31 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere daily home life scale  Scale of interference in home life related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehScDfIntrDHLScl Recommended CDE
32 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere friendship scale  Scale of interference with friendships related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntrFrScl Recommended CDE
33 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere learn scale  Scale of interference with learning related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntLrnScl Recommended CDE
34 Strengths and Difficulties Questionnaire (SDQ) - Emotional concentration behavior social difficulty interfere leisure scale  Scale of interference with leisure activities related to having difficulties with emotions, concentration, behavior, and being able to get along with other people, as part of the Strengths and Difficulties Questionnaire (SDQ) . SDQEmoConBehSocDfIntrLiScl Recommended CDE
35 Strengths and Difficulties Questionnaire (SDQ) - Burden difficulty scale  Scale of burden from difficulties, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQBurdDiffScl Recommended CDE

SDQ Follow Up Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Strengths and Difficulties Questionnaire (SDQ) - Total difficulties score  The score generated by summing scores from all Scale (excluding the prosocial scale), as part of the Strengths and Difficulties Questionnaire (SDQ). SDQTotalDifficultiesScore Recommended CDE
2 Strengths and Difficulties Questionnaire (SDQ) - Externalising score  The score generated by summing the 'conduct' and 'hyperactivity' scales, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQExternalisingScore Recommended CDE
3 Strengths and Difficulties Questionnaire (SDQ) - Internalising score  The score generated by summing the 'emotional' and 'peer problems' scales, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQInternalisingScore Recommended CDE
4 Strengths and Difficulties Questionnaire (SDQ) - Emotional problem score  The emotional problems score as part of the Strengths and Difficulties Questionnaire (SDQ). SDQEmotionProblScore Recommended CDE
5 Strengths and Difficulties Questionnaire (SDQ) - Conduct problem score  The conduct problem score as part of the Strengths and Difficulties Questionnaire (SDQ). SDQConductProblScore Recommended CDE
6 Strengths and Difficulties Questionnaire (SDQ) - Hyperactivity score  The hyperactivity score as part of the Strengths and Difficulties Questionnaire (SDQ). SDQHyperactivityScore Recommended CDE
7 Strengths and Difficulties Questionnaire (SDQ) - Peer problem score  The peer problems score as part of the Strengths and Difficulties Questionnaire (SDQ). SDQPeerProblScore Recommended CDE
8 Strengths and Difficulties Questionnaire (SDQ) - Prosocial score  The prosocial score as part of the Strengths and Difficulties Questionnaire (SDQ). SDQProsocialScore Recommended CDE
9 Strengths and Difficulties Questionnaire (SDQ) - Impact score  The impact score related to overal distress and impairment, as part of the Strengths and Difficulties Questionnaire (SDQ). SDQImpactScore Recommended CDE

 Change History

 Administrative Change History