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

 General Details

Title:
Mood and Feelings Questionnaire Short Version (SMFQ)
Short Name:
SMFQ
Description:
The SMFQ uses child and parent forms to assess and screen for symptoms of depressive disorders. The SMFQ is 13 items and asks about the child/ adolescentÂ’s feelings and actions over the past two weeks. The SMFQ is appropriate for children ages 6-17. The SMFQ takes under 5 minutes to administer with forms for child and parent.The MFQ consists of a series of descriptive phrases regarding how the subject has been feeling or acting recently. Codings reflect whether the phrase was descriptive of the subject most of the time, sometimes, or not at all in the past two weeks. It includes 3 short and 3 long versions for child,parent report and adult. Copyright Adrian Angold & Elizabeth J. Costello, 1987; Developmental Epidemiology Program; Duke University
Disease:
Traumatic Brain Injury , General (For all diseases)
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-18
Owner:
Number of Data Elements:
29
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

Short Mood and Feelings Questionnaire (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Short Mood and Feelings Questionnaire (SMFQ) - Miserable unhappy scale  Scale of participant/subject's unhappiness or feelings of being miserable, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQMisUnhpScl Recommended CDE
2 Short Mood and Feelings Questionnaire (SMFQ) - No enjoyment scale  Scale of participant/subject's lack of enjoyment, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQNoEnjoymentScl Recommended CDE
3 Short Mood and Feelings Questionnaire (SMFQ) - Tired sit around scale  Scale of participant/subject being tired, sitting around and doing nothing, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQTiredSitAroundScl Recommended CDE
4 Short Mood and Feelings Questionnaire (SMFQ) - Restless scale  Scale of participant/subject's restlessness, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQRestlessScl Recommended CDE
5 Short Mood and Feelings Questionnaire (SMFQ) - Feel no good scale  Scale of participant/subject's feelings of being no good, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQFeelNoGoodScl Recommended CDE
6 Short Mood and Feelings Questionnaire (SMFQ) - Cry often scale  Scale of participant's/subject's crying a lot, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQCryOftenScl Recommended CDE
7 Short Mood and Feelings Questionnaire (SMFQ) - Think concentrate difficulty scale  Scale of participant/subject finding it hard to think properly or concentrate, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQThnkCnctrtDifficultScl Recommended CDE
8 Short Mood and Feelings Questionnaire (SMFQ) - Self hate scale  Scale of how much the participant/subject hated themselves, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQSelfHateScl Recommended CDE
9 Short Mood and Feelings Questionnaire (SMFQ) - Self bad person belief scale  Scale of if the participant/subject believes they were a bad person, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQSlfBdPrsnBeliefScl Recommended CDE
10 Short Mood and Feelings Questionnaire (SMFQ) - Lonely scale  Scale of the participant/subject feeling lonely, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQLonelyScl Recommended CDE
11 Short Mood and Feelings Questionnaire (SMFQ) - Unloved belief scale  Scale of the participant/subject feeling unloved, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQUnlovedBeliefScl Recommended CDE
12 Short Mood and Feelings Questionnaire (SMFQ) - Comparison other people scale  Scale of the participant/subject comparing themselves to be as good as other kids, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQCmprsnOtherScl Recommended CDE
13 Short Mood and Feelings Questionnaire (SMFQ) - Self do everything wrong scale  Scale of the participant/subject doing everything wrong, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQSlfDoEvrythngWrngScl Recommended CDE
14 Short Mood and Feelings Questionnaire (SMFQ) - Total score  Total score, as part of the Short Mood and Feelings Questionnaire (SMFQ) SMFQTotalScore Recommended CDE

 Change History

 Administrative Change History