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Mental Health Assessment
Mathew Thorpe edited this page Aug 30, 2021
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| Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
|---|---|---|---|---|
| mha_ph4_nervous | Patient health questionnaire (PH4) (Anxiety PH2 and Depression PH2) Over the last 2 weeks, how often have you been bothered by the following problems? |
radio | 1 - Feeling nervous, anxious or on edge | 0, Not at all ; 1, Several days ; 2, More than half the days ; 3, Nearly every day |
| mha_ph4_worrying | radio | 2 - Not being able to stop or control worrying | 0, Not at all ; 1, Several days ; 2, More than half the days ; 3, Nearly every day | |
| mha_ph4_little_interest | radio | 3 - Little interest or pleasure in doing things | 0, Not at all ; 1, Several days ; 2, More than half the days ; 3, Nearly every day | |
| mha_ph4_depressed | radio | 4 - Feeling down, depressed or hopeless | 0, Not at all ; 1, Several days ; 2, More than half the days ; 3, Nearly every day | |
| mha_ph2_anxiety_score | calc | PH2 Anxiety score (1 + 2) | sum([mha_ph4_nervous], [mha_ph4_worrying]) | |
| mha_ph2_depr_score_2 | calc | PH2 Depression score (3 + 4) | sum([mha_ph4_little_interest], [mha_ph4_depressed]) | |
| mha_ptsd_memories | b) Post-Traumatic Stress Disorder Screening Questions | radio | i) Have you had any unwanted memories of your illness or hospital admission whilst you were awake, so not counting dreams? | 1, Yes ; 0, No |
| mha_ptsd_dreams | radio | ii) Have you had any unpleasant dreams about your illness or hospital admission? | 1, Yes ; 0, No | |
| mha_ptsd_thoughts | radio | iii) Have you tried to avoid thoughts or feelings about your illness or hospital admission? | 1, Yes ; 0, No | |
| mha_ptsd_memories_detail | radio | i) How much do these memories bother you? | 1, mild ; 2, moderate ; 3, severe ; 4, extreme | |
| mha_ptsd_dreams_detail | radio | ii) How much do these dreams bother you? | 1, mild ; 2, moderate ; 3, severe ; 4, extreme | |
| mha_ptsd_thoughts_detail | radio | iii) How much effort do you make to avoid these thoughts or feelings? | 1, mild ; 2, moderate ; 3, severe ; 4, extreme | |
| mha_lonely_lack | c) Regarding loneliness and mental health, please complete the following: | radio | How often do you feel that you lack companionship? | 1, Harly ever ; 2, Some of the time ; 3, Often |
| mha_lonely_left | radio | How often do you feel left out? | 1, Harly ever ; 2, Some of the time ; 3, Often | |
| mha_lonely_iso | radio | How often do you feel isolated from others? | 1, Harly ever ; 2, Some of the time ; 3, Often | |
| mha_lonely_lon | radio | How often do you feel lonely? | 1, Harly ever ; 2, Some of the time ; 3, Often |
Contents
Case Report Form Definitions
- Forms
- Timepoints
- PHOSP ID
- eConsent Tier 1
- eConsent Tier 2
- Informed Consent Form
- Split Tier Consent
- Eligibility Checklist
- CRF1A Part 1
- CRF1A Part 2
- CRF1A Part 3
- CRF1B
- CRF2A
- CRF2B
- CRF3A
- CRF3B
- CRF3C
- CRF4A
- CRF4B
- CRF Emergency Visit
- Adverse Event Log
- Withdrawals
- CRF Early Termination
- CRF Tier 2 Withdrawal
- Medications Log
- Activity Monitor Log
- Mental Health Assessment
- Nutrition
- Social History
- EQ-5D-5L
- GAD-7
- PHQ-9
- MRC Dyspnoea
- SARC-F
- GPPAQ
- Dyspnoea-12
- FACIT Fatigue
- PCL-5
- BPI
- NEADL
- MoCA
- Rockwood Clinical Frailty
- PSQI
- MEQ
- LCQ
- PFTs
- Walk Tests
- Tier 2 Core Test Checklist
- Tier 2 Research Samples
- Tier 2 Notification - Blood
- Tier 2 Notification - Oral Wash
- Tier 2 Notification - Sputum
- Tier 2 Notification - Urine
- QRISK3
- BIA
- DXA
- Muscle Strength
- SPPB
- Pre-PSQ
- PSQ
- Lab Log - Routine Blood
- Lab Log - Urine
- Lab Log - Immuno
- Lab Log - Additional Tests
- PCR Swab Tests