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PCL 5
Mathew Thorpe edited this page Aug 30, 2021
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| Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
|---|---|---|---|---|
| ptsd_date | text | Date | ||
| pcl5_date | text | Date (Legacy field) | ||
| pcl5_memories | In the past month, how much were you bothered by: | radio | 1. Repeated, disturbing, and unwanted memories of the stressful experience? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely |
| pcl5_dreams | radio | 2. Repeated, disturbing dreams of the stressful experience? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_suddenly | radio | 3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_upset | radio | 4. Feeling very upset when something reminded you of the stressful experience? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_physical_reactions | radio | 5. Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_avoiding_memories | radio | 6. Avoiding memories, thoughts, or feelings related to the stressful experience? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_avoiding_reminder | radio | 7. Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_trouble_remembering | radio | 8. Trouble remembering important parts of the stressful experience? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_negative_beliefs | radio | 9. Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_blaming | radio | 10. Blaming yourself or someone else for the stressful experience or what happened after it? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_negative_feeling | radio | 11. Having strong negative feelings such as fear, horror, anger, guilt, or shame? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_loss_interest | radio | 12. Loss of interest in activities that you used to enjoy? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_feeling_distant | radio | 13. Feeling distant or cut off from other people? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_trouble_positive | radio | 14. Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_irritable_behavior | radio | 15. Irritable behavior, angry outbursts, or acting aggressively? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_risky | radio | 16. Taking too many risks or doing things that could cause you harm? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_superalert | radio | 17. Being "superalert" or watchful or on guard? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_jumpy | radio | 18. Feeling jumpy or easily startled? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_concentrating | radio | 19. Having difficulty concentrating? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_trouble_sleep | radio | 20. Trouble falling or staying asleep? | 0, Not at all ; 1, A little bit ; 2, Moderately ; 3, Quite a bit ; 4, Extremely | |
| pcl5_summary | calc | PCL-5 Total Severity Score | sum([pcl5_memories],[pcl5_dreams],[pcl5_suddenly],[pcl5_upset],[pcl5_physical_reactions],[pcl5_avoiding_memories],[pcl5_avoiding_reminder],[pcl5_trouble_remembering],[pcl5_negative_beliefs],[pcl5_blaming],[pcl5_negative_feeling],[pcl5_loss_interest],[pcl5_feeling_distant],[pcl5_trouble_positive],[pcl5_irritable_behavior],[pcl5_risky],[pcl5_superalert],[pcl5_jumpy],[pcl5_concentrating],[pcl5_trouble_sleep]) |
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