Download:
pdf |
pdf0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
START NEW CARD
DUP COL 1 - 10
MOD.
E
2
[11 - 12]
CARD NO. 0
1
b
[13 - 14]
[15]
ODD
Now I am going to ask you some questions about __________ getting angry or doing
things that could get [him/her] into trouble.
1.
In the last year – that is, since [[NAME EVENT]/[NAME CURRENT MONTH]
of last year] – has __________ lost [his/her] temper?
0
2
7
9
[16]
IF YES, A. Was there a time in the last year when [he/she] lost [his/her] temper
at least once a week?
0
2
7
9
[17]
IF YES, B. Did [he/she] lose [his/her] temper at least once a week
for six months or longer?
0
2
7
9
[18]
C. About how often did [he/she] lose [his/her] temper?
Was it: nearly every day, a few days a week, or about
once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
D. Now, what about the last four weeks?
Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]], has [he/she] lost [his/
her] temper?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 21
[3]
[2]
[1]
0
7
9
0
[19]
2
7
9
[20]
[5/20/98]
0=NO
2.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] argued with or talked back to [you (or [his/her] [CARETAKERS])/[his/her]
[CARETAKERS]] (or [his/her][teachers/boss])?
0
2
7
9
[21]
IF YES, A. Was there a time in the last year when [he/she] argued with or talked
back to [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/her][teachers/boss]) at least once a week?
0
2
7
9
[22]
IF YES, B. Did [he/she] argue with or talk back to [you (or [his/her]
[CARETAKERS])/[his/her] [CARETAKERS]] (or
[his/her][teachers/boss]) at least once a week for six
months or longer?
0
2
7
9
[23]
C. About how often did [he/she] argue with or talk back to
[you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/her][teachers/boss])? Was it: nearly
every day, a few days a week, or about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
D. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] argued
with or talked back to [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/
her][teachers/boss])?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 22
[3]
[2]
[1]
0
7
9
0
[24]
2
7
9
[25]
[5/20/98]
0=NO
3.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] done things on purpose that [you (or [his/her] [CARETAKERS])/[his/her]
[CARETAKERS]] (or [his/her][teachers/boss]) told [him/her] not to do?
0
2
7
9
[26]
IF YES, A. Was there a time in the last year when [he/she] did things [he/she] was
told not to do at least once a week?
0
2
7
9
[27]
IF YES, B. Did [he/she] do things like this at least once a week for
six months or longer?
0
2
7
9
[28]
C. About how often did [he/she] do things on purpose that
[you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/her][teachers/boss]) told [him/her]
not to do? Was it: nearly every day, a few days a week,
or about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
D. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] done
things on purpose that [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/
her][teachers/boss]) told [him/her] not to do?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 23
3*
2*
1*
0
7
9
0
[29]
2
7
9
[30]
[5/20/98]
0=NO
4.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] refused to do what [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/her][teachers/boss]) told [him/her] to do?
0
2
7
9
[31]
IF YES, A. Was there a time in the last year when [he/she] refused to do things
at least once a week?
0
2
7
9
[32]
IF YES, B. Did [he/she] refuse to do what [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/
her][teachers/boss]) told [him/her] to do at least once a
week for six months or longer?
0
2
7
9
[33]
C. About how often did [he/she] refuse to do what [you (or
[his/her] [CARETAKERS])/[his/her] [CARETAKERS]] (or [his/her][teachers/boss]) told [him/her] to
do? Was it: nearly every day, a few days a week, or
about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
D. Now, what about the last four weeks?
Since [NAME EVENT//the beginning of/the middle of/
the end of LAST MONTH], has [he/she] refused to do
what [you (or [his/her] [CARETAKERS])/[his/her]
[CARETAKERS]] (or [his/her][teachers/boss]) told
[him/her] to do?
NOTE 1:
WAS A * RESPONSE CODED IN Q 3 OR Q 4?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 24
3*
2*
1*
0
7
9
[34]
0
2
0
[2]
7
9
[35]
[36]
[5/20/98]
0=NO
5.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
In the last year – that is, since [NAME CURRENT MONTH] of last year – has
__________ done things just to annoy people or to make them mad?
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Was there a time in the last year when [he/she] did things just to annoy
people or make them mad at least once a week?
0
IF YES, D. Did [he/she] do things like this at least once a week for
six months or longer?
0
9, 99=DON’T KNOW
9
[37]
9
[38]
7
9
[39]
2
7
9
[40]
2
7
9
[41]
IF NO, GO TO Q 6
a:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] done things to annoy other people besides
[his/her] brother or sister or to make other people mad?
8
IF NO, GO TO Q 6
E. About how often did [he/she] do things to annoy people
or make them mad? Was it: nearly every day, a few days
a week, or about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
F. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] done
things to annoy people or make them mad?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 25
[3]
[2]
[1]
0
7
9
0
[42]
2
7
9
[43]
[5/20/98]
0=NO
6.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Was there a time in the last year when [he/she] blamed people for
things [he/she] did at least once a week ?
0
IF YES, D. Did [he/she] blame someone else for [his/her] mistakes
or for things [he/she] did that [he/she] shouldn’t have
done at least once a week for six months or longer?
0
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] blamed someone else for [his/her] mistakes or for things [he/she] did that [he/
she] shouldn’t have done?
9, 99=DON’T KNOW
9
[44]
9
[45]
7
9
[46]
2
7
9
[47]
2
7
9
[48]
IF NO, GO TO Q 7
b:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] blamed other people besides [his/her]
brother or sister for [his/her] mistakes?
8
IF NO, GO TO Q 7
E. About how often did [he/she] blame someone else for
[his/her] mistakes or for things [he/she] did that [he/
she] shouldn’t have? Was it: nearly every day, a few
days a week, or about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
F. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]), has [he/she] blamed
someone else for [his/her] mistakes or for things [he/
she] did that [he/she] shouldn’t have?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 26
[3]
[2]
[1]
0
7
9
0
[49]
2
7
9
[50]
[5/20/98]
0=NO
7.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] been grouchy or easily annoyed?
0
2
7
9
[51]
IF YES, A. Was there a time in the last year when [he/she] was grouchy or easily
annoyed at least once a week?
0
2
7
9
[52]
IF YES, B. Was [he/she] grouchy or easily annoyed at least once a
week for six months or longer?
0
2
7
9
[53]
C. About how often was [he/she] grouchy or easily annoyed? Was it: nearly every day, a few days a week, or
about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
D. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] been
grouchy or easily annoyed?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 27
[3]
[2]
[1]
0
7
9
0
[54]
2
7
9
[55]
[5/20/98]
0=NO
8.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] seemed mad at people or things?
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Was there a time in the last year when [he/she] seemed mad at people
or things at least once a week?
0
IF YES, D. Did [he/she] seem mad at people or things at least once
a week for six months or longer?
0
9, 99=DON’T KNOW
9
[56]
9
[57]
7
9
[58]
2
7
9
[59]
2
7
9
[60]
IF NO, GO TO Q 9
c:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] seemed mad at other people besides [his/
her] brother or sister?
8
IF NO, GO TO Q 9
E. About how often did [he/she] seem mad at people or
things? Was it: nearly every day, a few days a week, or
about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
F. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] seemed
mad at people or things?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 28
3*
2*
1*
0
7
9
0
[61]
2
7
9
[62]
[5/20/98]
0=NO
9.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
In the last year – that is, since [NAME CURRENT MONTH] of last year – has
__________ gotten angry because [he/she] said [he/she] thought things were
unfair?
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Was there a time in the last year when [he/she] got angry like this at
least once a week?
0
IF YES, D. Did [he/she] get angry at least once a week for six
months or longer?
0
9, 99=DON’T KNOW
9
[63]
9
[64]
7
9
[65]
2
7
9
[66]
2
7
9
[67]
IF NO, GO TO NOTE 2
d:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] gotten angry at other people besides [his/
her] brother or sister because [he/she] thought things
were unfair?
8
IF NO, GO TO NOTE 2
E. About how often was [he/she] angry because [he/she]
thought things were unfair? Was it: nearly every day, a
few days a week, or about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
F. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] been
angry because [he/she] thought things were unfair?
NOTE 2:
WAS A * RESPONSE CODED IN Q 8 OR Q 9?
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 29
3*
2*
1*
0
7
9
[68]
0
2
0
[2]
7
9
[69]
[70]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
10. In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] done mean things to people on purpose?
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Has [he/she] done mean things to people on purpose more than once
in the last year?
0
IF YES, D. Has [he/she] done mean things to people on purpose
more than five times in the last year?
9, 99=DON’T KNOW
9
[71]
9
[72]
7
9
[73]
2
7
9
[74]
0
2*
7
9
[75]
IF YES, E. Has [he/she] done mean things to people
more than ten times in the last year?
0
2
7
9
[76]
F. Has [he/she] done mean things to people for at least six
months?
0
2
7
9
[77]
G. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] done
mean things to people on purpose?
0
2
7
9
[78]
IF NO, GO TO Q 11
e:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] done mean things to other people besides
[his/her] brother or sister?
8
IF NO, GO TO Q 11
START NEW CARD
DUP COL 1 - 12
CARD NO. 0
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 30
2
b
[13 - 14]
[15]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
11. In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] gotten even with other people by doing things like hurting them, messing up
their things, or telling lies about them?
8, 88=NOT APPLICABLE
0
2
7
0
2
7
0
2
C. Did [he/she] get even with people like this more than once in the last
year?
0
IF YES, D. Has [he/she] done this more than five times in the last
year?
9, 99=DON’T KNOW
9
[16]
9
[17]
7
9
[18]
2
7
9
[19]
0
2*
7
9
[20]
IF YES, E. Has [he/she] done this more than ten
times in the last year?
0
2
7
9
[21]
F. Has [he/she] gotten even with people like this for at
least six months?
0
2
7
9
[22]
G. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] gotten
even with other people by doing things like hurting
them, messing up their things, or telling lies about
them?
0
2
7
9
[23]
0
[2]
12. In the last year (that is, since [NAME CURRENT MONTH] of last year), did [he/
she] swear or use dirty language?
0
2
7
9
[25]
IF YES, A. Was there a time in the last year when [he/she] swore or used dirty
language at least once a week?
0
2
7
9
[26]
IF YES, B. Did [he/she] swear or use dirty language that often for
six months or longer?
0
2
7
9
[27]
IF NO, GO TO NOTE 3
f:
IF SUBJECT DOESN’T HAVE SIBLING(S),
CODE “8” FOR A, THEN GO TO C
IF YES, A. Was this only with [his/her] brother or sister?
IF YES, B. Has [he/she] done things like this to other people
besides [his/her] brother or sister?
8
IF NO, GO TO NOTE 3
NOTE 3:
WAS A * RESPONSE CODED IN Q 10 OR Q 11?
[24]
C. About how often did [he/she] swear or use dirty language? Was it: nearly every day, a few days a week, or
about once a week?
Nearly every day .......................................................
A few days a week ....................................................
About once a week ....................................................
Less than once a week ...............................................
Refuse to answer .......................................................
Don’t know ................................................................
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 31
3
2
1
0
7
9
[28]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
D. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), has [he/she] sworn or
used dirty language?
g:
8, 88=NOT APPLICABLE
0
2
7
9, 99=DON’T KNOW
9
[29]
IF 2 OR MORE [ ] RESPONSES WERE CODED IN Q 1 - 11
AND NOTES 1 - 3, CONTINUE
ALL OTHERS, GO TO CD, P. 37
13. You said that in the last year ________ [NAME [ ] SYMPTOMS IN Q 1 - 11 AND
NOTES 1 - 3].
How old was [he/she] the first time [he/she] began to do these things?
CODE AGE (66 = WHOLE LIFE, ALWAYS) ----------------------------------->
|____ ____| YRS.
[30-31]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE, 15 = JUNIOR,
16 = SENIOR, 17 = POST B.A.) ----------------------------------------------------->
|____ ____| GRADE
[32-33]
h:
IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT
[AGE/GRADE], GO TO Q 14
IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT
[AGE/GRADE] MINUS ONE, GO TO A
ALL OTHERS, GO TO B
A. Was that more than a year ago – that is, before [[NAME EVENT]/
[NAME CURRENT MONTH] of last year]?
0
2
7
9
[34]
0
2
7
9
[35]
0
2
7
9
[36]
IF NO, GO TO Q 14
B. Since that first time, was there ever a time when [he/she] didn’t do
these things?
IF NO, GO TO Q 14
C. Did that time when [he/she] didn’t do these things last for two months
or more?
IF NO, GO TO Q 14
D. You said that [he/she] [NAME [ ] SYMPTOMS IN Q 1 - 11 AND
NOTES 1 - 3]in the last year.
How old was [he/she] when doing these things began this time?
CODE AGE (88 = NEVER STARTED AGAIN) ---------------->
|____ ____| YRS.
[37-38]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.,
88 = NEVER STARTED AGAIN) ---------------------------------->
|____ ____| GRADE
[39-40]
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 32
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
i:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF [AGE/GRADE] GIVEN WAS CHILD’S
CURRENT [AGE/GRADE] MINUS ONE, GO TO E
ALL OTHERS, GO TO Q 14
E. Did [he/she] start to do these things again more than a year ago – that
is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last
year]?
0
2
7
9
[41]
2
7
9
[42]
14. You said that in the last year __________ [NAME [ ] SYMPTOMS IN Q 1 - 11
AND NOTES 1 - 3].
Now I’d like you to think back to the time in the last year when [his/her] doing these
things caused the most problems.
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]]
get annoyed or upset with [him/her] because [he/she] was angry or uncooperative?
0
1
IF YES, A. How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her] because [he/she] was
like that? Would you say: a lot of the time, some of the time, or hardly
ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
15. At that time, did being angry or uncooperative keep __________ from doing things
or going places with [you or [his/her] family/[his/her] family]?
3
2
1
7
9
0
[43]
1
2
7
9
[44]
IF YES, A. How often did being like that keep [him/her] from doing things or
going places with [you or [his/her] family/[his/her] family]? Would
you say: a lot of the time, some of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
16. At that time, did being angry or uncooperative keep [him/her] from doing things or
going places with other [children/people [his/her] age]?
3
2
1
7
9
0
[45]
1
2
7
9
[46]
IF YES, A. How often did being like that keep [him/her] from doing things or
going places with other [children/people [his/her] age]? Would you
say: a lot of the time, some of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 33
3
2
1
7
9
[47]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
j:
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF CHILD DID NOT ATTEND SCHOOL OR WORK IN LAST
YEAR, CODE “8” IN Q 17 AND Q 18, THEN GO TO Q 19
17. When the problems were worst, did being angry or uncooperative [make it difficult
for [him/her] to do [his/her] schoolwork or cause problems with [his/her] grades/
make it difficult for [him/her] to do [his/her] work]?
0
1
2
7
8
9
[48]
IF YES, A. How bad were the problems [he/she] had with [his/her] [schoolwork/
work] because [he/she] was like that? Would you say: very bad, bad,
or not too bad?
Very bad ..........................................................................................
Bad ..................................................................................................
Not too bad ......................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
18. At that time, did being angry or uncooperative cause ________’s [teachers/boss]
to be annoyed or upset with [him/her]?
3
2
1
7
9
0
[49]
1
2
7
8
9
[50]
IF YES, A. How often [were/was] [his/her] [teachers/boss] annoyed or upset
with [him/her] because [he/she] was like that? Would you say: a lot
of the time, some of the time, or hardly ever?
A lot of the time ..............................................................................
Some of the time .............................................................................
Hardly ever .....................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
19. When the problems were worst, did it seem like being angry or uncooperative made
[him/her] feel bad or made [him/her] feel upset?
3
2
1
7
9
0
[51]
1
2
7
9
[52]
IF YES, A. How bad did being like that with other people seem to make [him/her]
feel? Would you say: very bad, bad, or not too bad?
Very bad ..........................................................................................
Bad ..................................................................................................
Not too bad ......................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
20. In the last year – that is, since [NAME CURRENT MONTH] of last year – has [he/
she] been to see someone at a hospital or a clinic or at their office because of these
behaviors?
3
2
1
7
9
[53]
0
2
7
9
[54]
0
2
7
9
[55]
IF YES, GO TO OPTIONAL DETAILS, NEXT PAGE
IF NO, A. Does [he/she] have an appointment set up to see someone because of
these behaviors?
IF YES, GO TO OPTIONAL DETAILS, NEXT PAGE
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 34
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
OPTIONAL DETAILS:
21.
Who [did ________ see//is ________ going to see]? (WRITE IN:)
Name:
|____ ____|
[56-57]
|____ ____|
[58-59]
Profession:
Address:
A. IF SOMEONE WAS SEEN, ASK:
What did the person [he/she] saw say was the matter?
k:
IF CHILD IS AGE 7 OR OLDER, CONTINUE
ALL OTHERS, GO TO CD, P. 37
Whole Life Screen
22. You said that in the last year [he/she] [NAME SYMPTOMS IN Q 1 - 11 AND
NOTES 1 - 3].
Now I want you to think back to before the last year … since the time [he/she] turned
five years old up until the last twelve months.
(INTERVIEWER: point out age five on whole life chart.)
Since [he/she] turned five years old, was there ever a time when [he/she] was more
angry and uncooperative than [he/she] has been in the last year?
0
2
7
9
[60]
IF YES, A. How old was [he/she] when it was worst?
(INTERVIEWER: IF MORE THAN ONE YEAR IS REPORTED,
ASK: “During which single year of age was [he/she] the worst?” IF
MORE THAN ONE YEAR STILL REPORTED, ENTER YOUNGEST
AGE.)
CODE AGE -------------------------------------------------------------->
|____ ____|
[61-62]
IF AGE NOT KNOWN, ASK: What grade was [he/she] in?
CODE GRADE (44 = PRE-K, 55 = KINDERGARTEN,
13 = COLLEGE FRESHMAN, 14 = SOPHOMORE,
15 = JUNIOR, 16 = SENIOR, 17 = POST B.A.) ------------------>
|____ ____|
[63-64]
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 35
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
INTENTIONALLY LEFT BLANK
Module E: Disruptive Behavior Disorders
Oppositional Defiant Disorder
DISC IV-P, past year
Page 36
[5/20/98]
File Type | application/pdf |
File Title | P-ODD past year |
Subject | P-ODD past year |
Author | Emerson |
File Modified | 2003-10-17 |
File Created | 2003-10-17 |