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.
A
6
[11 - 12]
CARD NO. 0
1
b
[13 - 14]
[15]
GAD
Now I want to ask you about some other things that ________ might worry about.
a:
1.
IF CHILD DID NOT ATTEND SCHOOL OR WORK IN LAST
YEAR, CODE “8” IN Q 1, THEN GO TO Q 2
In the last year – that is, since [[NAME EVENT]/[NAME CURRENT MONTH]
of last year] – did [he/she] often seem very worried before [he/she] [took a test or
handed in an important assignment/had to get something ready for a deadline]?
0
2
7
IF YES, A. In the last year, was there a time when [he/she] seemed worried even
when [he/she] didn’t need to, say [in a subject/about something at
work] where [he/she] was well prepared and always did well?
0
2*
B. Did it seem like it was very hard for [him/her] to stop [himself/
herself] from worrying before [tests or assignments/deadlines]?
0
b:
8
9
[16]
7
9
[17]
2*
7
9
[18]
0
2
7
9
[19]
0
2
7
9
[20]
IF A * RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 2
C. When [he/she] seemed worried like that, did [he/she] keep asking you
or other people if [he/she] would do okay?
c:
IF CHILD DID NOT ATTEND SCHOOL IN LAST
4 WEEKS, CODE “8” IN D, THEN GO TO Q 2
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] often seemed very worried before
[he/she] [took a test or handed in an important assignment/had to get
something ready for a deadline]?
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 47
8
[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), did [he/
she] often seem very worried before going to play a sport or game or do some other
activity?
0
2
7
9
[21]
IF YES, A. In the last year, was there a time when [he/she] would seem worried
like that even when [he/she] was going to do something [he/she] was
pretty good at?
0
2*
7
9
[22]
B. Did it seem like it was very hard for [him/her] to stop [himself/
herself] from worrying before [he/she] played in a game or did some
other special activity like that?
0
2*
7
9
[23]
C. When [he/she] seemed worried like that, did [he/she] keep asking you
or other people if [he/she] would do okay?
0
2
7
9
[24]
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] seemed very worried before [he/she]
was going to play in a game or before [he/she] was going to do some
other special activity?
0
2
7
9
[25]
In the last year (that is, since [NAME CURRENT MONTH] of last year), did [he/
she] often seem to worry a lot when [he/she] made small mistakes doing ([his/her]
homework or on other) projects or activities?
0
2
7
9
[26]
IF YES, A. In the last year, was there a time when [he/she] seemed to worry about
these things even when [he/she] didn’t need to, say when no one
would even notice the mistake (or it wouldn’t count against [him/her]
in [his/her] grade)?
0
2*
7
9
[27]
B. Did it seem like it was very hard for [him/her] to stop [himself/
herself] from worrying about these things?
0
2*
7
9
[28]
C. When [he/she] seemed worried like that, did [he/she] keep asking you
or other people if [he/she] would do okay?
0
2
7
9
[29]
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] seemed to worry a lot when [he/she]
made small mistakes?
0
2
7
9
[30]
d:
IF A * RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 3
3.
e:
IF A * RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 4
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 48
[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 – did
________ often seem worried about being on time?
0
2
7
9
[31]
IF YES, A. In the last year, was there a time when [he/she] seemed worried even
when [he/she] didn’t need to, because [he/she] had plenty of time to
get where [he/she] was going?
0
2*
7
9
[32]
B. Did it seem like it was very hard for [him/her] to stop [himself/
herself] from worrying about being on time?
0
2*
7
9
[33]
C. When [he/she] was worried like that, did [he/she] keep asking you or
other people if [he/she] would be on time?
0
2
7
9
[34]
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] often seemed worried about being on
time?
0
2
7
9
[35]
In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] often seemed very worried that [he/she] might have some sickness or illness?
0
2
7
9
[36]
IF YES, A. In the last year, was there a time when [he/she] seemed to worry a lot
more than other [children/people [his/her] age] that [he/she] might
have a sickness?
0
2*
7
9
[37]
B. Did it seem like it was very hard for [him/her] to stop [himself/
herself] from worrying about having some sickness or illness?
0
2*
7
9
[38]
C. When [he/she] was worried like that, did [he/she] keep asking you or
other people if [he/she] was okay?
0
2
7
9
[39]
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] seemed worried a lot about having
some serious sickness or illness?
0
2
7
9
[40]
f:
IF A * RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 5
5.
g:
IF A * RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO INSTRUCTION BOX “h”
h:
IF 1 OR MORE * RESPONSES WERE CODED IN Q 1 - 5,
CONTINUE
ALL OTHERS GO TO Q 23, P. 56
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 49
[5/20/98]
0=NO
6.
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
You said that ________ worried about [NAME * SYMPTOMS IN Q 1 - 5].
0
2π
7
9
[41]
0
2
7
9
[42]
Did [he/she] say that [his/her] muscles felt tight or tense when [he/she] was
worried?
0
2
7
9
[43]
IF YES, A. Did [he/she] say [he/she] felt like this on most days for as long as six
months?
0
2*
7
9
[44]
IF YES, B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), did [he/she] say [his/
her] muscles felt tight or tense when [he/she] worried?
0
2
7
9
[45]
In the last year (that is, since [NAME CURRENT MONTH] of last year), when [he/
she] was worried, did [he/she] seem very restless or keyed up?
0
2
7
9
[46]
IF YES, A. Did [he/she] seem like this on most days for as long as six months?
0
2*
7
9
[47]
IF YES, B. 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
very restless or keyed up when [he/she] was worried?
0
2
7
9
[48]
In the last year (that is, since [NAME CURRENT MONTH] of last year), when [he/
she] was worried, did [he/she] seem to get tired very easily?
0
2
7
9
[49]
IF YES, A. Did [he/she] seem like this on most days for as long as six months?
0
2*
7
9
[50]
IF YES, B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), did [he/she] seem to
get tired very easily when [he/she] was worried?
0
2
7
9
[51]
Thinking about the whole last year, was there a time when [he/she] seemed worried
about one thing or another at least four days a week?
IF NO, GO TO Q 23, P. 56
IF YES, A. Did [he/she] seem worried like this for as long as six months?
7.
8.
9.
Now I’m going to ask you about other things [he/she] may have felt when [he/she]
worried in the last year – that is, since [NAME CURRENT MONTH] of last year.
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 50
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
10. In the last year (that is, since [NAME CURRENT MONTH] of last year), did
________ seem to have problems keeping [his/her] mind on what
[he/she] was doing because [he/she] was so nervous?
0
2
7
9
[52]
IF YES, A. Did [he/she] seem to have problems keeping [his/her] mind on things
on most days for as long as six months?
0
2†
7
9
[53]
IF YES, B. 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 to
have problems keeping [his/her] mind on what [he/she]
was doing because [he/she] has been so nervous?
0
2
7
9
[54]
11. In the last year – that is, since [NAME CURRENT MONTH] of last year – did [he/
she] say that [his/her] mind sometimes started to go blank when
[he/she] was worried?
0
2
7
9
[55]
0
2†
7
9
[56]
IF YES, B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), did [he/she] say
[his/her] mind sometimes started to go blank when
[he/she] was worried?
0
2
7
9
[57]
WAS A † RESPONSE CODED IN Q 10 OR 11?
0
2*
12. In the last year (that is, since [NAME CURRENT MONTH] of last year), when [he/
she] worried, did [he/she] seem to have trouble falling asleep or staying asleep…or
did [he/she] seem tired when [he/she] woke up in the morning?
0
2
7
9
[59]
IF YES, A. Did [he/she] seem like this on most nights for as long as six months?
0
2*
7
9
[60]
IF YES, B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), did [he/she] seem to
have trouble sleeping when [he/she] was worried?
0
2
7
9
[61]
13. In the last year (that is, since [NAME CURRENT MONTH] of last year), when [he/
she] was worried, did [he/she] seem grouchy or irritable…bothered even by little
things?
0
2
7
9
[62]
IF YES, A. Did [he/she] seem like this on most days for as long as six months?
0
2*
7
9
[63]
IF YES, B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle
of/the end of [LAST MONTH]]), did [he/she] seem
grouchy or irritable…when [he/she] was worried?
0
2
7
9
[64]
IF YES, A. Did this happen on most days for as long as six months?
NOTE 1:
i:
[58]
IF 1 OR MORE * RESPONSES WERE CODED
IN NOTE 1 AND Q 7 - 13, CONTINUE
ALL OTHERS, GO TO Q 23, P. 56
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 51
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
14. You said that in the last year [he/she] worried about one thing or another at least four
days a week.
How old was [he/she] the first time [he/she] ever worried about a lot of different
things?
CODE AGE (66 = WHOLE LIFE, ALWAYS) ----------------------------------->
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.)
j:
|____ ____| YRS.
[65-66]
|____ ____| GRADE
[67-68]
IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT
[AGE/GRADE], GO TO Q 15
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
[69]
0
2
7
9
[70]
0
2
7
9
[71]
IF NO, GO TO Q 15
B. Since that first time, was there ever a time when [he/she] did not
worry about a lot of different things?
IF NO, GO TO Q 15
C. Did that time when [he/she] wasn’t worried about a lot of different
things last for two months or more?
IF NO, GO TO Q 15
D. You said that [he/she] worried about one thing or another at least four
days a week in the last year.
How old was [he/she] when worrying about a lot of different things
began this time?
CODE AGE (88 = NEVER STARTED AGAIN) ---------------->
|____ ____| YRS.
[72-73]
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
[74-75]
k:
IF [AGE/GRADE] GIVEN WAS CHILD’S
CURRENT [AGE/GRADE] MINUS ONE, GO TO E
ALL OTHERS, GO TO Q 15
E. Did [he/she] start worrying about a lot of different things again more
than a year ago – that is, before [[NAME EVENT]/[NAME CURRENT MONTH] of last year]?
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 52
0
2
7
9
[76]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
START NEW CARD
DUP COL 1 - 12
15. You said that in the last year [he/she] worried about a lot of different things.
CARD NO. 0
Now I’d like you to think back to the time in the last year when worrying like this
caused the most problems.
At that time, did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]]
get annoyed or upset with ________ because [he/she] seemed worried about a lot
of different things?
9, 99=DON’T KNOW
0
1
2
7
2
[13 - 14]
b
[15]
9
[16]
IF YES, A. How often did [you (or [his/her] [CARETAKERS])/[his/her] [CARETAKERS]] get annoyed or upset with [him/her] because of this?
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 worrying about different things keep ________ from doing things
or going places with [you or [his/her] family/[his/her] family]?
3
2
1
7
9
0
[17]
1
2
7
9
[18]
IF YES, A. How often did worrying 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 .....................................................................................
17. At that time, did worrying about different things keep [him/her] from doing things
or going places with other [children/people [his/her] age]?
3
2
1
7
9
0
[19]
1
2
7
9
[20]
IF YES, A. How often did worrying 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 A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 53
3
2
1
7
9
[21]
[5/20/98]
0=NO
l:
1=SOMETIMES/SOMEWHAT
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 18 AND Q 19, THEN GO TO Q 20
18. When the problems were worst, did worrying about different things [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
[22]
IF YES, A. How bad were the problems [he/she] had with [his/her] [schoolwork/
work] because [he/she] worried like that? Would you say: very bad,
bad, or not too bad?
Very bad ..........................................................................................
Bad ..................................................................................................
Not too bad ......................................................................................
Refuse to answer .............................................................................
Don’t know .....................................................................................
19. At that time, did worrying about different things cause ________’s [teachers/boss]
to be annoyed or upset with [him/her]?
3
2
1
7
9
0
[23]
1
2
7
8
9
[24]
IF YES, A. How often [were/was] [his/her] [teachers/boss] annoyed or upset
with [him/her] because [he/she] worried 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 .....................................................................................
20. When the problems were worst, did it seem like worrying about different things
made [him/her] feel bad or made [him/her] feel upset?
3
2
1
7
9
0
[25]
1
2
7
9
[26]
IF YES, A. How bad did worrying like that 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 .....................................................................................
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 54
3
2
1
7
9
[27]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
21. 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 [he/she]
worried about a lot of different things?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
2
7
9
[28]
0
2
7
9
[29]
IF YES, GO TO OPTIONAL DETAILS
IF NO, A. Does [he/she] have an appointment set up to see someone because
[he/she] worries about a lot of different things?
IF YES, GO TO OPTIONAL DETAILS
OPTIONAL DETAILS:
22.
Who [did ________ see/is ________ going to see]? (WRITE IN:)
Name:
|____ ____|
[30-31]
|____ ____|
[32-33]
Profession:
Address:
A. IF SOMEONE WAS SEEN, ASK:
What did the person [he/she] saw say was the matter?
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 55
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
23. Now I’d like to ask you a few more questions about __________’s feeling nervous
or uncomfortable in the last year.
Is [he/she] the kind of person who is often very tense, or who seems to find it very
hard to relax?
0
2
7
9
[34]
IF YES, A. Has [he/she] been tense like this in the last year – that is, since [NAME
CURRENT MONTH] of last year?
0
2
7
9
[35]
IF YES, B. Has [he/she] been tense like this a lot of the time for as
long as six months?
0
2
7
9
[36]
C. 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 very
tense or did it seem hard for [him/her] to relax?
0
2
7
9
[37]
24. In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] often seemed worried that [he/she] has made a mistake or has done something
the wrong way?
0
2
7
9
[38]
IF YES, A. Has [he/she] seemed worried like this a lot of the time for as long as
six months?
0
2
7
9
[39]
B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] often seemed worried that [he/she]
has made a mistake or done something the wrong way?
0
2
7
9
[40]
25. In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] often seemed worried that [he/she] made a fool of [himself/herself] in front of
other people?
0
2
7
9
[41]
IF YES, A. Has [he/she] seemed worried like this a lot of the time for as long as
six months?
0
2
7
9
[42]
B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] often seemed worried that [he/she]
made a fool of [himself/herself] in front of other people?
0
2
7
9
[43]
26. In the last year (that is, since [NAME CURRENT MONTH] of last year), has
________ often worried about whether other people liked [him/her]?
0
2
7
9
[44]
IF YES, A. Has [he/she] seemed worried like this a lot of the time for as long as
six months?
0
2
7
9
[45]
B. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] often seemed worried about whether
other people liked [him/her]?
0
2
7
9
[46]
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 56
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
27. In the last year – that is, since [NAME CURRENT MONTH] of last year – has [he/
she] often said [he/she] had headaches?
0
2
7
9
[47]
IF YES, A. Was that when [he/she] was sick, say with a cold or the flu…or
because of another medical problem?
0
2
7
9
[48]
IF YES, B. Has [he/she] often said [he/she] had headaches when
[he/she] wasn’t sick or didn’t have a medical problem?
0
2
7
9
[49]
C. Were there six months where [he/she] often said [he/she] had headaches?
0
2
7
9
[50]
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] often said [he/she] had headaches?
0
2
7
9
[51]
28. In the last year (that is, since [NAME CURRENT MONTH] of last year), has [he/
she] often said [he/she] had a stomachache?
0
2
7
9
[52]
IF YES, A. Was that when [he/she] was sick, say with a cold or the flu…or
because of another medical problem?
0
2
7
9
[53]
IF YES, B. Has [he/she] often said [he/she] had a stomachache
when [he/she] wasn’t sick or didn’t have a medical
problem?
0
2
7
9
[54]
C. Were there six months where [he/she] often said [he/she] had
stomachaches?
0
2
7
9
[55]
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] often said [he/she] had a stomachache?
0
2
7
9
[56]
29. In the last year (that is, since [NAME CURRENT MONTH] of last year), has
________ often said [he/she] had other aches and pains?
0
2
7
9
[57]
IF YES, A. Was that when [he/she] was sick, say with a cold or the flu…or
because of another medical problem?
0
2
7
9
[58]
IF YES, B. Has [he/she] often said [he/she] had aches and pains
when [he/she] wasn’t sick or didn’t have a medical
problem?
0
2
7
9
[59]
C. Were there six months where [he/she] often said [he/she] had aches
and pains?
0
2
7
9
[60]
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] often said [he/she] had other aches
and pains?
0
2
7
9
[61]
IF NO, GO TO Q 28
IF NO, GO TO Q 29
IF NO, GO TO INSTRUCTION BOX “m”
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 57
[5/20/98]
0=NO
m:
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF A π RESPONSE WAS CODED IN Q 6 AND CHILD
IS AGE 7 OR OLDER, CONTINUE
ALL OTHERS, GO TO SeMu
Whole Life Screen
30. You said that in the last year there was a time when [he/she] seemed worried about
one thing or another at least four days a week.
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 [his/her] worrying
about different things was worse than it has been in the last year?
0
2
7
9
[62]
IF YES, A. When did [he/she] worry the most often?
(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 -------------------------------------------------------------->
|____ ____|
[63-64]
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.) ------------------>
|____ ____|
[65-66]
Module A: Anxiety Disorders
Generalized Anxiety Disorder
DISC IV-P, past year
Page 58
[5/20/98]
| File Type | application/pdf |
| File Title | P-GAD past year |
| Subject | P-GAD past year |
| Author | Emerson |
| File Modified | 2003-10-10 |
| File Created | 2003-10-10 |