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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.
C
2
[11 - 12]
CARD NO. 0
1
b
[13 - 14]
[15]
MAN/HYPOMAN
I have just asked you some questions about feeling down and depressed. Now I want to
ask you about a different kind of mood. Sometimes people feel excited and full of energy,
their minds go fast and they talk a lot.
1.
In the last year – that is, since [[NAME EVENT]/[NAME CURRENT MONTH]
of last year] – was there a time when ________ seemed excited or full of energy
like this?
0
2
7
9
[16]
IF YES, A. When [he/she] seemed excited like this, was that very different from
how [he/she] usually is?
0
2
7
9
[17]
0
2*
7
9
[18]
0
2
7
9
[19]
0
2
7
9
[20]
IF NO, GO TO Q 2
B. Was [he/she] excited like this a lot of the time for as long as four days
in a row?
IF YES, C. Was [he/she] like this for as long as a week?
D. Did [he/she] feel that way because something really good happened
or was about to happen to [him/her]?
IF YES, E. What was it that happened or was about to happen?
|____ ____|
[21-22]
F. Did [he/she] ever seem to feel excited and full of energy
like this when nothing special had happened?
0
2
7
9
[23]
G. Did [he/she] get into any trouble because [he/she] was so excited and
full of energy?
0
2
7
9
[24]
H. Did anyone, such as a doctor or [you/[his/her] [CARETAKERS]] (or
[teachers/boss]), think that there was something wrong with [him/
her] because [he/she] was that way?
0
2
7
9
[25]
IF YES, I. Did [he/she] have to go to a hospital because [he/she]
was excited and full of energy?
0
2*
7
9
[26]
J. 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 excited and full of energy?
0
2
7
9
[27]
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 29
[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
Everyone gets in a bad mood sometimes. But some people feel grouchy or angry
or irritable most of the time for several days in a row. They get really annoyed when
other people interrupt them or don’t agree with everything they say.
In the last year – that is, since [NAME CURRENT MONTH] of last year – has
[he/she] had a time when [he/she] was grouchy or angry like this?
0
2
7
9
[28]
IF YES, A. Was being grouchy or angry very different from how [he/she] usually
is?
0
2
7
9
[29]
0
2*
7
9
[30]
0
2
7
9
[31]
D. Did [he/she] get into any trouble because [he/she] was so grouchy or
angry?
0
2
7
9
[32]
E. Did anyone, such as a doctor or [you/[his/her] [CARETAKERS]] (or
[his/her] teachers) think that there was something wrong with [him/
her] because [he/she] was acting that way?
0
2
7
9
[33]
IF YES, F. Did [he/she] have to go to a hospital because [he/she]
was so grouchy or angry?
0
2*
7
9
[34]
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] felt very grouchy or angry like this?
0
2
7
9
[35]
IF NO, GO TO INSTRUCTION BOX “a”
B. Was [he/she] very grouchy or angry a lot of the time for as long as four
days in a row?
IF YES, C. Was [he/she] like this for as long as a week?
a:
IF A * RESPONSE WAS CODED IN Q 1 OR 2, ASK
BOXED CONTINGENT QUESTIONS IN Q 3 - 13
IF A * RESPONSE WAS CODED IN Q 1 AND Q 2, USE
“very excited and full of energy” AS THE KEY PHRASE IN
THE BOXED CONTINGENT QUESTIONS
OTHERWISE, DO NOT ASK BOXED CONTINGENT
QUESTIONS
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 30
[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), was there
a time when [he/she] said things that showed [he/she] thought [he/she] was very
special or important?
0
2
7
9
[36]
IF YES, A. When [he/she] seemed to think [he/she] was very special or important, was that very different from how [he/she] usually thinks about
[himself/herself]?
0
2†
7
9
[37]
B. Did you or other people think there was something wrong with [him/
her] when [he/she] seemed to think [he/she] was a special or important person?
0
2†
7
9
[38]
0
2
7
9
[39]
Did [he/she] say that [he/she] was very special or important during
that time?
0
[2]
7
9
[40]
E. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] said that [he/she] was very special or
important?
0
2
7
9
[41]
b:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 4
C. Did [he/she] argue with people or get annoyed with people because
they didn’t believe [he/she] was so special or important?
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
D. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 31
[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), was there
a time when ________ said that [he/she] had special abilities or powers which made
[him/her] stronger, smarter, or better than most other people?
0
2
7
9
[42]
IF YES, A. When [he/she] said [he/she] had special abilities or powers, was that
very different from how [he/she] usually thinks about [himself/
herself]?
0
2†
7
9
[43]
B. Did you or other people think there was something wrong with [him/
her] for saying [he/she] had special abilities or powers?
0
2†
7
9
[44]
0
2
7
9
[45]
Did [he/she] say that [he/she] had special abilities or powers during
that time?
0
[2]
7
9
[46]
E. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] said that [he/she] had special abilities or powers?
0
2
7
9
[47]
c:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 5
C. Did [he/she] seem to feel that [he/she] could do anything [he/she]
wanted, better than almost anyone in the whole world?
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
D. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 32
[5/20/98]
0=NO
5.
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), was there
a time when [he/she] slept a lot less than usual, say, only three or four hours a night
or even less?
0
2
7
9
[48]
IF YES, A. Even though [he/she] slept less, when [he/she] woke up, did [he/she]
seem full of energy?
0
2
7
9
[49]
IF YES, B. Did you or other people think [he/she] wasn’t getting
enough sleep?
0
2
7
9
[50]
Did [he/she] sleep a lot less than usual during that time?
0
[2]
7
9
[51]
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] slept a lot
less than usual?
0
2
7
9
[52]
In the last year (that is, since [NAME CURRENT MONTH] of last year), was there
a time when [he/she] talked too much or too quickly?
0
2
7
9
[53]
IF YES, A. When [he/she] talked too much or too quickly, was that very different
from how [he/she] usually speaks?
0
2†
7
9
[54]
B. Did you or other people get annoyed or concerned because [he/she]
wouldn’t stop talking?
0
2†
7
9
[55]
0
[2]
7
9
[56]
0
2
7
9
[57]
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time
when [he/she] was [very excited and full of energy/very
irritable or angry].
6.
d:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 7
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Did [he/she] talk too much or too quickly during that time?
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] talked too much or too quickly?
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 33
[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 – was there
a time when [he/she] said [his/her] mind was racing too quickly from one thought
to another?
0
2
7
9
[58]
IF YES, A. When [he/she] said [his/her] mind was racing like this, did [he/she]
say that this was very different from how [his/her] mind usually
works?
0
2†
7
9
[59]
B. Did you or other people have trouble following what [he/she] was
saying?
0
2†
7
9
[60]
Did [he/she] say that [his/her] mind was racing from one thought to
another during that time?
0
[2]
7
9
[61]
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] said that [his/her] mind was racing
from one thought to another?
0
2
7
9
[62]
e:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 8
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 34
[5/20/98]
0=NO
8.
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), was there
a time when it seemed like ________ found it hard to keep [his/her] mind on what
[he/she] was doing?
0
2
7
9
[63]
IF YES, A. When it seemed hard for [him/her] to keep [his/her] mind on things,
was that very different from usual?
0
2†
7
9
[64]
B. Did you or other people get annoyed or concerned because [he/she]
couldn’t keep [his/her] mind on what [he/she] was doing?
0
2†
7
9
[65]
C. Did [he/she] say it was hard to keep [his/her] mind on things because
[he/she] kept noticing lots of things that [he/she] usually would have
ignored?
0
2
7
9
[66]
D. Was this so much of a problem that [he/she] couldn’t finish anything?
0
2
7
9
[67]
Did it often seem hard for [him/her] to keep [his/her] mind on what
[he/she] was doing during that time?
0
[2]
7
9
[68]
F. Now, what about the last four weeks?
(Since [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has it seemed like [he/she] often found it hard to
keep [his/her] mind on what [he/she] was doing?
0
2
7
9
[69]
f:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 9
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
E. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 35
[5/20/98]
0=NO
9.
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), was there
a time when [he/she] was very restless, so that [he/she] had to keep walking around
or be on the move all the time?
0
2
7
9
[70]
IF YES, A. When [he/she] was very restless, was that very different from how
[he/she] usually is?
0
2†
7
9
[71]
B. Did you or other people get annoyed or complain because [he/she]
wouldn’t keep still?
0
2†
7
9
[72]
0
2
7
9
[73]
0
[2]
7
9
[74]
0
2
7
9
[75]
g:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 10
C. Was [he/she] so restless that it was hard to settle down or stay in one
place for more than a few minutes?
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
D. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Did [he/she] seem to feel very restless during that time?
E. Now, what about the last four weeks?
(ince [[NAME EVENT]//the beginning of/the middle of/the end of
[LAST MONTH]]), has [he/she] felt very restless?
START NEW CARD
DUP COL 1 - 10
MOD.
C
2
[11 - 12]
CARD NO. 0
2
b
[13 - 14]
[15]
10. In the last year (that is, since [NAME CURRENT MONTH] of last year), was there
a time when [he/she] acted in a much friendlier way towards other [children/people
[his/her] age] than usual?
0
2
7
9
[16]
IF YES, A. Did [he/she] try to make friends with people that [he/she] wouldn’t
normally have spoken to?
0
2†
7
9
[17]
B. Did you or other people get worried or concerned because [he/she]
became so friendly with everyone?
0
2†
7
9
[18]
h:
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 11
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 36
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Did [he/she] act much friendlier towards other [children/people [his/
her] age] during that time?
0
[2]
7
9
[19]
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] acted in a much friendlier way
towards other [children/people [his/her] age] than usual?
0
2
7
9
[20]
11. In the last year (that is, since [NAME CURRENT MONTH] of last year), was there
a time when [he/she] got through with [his/her] [schoolwork/work] much more
easily or faster than usual?
0
2
7
9
[21]
IF YES, A. Did [he/she] take on lots of projects or things that [he/she] had never
done before?
0
2†
7
9
[22]
B. Did you or other people worry because [he/she] was taking on things
that [he/she] couldn’t possibly manage?
0
2†
7
9
[23]
0
[2]
7
9
[24]
0
2
7
9
[25]
i:
IF CHILD DID NOT ATTEND SCHOOL OR WORK IN LAST
YEAR, CODE “8” IN Q 11, THEN GO TO Q 12
j:
8
IF A † RESPONSE WAS CODED IN A OR B,
CONTINUE
ALL OTHERS, GO TO Q 12
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Did [he/she] get through with [his/her] [school work/work] much
more easily or faster during that time?
k:
IF CHILD DID NOT ATTEND SCHOOL OR
WORK IN LAST 4 WEEKS, CODE “8” IN D,
THEN GO TO Q 12
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] gotten through with [his/her] [schoolwork/work] much more easily or faster than usual?
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 37
8
[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 QUESTION
ONLY ASK THIS BOX IF IT HAS BEEN APPROVED FOR [HIS/HER]
STUDY AND FOR CHILD’S AGE.
IF THIS QUESTION IS NOT ASKED CODE “8” IN Q 12, THEN
GO TO Q 13
12. In the last year (that is, since [NAME CURRENT MONTH] of last year), was
there a time when ________ seemed much more interested in sex than usual?
IF YES, A.
B.
0
2
7
Did [he/she] seem to think about sex so much that it interfered
with [him/her] doing or concentrating on other things?
0
2†
Did you or other people get very worried because [he/she]
seemed so much more interested in sex than usual?
0
l:
8
9
[26]
7
9
[27]
2†
7
9
[28]
0
[2]
7
9
[29]
0
2
7
9
[30]
IF A † RESPONSE WAS CODED IN
A OR B, CONTINUE
ALL OTHERS, GO TO Q 13
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
C. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
Did [he/she] seem much more interested in sex during that time?
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 much more interested in
sex?
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 38
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
13. In the last year – that is, since [NAME CURRENT MONTH] of last year – was there
a time when [he/she] did things that [he/she] later wished [he/she] hadn’t done?
0
2
7
9
[31]
IF YES, A. At that time, was [he/she] doing things [he/she] usually would not do?
0
2†
7
9
[32]
B. Did [he/she] spend a lot of money or buy things that [he/she] couldn’t
afford?
0
2†
7
9
[33]
IF YES, C. Did you or other people worry that [he/she] would get
[himself/herself] or them into serious debt?
0
2
7
9
[34]
D. Did [he/she] do reckless things like take big chances or do things that
were dangerous?
0
2†
7
9
[35]
IF YES, E. Did you or other people get worried because
[he/she] took these risks?
0
2
7
9
[36]
0
2†
7
9
[37]
Did [he/she] do things [he/she] later wished [he/she] hadn’t done
during that time?
0
[2]
7
9
[38]
H. 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 [he/she] later wished
[he/she] hadn’t done?
0
2
7
9
[39]
m:
OPTIONAL QUESTION:
ONLY ASK F IF IT HAS BEEN APPROVED FOR
YOUR STUDY AND FOR CHILD’S AGE
ALL OTHERS CODE “8” IN F, THEN GO TO
INSTRUCTION BOX “n”
F. Did [he/she] do something sexual that [he/she] normally wouldn’t
do?
n:
8
IF A † RESPONSE WAS CODED IN A, B, D OR F,
CONTINUE
ALL OTHERS, GO TO INSTRUCTION BOX “o”
IF A * RESPONSE WAS CODED IN Q 1 - 2, ASK:
G. You told me that in the last year, [he/she] had a time when [he/she]
was [very excited and full of energy/very irritable or angry].
o:
IF NO * RESPONSE WAS CODED IN Q 1 - 2, GO TO NOTE 1
ALL OTHERS, CONTINUE
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 39
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
14. In the last year (that is, since [NAME CURRENT MONTH] of last year), did
[he/she] get into any serious trouble because of things [he/she] did when [he/she]
was [very excited and full of energy/very angry or irritable]?
8, 88=NOT APPLICABLE
0
[2]
7
9, 99=DON’T KNOW
9
[40]
IF YES, A. What did [he/she] do?
|____ ____|
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] gotten into serious trouble like this?
NOTE 1:
WERE 2 OR MORE [ ] RESPONSES CODED IN Q 3 - 14?
IF YES:
IF NO:
0
2
0
2
[41-42]
7
9
[43]
[44]
CONTINUE
GO TO MODULE D
15. You said that in the last year [he/she] was [very excited and full of energy/very
angry or irritable] and [NAME [ ] SYMPTOMS IN Q 3 - 13].
How old was [he/she] the first time [he/she] was ever like that?
CODE AGE (66 = WHOLE LIFE, ALWAYS) ----------------------------------->
|____ ____| YRS.
[45-46]
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
[47-48]
p:
IF [AGE/GRADE] GIVEN WAS CHILD’S CURRENT
[AGE/GRADE], GO TO Q 16
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
[49]
0
2
7
9
[50]
0
2
7
9
[51]
IF NO, GO TO Q 16
B. Since that first time, was there ever a time when [he/she] was not
[very excited and full of energy/very angry or irritable]?
IF NO, GO TO Q 16
C. Did that time when [he/she] wasn’t [very excited and full of energy/
very angry or irritable] last for two months or more?
IF NO, GO TO Q 16
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 40
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
D. You said that [he/she] was [very excited and full of energy/very angry
or irritable] in the last year.
How old was [he/she] when being this way began this time?
CODE AGE (88 = NEVER STARTED AGAIN) ---------------->
|____ ____| YRS.
[52-53]
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
[54-55]
q:
IF [AGE/GRADE] GIVEN WAS CHILD’S
CURRENT [AGE/GRADE] MINUS ONE, GO TO E
ALL OTHERS, GO TO Q 16
E. Did [he/she] start to be [very excited and full of energy/very angry or
irritable] again more than a year ago – that is, before [[NAME
EVENT]/[NAME CURRENT MONTH] of last year]?
0
2
7
9
[56]
2
7
9
[57]
16. You said that in the last year [he/she] was [very excited and full of energy/very
angry or irritable] and [NAME [ ] SYMPTOMS IN Q 3 - 13].
Now I’d like you to think back to the time in the last year when being this way
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 [very excited and full of
energy/very angry or irritable]?
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 .....................................................................................
17. At that time, did being [very excited and full of energy/very angry or irritable] keep
________ from doing things or going places with [you or [his/her] family/[his/her]
family]?
3
2
1
7
9
0
[58]
1
2
7
9
[59]
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 .....................................................................................
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 41
3
2
1
7
9
[60]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
18. At that time, did being [very excited and full of energy/very angry or irritable] keep
[him/her] from doing things or going places with other [children/people [his/her]
age]?
8, 88=NOT APPLICABLE
0
1
2
9, 99=DON’T KNOW
7
9
[61]
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 .....................................................................................
r:
3
2
1
7
9
[62]
IF CHILD DID NOT ATTEND SCHOOL OR WORK IN LAST
YEAR, CODE “8” IN Q 19 AND 20, THEN GO TO Q 21
19. When the problems were worst, did being [very excited and full of energy/very
angry or irritable][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
[63]
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 .....................................................................................
20. At that time, did being [very excited and full of energy/very angry or irritable] cause
________’s [teachers/boss] to be annoyed or upset with [him/her]?
3
2
1
7
9
0
[64]
1
2
7
8
9
[65]
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 .....................................................................................
21. When the problems were worst, did it seem like being [very excited and full of
energy/very angry or irritable] made ________ feel bad or made [him/her] feel
upset?
3
2
1
7
9
0
[66]
1
2
7
9
[67]
IF YES, A. How bad did being 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 C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 42
3
2
1
7
9
[68]
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
22. 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]
was [very excited and full of energy/very angry or irritable]?
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
0
2
7
9
[69]
0
2
7
9
[70]
IF YES, GO TO OPTIONAL DETAILS
IF NO, A. Does [he/she] have an appointment set up to see someone because
[he/she] gets [very excited and full of energy/very angry or irritable]?
IF YES, GO TO OPTIONAL DETAILS
OPTIONAL DETAILS:
23.
Who [did ________ see/is ________ going to see]? (WRITE IN:)
Name:
|____ ____|
[71-72]
|____ ____|
[73-74]
Profession:
Address:
A. IF SOMEONE WAS SEEN, ASK:
What did the person [he/she] saw say was the matter?
s:
IF CHILD IS AGE 7 OR OLDER, CONTINUE
ALL OTHERS, GO TO MODULE D
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 43
[5/20/98]
0=NO
1=SOMETIMES/SOMEWHAT
2=YES
7, 77=REFUSE TO ANSWER
8, 88=NOT APPLICABLE
9, 99=DON’T KNOW
Whole Life Screen
24. You told me that in the last year there was a time when [he/she] seemed [very
excited and full of energy/very angry or irritable] and [he/she] also [NAME [ ]
SYMPTOMS IN Q 3 - 13].
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 [very
excited and full of energy/very angry or irritable] like this for a longer time or when
being this way caused more problems?
0
2
7
9
[75]
IF YES, A. How old was [he/she] when being like that was the 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 -------------------------------------------------------------->
|____ ____|
[76-77]
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.) ------------------>
|____ ____|
[78-79]
Module C: Mood Disorders
Mania/Hypomania
DISC IV-P, past year
Page 44
[5/20/98]
| File Type | application/pdf |
| File Title | P-MAN/HYPOMAN past year |
| Subject | P-MAN/HYPOMAN past year |
| Author | Emerson |
| File Modified | 2003-10-14 |
| File Created | 2003-10-14 |