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Common Data Element:  NIH Toolbox Emotion Domain Fear Separation Anxiety Parent Report Fixed Form 3 to 7 - Leaving scale

Listed below are the details for the data element.

1.0
Element Type
Common Data Element
NIH Toolbox Emotion Domain Fear Separation Anxiety Parent Report Fixed Form 3 to 7 - Leaving scale
NIHTBFSAPRSF3to7LeavingScl
Short Description
Scale of parent reported truth of statement: Is overly upset when leaving someone he/she is close to, for agesfor ages 3 to 7 of the NIH Toolbox Emotion Domain Fear Separation Anxiety Parent Report Fixed Form
Definition
Scale of parent reported truth of statement: Is overly upset when leaving someone he/she is close to, for agesfor ages 3 to 7 of the NIH Toolbox Emotion Domain Fear Separation Anxiety Parent Report Fixed Form
 

Biomedical Terminologies and Standards

Notes
Creation Date
2016-06-23
Historical Notes
References
The Confluence of Mental, Physical, Social, and Academic Difficulties in Middle Childhood. II: Developing the MacArthur Health and Behavior Questionnaire. J. Am. Acad. Child Adolesc. Psychiatry. 2002;41(5):588-603. Jeff Armstrong, Department of Psychiatry, Wisconsin Psychiatric Institute and Clinics, University of Wisconsin-Madison, 6001 Research Park Blvd, Madison WI, 537 9, jmarmstrong2@wisc.edu. For more information on scoring, please refer to the NIH Toolbox Scoring and Interpretation Guide: http://www.nihtoolbox.org/WhatAndWhy/Scoring%20Manual/NIH%20Toolbox%20Scoring%20and%20Interpretation%20Manual%209-27 12.pdf

Data Type
Alphanumeric
Input Restrictions
Single Pre-Defined Value Selected
Pre-Defined Values
External Schema Permissible Value Mapping
Population
Pediatric
Guidelines/Instructions
The NIH Toolbox Fear-Separation Anxiety Survey is a parent-report measure for ages 3 to 7 assessing fear of being separated from home and from loved ones. It is a 7 item fixed length form. Each item administered has a 3-point scale, ranging from never or not true to often or very true. Higher scores are indicative of more parent-reported child separation anxiety.
Preferred Question Text
Please indicate how often or true the behavior is of your child: Is overly upset when leaving someone he/she is close to.
Category Groups and Classifications
DiseaseDomainSub-Domain
General (For all diseases) Assessments and Examinations Physical/Neurological Examination
Traumatic Brain Injury Outcomes and End Points Psychiatric and Psychological Status

Classification

Concussion/Mild TBI :
Supplemental
General (For all diseases) :
Supplemental
Epidemiology :
Supplemental
Acute Hospitalized :
Supplemental
Moderate/Severe TBI: Rehabilitation :
Supplemental
Keywords
EmotionBattery , Fear , NIHToolbox
Labels
Effective Date
Until Date
Last Change Date
Mon May 07 20:29:36 EDT 2018
See Also
Submitting Organization Name
NIH/CIT/BRICS
Submitting Contact Name
Bianca Siravo
Submitting Contact Information
Steward Organization Name
NIH/CIT/BRICS
Steward Contact Name
Olga Vovk
Steward Contact Information
olga.vovk@nih.gov
NINDS ID

Change History