Form Structure: Depression Anxiety Stress Scales 21
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Depression Anxiety Stress Scales 21
Short Name:
DASS21
Description:
The DASS 21 is a 21 item self report questionnaire designed to measure symptoms related to depression, anxiety, and stress. Patients are asked to rate the prescence of a symptom over the past week.
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-10-05
Version:
1.0
Date Created:
2016-09-22
Owner:
Number of Data Elements:
40
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Vital status | Status of participant/subject as alive or dead | VitStatus | Optional | CDE |
| 5 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 6 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 7 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 8 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 9 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 2 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 3 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 4 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
Depression Anxiety Stress 21 Scales (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Depression Anxiety and Stress Scale (DASS 21) - Stress hard wind down scale | The scale related to stress from finding it hard to wind down as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressHarWinDowScl | Recommended | CDE |
| 2 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety aware dry mouth scale | The scale related anxiety from being aware of dryness of the mouth as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxAwDryMouthScl | Recommended | CDE |
| 3 | Depression Anxiety and Stress Scale (DASS 21) - Depression not positive experience scale | The scale related to depression from not being able to experience any positive feelings, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepNoPosExperScl | Recommended | CDE |
| 4 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety difficult breath scale | The scale related to anxiety from breathing difficulty as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxDiffBreScl | Recommended | CDE |
| 5 | Depression Anxiety and Stress Scale (DASS 21) - Depression difficult initiative scale | The scale related todepression from being difficult to work up the initiative to do things, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepDiffIniScl | Recommended | CDE |
| 6 | Depression Anxiety and Stress Scale (DASS 21) - Stress overreact situation scale | The scale related to stress for tending to over-react to sitations, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressOverreSitScl | Recommended | CDE |
| 7 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety tremble body scale | The scale related to anxiety from experiencing trembling, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxTremBodScl | Recommended | CDE |
| 8 | Depression Anxiety and Stress Scale (DASS 21) - Stress much nervous energy scale | The scale related to stress from lots of nervous energy as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressMuchNervEnScl | Recommended | CDE |
| 9 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety worry situation panic scale | The scale related to anxiety from being worried about situations in which might panic and make a fool of themselves, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxWorrSitPanScl | Recommended | CDE |
| 10 | Depression Anxiety and Stress Scale (DASS 21) - Depression nothing future interest scale | The scale related to depression from feeling that there is nothing to look forward to, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepNoFutIntScl | Recommended | CDE |
| 11 | Depression Anxiety and Stress Scale (DASS 21) - Stress agitation scale | The scale related to stress from getting agitated as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressAgitScl | Recommended | CDE |
| 12 | Depression Anxiety and Stress Scale (DASS 21) - Stress difficult relax scale | The scale related to stress from difficulty relaxing, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DiffRelaxScl | Recommended | CDE |
| 13 | Depression Anxiety and Stress Scale (DASS 21) - Depression down hearted blue scale | The scale related to depression from being down-hearted and blue, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepDowHearBlueScl | Recommended | CDE |
| 14 | Depression Anxiety and Stress Scale (DASS 21) - Stress intolerant delay scale | The scale related to stress from intolerance of anything that keeps them from getting on with what they were doing, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressIntolDelayScl | Recommended | CDE |
| 15 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety panic scale | The scale related to anxiety from being close to a panic, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxPanicScl | Recommended | CDE |
| 16 | Depression Anxiety and Stress Scale (DASS 21) - Depression not enthusiastic scale | The scale related to depression from being unable to be enthusiastic about anything, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepNoEnthusScl | Recommended | CDE |
| 17 | Depression Anxiety and Stress Scale (DASS 21) - Depression no self-worth scale | The scale related to depression from lack of worth as a person, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepNoSelfWorthScl | Recommended | CDE |
| 18 | Depression Anxiety and Stress Scale (DASS 21) - Stress touchy scale | The scale related to stress from being rather touchy, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21StressTouchScl | Recommended | CDE |
| 19 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety heart rate increase scale | The scale related to anxiety from being aware of action of the heart in the absence of physical exertion, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxHrtRtIncScl | Recommended | CDE |
| 20 | Depression Anxiety and Stress Scale (DASS 21) - Anxiety scared no reason scale | The scale related to anxiety from feeling scared without any good reason, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21AnxScrNoRsnScl | Recommended | CDE |
| 21 | Depression Anxiety and Stress Scale (DASS 21) - Depression meaningless life scale | The scale related to depression from feeling life is meaningless, as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21DepMeanLifeScl | Recommended | CDE |
DASS21 Scores (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Depression Anxiety and Stress Scale (DASS 21) - Total depression score | The score related to total depression (multiplied by 2) as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21TotalDepScore | Recommended | CDE |
| 2 | Depression Anxiety and Stress Scale (DASS 21) - Total depression diagnosis type | The type of diagnosis of depression, as a part of the Depression Anxiety and Stress Scale (DASS21) | DASS21TotalDepDiagTyp | Recommended | CDE |
| 3 | Depression Anxiety and Stress Scale (DASS 21) - Total anxiety score | The score related to total anxiety (multiplied by 2) as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21TotalAnxScore | Recommended | CDE |
| 4 | Depression Anxiety and Stress Scale (DASS 21) - Total anxiety diagnosis type | The type of diagnosis of anxiety as a part of the Depression Anxiety and Stress Scale (DASS21) | DASS21TotalAnxDiagTyp | Recommended | CDE |
| 5 | Depression Anxiety and Stress Scale (DASS 21) - Total stress score | The score related to total stress (multiplied by 2) as part of the Depression, Anxiety and Stress Scale (DASS21) | DASS21TotalStressScore | Recommended | CDE |
| 6 | Depression Anxiety and Stress Scale (DASS 21) - Total stress diagnosis type | The type of diagnosis of stress, as a part of the Depression Anxiety and Stress Scale (DASS21) | DASS21TotalStressDiagTyp | Recommended | CDE |
Keywords
