Form Structure: Generalized Anxiety Disorder (GAD-7) : BRICS : Biomedical Research Informatics Computing System

Resource:

NTRR, FITBIR

Title:

Generalized Anxiety Disorder (GAD-7)

Short Name:

GAD7

Description:

Generalized Anxiety Disorder 7 (GAD-7) is a self-reported questionnaire for screening and severity measuring of generalized anxiety disorder (GAD).GAD-7 has seven items, which measure severity of various signs of GAD according to reported response categories with assigned points (see below). Assessment is indicated by the total score, which made up by adding together the scores for the scale all seven items. GAD-7 is a sensitive self-administrated test to assess generalized anxiety disorder, normally used in outpatient and primary care settings for referral to psychiatrist pending outcome. However, it cannot be used as replacement for clinical assessment and additional evaluation should be used to confirm a diagnosis of GAD. CDISC (TAUG TBI) https://phqscreeners.pfizer.edrupalgardens.com/sites/g/files/g10016261/f/201412/instructions.pdf This from structure was created based on CDISC definition. Recommended by CDISC for TBI Copyright Pfizer. http://www.phqscreeners.com/

Disease:

Headache General (For all diseases) Traumatic Brain Injury

Organization:

NIH/NINDS

Required Program Form:

No

Standardization:

Standard NINDS CDE

Labels:

Form Type:

Clinical Assessment

Publication Date:

2017-03-23

Version:

1.6

Date Created:

2016-03-08

Owner:

Number of Data Elements:

24

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.

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Form Administration (Appears Up To 1 Time)

#	Title	Short Description	Variable Name	Required?	Type
1	Language form administration ISO code	Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration	LangCRFAdministratISOCode	Recommended	CDE
2	Language form administration ISO code other text	The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text.	LangCRFAdministratISOCodeOTH	Recommended	CDE
3	Context type	The context to which the questions were answered	ContextType	Recommended	CDE
4	Context type other text	The free-text related to ContextType specifying other text	ContextTypeOTH	Recommended	CDE
5	Data source	Source of the data provided on the case report form	DataSource	Recommended	CDE
6	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

Questionnaire (Appears Up To 1 Time)

#	Title	Short Description	Variable Name	Required?	Type
1	Generalized Anxiety Disorder (GAD-7) - Feeling nervous scale	Scale describing how often participant/subject has been bothered by feeling nervous, anxious or on edge, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7FeelNervScale	Recommended	CDE
2	Generalized Anxiety Disorder (GAD-7) - Not stop worry scale	Scale describing how often participant/subject has not been able to stop or control worrying, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7NotStopWryScale	Recommended	CDE
3	Generalized Anxiety Disorder (GAD-7) - Worry too much scale	Scale describing how often participant/subject worries too much about different things, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7WryTooMchScale	Recommended	CDE
4	Generalized Anxiety Disorder (GAD-7) - Trouble relaxing scale	Scale describing how often participant/subject has trouble relaxing, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7TroubRelxScale	Recommended	CDE
5	Generalized Anxiety Disorder (GAD-7) - Restless scale	Scale describing how often participant/subject is so restless that it is hard to sit still, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7RstlessScale	Recommended	CDE
6	Generalized Anxiety Disorder (GAD-7) - Easily annoyed scale	Scale describing how often participant/subject becomes easily annoyed or irritable, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7EasyAnnoyedScale	Recommended	CDE
7	Generalized Anxiety Disorder (GAD-7) - Feeling afraid scale	Scale describing how often participant/subject feels afraid as if something awful might happen, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7FeelAfrdScale	Recommended	CDE

Scores (Appears Up To 1 Time)

#	Title	Short Description	Variable Name	Required?	Type
1	Generalized Anxiety Disorder (GAD-7) - Total score	Total score for the GAD-7 used for office coding, as a part of Generalized Anxiety Disorder (GAD-7).	GAD7TotScore	Recommended	CDE
2	Difficulty performing scale	Scale of how difficult reported problems are, as part of Patient Health (PHQ, PHQ2, PHQ8,PHQ9, PHQ15) and Generalized Anxiety Disorder (GAD-7) Questionnaires	PHQDiffcltyPerfActScore	Recommended	CDE

Keywords

Anxiety , GAD7 , Anxiety_Related_Disorders , Generalized_Anxiety_Disorder