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This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
NIH Toolbox Emotion Domain Anger-Affect Survey CAT 18-85
Short Name:
NIHTBAngerAffectCAT18to85
Description:
The NIH Toolbox Anger-Affect Survey is a self-report measure that assesses anger as an emotion for ages 18-85, using a computer-adaptive test format. Available for CAT and iPad. A fixed-length self-report form is available for ages 18-85, as a supplemental measure.Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx
Disease:
General (For all diseases) Traumatic Brain Injury
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-06-21
Owner:
Number of Data Elements:
75
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 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

NIH Toolbox Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox - Test domain battery type  Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox NIHTBTestDomainBattryTyp Recommended CDE
2 NIH Toolbox - Test domain battery type other  The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox NIHTBTestDomainBatteryTypOTH Recommended CDE
3 NIH Toolbox - Test name type  Type of NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestNameTyp Recommended CDE
4 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH Recommended CDE
5 NIH Toolbox - Test administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
6 NIH Toolbox - Test administration language type other  Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox NIHTBTestAdminLanguageTypOTH Recommended CDE
7 NIH Toolbox - Form administered type  Type of NIH Toolbox form being administered, as part of the NIH Toolbox NIHTBFormAdminTyp Recommended CDE
8 NIH Toolbox - Test administration flag type  Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagTyp Recommended CDE
9 NIH Toolbox - Test administration flag indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE
10 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox Web, Cat and iPad Cognition measures such as: Picture Vocabulary Test and Oral Reading Recognition Test. NIHTBStandardError Recommended CDE

NIH Toolbox Anger-Affect Survey CAT 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Frustrated scale  Scale of participant report of statement: When I was frustrated, I let it show, in the past 7 days, for ages 18+ as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptative Test NIHTBAACAT18FrustratedScl Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Irritated scale  Scale of participant report of statement: I was irritated more than people knew, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18IrritatedScl Recommended CDE
3 NIH Toolbox Emotion Anger Affect CAT 18+ - Envious scale  Scale of participant report of statement: I felt envious of others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18EnviousScl Recommended CDE
4 NIH Toolbox Emotion Anger Affect CAT 18+ - Disagreed scale  Scale of participant report of statement: I disagreed with people, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18DisagreedScl Recommended CDE
5 NIH Toolbox Emotion Anger Affect CAT 18+ - Made myself angry scale  Scale of participant report of statement: I made myself angry about something just by thinking about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18MadeMyselfAngryScl Recommended CDE
6 NIH Toolbox Emotion Anger Affect CAT 18+ - Tried to get even scale  Scale of participant report of statement: I tried to get even when I was angry with someone, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GetEvenScl Recommended CDE
7 NIH Toolbox Emotion Anger Affect CAT 18+ - Angry scale  Scale of participant report of statement: I felt angry, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngryScl Recommended CDE
8 NIH Toolbox Emotion Anger Affect CAT 18+ - Silent treatment scale  Scale of participant report of statement: When I was mad at someone, I gave them the silent treatment, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18SilentTrtmntScl Recommended CDE
9 NIH Toolbox Emotion Anger Affect CAT 18+ - Breaking things scale  Scale of participant report of statement: I felt like breaking things, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BreakingThngsScl Recommended CDE
10 NIH Toolbox Emotion Anger Affect CAT 18+ - Explode scale  Scale of participant report of statement: I felt like I was ready to explode, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ReadyToExpldScl Recommended CDE
11 NIH Toolbox Emotion Anger Affect CAT 18+ - Sulked scale  Scale of participant report of statement: When I was angry I sulked, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18SulkedScl Recommended CDE
12 NIH Toolbox Emotion Anger Affect CAT 18+ -Resentful scale  Scale of participant report of statement: I was resentful when I didn't get my way, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ResentfulScl Recommended CDE
13 NIH Toolbox Emotion Anger Affect CAT 18+ - Guilty scale  Scale of participant report of statement: I felt guilty about my anger, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GuiltyScl Recommended CDE
14 NIH Toolbox Emotion Anger Affect CAT 18+ - Bitter scale  Scale of participant report of statement: I felt bitter about things, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BitterScl Recommended CDE
15 NIH Toolbox Emotion Anger Affect CAT 18+ - Trying anger scale  Scale of participant report of statement: I felt that people were trying to anger me, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18TryingAngerScl Recommended CDE
16 NIH Toolbox Emotion Anger Affect CAT 18+ - Stayed angry scale  Scale of participant report of statement: I stayed angry for hours, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StayedAngryScl Recommended CDE
17 NIH Toolbox Emotion Anger Affect CAT 18+ - Grudges scale  Scale of participant report of statement: I held grudges toward others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrudgesScl Recommended CDE
18 NIH Toolbox Emotion Anger Affect CAT 18+ - Angrier scale  Scale of participant report of statement: I felt angrier than I thought I should, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngrierScl Recommended CDE
19 NIH Toolbox Emotion Anger Affect CAT 18+ - Grouchy scale  Scale of participant report of statement: I was grouchy, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrouchyScl Recommended CDE
20 NIH Toolbox Emotion Anger Affect CAT 18+ - Stubborn scale  Scale of participant report of statement: I was stubborn with others, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StubbornScl Recommended CDE
21 NIH Toolbox Emotion Anger Affect CAT 18+ - Annoyed scale  Scale of participant report of statement: I felt annoyed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AnnoyedScl Recommended CDE
22 NIH Toolbox Emotion Anger Affect CAT 18+ - Bad temper scale  Scale of participant report of statement: I had a bad temper, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BadTemperScl Recommended CDE
23 NIH Toolbox Emotion Anger Affect CAT 18+ - Control temper scale  Scale of participant report of statement: I had trouble controlling my temper, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ControlTemperScl Recommended CDE
24 NIH Toolbox Emotion Anger Affect CAT 18+ - Delayed scale  Scale of participant report of statement: I was angry when I was delayed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18DelayedScl Recommended CDE
25 NIH Toolbox Emotion Anger Affect CAT 18+ - Forget scale  Scale of participant report of statement: Even after I expressed my anger, I had trouble forgetting about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ForgetScl Recommended CDE
26 NIH Toolbox Emotion Anger Affect CAT 18+ - Help scale  Scale of participant report of statement: I felt like I needed help for my anger, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18HelpScl Recommended CDE
27 NIH Toolbox Emotion Anger Affect CAT 18+ - Blocked scale  Scale of participant report of statement: I was angry when something blocked my plans, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18BlockedScl Recommended CDE
28 NIH Toolbox Emotion Anger Affect CAT 18+ - Yelling scale  Scale of participant report of statement: I felt like yelling at someone, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18YellingScl Recommended CDE
29 NIH Toolbox Emotion Anger Affect CAT 18+ - Around people irritate scale  Scale of participant report of statement: Just being around people irritated me, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ArndPplIrritateScl Recommended CDE

NIH Toolbox Anger-Affect Survey Fixed Form 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Irritated scale  Scale of participant report of statement: I was irritated more than people knew, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18IrritatedScl Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Made myself angry scale  Scale of participant report of statement: I made myself angry about something just by thinking about it, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18MadeMyselfAngryScl Recommended CDE
3 NIH Toolbox Emotion Anger Affect CAT 18+ - Angry scale  Scale of participant report of statement: I felt angry, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngryScl Recommended CDE
4 NIH Toolbox Emotion Anger Affect CAT 18+ - Explode scale  Scale of participant report of statement: I felt like I was ready to explode, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ReadyToExpldScl Recommended CDE
5 NIH Toolbox Emotion Anger Affect CAT 18+ - Stayed angry scale  Scale of participant report of statement: I stayed angry for hours, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18StayedAngryScl Recommended CDE
6 NIH Toolbox Emotion Anger Affect CAT 18+ - Angrier scale  Scale of participant report of statement: I felt angrier than I thought I should, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AngrierScl Recommended CDE
7 NIH Toolbox Emotion Anger Affect CAT 18+ - Grouchy scale  Scale of participant report of statement: I was grouchy, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18GrouchyScl Recommended CDE
8 NIH Toolbox Emotion Anger Affect CAT 18+ - Annoyed scale  Scale of participant report of statement: I felt annoyed, in the past 7 days, for ages 18+ , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18AnnoyedScl Recommended CDE

NIH Toolbox Anger-Affect Survey CAT 18-85 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Raw score  Raw score, as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18RawScore Recommended CDE
2 NIH Toolbox Emotion Anger Affect CAT 18+ - Theta score  Theta score, , as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18ThetaScore Recommended CDE
3 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjSclScore Recommended CDE
4 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjNationalPctVal Recommended CDE
5 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROFullyAdjSclScore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROUnadjSclScore Recommended CDE

iPad Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Affect CAT 18+ - Raw score  Raw score, as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test NIHTBAACAT18RawScore Recommended CDE
2 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROUnadjSclScore Recommended CDE
3 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjSclScore Recommended CDE
4 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROFullyAdjSclScore Recommended CDE
5 NIH Toolbox Emotion Anger Affect CAT 18+ - Uncorrected T-Score (iPad) 

(Draft)

Uncorrected T-Score weighted and normally distributed against the U.S. Census, as part of the NIH Toolbox Emotion Anger Affect Computerized Adaptive Test 18+ for iPad NIHTBAngerAff1885UncorTscore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjNationalPctVal Recommended CDE
7 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox Web, Cat and iPad Cognition measures such as: Picture Vocabulary Test and Oral Reading Recognition Test. NIHTBStandardError Recommended CDE
Keywords

Change History