Form Structure: NIH Toolbox Emotion Domain Anger-Affect Survey CAT 18-85
This form structure is an organized set of data definitions for a copyrighted form
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