Form Structure: Personal Health Questionnaire Depression Scale (PHQ-8)
This form structure is an organized set of data definitions for a form that has not been copyrighted
Title:
Personal Health Questionnaire Depression Scale (PHQ-8)
Short Name:
PHQ8
Description:
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies.
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-05-21
Version:
1.0
Date Created:
2015-04-13
Owner:
Number of Data Elements:
21
eForms:
Y
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 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Repeat Infinitely)
# | 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 |
PHQ-8 (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Patient Health Questionnaire (PHQ9) - Little interest score | Score of how much the subject has been bothered by having little interest or pleasure in doing things in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9IntrstPleasrActScore | Recommended | CDE |
2 | Patient Health Questionnaire (PHQ9) - Depressed score | Score of how much the subject has been feeling down and depressed in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9DwnDeprssnHopelssScore | Recommended | CDE |
3 | Patient Health Questionnaire (PHQ9) - Sleep impairment score | Score of how much the subject has been bothered with troubling falling/staying asleep or sleeping too much in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9SleepImpairScore | Recommended | CDE |
4 | Patient Health Questionnaire (PHQ9) - Tired little energy score | Score of how much the subject has been feeling tired in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9TirdLittleEnrgyScore | Recommended | CDE |
5 | Patient Health Questionnaire (PHQ9) - Abnormal diet score | Score of how much the subject has been bothered by abnormal diet/appetite in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9AbnrmlDietScore | Recommended | CDE |
6 | Patient Health Questionnaire (PHQ9) - Feeling failure score | Score of how much the subject has been feeling bad for himself/herself in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9FlngFailrScore | Recommended | CDE |
7 | Patient Health Questionnaire (PHQ9) - Concentration impairment score | Score of how much the subject has been bothered with troubling concentrating in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9ConcntrtnImprmntScore | Recommended | CDE |
8 | Patient Health Questionnaire (PHQ9) - Movement speech impairment score | Score of how much the subject has been suffering with moving or speaking too slowly in the past two weeks, as the part of Patient Health Questionnaire Depression (PHQ). | PHQ9MovmntSpchImprmntScore | Recommended | CDE |
9 | Patient Health Questionnaire Depression (PHQ-8) - Questionnaire total score | Total score, as the part of Patient Health Questionnaire Depression (PHQ-8). | PHQ8TotalScore | Recommended | CDE |
Keywords