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Protocol - Substances - Lifetime Abuse and Dependence

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Protocol Name from Source:

National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

Availability:

Publicly available

Description:

Respondents answer questions from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) related to their lifetime use of illicit and prescribed substances.

Protocol:

1a. Now I’m going to ask you about some experiences that people have reported in connection with their use of medicines or drugs ON THEIR OWN. As I read each experience, please tell me if this has ever happened to you.

In your entire life, did you EVER…(PAUSE)

(Repeat phrase frequently)

b. Did this happen in the last 12 months?

c. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

d. Did this happen before 12 months ago, that is, before last (Month one year ago)?

e. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

(1) Find that your usual amount of a medicine or drug had much less effect on you than it once did?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(2) Find that you had to use much more of a medicine or to get the effect you wanted?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

The next few questions are about the bad aftereffects that people may have when the effects of a medicine or drug are wearing off. This includes the morning after using it or in the first few days after stopping or cutting down on it. Did you EVER…

(3) Sleep more than usual (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(4) Feel weak or tired?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(5) Feel depressed?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(6) Find your heart beating fast (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(7) Have nausea or vomiting?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(8) Yawn a lot?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(9) Have runny eyes or a runny nose (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(10) Eat more than usual or gain weight?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

1a. Did you EVER…(PAUSE)

(Repeat phrase frequently)

b. Did this happen in the last 12 months?

c. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

d. Did this happen before 12 months ago, that is, before last (Month one year ago)?

e. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

(11) Feel anxious or nervous?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(12) Have muscle aches or cramps (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(13) Have a fever?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(14) Become so restless you fidgeted, paced or couldn’t sit still?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(15) Move or talk much more slowly than usual (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(16) Find your pupils dilating or your hair standing up?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(17) Have unpleasant dreams that often seemed real?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(18) See, feel or hear things that weren’t really there (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(19) Feel shaky or have shaky or trembling hands?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(20) Have trouble falling asleep or staying asleep?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

1a. Did you EVER…(PAUSE)

(Repeat phrase frequently)

b. Did this happen in the last 12 months?

c. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

d. Did this happen before 12 months ago, that is, before last (Month one year ago)?

e. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

(21) Have fits or seizures (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(22) Become more irritable than usual?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(23) Eat less than usual or lose weight?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(24) Feel angry, combative or aggressive (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(25) Have a headache?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(26) Find yourself sweating?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(27) Have chills (when the effects of a medicine or drug were wearing off)?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(28) Have stomach pain?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

Check Item 1. Are at least 2 items marked "Yes" in 1c(3)-1c(28)?

[ ] 1 Yes

[ ] 2 No - Go to Check Item 2

(28-1) You just mentioned that you had SOME bad aftereffects when stopping or cutting down on your use of medicines or drugs in the last 12 months. Did at least 2 of these experiences happen around the same time DURING the last 12 months?

1 [ ] Yes

2 [ ] No - Go to Check Item 2

Check Item 2. Are at least 2 items marked "Yes" in 1e(3)-1e(28)?

[ ] 1 Yes

[ ] 2 No - Skip to 1a(29)

(28-2) You (just/also) mentioned that you had SOME bad aftereffects when stopping or cutting down on your use of medicines or drugs BEFORE 12 months ago. Did at least 2 of these experiences happen around[HT1] the same time BEFORE 12 months ago?

1a. In your entire life, did you EVER…

(Repeat phrase frequently)

b. Did this happen in the last 12 months?

c. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

d. Did this happen before 12 months ago, that is, before last (Month one year ago)?

e. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

(29) Take more of the same or a similar medicine or drug to get over or avoid any of these bad aftereffects?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(30) More than once WANT to stop or cut down on using any of these medicines or drugs?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(31) More than once TRY to stop or cut down on using any of these medicines or drugs but found you couldn’t do it?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(32) Often use a medicine or drug in larger amounts or for a much longer period than you meant to?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(33) Have a period when you spent a lot of time using a medicine or drug or getting over its bad aftereffects?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(34) Have a period when you spent a lot of time making sure you always had enough of a medicine or drug available?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(35) Give up or cut down on activities that were important to you in order to use a medicine or drug-like work, school, or associating with friends or relatives?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(36) Give up or cut down on activities that you were interested in or that gave you pleasure in order to use a medicine or drug?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(37) Continue to use a medicine or drug even though you knew it was making you feel depressed, uninterested in things, or suspicious or distrustful of other people?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

1a. In your entire life, did you EVER…(PAUSE)

(Repeat phrase frequently)

b. Did this happen in the last 12 months?

c. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

d. Did this happen before 12 months ago, that is, before last (Month one year ago)?

e. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

(38) Continue to use a medicine or drug even though you knew it was causing you a health problem or making a health problem worse?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(39) Feel a very strong urge or desire to use a medicine or drug?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(40) Want a medicine or drug so badly that you couldn’t think of anything else?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(41) Have arguments with your spouse or partner or family or friends as a result of your medicine or drug use?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(42) Continue to use a medicine or drug even though it was causing you trouble with your family or friends?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(43) Get into physical fights while under the influence of a medicine or drug?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(44) Have job or school troubles as a result of your medicine or drug use-like missing too much work, not doing your work well, being demoted or losing a job, or being suspended, expelled or dropping out of school?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(45) Continue to use a medicine or drug even though it was causing you problems at school or work?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(46) Have a period when your medicine or drug use or your being sick from medicine or drug use often interfered with taking care of your home or family?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(47) More than once drive a car, motorcycle, truck, boat, or other vehicle when you were under the influence of a medicine or drug?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

(48) Find yourself under the influence of a medicine or drug or feeling its aftereffects in situations that increased your chances of getting hurt-like swimming; using heavy machinery or equipment; or walking in a dangerous area or around heavy traffic?

1 [ ] Yes

2 [ ] No - Go to next experience

1 [ ] Yes

2 [ ] No - Mark "Yes" in column d

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

[ ] 1 Yes

[ ] 2 No - Go to next experience

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

Check Item 3. Are at least 2 boxes in Box 1, (2 or 3), 4-12 marked "Yes" in 1a, column e?

[ ] 1 Yes - see below

[ ] 2 No - SKIP to Check Item 6

For [ ] 1 Mark corresponding category below and ask 2 a-g for each marked category.

2a. You just mentioned some experience you had with (Name of drug category) in the past, that is, before 12 months ago. Before last (Month one year ago) was there ever a period when SOME of these experiences with (Name of drug category) were happening around the same time most days for at least a month (PAUSE), on and off for a few months or longer (PAUSE) or within the same 1-year period?

b. About how old were you the FIRST time SOME of these experiences with (Name of drug category) BEGAN to happen around the same time?

c. In your ENTIRE LIFE how many separate periods like this did you have when some of these experiences with (Name of drug category) were happening around the same time?

By separate periods, I mean times separated by at least a year when you EITHER STOPPED using (Name of drug category) entirely (PAUSE) OR you didn’t have any of the experiences you just mentioned with (Name of drug category).

[ ] 1 Sedatives or Tranquilizers

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 2 Painkillers

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 3 Marijuana

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 4 Cocaine or Crack

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 5 Stimulants

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 6 Club drugs

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 7 Hallucinogens

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 8 Inhalants/Solvents

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 9 Heroin

[ ] 1 Yes

[ ] 2 No - SKIP to next drug category

_________ Age

________ Number

[ ] 10 Other

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 6

_________ Age

________ Number

Check Item 4. Is number in 2c, 2 or more or unknown?

d. In your ENTIRE LIFE what was the LONGEST period you had when SOME of these experiences with (Name of drug category) were happening around the same time?

e. About how old were you the MOST RECENT time when some of these experiences BEGAN to happen around the same time?

f. How long did this period last when some of these experiences with (Name of drug category) were happening around the same time?

Check Item 5. Is at least 1 item marked in 1, column c, items (1)-(38) or (41)-(48)?

g. About how old were you when you FINALLY STOPPED having these problems with (Name of drug category)? By finally stopped, I mean they never started happening again.

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

[ ] 1 Yes

[ ] 2 No - SKIP to 2f

______ Month(s)

OR

______ Year(s)

______ Age - Go to Check Item 5

______ Month(s)

OR

______ Year(s)

[ ] 1 Yes - Go to next drug category

[ ] 2 No

______ Age - SKIP to next drug category

Check Item 6. Are at least 2 Boxes, Box 1, (2 or 3), 4-12, marked in 1a, column c for Sedatives/Tranquilizers?

[ ] 1 Yes

[ ] 2 No - SKIP to Check item 7

3. You just mentioned SOME experiences you had with sedatives or tranquilizers in the last 12 months.

(a) When you had SOME of these experiences with sedatives or tranquilizers in the last 12 months, were you using them without a prescription?

(b) During the last 12 months when you had some of these experiences with sedatives or tranquilizers, were you using them in LARGER AMOUNTS, MORE FREQUENTLY or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No

[ ] 1 Yes

[ ] 2 No

Check Item 7. Are at least 2 Boxes, Box 1, (2 or 3), 4-12, marked in 1a, column e for sedatives/tranquilizers?

[ ] 1 Yes

[ ] 2 No - SKIP to Check item 8

4. You just mentioned SOME experience you had with sedatives or tranquilizers around the same time BEFORE 12 months ago, that is, BEFORE last (Month one year ago).

(a) During ANY of these times when you had SOME of these experiences with sedatives or tranquilizers BEORE 12 months ago, were you using them without a prescription?

(b) Did ALL of these times BEFORE 12 months ago ONLY happen when you were using sedatives or tranquilizers without a prescription?

(c) During ANY of these times when you had SOME of those experiences with sedatives or tranquilizers BEFORE 12 months ago, were you using them in GREATER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No - SKIP to 4c

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 8

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 8

5. Did ALL of those times BEFORE 12 months ago ONLY happen when you were using sedatives or tranquilizers in LARGER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No

Check Item 8. Are at least 2 Boxes, Box 1, (2 or 3), 4-12 marked in 1a, column c for painkillers?

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 9

6. You just mentioned SOME experiences you had with painkillers in the last 12 months.

(a) When you had SOME of these experiences with painkillers in the last 12 months, were you using them without a prescription?

(b) During the last 12 months when you had some of these experiences with painkillers, were you using them in LARGER AMOUNTS, MORE FREQUENTLY or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No

[ ] 1 Yes

[ ] 2 No

Check Item 9. Are at least 2 Boxes, Box 1, (2 or 3), 4-12, marked in 1a, column e for painkillers?

[ ] 1 Yes

[ ] 2 No - SKIP to Check item 10

7. You just mentioned SOME experience you had with painkillers around the same time BEFORE 12 months ago, that is, BEFORE last (Month one year ago).

(d) During ANY of these times when you had SOME of these experiences with painkillers BEORE 12 months ago, were you using them without a prescription?

(e) Did ALL of these times BEFORE 12 months ago ONLY happen when you were using painkillers without a prescription?

(f) During ANY of these times when you had SOME of those experiences with painkillers BEFORE 12 months ago, were you using them in GREATER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No - SKIP to 7c

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 10

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 10

8. Did ALL of those times BEFORE 12 months ago ONLY happen when you were using painkillers in LARGER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No

Check Item 10. Are at least 2 Boxes, Box 1, (2 or 3), 4-12 marked in 1a, column c for stimulants?

[ ] 1 Yes

[ ] 2 No - SKIP to Check Item 11

9. You just mentioned SOME experiences you had with stimulants in the last 12 months.

(c) When you had SOME of these experiences with stimulants in the last 12 months, were you using them without a prescription?

(d) During the last 12 months when you had some of these experiences with stimulants, were you using them in LARGER AMOUNTS, MORE FREQUENTLY or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No

[ ] 1 Yes

[ ] 2 No

Check Item 11. Are at least 2 Boxes, Box 1, (2 or 3), 4-12, marked in 1a, column e for stimulants?

[ ] 1 Yes

[ ] 2 No - SKIP to 12a

10. You just mentioned SOME experience you had with stimulants around the same time BEFORE 12 months ago, that is, BEFORE last (Month one year ago).

(g) During ANY of these times when you had SOME of these experiences with stimulants BEORE 12 months ago, were you using them without a prescription?

(h) Did ALL of these times BEFORE 12 months ago ONLY happen when you were using stimulants without a prescription?

(i) During ANY of these times when you had SOME of those experiences with stimulants BEFORE 12 months ago, were you using them in GREATER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No - SKIP to 10c

[ ] 1 Yes

[ ] 2 No - SKIP to 12a

[ ] 1 Yes

[ ] 2 No - SKIP to 12a

11. Did ALL of those times BEFORE 12 months ago ONLY happen when you were using stimulants in LARGER AMOUNTS, MORE FREQUENTLY, or LONGER than prescribed or for a reason other than prescribed by a doctor?

[ ] 1 Yes

[ ] 2 No - SKIP to 12a

12a. In the last 12 months, did you more than once get arrested, held at a police station or have any other legal problems because of your medicine or drug use?

[ ] 1 Yes

[ ] 2 No - SKIP to 12c

12b. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

12c. Did this happen before 12 months ago, that is before last (Month one year ago)?

[ ] 1 Yes

[ ] 2 No - SKIP to 13a

12d. Which medicines or drugs did this happen with before 12 months ago?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

13a. In the last 12 months, did you use any medicine or drug to make you more alert or to enhance your mental performance, skills or abilities at work or in school?

[ ] 1 Yes

[ ] 2 No - SKIP to 13c

13b. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

13c. Did this happen before 12 months ago, that is before last (Month one year ago)?

[ ] 1 Yes

[ ] 2 No - END QUESTIONS

13d. During the last 12 months, which medicines or drugs did this happen with?

([link[www.phenxtoolkit.org/toolkit_content/supplemental_info/atos/additional_info/NESARC_III_Manual.pdf|SHOW FLASHCARD]])

[ ] 1 SED

[ ] 2 PAN

[ ] 3 MAR

[ ] 4 COC

[ ] 5 STIM

[ ] 6 CLB

[ ] 7 HAL

[ ] 8 SOLV

[ ] 9 HER

[ ] 10 OTH

Personnel and Training Required

The interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided. It is preferable to either read the questionnaire aloud to the respondent or administer it in an audio-assisted computer interview (ACASI) format. The questions are sensitive in nature, and the interviewer should be trained to react appropriately to emotional responses. If a distressed respondent protocol is adopted, the interviewer should be trained to administer those procedures.

Equipment Needs

While the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5) instrument was developed for administration by computer, the PhenX WG acknowledges that these questions can be administered in a noncomputerized format. Hasin et al. (1997) and Grant et al. (1995) used the AUDADIS in paper-and-pencil format, while Grant et al. (2003) obtained data with the computerized format.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) Alcohol and Drug Use Disorders Scoring Algorithms are provided for data interpretation. Please click here (TK team will insert hyperlink) to access the scoring algorithm document. The algorithms were constructed by Yoanna McDowell, M.A, under the supervision of Dr. Kenneth Sher (University of Missouri) in 2017 and posted here with their permission. They were verified by diagnostic variables available in the NESARC-III data set and published NESARC-III diagnostic and severity prevalence data. Users are solely responsible for the use and interpretation of the algorithms and results.

Due to the complexity of the algorithms and associated analysis, Expert Review Panel 3 recommends analysis be performed by a statistician who has experience using NESARC datasets,

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition Version (AUDADIS-5) is a complex diagnostic instrument that likely requires expertise with SAS and the NESARC dataset in order to successfully implement scoring algorithms. Investigators interested in briefer, screening-level assessments of alcohol and other substance use disorders are encouraged to review assessments of this collection:

[link[www.phenxtoolkit.org/index.php?pageLink=browse.conceptualgroups&id=3397&breadcrumbs=3394,3397|https://www.phenxtoolkit.org/index.php?pageLink=browse.conceptualgroups&id=3397&breadcrumbs=3394,3397]]

The following question may gather sensitive information relating to the use of substances or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or result in other consequences.

For information on obtaining a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants, please go to the National Human Genome Research Institute’s Institutional Review Board website ([link[www.genome.gov/10005108|http://www.genome.gov/10005108]]).

Acronyms are listed in the protocol text. They are spelled out below:

SED = Sedatives or Tranquilizers
PAIN = Painkillers
MAR = Marijuana
COC = Cocaine or Crack
STIM = Stimulants
CLB = Club Drugs
HAL = Hallucinogens
SOLV = Inhalants/Solvents
HER = Heroin
OTH = Other

Research Domain Information

Release Date:

November 28, 2017

Definition

Questions ask the respondent if he or she has ever used a drug during his or her entire life.

Purpose

This measure can be used to assess the participant’s lifetime use of any drug. The question is often used as a prelude to more detailed questions about substance use to screen out individuals who have ever used these substances.

Selection Rationale

The National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) captures "diagnostic" information via the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS-5). Therefore, the user can link diagnostic data from the NESARC directly to treatment utilization also collected from the NESARC.

Language

English

Standards

StandardNameIDSource

Process and Review

The [link[phenx.org/node/101|Expert Review Panel 3]] (ERP3) reviewed the measures in the Alcohol, Tobacco and Other Substances domain and in the Substance Abuse and Addiction Collection.

Guidance from the ERP includes:

  • Updated protocol (same source)

Partially back-compatible (updated/similar protocol which would require some changes to the data dictionary), variable mapping between current and previous protocols can be found here ([link[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=30000|link]]).

Previous version in Toolkit archive.

Source

National Institute on Alcohol Abuse and Alcoholism (NIAAA). (N.d.). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Rockville, MD: National Institutes of Health. Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS-5), Section 3C - Medicine Experiences.

General References

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7-16.

Grant, B. F., Goldstein, R. B., Smith, S. M., Jung, J., Zhang, H., Chou, S. P., Pickering, R. P., Ruan, W. J., Huang, B., Saha, T. D., Aivadyan, C., Greenstein, E., & Hasin, D. S. (2015). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample. Drug and Alcohol Dependence, 148, 27-33.

Grant, B. F., Harford, T. C., Dawson, D. A., Chou, P. S., & Pickering, R. P. (1995). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a general population sample. Drug and Alcohol Dependence, 39(1), 37-44.

Hasin, D., Carpenter, K. M., McCloud, S., Smith, M., & Grant, B. F. (1997). The alcohol use disorder and associated disabilities interview schedule (AUDADIS): Reliability of alcohol and drug modules in a clinical sample. Drug and Alcohol Dependence, 44(2-3), 133-141.

Protocol ID:

31402

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping