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Protocol - Broad Psychopathology - Adult

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Level 1 Cross-Cutting Symptom Measure is a self- or informant-rated measure that assesses mental health domains that are important across psychiatric diagnoses. It is intended to help clinicians identify additional areas of inquiry that may have significant impact on the individual’s treatment and prognosis. In addition, the measure may be used to track changes in the individual’s symptom presentation over time.

This adult version of the measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviors, dissociation, personality functioning, and substance use. Each item inquires about how much (or how often) the individual has been bothered by the specific symptom during the past 2 weeks. If the individual is of impaired capacity and unable to complete the form (e.g., an individual with dementia), a knowledgeable adult informant may complete the measure. The measure was found to be clinically useful and to have good test-retest reliability in the DSM-5 Field Trials that were conducted in adult clinical samples across the United States and in Canada.

Frequency of Use

To track change in the individual’s symptom presentation over time, the measure may be completed at regular intervals as clinically indicated, depending on the stability of the individual’s symptoms and treatment status. For individuals with impaired capacity, it is preferable that the same knowledgeable informant completes the measures at follow-up appointments. Consistently high scores on a particular domain may indicate significant and problematic symptoms for the individual that might warrant further assessment, treatment, and follow-up. Clinical judgment should guide decision making.

Protocol:

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult

If this questionnaire is completed by an informant, what is your relationship with the individual? ___________________

In a typical week, approximately how much time do you spend with the individual? ____________________ hours/week

Instructions: The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS.

During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems?

None

Not at all

Slight

Rare, less than a day or two

Mild

Several days

Moderate

More than half the days

Severe

Nearly every day

Highest Domain Score

(clinician)

I.

1. Little interest or pleasure in doing things?

0

1

2

3

4

2. Feeling down, depressed, or hopeless?

0

1

2

3

4

II.

3. Feeling more irritated, grouchy, or angry than usual?

0

1

2

3

4

III.

4. Sleeping less than usual, but still have a lot of energy?

0

1

2

3

4

5. Starting lots more projects than usual or doing more risky things than usual?

0

1

2

3

4

IV.

6. Feeling nervous, anxious, frightened, worried, or on edge?

0

1

2

3

4

7. Feeling panic or being frightened?

0

1

2

3

4

8. Avoiding situations that make you anxious?

0

1

2

3

4

V.

9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?

0

1

2

3

4

10. Feeling that your illnesses are not being taken seriously enough?

0

1

2

3

4

VI.

11. Thoughts of actually hurting yourself?

0

1

2

3

4

VII.

12. Hearing things other people couldn’t hear, such as voices even when no one was around?

0

1

2

3

4

13. Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?

0

1

2

3

4

VIII.

14. Problems with sleep that affected your sleep quality over all?

0

1

2

3

4

IX.

15. Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?

0

1

2

3

4

X.

16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?

0

1

2

3

4

17. Feeling driven to perform certain behaviors or mental acts over and over again?

0

1

2

3

4

XI.

18. Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?

0

1

2

3

4

XII.

19. Not knowing who you really are or what you want out of life?

0

1

2

3

4

20. Not feeling close to other people or enjoying your relationships with them?

0

1

2

3

4

XIII.

21. Drinking at least 4 drinks of any kind of alcohol in a single day?

0

1

2

3

4

22. Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?

0

1

2

3

4

23. Using any of the following medicines ON YOUR OWN, that is, without a doctor’s prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?

0

1

2

3

4

Scoring and Interpretation

Each item on the measure is rated on a 5-point scale (0 = none or not at all; 1 = slight or rare, less than a day or two; 2 = mild or several days; 3 = moderate or more than half the days; and 4 = severe or nearly every day). The score on each item within a domain should be reviewed. Because additional inquiry is based on the highest score on any item within a domain, the clinician is asked to indicate that score in the "Highest Domain Score" column. A rating of mild (i.e., 2) or greater on any item within a domain (except for substance use, suicidal ideation, and psychosis) may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment for that domain is necessary. For substance use, suicidal ideation, and psychosis, a rating of slight (i.e., 1) or greater on any item within the domain may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment is needed. The DSM-5 Level 2 Cross-Cutting Symptom Measures may be used to provide more detailed information on the symptoms associated with some of the Level 1 domains (see Table 1 below).

Adult DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure: domains, thresholds for further inquiry, and associated Level 2 measures for adults ages 18 and over

Domain

Domain Name

Threshold to guide further inquiry

I.

Depression

Mild or greater

II.

Anger

Mild or greater

III.

Mania

Mild or greater

IV.

Anxiety

Mild or greater

V.

Somatic Symptoms

Mild or greater

VI.

Suicidal Ideation

Slight or greater

VII.

Psychosis

Slight or greater

VIII.

Sleep Problems

Mild or greater

IX.

Memory

Mild or greater

X.

Repetitive Thoughts and Behaviors

Mild or greater

XI.

Dissociation

Mild or greater

XII.

Personality Functioning

Mild or greater

XIII.

Substance Use

Slight or greater

Copyright © 2013 American Psychiatric Association

Personnel and Training Required

None

Equipment Needs

None

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 Mental Health Research Panel felt strongly that the question designed to assess suicidal ideation (question VI) was clearly not adequate for the assessment of the full range of suicide-related ideation; it felt that it may be better labeled "self-harm."

Research Domain Information

Release Date:

December 5, 2014

Definition

A questionnaire to briefly assess mental health domains that are important across psychiatric conditions.

Purpose

This measure can be used to help identify psychiatric conditions for further follow-up and help to guide treatment and prognosis.

Selection Rationale

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Level 1 Cross-Cutting Symptom Measure is a brief, self- or informant-rated measure that includes symptoms relevant across different psychiatric domains.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Psychopathology Broad Questionnaire Assessment Score4603797CDE Browser

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

General References

Narrow, W. E., Clarke, D. E., Kuramoto, S. J., Kraemer, H. C., Kupfer, D. J., Greiner, L., & Regier, D. A. (2013). DSM-5 field trials in the United States and Canada, Part III: Development and reliability testing of a cross-cutting symptom assessment for DSM-5. American Journal of Psychiatry, 170(1), 59-70.

Protocol ID:

610201

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX610201_Relationship_To_Sample_PersonPX610201010000If this questionnaire is completed by an informant, what is your relationship with the individual?4N/A
PX610201_Hours_With_Sample_PersonPX610201020000In a typical week, approximately how much time do you spend with the individual? hours/week4N/A
PX610201_Little_Interest_PleasurePX610201030000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Little interest or pleasure in doing things?4N/A
PX610201_Feeling_DepressedPX610201040000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling down, depressed, or hopeless?4N/A
PX610201_Feeling_Irritated_AngryPX610201050000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling more irritated, grouchy, or angry than usual?4N/A
PX610201_Little_Sleep_Same_EnergyPX610201060000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Sleeping less than usual, but still have a lot of energy?4N/A
PX610201_Doing_More_Than_UsualPX610201070000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Starting lots more projects than usual or doing more risky things than usual?4N/A
PX610201_Feeling_Nervous_AnxiousPX610201080000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling nervous, anxious, frightened, worried, or on edge?4N/A
PX610201_Feeling_PanicPX610201090000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling panic or being frightened?4N/A
PX610201_Avoiding_Anxious_SituationsPX610201100000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Avoiding situations that make you anxious4N/A
PX610201_Unexplained_AchesPX610201110000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?4N/A
PX610201_Feeling_Illnesses_Not_Taken_SeriouslyPX610201120000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling that your illnesses are not being taken seriously enough?4N/A
PX610201_Thoughts_Of_Hurting_SelfPX610201130000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Thoughts of actually hurting yourself?4N/A
PX610201_Hearing_VoicesPX610201140000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Hearing things other people couldn¿¿¿t hear, such as voices even when no one was around?4N/A
PX610201_Hear_ThoughtsPX610201150000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?4N/A
PX610201_Sleep_ProblemsPX610201160000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Problems with sleep that affected your sleep quality over all?4N/A
PX610201_Memory_ProblemsPX610201170000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?4N/A
PX610201_Unpleasant_ThoughtsPX610201180000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Unpleasant thoughts, urges, or images that repeatedly enter your mind?4N/A
PX610201_Perform_Acts_OverAndOverPX610201190000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling driven to perform certain behaviors or mental acts over and over again?4N/A
PX610201_Feeling_Detached_From_BodyPX610201200000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?4N/A
PX610201_Not_Knowing_SelfPX610201210000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Not knowing who you really are or what you want out of life?4N/A
PX610201_Not_Feeling_Close_To_OthersPX610201220000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Not feeling close to other people or enjoying your relationships with them?4N/A
PX610201_Four_Or_More_DrinksPX610201230000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Drinking at least 4 drinks of any kind of alcohol in a single day?4N/A
PX610201_Tobacco_UsePX610201240000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?4N/A
PX610201_Drug_UsePX610201250000The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Using any of the following medicines ON YOUR OWN, that is, without a doctor¿¿¿s prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?4N/A