SECTION DD: ANXIETY
|___|___| : |___|___|
Time
INTERVIEWER CHECKPOINT N / O
SEE REFERENCE CARD, "SCREENERS" CC2-CC7
|__| 1. ONE OR MORE "YES" RESPONSES IN CC2-CC7
INTERVIEWER QUERY: FIRST "YES" RESPONSE IN CC2-CC7 SERIES IS:
|__| 1. CC2 ® TURN TO DD24
|__| 2. CC2a ® TURN TO DD24
|__| 3. CC3 ® TURN TO EE1
|__| 4. CC4 ® TURN TO EE1
|__| 5. CC5 ® TURN TO FF1
|__| 6. CC6 ® TURN TO GG1
|__| 7. CC7 ® TURN TO GG16
|__| 2. ALL OTHERS ® TURN TO SECTION HH
DD24. Earlier you said you had a period of a month or more when most of the time you felt worried, tense or anxious about everyday problems such as work or family. The next questions are about longer periods of feeling worried like that. What is the longest period you have had of feeling worried, tense or anxious? |
|__|__|__| MONTHS IF SIX MONTHS OR MORE, GO TO DD25a, OTHERWISE GO TO DD24c IF DON’T KNOW, GO TO DD24a. |
DD24a. What is your best estimate? |
|__|__|__| MONTHS (GO TO DD24c) IF STILL DON’T KNOW, GO TO DD24b. |
DD24b. Would you say it lasted six months or longer? |
YES (GO TO DD25a) 01 NO 02 |
DD24c. People differ a lot in how much they worry about things. Did you ever have a time in your life when you worried a lot more than most people would in your situation? |
YES 01 NO (GO TO NEXT INTERVIEWER CHECKPOINT Q) 02 |
DD24d. What is the longest period of this sort you have had? |
|__|__|__| MONTHS IF LESS THAN 6 MONTHS, GO TO INTERVIEWER CHECKPOINT Q |
DD25a. Think of your worst period of six months or more of feeling worried, tense or anxious. During that period: Do you think your worrying was excessive, that is, much stronger than in other people? |
YES 01 NO 02 |
DD25b. Did you worry about these things most days? |
YES 01 NO 02 |
DD25c. Did you find id difficult to stop worrying? |
YES 01 NO 02 |
DD25d. What sort of things did you mainly worry about? RECORD VERBATIM IF EXAMPLE IS EXCLUSIVELY ABOUT OWN SYMPTOMS, WEIGHT OR DRUGS, ASK: Anything else? RECORD VERBATIM |
EXAMPLE__________________________ ___________________________________ EXAMPLE__________________________ ___________________________________ IF EXAMPLE STILL DOES NOT INCLUDE OTHER WORRIES, CODE 1 AND SKIP TO EE1 OWN SYMPTOMS, OVERWEIGHT, DRUGS 01 ANYTHING ELSE 02 |
Next, I am going to read a list of problems some people have during such periods of feeling worried, tense, or anxious. Think about your worst period of feeling worried, tense or anxious. During that period. . .
YES |
NO |
|
DD26a. . . . were you restless? |
01 |
02 |
DD26b. . . . did you feel keyed up or on edge? |
01 |
02 |
DD26c. . . . were you easily tired? |
01 |
02 |
DD26d. . . . did you have difficulty keeping your mind on what you were doing? |
01 |
02 |
DD26e. . . . were you more irritable than usual? |
01 |
02 |
DD26f. . . . did you have tense, sore or aching muscles? |
01 |
02 |
DD26g. . . . did you have trouble falling asleep? |
01 |
02 |
DD26h. . . . did your heart pound or race? |
01 |
02 |
DD26i. . . . did you sweat? |
01 |
02 |
DD26j. . . . did you tremble or shake? |
01 |
02 |
DD26k. . . . did you have a dry mouth? |
01 |
02 |
IF NO ANSWERS ARE CODED YES IN DD26a THRU DD26k ® GO TO INTERVIEWER CHECKPOINT Q IF 4 OR MORE YESES ARE CODED ® CIRCLE ITEMS CODED YES ON CARD D2 AND GO TO DD27 OTHERS ® ASK DD26l THRU DD26X, BUT GO TO DD27 AFTER A TOTAL OF 4 ITEMS ARE CODED YES IN DD26a THRU DD26x. |
||
YES |
NO |
|
DD26l. . . . were you short of breath? |
01 |
02 |
DD26m. . . . did you feel like you were choking? |
01 |
02 |
DD26n. . . . did you have pain or discomfort in your chest? |
01 |
02 |
DD26o. . . . did you have pain or discomfort in your stomach? |
01 |
02 |
DD26p. . . . did you have nausea? |
01 |
02 |
DD26q. . . . did you feel dizzy or light headed? |
01 |
02 |
DD26r. . . . did you feel that you or things around you were unreal? |
01 |
02 |
DD26s. . . . were you afraid that you might lose control, act in a crazy way or pass out? |
01 |
02 |
DD26t. . . . were you afraid that you might die? |
01 |
02 |
DD26u. . . . did you have hot flashes or chills? |
01 |
02 |
DD26v. . . . did you have numbness or tingling sensations? |
01 |
02 |
DD26w. . . . did you feel like you had a lump in your throat? |
01 |
02 |
DD26x. . . . were you easily startled? |
01 |
02 |
CIRCLE ITEMS CODED YES ON CARD D2 IF LESS THAN 4 ITEMS CIRCLED ON CARD D2 ® GO TO INTERVIEWER CHECKPOINT Q |
DD27. Did you tell a doctor about feeling worried, tense or anxious about everyday problems? |
YES 01 NO (GO TO DD31) 02 |
DD28. When you told the doctor, what was the diagnosis? IF NECESSARY: What did the doctor say was causing these situations? (RECORD VERBATIM) |
___________________________________ ___________________________________ |
DD29. Did the doctor find anything abnormal during an examination, or from tests or x-rays? |
YES 01 NO (GO TO DD30a) 02 |
DD30. What did the doctor find? (RECORD VERBATIM) |
___________________________________ ___________________________________ |
QUESTIONS DD30a - DD30c ARE INTERVIEWER QUERIES. DO NOT READ ALOUD. |
|
DD30a. DID THE DOCTOR MENTION ANY OF THE FOLLOWING AS A POSSIBLE CONTRIBUTING CAUSE? NERVES STRESS TENSION EXHAUSTION OVERWORK DEPRESSION HYPERVENTILATION REACTION TO UPSETTING EVENT OR SITUATION MANIA PANIC ATTACKS ANXIETY ANY OTHER EMOTIONAL/MENTAL PROBLEM |
YES (GO TO DD40) 01 NO (GO TO DD30b ) 02 |
DD30b. DID THE DOCTOR MENTION ALCOHOL OR DRUGS OR ADVERSE EFFECTS OF MEDICATIONS AS POSSIBLE CONTRIBUTING CAUSES? |
YES 01 NO 02 |
DD30c. DID THE DOCTOR MENTION A PHYSICAL ILLNESS OR INJURY AS A POSSIBLE CONTRIBUTING CAUSE? |
YES (GO TO DD34) 01 NO (GO TO DD40) 02 |
DD31. Did you tell any other professional about feeling worried, tense or anxious about everyday problems? ("OTHER PROFESSIONAL" INCLUDES PSYCHOLOGISTS, SOCIAL WORKERS, COUNSELORS, NURSES, CLERGY, DENTISTS, CHIROPRACTORS, HEALERS AND PODIATRISTS.) |
YES 01 NO 02 |
DD32. Did you take medication more than once for feeling worried, tense or anxious about everyday problems? (NOTE: "MORE THAN ONCE" MEANS ONE OR MORE PILLS ON AT LEAST TWO OCCCASIONS WHERE AN "OCCASION" COULD OCCUR MORE THAN ONCE IN THE SAME DAY. E.G., TAKING A PILL ONCE IN THE MORNING AND THEN A SECOND PILL IN THE AFTERNOON ON THE SAME DAY WOULD QUALIFY AS "MORE THAN ONCE" WHILE TAKING TWO PILLS IN THE MORNING WOULD NOT QUALIFY AS "MORE THAN ONCE.") YES 01 NO 02 |
DD32a. Did feeling worried, tense or anxious about everyday problems interfere with your life or activities a lot? |
YES 01 NO 02 |
DD33. Was feeling worried, tense or anxious about everyday problems ever the result of a physical illness or injury? |
YES 01 NO (GO TO DD37) 02 |
DD34. Was feeling worried, tense or anxious about everyday problems always the result of a physical illness or injury? |
YES 01 NO (GO TO DD36) 02 |
DD35. What was your illness or injury? (RECORD VERBATIM AND GO TO INTERVIEWER CHECKPOINT Q) |
____________________________________________ ____________________________________________ |
DD36. When feeling worried, tense or anxious about everyday problems was not due to physical illness or injury, was it always the result of taking medication, drugs, or alcohol? |
YES (GO TO DD39) 01 NO (GO TO DD40) 02 |
DD37. Was feeling worried, tense or anxious about everyday problems ever the result of taking medication, drugs or alcohol? |
YES 01 NO (GO TO DD40) 02 |
DD38. Was feeling worried, tense or anxious about everyday problems always the result of taking medication, drugs or alcohol? |
YES 01 NO (GO TO DD40) 02 |
DD39. What were the drugs or medicines and the physical illness or injury that caused these situations? |
____________________________________________ ____________________________________________ ____________________________________________ |
DD40. Have you ever been very upset with yourself for feeling worried, tense or anxious for long periods of time? |
YES 01 NO 02 |
DD41. Did the period of worry, tension or anxiety ever interfere with your life or activities a lot? |
YES, A LOT 01 NO, NOT A LOT 02 |
DD42. Can you remember your exact age the first time you had one of these long periods of feeling worried, tense or anxious? YES 01 NO (GO TO DD43) 02 |
|
DD42a. About how old were you? (IF NECESSARY: What is your best estimate?) |
|__|__| YEARS OLD IF DON’T KNOW, ASK DD43 ALL OTHERS GO TO DD44 |
DD43. What is the earliest age you can clearly remember having one of these long periods of feeling worried, tense or anxious? |
|__|__| AGE |
DD44. When was the last time you had a period of this sort? Was it. . . Right now (GO TO INTERVIEWER CHECKPOINT Q) 01 In the past 2 weeks (GO TO INTERVIEWER CHECKPOINT Q) 02 Past month (GO TO INTERVIEWER CHECKPOINT Q) 03 Past 6 months (GO TO INTERVIEWER CHECKPOINT Q) 04 Past year (GO TO INTERVIEWER CHECKPOINT Q) 05 More than a year ago 06 |
|
DD44a. How old were you the last time you had a period of this sort? |
|__|__| YEARS OLD IF DON’T KNOW ASK DD44b ALL OTHERS GO TO INTERVIEWER CHECKPOINT Q |
DD44b. What is your best estimate? |
|__|__| YEARS OLD |
INTERVIEWER CHECKPOINT Q SEE REFERENCE CARD, "SCREENERS" CC3-CC7 |__| 1. ONE OR MORE "YES" RESPONSES IN CC3-CC7 INTERVIEWER QUERY: FIRST "YES" RESPONSE IN CC3-CC7 SERIES IS: |__| 1. CC3 ® TURN TO EE1 |__| 2. CC4 ® TURN TO EE1 |__| 3. CC5 ® TURN TO FF1 |__| 4. CC6 ® TURN TO GG1 |__| 5. CC7 ® TURN TO GG16 |__| 2. ALL OTHERS ® TURN TO SECTION HH |