Section 13 Agoraphobia
13.1 agoraphobia_title
Question: “## Agoraphobia”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
13.2 cagr0
Question:
"### Symptoms
Earlier you said that you have been very nervous or afraid of (list endorsed fears). I’d now like to ask you more about (that/those)."
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
13.3 dcagr001
Question:
"Have you ever been very afraid of?
- Riding in a car?"
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.4 dcagr002
Question: “2) Riding in a bus, train or subway?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.5 dcagr003
Question: “3) Going over bridges or through tunnels?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.6 dcagr004
Question: “4) Being far from home or leaving familiar places?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.7 dcagr005
Question: “5) Being in the house alone? (For younger children: Being alone in a room or in a different part of the house from your parents.)”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.8 dcagr006
Question: “Describe (house alone):”
Visibility: dcagr005 = 1
Item Type: Text input
Responses: Free text entry
13.9 dcagr007
Question: “6) Being in a room alone?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.10 dcagr008
Question:
"7) Going outside of your house by yourself (i.e., to play)?
INTERVIEWER: Code NO if due to separation anxiety."
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.11 dcagr009
Question: “Describe (going outside house alone):”
Visibility: dcagr008 = 1
Item Type: Text input
Responses: Free text entry
13.12 dcagr010
Question: “8) Being in crowds or crowded places?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.13 dcagr011
Question: “9) Standing in line in a public place?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.14 dcagr012
Question: “10) Being in stores or shopping malls?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.15 dcagr013
Question: “11) Being in classrooms or cafeteria at school?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.16 dcagr014
Question: “12) Being in a restaurant?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.17 dcagr015
Question: “13) Being in a movie theater or in a church, temple, or mosque?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.18 dcagr016
Question: “14) Being in a wide, open field or street?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.19 dcagr017
Question: “15) Being in a park or playground?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.20 dcagr018
Question: “16) Anything else?”
Visibility: Always
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.21 dcagr019
Question: “Specify (Other):”
Visibility: dcagr018 = 1
Item Type: Text input
Responses: Free text entry
13.22 cagr1
Question: “INTERVIEWER: The participant did not endorse any fears. End Agoraphobia section.”
Visibility: dcagr001 = 0 and dcagr002 = 0 and dcagr003 = 0 and dcagr004 = 0 and dcagr005 = 0 and dcagr007 = 0 and dcagr008 = 0 and dcagr010 = 0 and dcagr011 = 0 and dcagr012 = 0 and dcagr013 = 0 and dcagr014 = 0 and dcagr015 = 0 and dcagr016 = 0 and dcagr017 = 0 and dcagr018 = 0
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 1 | End Section |
13.23 cagr2
Question: “INTERVIEWER: Be sure to distinguish between Agoraphobia, Specific Phobias and Separation Anxiety here (e.g. if the child is fearful because he/she is away from his/her parent this suggests Separation Anxiety, not Agoraphobia). Key criterion for Agoraphobia are listed below under Nature of Fear.”
Visibility: cagr1 != 1
Item Type: User Message/instructions
Responses: This item is a markdown message
13.24 dcagr020
Question:
"### Nature of Fear
When you were in (this/these) situation(s) (list specifics from above), were you ever afraid that:
You might get trapped?"
Visibility: cagr1 != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 7 | Not Applicable |
| 9 | Unknown |
13.25 dcagr021
Question: “You couldn’t escape?”
Visibility: cagr1 != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 7 | Not Applicable |
| 9 | Unknown |
13.26 dcagr022
Question: “You wouldn’t be able to get help if you needed it?”
Visibility: cagr1 != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 7 | Not Applicable |
| 9 | Unknown |
13.27 dcagr023
Question: “It would be embarrassing to escape?”
Visibility: cagr1 != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 7 | Not Applicable |
| 9 | Unknown |
13.28 dcagr024
Question: “Other?”
Visibility: cagr1 != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 7 | Not Applicable |
| 9 | Unknown |
13.29 dcagr025
Question: “Specify (Other):”
Visibility: dcagr024 = 1 or dcagr024 = 2
Item Type: Text input
Responses: Free text entry
13.30 cagr2_a
Question: “INTERVIEWER: If no to all above, consider assessing under specific phobia and/or separation anxiety.”
Visibility: dcagr020 = 0 and dcagr021 = 0 and dcagr022 = 0 and dcagr023 = 0 and dcagr024 = 0
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 1 | End Section |
| 2 | Continue |
13.31 dcagr026
Question: “Why were you nervous or afraid in these situations?”
Visibility: cagr2_a != 1
Item Type: Text input
Responses: Free text entry
13.32 dcagr027
Question:
"INTERVIEWER: List the worst situation below, refer to Participant Card 4: Other Fears.
Most distressing and avoided situation:"
Visibility: cagr2_a != 1
Item Type: Text input
Responses: Free text entry
13.33 dcagr028
Question: “Code (Most distressing and avoided situation):”
Visibility: cagr2_a != 1
Item Type: Text input
Responses: Free text entry
13.34 dcagr029
Question:
"### Worst Fear Category
I will now ask you about (your fear listed). When you were most afraid of (list fear):
How often did you feel nervous or afraid (insert situation)?
INTERVIEWER: Please read responses never, sometimes, almost always."
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | Never |
| 1 | Sometimes |
| 2 | Almost Always |
| 9 | Unknown |
13.35 dcagr030
Question: “Did this scare you too much? Do you think you were more scared than you should have been?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.36 dcagr031
Question: “Were you much more scared by this than other people your age?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.37 dcagr032
Question: “When you have to do (fear), did you feel very nervous, scared, or upset?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.38 dcagr033
Question: “When you had to do (fear), did you become very nervous, scared or upset right away?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.39 dcagr034
Question: “When you had to do (fear), did your heart ever beat very fast, or did you feel sweaty or have trouble breathing?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.40 dcagr035
Question: “When you had to do (fear), did you feel like crying, losing your temper, or like you couldn’t move around?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.41 dcagr036
Question: “Did being afraid of (fear) keep you from doing things you should or wanted to do?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.42 dcagr037a
Question: “Example 1 (Things):”
Visibility: dcagr036 = 1
Item Type: Text input
Responses: Free text entry
13.43 dcagr037b
Question: “Example 2 (Things):”
Visibility: dcagr036 = 1
Item Type: Text input
Responses: Free text entry
13.44 dcagr037c
Question: “Example 3 (Things):”
Visibility: dcagr036 = 1
Item Type: Text input
Responses: Free text entry
13.45 dcagr038
Question: “Did you change your behavior in any way (e.g. any change in daily activities, such as avoiding going to theaters or shopping malls)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.46 dcagr039
Question: “Was this fear so upsetting that you tried to get out of doing (fear)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.47 dcagr040
Question: “Did you have to force yourself to do (fear)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.48 dcagr041
Question: “Did you start to get nervous as soon as you knew you had to face (fear)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.49 dcagr042
Question: “When you were with a parent or friend, did (fear) upset you as much?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.50 dcagr043
Question: “When you were with a parent or friend, were you able to face (fear)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.51 cagr9
Question:
"### Distress/Impairment
Please look at Participant Card 8: Distress/Impairment.
INTERVIEWER: Remind child how to use scale, if necessary."
Visibility: cagr2_a != 1
Item Type: User Message/instructions
Responses: This item is a markdown message
13.52 dcagr044
Question:
"### Distress
How much did having this fear upset or bother you?"
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | 0 |
| 1 | 1 |
| 2 | 2 |
| 3 | 3 |
| 4 | 4 |
| 5 | 5 |
| 6 | 6 |
| 7 | 7 |
| 8 | 8 |
| 9 | 9 |
| 10 | 10 |
| 998 | Unknown |
13.53 dcagr045
Question:
"### Impairment
How much did the fear you told me about cause problems for you at home, at school, or with your family or friends?"
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | 0 |
| 1 | 1 |
| 2 | 2 |
| 3 | 3 |
| 4 | 4 |
| 5 | 5 |
| 6 | 6 |
| 7 | 7 |
| 8 | 8 |
| 9 | 9 |
| 10 | 10 |
| 998 | Unknown |
13.54 dcagr046
Question: “Did you stay home from school because of your fear?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.55 cagr12
Question:
"How many days of school did you miss? (lifetime)
(N days, N weeks, N months)"
Visibility: dcagr046 = 1
Item Type: Text input
Responses: Free text entry
13.56 dcagr050
Question: “Did you ever avoid going to fun activities/events like amusement parks, movies, or parties because of your fear?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.57 dcagr051
Question: “How many times?”
Visibility: dcagr050 = 1
Item Type: Text input
Responses: Free text entry
13.58 dcagr052
Question:
"### Associated Conditions: Anxiety
Were you afraid of (fear) only when you were anxious or worried about something else, or when you were having panic attacks?
INTERVIEWER: Define panic attacks, as necessary."
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 7 | N/A |
| 9 | Unknown |
13.59 dcagr053
Question: “Were you afraid of (fear) only when you were separated from your parents?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 7 | N/A |
| 9 | Unknown |
13.60 cagr16
Question:
"### Episodes: Onset
How old were you the first time you had these fears?
Code 998 if “always,” 999 if “unknown.”"
Visibility: cagr2_a != 1
Item Type: Text input
Responses: Free text entry
13.61 dcagr056
Question:
"### Episodes: Current
Are you still afraid of (fear)?"
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.62 dcagr057
Question:
"### Episodes: Offset
How old were you the last time you had this fear?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcagr056 = 0
Item Type: Text input
Responses: Free text entry
13.63 dcagr058
Question:
"### Episodes: Course
Since you were (age of onset), was there ever a time when you were not afraid of (fear)?"
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.64 cagr19
Question:
"What was the longest period of time that (fear) did not bother you?
(N weeks, N months, N years)"
Visibility: dcagr058 = 1
Item Type: Text input
Responses: Free text entry
13.65 dcagr062
Question:
"### Help-Seeking Treatment (Lifetime)
Did anyone, like a teacher or family member, suggest that you get help for these symptoms?"
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.66 dcagr063
Question: “Did you ever go to see a doctor, nurse, psychologist, social worker, school counselor, minister/priest or other professional to get help for( list symptoms)?”
Visibility: cagr2_a != 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.67 cagr22
Question:
"What kind of person/people did you get help from?
INTERVIEWER: Refer to Participant Card 13 (Professional/Treatment), record and code responses on the following screens."
Visibility: dcagr063 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
13.68 dcagr064
Question: “Specify (Professional/Treatment 1):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.69 dcagr065
Question: “Code (Professional/Treatment 1):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.70 dcagr066
Question: “Specify (Professional/Treatment 2):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.71 dcagr067
Question: “Code (Professional/Treatment 2):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.72 dcagr068
Question: “Specify (Professional/Treatment 3):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.73 dcagr069
Question: “Code (Professional/Treatment 3):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.74 dcagr071
Question:
"INTERVIEWER: If you listed multiple people, ask this question. If not, Skip:
Who did you get help from the first time?
Specify (Professional/Treatment):"
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.75 dcagr072
Question: “Code (Professional/Treatment):”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.76 dcagr073
Question:
"How old were you the first time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.77 dcagr074
Question: “Are you getting help now?”
Visibility: dcagr063 = 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.78 dcagr075
Question:
"If no, how old were you the last time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcagr074 = 0
Item Type: Text input
Responses: Free text entry
13.79 dcagr076
Question: “What did the professional say that you had (diagnoses given)? List:”
Visibility: dcagr063 = 1
Item Type: Text input
Responses: Free text entry
13.80 cagr24
Question: “What kind of treatment(s) have you gotten? (Check all that apply)”
Visibility: dcagr063 = 1
Item Type: Multi-select checkbox
Responses:| Value | Label |
|---|---|
| 1 | Out-patient (Going to see someone in an office) |
| 2 | In-patient (Staying in a hospital) |
| 3 | Other |
13.81 dcagr080
Question: “Specify (Other treatment):”
Visibility: cagr24 .includes(3)
Item Type: Text input
Responses: Free text entry
13.82 dcagr081
Question:
"Were you on medications?
INTERVIEWER: Refer to Participant Card 9 (Medications), record and code responses in the following screens."
Visibility: dcagr063 = 1
Item Type: Single-select radio button
Responses:| Value | Label |
|---|---|
| 0 | No |
| 1 | Yes |
| 9 | Unknown |
13.83 dcagr082
Question: “Specify (Medication 1):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.84 dcagr083
Question: “Code (Medication 1):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.85 dcagr084
Question: “Specify (Medication 2):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.86 dcagr085
Question: “Code (Medication 2):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.87 dcagr086
Question: “Specify (Medication 3):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.88 dcagr087
Question: “Code (Medication 3):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.89 dcagr088
Question: “Specify (Medication 4):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.90 dcagr089
Question: “Code (Medication 4):”
Visibility: dcagr081 = 1
Item Type: Text input
Responses: Free text entry
13.91 cagr_end
Question: “INTERVIEWER: END of Agoraphobia section”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message