Section 12 Panic Disorder

12.1 panic_disorder_title

Question: “## Panic Disorder”

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message

12.2 cpan0

Question:

"### Symptoms

Earlier you told me that you have had (an anxiety attack/anxiety attacks). I’d like to ask you more about that/these."

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message

12.3 dcpan001

Question:

"(During the worst times) when you suddenly felt very scared, anxious, or uncomfortable, did you have any physical feelings, like:

Trouble breathing?"

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.4 dcpan002

Question: “You were suffocating or smothering?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.5 dcpan003

Question: “Your heart beating very fast or extra hard?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.6 dcpan004

Question: “Your chest hurting or feeling tight?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.7 dcpan005

Question: “You were choking?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.8 dcpan006

Question: “Your mouth feeling dry?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.9 dcpan007

Question: “Feeling dizzy, light-headed, or like things were spinning?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.10 dcpan008

Question: “Feeling like you were going to faint or pass out?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.11 dcpan009

Question: “Feeling like the things around you were not real, like you’re in a dream?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.12 dcpan010

Question: “Feeling that you were not real, like you were not really controlling your body or you were watching a movie of yourself?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.13 dcpan011

Question: “Your hands or feet tingling or feeling numb?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.14 dcpan012

Question: “Sweating or your hands feeling wet?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.15 dcpan013

Question: “A stomachache, nausea, diarrhea, or feeling like you were going to throw up or had to go to the bathroom?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.16 dcpan014

Question: “Shaking or trembling?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.17 dcpan015

Question: “You were afraid you were going crazy?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.18 dcpan016

Question: “Losing control?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.19 dcpan017

Question: “Feeling very hot?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.20 dcpan018

Question: “Feeling very cold?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.21 dcpan019

Question: “You were afraid you were going to die?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.22 cpan1

Question: “INTERVIEWER: The participant did not endorse any symtoms. End Panic Disorder section.”

Visibility: dcpan001 = 0 and dcpan002 = 0 and dcpan003 = 0 and dcpan004 = 0 and dcpan005 = 0 and dcpan006 = 0 and dcpan007 = 0 and dcpan008 = 0 and dcpan009 = 0 and dcpan010 = 0 and dcpan011 = 0 and dcpan012 = 0 and dcpan013 = 0 and dcpan014 = 0 and dcpan015 = 0 and dcpan016 = 0 and dcpan017 = 0 and dcpan018 = 0 and dcpan019 = 0

Item Type: Single-select radio button

Responses:

Value	Label
1	End Section

12.23 dcpan020

Question:

"### Attack Characteristics

Did (list endorsed symptoms) start within the same few minutes, like around the same time?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.24 dcpan021

Question:

"For most of your attacks, how much time did it take to get from the beginning of the first feeling you told me about to most of the other feelings that you had?

Probe: Was it really fast or did it take a long time? You may have to probe to see if child has concept of 10 minute duration.

(N minutes, N hours)"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.25 dcpan021_a

Question: “INTERVIEWER: Was the reported duration greater than 10 minutes?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes

12.26 dcpan022

Question: “Have you ever had an attack that took less than 10 minutes from the beginning of the first feeling to most of the other feelings you had?”

Visibility: dcpan021_a = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.27 dcpan023

Question: “Did the attack/any of the attacks ever occur ‘out of the blue’ when nothing scary was happening, or when you least expected (it/them)?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.28 dcpan024

Question: “Have you woken up because of a panic attack or had one when you were sleeping?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.29 dcpan025

Question: “Please describe the attack that awakened you. Were you having a bad dream at the time? What woke you up? How were you feeling when you woke up?”

Visibility: dcpan024 = 1

Item Type: Text input

Responses: Free text entry

12.30 dcpan026

Question:

"Have you ever had an attack from having feelings that remind you of your attacks, like being out of breath when playing sports or while running around?

INTERVIEWER: You may have to explain this in more detail to younger children"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.31 dcpan027

Question: “How often did you stay away from activities that remind you of these feelings?”

Visibility: dcpan026 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	Never
1	Rarely
2	Sometimes
3	Most of the time
4	All the time
9	Unknown

12.32 dcpan028

Question:

"### Anxiety About Attacks

After an attack like this, did you ever worry that it would happen again?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.33 dcpan029

Question: “How often did you worry?”

Visibility: dcpan028 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	Never/not at all
1	Sometimes/some days
2	Always/almost every day
9	Unknown

12.34 dcpan030

Question: “Did having these attacks make you worry that there was something wrong with your heart, your mind or some other part of your body?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.35 dcpan031

Question: “Did having this/these attack(s) make you worry that you were going crazy or losing control?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.36 cpan3a

Question:

"For how long after an attack would you worry that these feelings (list symptoms) would come back?

(N days, N weeks)"

Visibility: dcpan030 = 1 or dcpan031 = 1

Item Type: Text input

Responses: Free text entry

12.37 cpan4

Question:

"What is the longest time after an attack that you worried it would happen again? (Probe: was it more than one month?)

_ (N days, N weeks)_"

Visibility: dcpan030 = 1 or dcpan031 = 1

Item Type: Text input

Responses: Free text entry

12.38 dcpan037

Question:

"### Avoidance Behavior

INTERVIEWER: You may have to probe for the right response in younger children.

(During the worst time) Did this/these attacks stop you from doing things or cause you to do things differently?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No Avoidance
1	Mild (no avoidance/endurance with dread only
2	Moderate (activities limited)
3	Severe (housebound)
9	Unknown

12.39 dcpan038

Question: “Did you stop going places by yourself?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No Avoidance
1	Mild (no avoidance/endurance with dread only
2	Moderate (activities limited)
3	Severe (housebound)
9	Unknown

12.40 dcpan039

Question: “Would you go places with your mom, dad, a friend or someone else?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No Avoidance
1	Mild (no avoidance/endurance with dread only
2	Moderate (activities limited)
3	Severe (housebound)
9	Unknown

12.41 dcpan040

Question:

"### Associated Conditions: Anxiety

Did you only have this/these attack(s) when you were separated from your parents?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.42 dcpan041

Question: “Did you only have this/these attack(s) when you were in a very dangerous situation?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.43 dcpan042

Question: “Did you have attacks only when other people were looking at you or listening to you, or you were the center of attention?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.44 dcpan043

Question: “Did you have attacks only when you saw something or you were in a situation that almost always makes you upset, nervous, or anxious such as heights or elevators (list specific phobias if they have any)?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.45 dcpan044

Question: “Did you have attacks only when you felt trapped and unable to get away?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.46 cpan8

Question:

"### Alcohol and Drugs

INTERVIEWER: Is the participant 12 years or older?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes

12.47 dcpan045

Question:

"Did you only have attacks when you were using:

Alcohol?"

Visibility: cpan8 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.48 dcpan046

Question: “Cannabis (pot, marijuana)?”

Visibility: cpan8 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.49 dcpan047

Question: “Caffeine?”

Visibility: cpan8 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.50 dcpan048

Question: “Tobacco/nictoine (cigarettes)?”

Visibility: cpan8 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.51 dcpan049

Question: “Other drugs?”

Visibility: cpan8 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.52 cpan11

Question:

"### Distress/Impairment

Please look at Participant Card 8: Distress/Impairment.

INTERVIEWER: Remind child how to use scale, if necessary."

Visibility: cpan1 != 1

Item Type: User Message/instructions

Responses: This item is a markdown message

12.53 dcpan053

Question:

"### Distress

How much did having these attacks upset or bother you?"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.54 dcpan054

Question:

"### Impairment

How much did the attacks you have told me about cause problems for you at home, at school, or with your family or friends?"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.55 dcpan055

Question: “Did you stay home from school because of your attacks?”

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.56 dcpan056

Question: “How many days of school did you miss? (lifetime)”

Visibility: dcpan055 = 1

Item Type: Text input

Responses: Free text entry

12.57 dcpan057

Question:

"### Episodes/Course (Lifetime)

How many attacks like this have you had in your life?"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.58 dcpan057_a

Question: “INTERVIEWER: Did the participant have more than 1 attack over his/her lifetime?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes

12.59 dcpan058

Question:

"### Episodes: Onset

How old were you when you first had one of these attacks?

Code 998 if “always,” 999 if “unknown.”"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.60 dcpan059

Question:

"### Episodes: Offset

INTERVIEWER: If only one attack, record the same age from previous question.

How old were you the last time you had one of these attacks?

Code 998 if “always,” 999 if “unknown.”"

Visibility: cpan1 != 1

Item Type: Text input

Responses: Free text entry

12.61 cpan18

Question:

"### Episodes: Course

Thinking about all of your panic attacks:

What was the longest period of time that the attacks did not bother you?

(N days, N weeks, N months)"

Visibility: dcpan057_a = 1

Item Type: Text input

Responses: Free text entry

12.62 dcpan063

Question: “From your first to last panic attack (between ages) what was the pattern of your attacks, would you say:”

Visibility: dcpan057_a = 1

Item Type: Single-select radio button

Responses:

Value	Label
1	Only had a few scattered over many years
2	A few attacks per year for several years
3	Many attacks per year spread out during the year
4	Panic attacks clustered together over a brief period
5	Many attacks per year that came in groups during the year
9	Unknown

12.63 dcpan064

Question:

"### Help-Seeking Treatment (Lifetime)

Did anyone, like a teacher or family member, suggest that you get help for these symptoms?"

Visibility: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.64 dcpan065

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: cpan1 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.65 cpan21

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: dcpan065 = 1

Item Type: User Message/instructions

Responses: This item is a markdown message

12.66 dcpan066

Question: “Specify (Professional/Treatment 1):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.67 dcpan067

Question: “Code (Professional/Treatment 1):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.68 dcpan068

Question: “Specify (Professional/Treatment 2):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.69 dcpan069

Question: “Code (Professional/Treatment 2):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.70 dcpan070

Question: “Specify (Professional/Treatment 3):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.71 dcpan071

Question: “Code (Professional/Treatment 3):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.72 dcpan073

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: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.73 dcpan074

Question: “Code (Professional/Treatment):”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.74 dcpan075

Question:

"How old were you the first time you got help?

Code 998 if “always,” 999 if “unknown.”"

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.75 dcpan076

Question: “Are you getting help now?”

Visibility: dcpan065 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.76 dcpan077

Question:

"If no, how old were you the last time you got help?

Code 998 if “always,” 999 if “unknown.”"

Visibility: dcpan076 = 0

Item Type: Text input

Responses: Free text entry

12.77 dcpan078

Question: “What did the professional say that you had (diagnoses given)? List:”

Visibility: dcpan065 = 1

Item Type: Text input

Responses: Free text entry

12.78 cpan22

Question: “What kind of treatment(s) have you gotten? (Check all that apply)”

Visibility: dcpan065 = 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	Going to the emergency room
4	Other

12.79 dcpan083

Question: “Specify (Other treatment):”

Visibility: cpan22 .includes(4)

Item Type: Text input

Responses: Free text entry

12.80 dcpan084

Question:

"Were you on medications?

INTERVIEWER: Refer to Participant Card 9 (Medications), record and code responses in the following screens."

Visibility: dcpan065 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

12.81 dcpan085

Question: “Specify (Medication 1):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.82 dcpan086

Question: “Code (Medication 1):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.83 dcpan087

Question: “Specify (Medication 2):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.84 dcpan088

Question: “Code (Medication 2):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.85 dcpan089

Question: “Specify (Medication 3):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.86 dcpan090

Question: “Code (Medication 3):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.87 dcpan091

Question: “Specify (Medication 4):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.88 dcpan092

Question: “Code (Medication 4):”

Visibility: dcpan084 = 1

Item Type: Text input

Responses: Free text entry

12.89 cpan_end

Question: “INTERVIEWER: The participant did not endorse any fear/worries. End Panic Disorder Section.”

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message