Section 11 Separation Anxiety

11.1 seperation_anxiety_title

Question: “## Seperation Anxiety”

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message

11.2 csep0

Question:

"### Symptoms

Earlier you told me that you worried about your parents or grown-ups who took care of you. I’d now like to ask you some more questions about that."

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message

11.3 dcsep001

Question: “During this time, who did you have trouble being away from?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
1	Mom
2	Dad
3	Both
4	Other Adult

11.4 dcsep002

Question: “Specify (Other):”

Visibility: dcsep001 = 4

Item Type: Text input

Responses: Free text entry

11.5 dcsep003

Question: “Describe:”

Visibility: Always

Item Type: Text input

Responses: Free text entry

11.6 dcsep004

Question:

"During that time:

Did you feel really scared, upset or worried when you were away from (attachment figure(s))?

INTERVIEWER: Code yes only if excessive; If reported before age 6, must be of panic proportions."

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.7 dcsep005

Question: “Did you worry that something bad might happen to your (attachment figure(s))?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.8 dcsep007

Question: “What did you think might happen?”

Visibility: dcsep005 = 1

Item Type: Text input

Responses: Free text entry

11.9 dcsep008

Question: “Did you ever worry that she/he might leave and not come back?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.10 dcsep009

Question: “Did you worry that something bad might happen to you so you couldn’t see your (attachment figure(s)) again, like getting lost or kidnapped?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.11 dcsep010

Question: “When you knew that you were going to be away from home or (attachment figure(s)), did you get very upset and worry?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.12 dcsep011

Question: “Did you feel so nervous or afraid to go to school that you wouldn’t go or you had to be forced to go?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.13 dcsep012

Question: “Was this because you wanted to stay with your (attachment figure(s))?”

Visibility: dcsep011 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.14 dcsep013

Question: “Was this only during the first few days of school?”

Visibility: dcsep011 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.15 dcsep014

Question: “Did your (attachment figure(s)) ever stay with you in school?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.16 dcsep015

Question: “Were there any other places you would not go because you are afraid to be away from (attachment figure)?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.17 dcsep016

Question: “Did you need your (attachment figure(s)) to stay with you while you fell asleep?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.18 dcsep017

Question: “Was it hard for you to sleep away from home without (attachment figure(s))?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.19 dcsep018

Question: “When you were at home with your (attachment figure(s)), were you scared of being alone in your room or any place in the house? For example, if you were in your room and your parents (attachment figure) were in the kitchen, did you go to the kitchen to be with your (attachment figure)?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.20 dcsep019

Question: “Did you have a lot of bad dreams about getting hurt or about something bad happening so you couldn’t see your (attachment figure(s))?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.21 dcsep020

Question: “Did you get sick to your stomach, have headaches, or throw-up when your (attachment figure) had to go out without you?”

Visibility: Always

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.22 csep2

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

Visibility: dcsep004 = 0 and dcsep005 = 0 and dcsep008 = 0 and dcsep009 = 0 and dcsep010 = 0 and dcsep011 = 0 and dcsep014 = 0 and dcsep015 = 0 and dcsep016 = 0 and dcsep017 = 0 and dcsep018 = 0 and dcsep019 = 0 and dcsep020 = 0

Item Type: User Message/instructions

Responses: This item is a markdown message

11.23 dcsep021

Question: “Did you have this/these on school days?”

Visibility: dcsep020 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.24 dcsep022

Question: “Did you have this/these on weekends too?”

Visibility: dcsep020 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.25 dcsep023

Question: “Was there always something to explain these (nausea/headaches), like a cold or flu or swollen tonsils?”

Visibility: dcsep020 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.26 dcsep024

Question: “Do you think you worried about these/this thing(s) (list endorsed symptoms) too much or more than you should?”

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.27 dcsep025

Question: “Did you worry about these things more than children your age?”

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.28 dcsep026

Question: “You mentioned (one, two, several) worries about being away from (attachment figure(s)). When these worries were the worst, how often did you have them?”

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
1	Less than half the days
2	About half the days
3	Most days
4	Every day
9	Don’t know

11.29 csep4

Question:

"### Distress/Impairment

Please look at Participant Card 8: Distress/Impairment.

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

Visibility: csep2 != 1

Item Type: User Message/instructions

Responses: This item is a markdown message

11.30 dcsep027

Question:

"### Distress

How much did having these worries (about the attachment figure) upset or bother you? Please rate on scale."

Visibility: csep2 != 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

11.31 dcsep028

Question:

"### Impairment

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

Visibility: csep2 != 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

11.32 dcsep029

Question: “Did you stay home from school because of these worries about (the attachment figure)?”

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.33 dcsep030

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

Visibility: dcsep029 = 1

Item Type: Text input

Responses: Free text entry

11.34 dcsep031

Question:

"### Episodes: Onset

How old were you the first time you had these worries?

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

Visibility: csep2 != 1

Item Type: Text input

Responses: Free text entry

11.35 dcsep032

Question:

"### Episodes: Offset

Do you have these worries now?"

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.36 dcsep033

Question:

"How old were you the last time you had these worries?

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

Visibility: dcsep032 = 0

Item Type: Text input

Responses: Free text entry

11.37 dcsep034

Question:

"### Episodes: Course

Since you were (age of onset), was there ever a time when you were not worried about being apart from (attachment figure(s))?"

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.38 csep11

Question:

"What was the longest period of time that you did not worry about this?

(N weeks, N months, N years)"

Visibility: dcsep034 = 1

Item Type: Text input

Responses: Free text entry

11.39 dcsep038

Question:

"### Help-Seeking Treatment (Lifetime)

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

Visibility: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.40 dcsep039

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: csep2 != 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.41 csep14

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: dcsep039 = 1

Item Type: User Message/instructions

Responses: This item is a markdown message

11.42 dcsep040

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.43 dcsep041

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.44 dcsep042

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.45 dcsep043

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.46 dcsep044

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.47 dcsep045

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.48 dcsep047

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: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.49 dcsep048

Question: “Code (Professional/Treatment):”

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.50 dcsep049

Question:

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

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.51 dcsep050

Question: “Are you getting help now?”

Visibility: dcsep039 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.52 dcsep051

Question:

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

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

Visibility: dcsep050 = 0

Item Type: Text input

Responses: Free text entry

11.53 dcsep052

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

Visibility: dcsep039 = 1

Item Type: Text input

Responses: Free text entry

11.54 csep16

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

Visibility: dcsep039 = 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

11.55 dcsep056

Question: “Specify (Other treatment):”

Visibility: csep16 .inludes(3)

Item Type: Text input

Responses: Free text entry

11.56 dcsep057

Question:

"Were you on medications?

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

Visibility: dcsep039 = 1

Item Type: Single-select radio button

Responses:

Value	Label
0	No
1	Yes
9	Unknown

11.57 dcsep058

Question: “Specify (Medication 1):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.58 dcsep059

Question: “Code (Medication 1):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.59 dcsep060

Question: “Specify (Medication 2):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.60 dcsep061

Question: “Code (Medication 2):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.61 dcsep062

Question: “Specify (Medication 3):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.62 dcsep063

Question: “Code (Medication 3):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.63 dcsep064

Question: “Specify (Medication 4):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.64 dcsep065

Question: “Code (Medication 4):”

Visibility: dcsep057 = 1

Item Type: Text input

Responses: Free text entry

11.65 csep_end

Question: “INTERVIEWER: END of Separation Anxiety section”

Visibility: Always

Item Type: User Message/instructions

Responses: This item is a markdown message