Social Anxiety
social_anx_title
Question: “## Social Anxiety”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
csoc0
Question:
"Earlier you said that you were very afraid of or uncomfortable about (list endorsed fears). I’d now like to ask you more about (that/those).
INTERVIEWER: For each situation endorsed, ask about Frequency, Distress and Avoidance using the questions and response choices below. If fear is not current, ask about worst time.
Refer to Participant Card 3: Social/Performance"
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc001
Question:
"### Social Situations
Have you ever been very afraid or felt uncomfortable:
- Meeting new people your own age?"
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc002
Question: “2) Talking to adults in authority, like teachers or coaches?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
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Unknown
|
dcsoc003
Question: “3) Being with a large group of people your own age, like at a big party or in the lunchroom at school?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
|
No
|
|
1
|
Yes
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|
9
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Unknown
|
dcsoc004
Question: “4) Being with a small group of people your own age, like at a small party or a small class at school?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
|
No
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|
1
|
Yes
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|
9
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Unknown
|
dcsoc005
Question: “5) Eating, drinking, writing (e.g., signing name, writing on dry erase/blackboard) or doing homework while someone watches?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc006
Question: “6) Talking on the telephone?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc007
Question: “7) Talking with people your own age who you don’t know very well?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc008
Question:
"### Performance Situations
Have you ever been very afraid or felt uncomfortable:
- Speaking in class when a teacher calls on you?"
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc009
Question: “9) Acting, performing or giving a talk/speech in front of a group of people?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc010
Question: “10) Playing sports or doing a musical performance in front of people?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
|
No
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|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc011
Question: “11) Taking an important test or exam even though you studied enough?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
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No
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1
|
Yes
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9
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Unknown
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dcsoc012
Question: “12) Is there any other situation you can think of where you have been the center of attention or where you were concerned something embarrassing might happen and you felt very afraid of felt uncomfortable?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc013
Question: “Specify (Other situation)”
Visibility: dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
csoc5
Question:
"### Nature of Fear
When you were in these situations (list specific examples from above), were you afraid or uncomfortable because:"
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc014
Question: “You’d look silly, foolish, be laughed at, or do something embarrassing?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
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No
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1
|
Yes
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9
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Unknown
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dcsoc015
Question: “You’d be the center of attention?”
Visibility: Always
Item Type: Single-select radio button
Responses:
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Value
|
Label
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0
|
No
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1
|
Yes
|
|
9
|
Unknown
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dcsoc016
Question: “You’d look nervous or blush?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
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0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc017
Question: “You’d make mistakes?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc018
Question: “Why were you afraid or uncomfortable to be in these situations?”
Visibility: dcsoc014 = 0 and dcsoc015 = 0 and dcsoc016 = 0 and dcsoc017 = 0
Item Type: Text input
Responses: Free text entry
csoc8a
Question:
"### Social Fear Category
INTERVIEWER: List the worst social fear on the next screen. Assist the participant in choosing a situation coded with some distress or avoidance. Record the number corresponding to the social situation.
You said that you were very afraid or uncomfortable about (list social situations). Which one of these things upsets you the most?
Refer to Participant Card 3: Social/Performance."
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc021
Question:
"When you were most afraid of (social situations):
Were you much more scared of (insert situation) than other kids/teenagers your age?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc022
Question: “When you had to do (social situation), did you feel very nervous, scared, or upset?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc023
Question: “Did being afraid of (social situation) keep you from doing things you should or wanted to do?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc024a
Question: “Example 1 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
dcsoc024b
Question: “Example 2 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
dcsoc024c
Question: “Example 3 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
dcsoc025
Question: “Was this fear so upsetting that you tried to get out of doing (social situation)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc026
Question: “Did you start to get nervous when you knew that you had to face (social situation)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc12
Question:
"### Distress/Impairment
Please look at Participant Card 8: Distress/Impairment.
INTERVIEWER: Remind child how to use scale, if necessary."
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc027
Question:
"### Distress
How much did having this fear upset or bother you?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 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
|
dcsoc028
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: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 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
|
dcsoc030
Question: “How many days of school did you miss? (lifetime)”
Visibility: dcsoc029 = 1
Item Type: Text input
Responses: Free text entry
dcsoc031
Question: “Did you ever avoid going to social events like birthday parties or other social activities because of your fear?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc032
Question: “How many times?”
Visibility: dcsoc031 = 1
Item Type: Text input
Responses: Free text entry
dcsoc033
Question:
"### Associated Conditions: Medical
Was your fear related to being embarrassed by a physical problem like stuttering or acne or eating problems?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc034
Question: “Did you have this fear only when you had a serious physical problem/illness?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc035
Question: “Specify (Problem/Illness)”
Visibility: dcsoc033 = 1 or dcsoc034 = 1
Item Type: Text input
Responses: Free text entry
csoc17
Question:
"### Episodes: Onset
How old were you the first time you had these behaviors/feelings?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Text input
Responses: Free text entry
dcsoc038
Question:
"### Episodes: Offset
Are you still afraid of (social situation listed)?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc039
Question:
"How old were you the last time you had this fear?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc038 = 0
Item Type: Text input
Responses: Free text entry
dcsoc040
Question:
"### Episodes: Course
Since you were (age of onset), was there ever a time when you were not afraid of (social situation)?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc20
Question:
"What was the longest period of time that (social situation) did not bother you?
(N weeks, N months, N years)"
Visibility: dcsoc040 = 1
Item Type: Text input
Responses: Free text entry
dcsoc044
Question: “Has this fear lasted for at least 6 months (most of the school year)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc22b
Question:
"### Performance Fear Category
INTERVIEWER: List the worst performance fear below. Assist the participant in choosing a situation coded with some distress or avoidance. Record the number corresponding to the social situation.
You said that you were very afraid or uncomfortable about (list performance situations). Which one of these things upsets you the most?
Refer to Participant Card 3: Social/Performance"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc045
Question: “Most distressing and avoided PERFORMANCE situation:”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
dcsoc047
Question:
"When you were most afraid of (performance situations):
Were you much more scared of (insert situation) than other kids/teenagers your age?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc048
Question: “When you had to do (performance situation), did you feel very nervous, scared, or upset?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc049
Question: “Did being afraid of (performance situation) keep you from doing things you should or wanted to do?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc050a
Question: “Example 1 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
dcsoc050b
Question: “Example 2 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
dcsoc050c
Question: “Example 3 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
dcsoc051
Question: “Was this fear so upsetting that you tried to get out of doing (performance situation)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc052
Question: “Did you start to get nervous when you knew that you had to face (performance situation)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc27
Question:
"### Distress/Impairment
Please look at Participant Card 8: Distress/Impairment.
INTERVIEWER: Remind child how to use scale, if necessary."
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc053
Question:
"### Distress
How much did having this fear upset or bother you?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
0
|
|
1
|
1
|
|
2
|
2
|
|
3
|
3
|
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4
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4
|
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5
|
5
|
|
6
|
6
|
|
7
|
7
|
|
8
|
8
|
|
9
|
9
|
|
10
|
10
|
|
998
|
Unknown
|
dcsoc054
Question:
"### Impairment
How much did the fear you have told me about cause problems for you at home, at school, or with your family or friends?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 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
|
dcsoc055
Question: “Did you stay home from school because of your fear?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc056
Question: “How many days of school did you miss? (lifetime)”
Visibility: dcsoc055 = 1
Item Type: Text input
Responses: Free text entry
dcsoc057
Question: “Did you ever miss a game or performance (like a play or recital) because of your fear?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc058
Question: “How many times did you miss a game or performance?”
Visibility: dcsoc057 = 1
Item Type: Text input
Responses: Free text entry
dcsoc059
Question:
"### Associated Conditions: Medical
Was your fear related to being embarrassed by a physical problem like stuttering or acne or eating problems?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc060
Question: “Did you have this fear only when you had a serious physical problem/illness?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc061
Question: “Specify (Problem/Illness):”
Visibility: dcsoc059 = 1 or dcsoc060 = 1
Item Type: Text input
Responses: Free text entry
dsoc063
Question:
"### Episodes: Onset
How old were you the first time you had these behaviors/feelings?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
dcsoc064
Question:
"### Episodes: Offset
Are you still afraid of (performance situation listed)?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc065
Question:
"How old were you the last time you had this fear?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc064 = 0
Item Type: Text input
Responses: Free text entry
dcsoc066
Question:
"### Episodes: Course
Since you were (age of onset), was there ever a time when you were not afraid of (performance situation)?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc35
Question:
"What was the longest period of time that (performance situation) did not bother you?
(N weeks, N months, N years)"
Visibility: dcsoc066 = 1
Item Type: Text input
Responses: Free text entry
dcsoc070
Question: “Has this fear lasted for at least 6 months (most of the school year)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc071
Question:
"### Help-Seeking Treatment (Lifetime)
Did anyone, like a teacher or family member, suggest that you get help for these fears?"
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc072
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 fears)?”
Visibility: Always
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
csoc38
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: dcsoc072 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
dcsoc073
Question: “Specify (Professional/Treatment 1):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc074
Question: “Code (Professional/Treatment 1):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc075
Question: “Specify (Professional/Treatment 2):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc076
Question: “Code (Professional/Treatment 2):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc077
Question: “Specify (Professional/Treatment 3):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc078
Question: “Code (Professional/Treatment 3):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc080
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: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc081
Question: “Code (Professional/Treatment):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc082
Question:
"How old were you the first time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
dcsoc083
Question: “Are you getting help now?”
Visibility: dcsoc072 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc084
Question:
"If no, how old were you the last time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc083 = 0
Item Type: Text input
Responses: Free text entry
dcsoc085
Question: “What did the professional say that you had (diagnoses given)? List:”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
csoc40
Question: “What kind of treatment(s) have you gotten? (Check all that apply)”
Visibility: dcsoc072 = 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
|
Social Support Group
|
|
4
|
Other
|
dcsoc090
Question: “Specify (Other treatment):”
Visibility: csoc40.includes(4)
Item Type: Text input
Responses: Free text entry
dcsoc091
Question:
"Were you on medications?
INTERVIEWER: Refer to Participant Card 9 (Medications), record and code responses in the following screens."
Visibility: dcsoc072 = 1
Item Type: Single-select radio button
Responses:
|
Value
|
Label
|
|
0
|
No
|
|
1
|
Yes
|
|
9
|
Unknown
|
dcsoc092
Question: “Specify (Medication 1):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc093
Question: “Code (Medication 1):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc094
Question: “Specify (Medication 2):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc095
Question: “Code (Medication 2):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc096
Question: “Specify (Medication 3):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc097
Question: “Code (Medication 3):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc098
Question: “Specify (Medication 4):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
dcsoc099
Question: “Code (Medication 4):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
soc_end
Question: “INTERVIEWER: END of Social Anxiety section”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
Section 9 Social Anxiety
9.1 social_anx_title
Question: “## Social Anxiety”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
9.2 csoc0
Question:
"Earlier you said that you were very afraid of or uncomfortable about (list endorsed fears). I’d now like to ask you more about (that/those).
INTERVIEWER: For each situation endorsed, ask about Frequency, Distress and Avoidance using the questions and response choices below. If fear is not current, ask about worst time.
Refer to Participant Card 3: Social/Performance"
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
9.3 dcsoc001
Question:
"### Social Situations
Have you ever been very afraid or felt uncomfortable:
Visibility: Always
Item Type: Single-select radio button
Responses:9.4 dcsoc002
Question: “2) Talking to adults in authority, like teachers or coaches?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.5 dcsoc003
Question: “3) Being with a large group of people your own age, like at a big party or in the lunchroom at school?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.6 dcsoc004
Question: “4) Being with a small group of people your own age, like at a small party or a small class at school?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.7 dcsoc005
Question: “5) Eating, drinking, writing (e.g., signing name, writing on dry erase/blackboard) or doing homework while someone watches?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.8 dcsoc006
Question: “6) Talking on the telephone?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.9 dcsoc007
Question: “7) Talking with people your own age who you don’t know very well?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.10 dcsoc008
Question:
"### Performance Situations
Have you ever been very afraid or felt uncomfortable:
Visibility: Always
Item Type: Single-select radio button
Responses:9.11 dcsoc009
Question: “9) Acting, performing or giving a talk/speech in front of a group of people?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.12 dcsoc010
Question: “10) Playing sports or doing a musical performance in front of people?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.13 dcsoc011
Question: “11) Taking an important test or exam even though you studied enough?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.14 dcsoc012
Question: “12) Is there any other situation you can think of where you have been the center of attention or where you were concerned something embarrassing might happen and you felt very afraid of felt uncomfortable?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.15 dcsoc013
Question: “Specify (Other situation)”
Visibility: dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
9.16 csoc5
Question:
"### Nature of Fear
When you were in these situations (list specific examples from above), were you afraid or uncomfortable because:"
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message
9.17 dcsoc014
Question: “You’d look silly, foolish, be laughed at, or do something embarrassing?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.18 dcsoc015
Question: “You’d be the center of attention?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.19 dcsoc016
Question: “You’d look nervous or blush?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.20 dcsoc017
Question: “You’d make mistakes?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.21 dcsoc018
Question: “Why were you afraid or uncomfortable to be in these situations?”
Visibility: dcsoc014 = 0 and dcsoc015 = 0 and dcsoc016 = 0 and dcsoc017 = 0
Item Type: Text input
Responses: Free text entry
9.22 csoc8a
Question:
"### Social Fear Category
INTERVIEWER: List the worst social fear on the next screen. Assist the participant in choosing a situation coded with some distress or avoidance. Record the number corresponding to the social situation.
You said that you were very afraid or uncomfortable about (list social situations). Which one of these things upsets you the most?
Refer to Participant Card 3: Social/Performance."
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
9.23 dcsoc020
Question: “Most distressing and avoided SOCIAL situation:”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Text input
Responses: Free text entry
9.24 dcsoc020a
Question: “Code (social situation):”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Text input
Responses: Free text entry
9.25 dcsoc021
Question:
"When you were most afraid of (social situations):
Were you much more scared of (insert situation) than other kids/teenagers your age?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.26 dcsoc022
Question: “When you had to do (social situation), did you feel very nervous, scared, or upset?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.27 dcsoc023
Question: “Did being afraid of (social situation) keep you from doing things you should or wanted to do?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.28 dcsoc024a
Question: “Example 1 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
9.29 dcsoc024b
Question: “Example 2 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
9.30 dcsoc024c
Question: “Example 3 (Things):”
Visibility: dcsoc023 = 1
Item Type: Text input
Responses: Free text entry
9.31 dcsoc025
Question: “Was this fear so upsetting that you tried to get out of doing (social situation)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.32 dcsoc026
Question: “Did you start to get nervous when you knew that you had to face (social situation)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.33 csoc12
Question:
"### Distress/Impairment
Please look at Participant Card 8: Distress/Impairment.
INTERVIEWER: Remind child how to use scale, if necessary."
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
9.34 dcsoc027
Question:
"### Distress
How much did having this fear upset or bother you?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.35 dcsoc028
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: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.36 dcsoc029
Question: “Did you stay home from school because of your fear?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.37 dcsoc030
Question: “How many days of school did you miss? (lifetime)”
Visibility: dcsoc029 = 1
Item Type: Text input
Responses: Free text entry
9.38 dcsoc031
Question: “Did you ever avoid going to social events like birthday parties or other social activities because of your fear?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.39 dcsoc032
Question: “How many times?”
Visibility: dcsoc031 = 1
Item Type: Text input
Responses: Free text entry
9.40 dcsoc033
Question:
"### Associated Conditions: Medical
Was your fear related to being embarrassed by a physical problem like stuttering or acne or eating problems?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.41 dcsoc034
Question: “Did you have this fear only when you had a serious physical problem/illness?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.42 dcsoc035
Question: “Specify (Problem/Illness)”
Visibility: dcsoc033 = 1 or dcsoc034 = 1
Item Type: Text input
Responses: Free text entry
9.43 csoc17
Question:
"### Episodes: Onset
How old were you the first time you had these behaviors/feelings?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Text input
Responses: Free text entry
9.44 dcsoc038
Question:
"### Episodes: Offset
Are you still afraid of (social situation listed)?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.45 dcsoc039
Question:
"How old were you the last time you had this fear?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc038 = 0
Item Type: Text input
Responses: Free text entry
9.46 dcsoc040
Question:
"### Episodes: Course
Since you were (age of onset), was there ever a time when you were not afraid of (social situation)?"
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.47 csoc20
Question:
"What was the longest period of time that (social situation) did not bother you?
(N weeks, N months, N years)"
Visibility: dcsoc040 = 1
Item Type: Text input
Responses: Free text entry
9.48 dcsoc044
Question: “Has this fear lasted for at least 6 months (most of the school year)?”
Visibility: dcsoc001 = 1 or dcsoc002 = 1 or dcsoc003 = 1 or dcsoc004 = 1 or dcsoc005 = 1 or dcsoc006 = 1 or dcsoc007 = 1
Item Type: Single-select radio button
Responses:9.49 csoc22b
Question:
"### Performance Fear Category
INTERVIEWER: List the worst performance fear below. Assist the participant in choosing a situation coded with some distress or avoidance. Record the number corresponding to the social situation.
You said that you were very afraid or uncomfortable about (list performance situations). Which one of these things upsets you the most?
Refer to Participant Card 3: Social/Performance"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
9.50 dcsoc045
Question: “Most distressing and avoided PERFORMANCE situation:”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
9.51 dcsoc046
Question: “Code (performance situation):”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
9.52 dcsoc047
Question:
"When you were most afraid of (performance situations):
Were you much more scared of (insert situation) than other kids/teenagers your age?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.53 dcsoc048
Question: “When you had to do (performance situation), did you feel very nervous, scared, or upset?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.54 dcsoc049
Question: “Did being afraid of (performance situation) keep you from doing things you should or wanted to do?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.55 dcsoc050a
Question: “Example 1 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
9.56 dcsoc050b
Question: “Example 2 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
9.57 dcsoc050c
Question: “Example 3 (Things):”
Visibility: dcsoc049 = 1
Item Type: Text input
Responses: Free text entry
9.58 dcsoc051
Question: “Was this fear so upsetting that you tried to get out of doing (performance situation)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.59 dcsoc052
Question: “Did you start to get nervous when you knew that you had to face (performance situation)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.60 csoc27
Question:
"### Distress/Impairment
Please look at Participant Card 8: Distress/Impairment.
INTERVIEWER: Remind child how to use scale, if necessary."
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
9.61 dcsoc053
Question:
"### Distress
How much did having this fear upset or bother you?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.62 dcsoc054
Question:
"### Impairment
How much did the fear you have told me about cause problems for you at home, at school, or with your family or friends?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.63 dcsoc055
Question: “Did you stay home from school because of your fear?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.64 dcsoc056
Question: “How many days of school did you miss? (lifetime)”
Visibility: dcsoc055 = 1
Item Type: Text input
Responses: Free text entry
9.65 dcsoc057
Question: “Did you ever miss a game or performance (like a play or recital) because of your fear?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.66 dcsoc058
Question: “How many times did you miss a game or performance?”
Visibility: dcsoc057 = 1
Item Type: Text input
Responses: Free text entry
9.67 dcsoc059
Question:
"### Associated Conditions: Medical
Was your fear related to being embarrassed by a physical problem like stuttering or acne or eating problems?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.68 dcsoc060
Question: “Did you have this fear only when you had a serious physical problem/illness?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.69 dcsoc061
Question: “Specify (Problem/Illness):”
Visibility: dcsoc059 = 1 or dcsoc060 = 1
Item Type: Text input
Responses: Free text entry
9.70 dsoc063
Question:
"### Episodes: Onset
How old were you the first time you had these behaviors/feelings?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Text input
Responses: Free text entry
9.71 dcsoc064
Question:
"### Episodes: Offset
Are you still afraid of (performance situation listed)?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.72 dcsoc065
Question:
"How old were you the last time you had this fear?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc064 = 0
Item Type: Text input
Responses: Free text entry
9.73 dcsoc066
Question:
"### Episodes: Course
Since you were (age of onset), was there ever a time when you were not afraid of (performance situation)?"
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.74 csoc35
Question:
"What was the longest period of time that (performance situation) did not bother you?
(N weeks, N months, N years)"
Visibility: dcsoc066 = 1
Item Type: Text input
Responses: Free text entry
9.75 dcsoc070
Question: “Has this fear lasted for at least 6 months (most of the school year)?”
Visibility: dcsoc008 = 1 or dcsoc009 = 1 or dcsoc010 = 1 or dcsoc011 = 1 or dcsoc012 = 1
Item Type: Single-select radio button
Responses:9.76 dcsoc071
Question:
"### Help-Seeking Treatment (Lifetime)
Did anyone, like a teacher or family member, suggest that you get help for these fears?"
Visibility: Always
Item Type: Single-select radio button
Responses:9.77 dcsoc072
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 fears)?”
Visibility: Always
Item Type: Single-select radio button
Responses:9.78 csoc38
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: dcsoc072 = 1
Item Type: User Message/instructions
Responses: This item is a markdown message
9.79 dcsoc073
Question: “Specify (Professional/Treatment 1):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.80 dcsoc074
Question: “Code (Professional/Treatment 1):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.81 dcsoc075
Question: “Specify (Professional/Treatment 2):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.82 dcsoc076
Question: “Code (Professional/Treatment 2):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.83 dcsoc077
Question: “Specify (Professional/Treatment 3):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.84 dcsoc078
Question: “Code (Professional/Treatment 3):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.85 dcsoc080
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: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.86 dcsoc081
Question: “Code (Professional/Treatment):”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.87 dcsoc082
Question:
"How old were you the first time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.88 dcsoc083
Question: “Are you getting help now?”
Visibility: dcsoc072 = 1
Item Type: Single-select radio button
Responses:9.89 dcsoc084
Question:
"If no, how old were you the last time you got help?
Code 998 if “always,” 999 if “unknown.”"
Visibility: dcsoc083 = 0
Item Type: Text input
Responses: Free text entry
9.90 dcsoc085
Question: “What did the professional say that you had (diagnoses given)? List:”
Visibility: dcsoc072 = 1
Item Type: Text input
Responses: Free text entry
9.91 csoc40
Question: “What kind of treatment(s) have you gotten? (Check all that apply)”
Visibility: dcsoc072 = 1
Item Type: Multi-select checkbox
Responses:9.92 dcsoc090
Question: “Specify (Other treatment):”
Visibility: csoc40.includes(4)
Item Type: Text input
Responses: Free text entry
9.93 dcsoc091
Question:
"Were you on medications?
INTERVIEWER: Refer to Participant Card 9 (Medications), record and code responses in the following screens."
Visibility: dcsoc072 = 1
Item Type: Single-select radio button
Responses:9.94 dcsoc092
Question: “Specify (Medication 1):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.95 dcsoc093
Question: “Code (Medication 1):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.96 dcsoc094
Question: “Specify (Medication 2):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.97 dcsoc095
Question: “Code (Medication 2):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.98 dcsoc096
Question: “Specify (Medication 3):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.99 dcsoc097
Question: “Code (Medication 3):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.100 dcsoc098
Question: “Specify (Medication 4):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.101 dcsoc099
Question: “Code (Medication 4):”
Visibility: dcsoc091 = 1
Item Type: Text input
Responses: Free text entry
9.102 soc_end
Question: “INTERVIEWER: END of Social Anxiety section”
Visibility: Always
Item Type: User Message/instructions
Responses: This item is a markdown message