Protocol - Broad Psychopathology - Adult

Description

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Level 1 Cross-Cutting Symptom Measure is a self- or informant-rated measure that assesses mental health domains that are important across psychiatric diagnoses. It is intended to help clinicians identify additional areas of inquiry that may have significant impact on the individual’s treatment and prognosis. In addition, the measure may be used to track changes in the individual’s symptom presentation over time.

This adult version of the measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviors, dissociation, personality functioning, and substance use. Each item inquires about how much (or how often) the individual has been bothered by the specific symptom during the past 2 weeks. If the individual is of impaired capacity and unable to complete the form (e.g., an individual with dementia), a knowledgeable adult informant may complete the measure. The measure was found to be clinically useful and to have good test-retest reliability in the DSM-5 Field Trials that were conducted in adult clinical samples across the United States and in Canada.

Frequency of Use

To track change in the individual’s symptom presentation over time, the measure may be completed at regular intervals as clinically indicated, depending on the stability of the individual’s symptoms and treatment status. For individuals with impaired capacity, it is preferable that the same knowledgeable informant completes the measures at follow-up appointments. Consistently high scores on a particular domain may indicate significant and problematic symptoms for the individual that might warrant further assessment, treatment, and follow-up. Clinical judgment should guide decision making.

Specific Instructions

The Mental Health Research Panel felt strongly that the question designed to assess suicidal ideation (question VI) was clearly not adequate for the assessment of the full range of suicide-related ideation; it felt that it may be better labeled "self-harm."

Availability

Available

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Protocol

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult

If this questionnaire is completed by an informant, what is your relationship with the individual? ___________________

In a typical week, approximately how much time do you spend with the individual? ____________________ hours/week

Instructions: The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS.

	During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems?	None Not at all	Slight Rare, less than a day or two	Mild Several days	Moderate More than half the days	Severe Nearly every day	Highest Domain Score (clinician)
I.	1. Little interest or pleasure in doing things?	0	1	2	3	4
	2. Feeling down, depressed, or hopeless?	0	1	2	3	4
II.	3. Feeling more irritated, grouchy, or angry than usual?	0	1	2	3	4
III.	4. Sleeping less than usual, but still have a lot of energy?	0	1	2	3	4
	5. Starting lots more projects than usual or doing more risky things than usual?	0	1	2	3	4
IV.	6. Feeling nervous, anxious, frightened, worried, or on edge?	0	1	2	3	4
	7. Feeling panic or being frightened?	0	1	2	3	4
	8. Avoiding situations that make you anxious?	0	1	2	3	4
V.	9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?	0	1	2	3	4
	10. Feeling that your illnesses are not being taken seriously enough?	0	1	2	3	4
VI.	11. Thoughts of actually hurting yourself?	0	1	2	3	4
VII.	12. Hearing things other people couldn’t hear, such as voices even when no one was around?	0	1	2	3	4
	13. Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?	0	1	2	3	4
VIII.	14. Problems with sleep that affected your sleep quality over all?	0	1	2	3	4
IX.	15. Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?	0	1	2	3	4
X.	16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?	0	1	2	3	4
	17. Feeling driven to perform certain behaviors or mental acts over and over again?	0	1	2	3	4
XI.	18. Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?	0	1	2	3	4
XII.	19. Not knowing who you really are or what you want out of life?	0	1	2	3	4
	20. Not feeling close to other people or enjoying your relationships with them?	0	1	2	3	4
XIII.	21. Drinking at least 4 drinks of any kind of alcohol in a single day?	0	1	2	3	4
	22. Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?	0	1	2	3	4
	23. Using any of the following medicines ON YOUR OWN, that is, without a doctor’s prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?	0	1	2	3	4

Scoring and Interpretation

Each item on the measure is rated on a 5-point scale (0 = none or not at all; 1 = slight or rare, less than a day or two; 2 = mild or several days; 3 = moderate or more than half the days; and 4 = severe or nearly every day). The score on each item within a domain should be reviewed. Because additional inquiry is based on the highest score on any item within a domain, the clinician is asked to indicate that score in the "Highest Domain Score" column. A rating of mild (i.e., 2) or greater on any item within a domain (except for substance use, suicidal ideation, and psychosis) may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment for that domain is necessary. For substance use, suicidal ideation, and psychosis, a rating of slight (i.e., 1) or greater on any item within the domain may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment is needed. The DSM-5 Level 2 Cross-Cutting Symptom Measures may be used to provide more detailed information on the symptoms associated with some of the Level 1 domains (see Table 1 below).

Adult DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure: domains, thresholds for further inquiry, and associated Level 2 measures for adults ages 18 and over

Domain	Domain Name	Threshold to guide further inquiry
I.	Depression	Mild or greater
II.	Anger	Mild or greater
III.	Mania	Mild or greater
IV.	Anxiety	Mild or greater
V.	Somatic Symptoms	Mild or greater
VI.	Suicidal Ideation	Slight or greater
VII.	Psychosis	Slight or greater
VIII.	Sleep Problems	Mild or greater
IX.	Memory	Mild or greater
X.	Repetitive Thoughts and Behaviors	Mild or greater
XI.	Dissociation	Mild or greater
XII.	Personality Functioning	Mild or greater
XIII.	Substance Use	Slight or greater

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

Adults, ages 18 and older

Selection Rationale

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Level 1 Cross-Cutting Symptom Measure is a brief, self- or informant-rated measure that includes symptoms relevant across different psychiatric domains.

Language

English

Standards

Standard	Name	ID	Source
Human Phenotype Ontology	Behavioral abnormality	HP:0000708	HPO
caDSR Form	PhenX PX610201 - Broad Psychopathology Adult	6231150	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

Source

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

General References

Narrow, W. E., Clarke, D. E., Kuramoto, S. J., Kraemer, H. C., Kupfer, D. J., Greiner, L., & Regier, D. A. (2013). DSM-5 field trials in the United States and Canada, Part III: Development and reliability testing of a cross-cutting symptom assessment for DSM-5. American Journal of Psychiatry, 170(1), 59-70.

Protocol ID

610201

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX610201_Avoiding_Anxious_Situations
	PX610201100000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Avoiding situations that make yo show less	N/A
PX610201_Doing_More_Than_Usual
	PX610201070000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Starting lots more projects than show less	N/A
PX610201_Drug_Use
	PX610201250000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Using any of the following medic show less	N/A
PX610201_Feeling_Depressed
	PX610201040000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling down, depressed, or hope show less	N/A
PX610201_Feeling_Detached_From_Body
	PX610201200000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling detached or distant from show less	N/A
PX610201_Feeling_Illnesses_Not_Taken_Seriously
	PX610201120000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling that your illnesses are show less	N/A
PX610201_Feeling_Irritated_Angry
	PX610201050000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling more irritated, grouchy, show less	N/A
PX610201_Feeling_Nervous_Anxious
	PX610201080000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling nervous, anxious, fright show less	N/A
PX610201_Feeling_Panic
	PX610201090000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling panic or being frightene show less	N/A
PX610201_Four_Or_More_Drinks
	PX610201230000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Drinking at least 4 drinks of an show less	N/A
PX610201_Hearing_Voices
	PX610201140000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Hearing things other people coul show less	N/A
PX610201_Hear_Thoughts
	PX610201150000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling that someone could hear show less	N/A
PX610201_Hours_With_Sample_Person
	PX610201020000	In a typical week, approximately how much more time do you spend with the individual? hours/week show less	N/A
PX610201_Little_Interest_Pleasure
	PX610201030000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Little interest or pleasure in d show less	N/A
PX610201_Little_Sleep_Same_Energy
	PX610201060000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Sleeping less than usual, but st show less	N/A
PX610201_Memory_Problems
	PX610201170000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Problems with memory (e.g., lear show less	N/A
PX610201_Not_Feeling_Close_To_Others
	PX610201220000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Not feeling close to other peopl show less	N/A
PX610201_Not_Knowing_Self
	PX610201210000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Not knowing who you really are o show less	N/A
PX610201_Perform_Acts_OverAndOver
	PX610201190000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Feeling driven to perform certai show less	N/A
PX610201_Relationship_To_Sample_Person
	PX610201010000	If this questionnaire is completed by an more informant, what is your relationship with the individual? show less	N/A
PX610201_Sleep_Problems
	PX610201160000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Problems with sleep that affecte show less	N/A
PX610201_Thoughts_Of_Hurting_Self
	PX610201130000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Thoughts of actually hurting you show less	N/A
PX610201_Tobacco_Use
	PX610201240000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Smoking any cigarettes, a cigar, show less	N/A
PX610201_Unexplained_Aches
	PX610201110000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Unexplained aches and pains (e.g show less	N/A
PX610201_Unpleasant_Thoughts
	PX610201180000	The questions below ask about things that more might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. Unpleasant thoughts, urges, or i show less	N/A

Mental Health Research Core: Tier 1

Measure Name

Broad Psychopathology

Release Date

December 5, 2014

Definition

A questionnaire to briefly assess mental health domains that are important across psychiatric conditions.

Purpose

This measure can be used to help identify psychiatric conditions for further follow-up and help to guide treatment and prognosis.

Keywords

depression, anxiety, insomnia, Sleep, Obsessive-compulsive disorder, memory, Personality traits, psychosis, anger, Substance abuse and dependence, repetitive thoughts and behaviors, suicide, American Psychiatric Association, Diagnostic and statistical manual of mental disorders (5th ed.), DSM-5

Measure Protocols

Protocol ID	Protocol Name
610201	Broad Psychopathology - Adult
610202	Broad Psychopathology - Child

Publications

There are no publications listed for this protocol.

Protocol - Broad Psychopathology - Adult

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Essential Protocols:

Description

Specific Instructions

Availability

Protocol

Personnel and Training Required

Equipment Needs

Requirements

Mode of Administration

Lifestage

Participants

Selection Rationale

Language

Standards

Derived Variables

Process and Review

Protocol Name from Source

Source

General References

Protocol ID

Variables

Measure Name

Release Date

Definition

Purpose

Keywords

Measure Protocols

Publications