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Protocol - Psychiatric Symptoms - Frequency

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Description

The modified Colorado Symptom Index (CSI) is a 14-item, self-report scale designed to assess frequency of positive mood and cognitive symptoms. Items are rated on a 5-point Likert-style scale (Not at all, Once during the month, Several times during the month, Several times a week, at least every day). Each item is scored on a 0-4 scale (not at all = 0; at least every day = 4) and added together to give a score between 0 and 56, with higher scores indicating greater emotional distress.

Specific Instructions

None

Availability

Available

Protocol

Modified Colorado Symptom Index

Below is a list of problems that people sometimes have. Please think about how often you experienced certain problems and how much they bothered or distressed you during the past month. For each problem, please pick one answer choice that best describes how often you have had the problem in the past month (30 days).

How often have you experienced these problems?

Not at all

Once during the month

Several times during the month

Several times a week

At least every day

RF

NA

DK

1. How often have you felt nervous, tense, worried, frustrated, or afraid?

0

1

2

3

4

7

8

9

2. How often have you felt depressed?

0

1

2

3

4

7

8

9

3. How often have you felt lonely?

0

1

2

3

4

7

8

9

4. How often have others told you that you acted "paranoid" or "suspicious"?

0

1

2

3

4

7

8

9

5. How often did you hear voices, or hear and see things that other people didn’t think were there?

0

1

2

3

4

7

8

9

6. How often did you have trouble making up your mind about something, like deciding where you wanted to go or what you were going to do, or how to solve a problem?

0

1

2

3

4

7

8

9

7. How often did you have trouble thinking straight or concentrating on something you needed to do (like worrying so much or thinking about problems so much that you can’t remember or focus on other things)?

0

1

2

3

4

7

8

9

8. How often did you feel that your behavior or actions were strange or different from that of other people?

0

1

2

3

4

7

8

9

9. How often did you feel out of place or like you did not fit in?

0

1

2

3

4

7

8

9

10. How often did you forget important things?

0

1

2

3

4

7

8

9

11. How often did you have problems with thinking too fast (thoughts racing)?

0

1

2

3

4

7

8

9

12. How often did you feel suspicious or paranoid?

0

1

2

3

4

7

8

9

13. How often did you feel like hurting or killing yourself?

0

1

2

3

4

7

8

9

14. How often have you felt like seriously hurting someone else?

0

1

2

3

4

7

8

9

Scoring:

Each item is scored on a 0-4 scale (not at all = 0; at least every day =4) and added together to give a score between 0-56, with higher scores indicating greater emotional distress.

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
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 years and older

Selection Rationale

The modified Colorado Symptom Index (CSI) is a brief, reliable, and valid self-report questionnaire that captures psychiatric symptoms related to psychosis, mood, desire to hurt oneself and others, and cognition and forgetfulness.

Language

English

Standards
StandardNameIDSource
Human Phenotype Ontology Psychosis HP:0000709 HPO
Human Phenotype Ontology Behavioral abnormality HP:0000708 HPO
caDSR Form PhenX PX660901 - Psychiatric Symptoms Frequency 6873532 caDSR Form
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

Modified Colorado Symptom Index (CSI)

Source

Conrad, K. J., Yagelka, J. R., Matters, M. D., Rich, A. R., Williams, V., & Buchanan, M. (2001). Reliability and validity of a modified Colorado Symptom Index in a national homeless sample. Mental Health Services Research, 3(3), 141-153.

General References

Fukui, S., Davidson, L. J., Holter, M. C., & Rapp, C. A. (2010). Pathways to recovery (PTR): Impact of peer-led group participation on mental health recovery outcomes. Psychiatric Rehabilitation Journal, 34(1), 42-48.

Shern, D. L., Wilson, N. Z., & Coen, A. S. (1994). Client outcomes II: Longitudinal client data from the Colorado treatment outcome study. Millbank Quarterly, 72(1), 123-148.

Protocol ID

660901

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX660901_Psychiatric_Symptoms_Depressed
PX660901020000 How often have you felt depressed? N/A
PX660901_Psychiatric_Symptoms_Focus
PX660901070000 How often did you have trouble thinking more
straight or concentrating on something you needed to do (like worrying so much or thinking about problems so much that you can't remember or focus on other things)? show less
N/A
PX660901_Psychiatric_Symptoms_Forgetful
PX660901100000 How often did you forget important things? N/A
PX660901_Psychiatric_Symptoms_Hallucinations
PX660901050000 How often did you hear voices, or hear and more
see things that other people didn't think were there? show less
N/A
PX660901_Psychiatric_Symptoms_Indecisiveness
PX660901060000 How often did you have trouble making up more
your mind about something, like deciding where you wanted to go or what you were going to do, or how to solve a problem? show less
N/A
PX660901_Psychiatric_Symptoms_Loneliness
PX660901030000 How often have you felt lonely? N/A
PX660901_Psychiatric_Symptoms_Paranoia
PX660901120000 How often did you feel suspicious or paranoid? N/A
PX660901_Psychiatric_Symptoms_Paranoia_Others
PX660901040000 How often have others told you that you more
acted paranoid or suspicious? show less
N/A
PX660901_Psychiatric_Symptoms_Racing_Thoughts
PX660901110000 How often did you have problems with more
thinking too fast (thoughts racing)? show less
N/A
PX660901_Psychiatric_Symptoms_Social_Anxiety
PX660901090000 How often did you feel out of place or like more
you did not fit in? show less
N/A
PX660901_Psychiatric_Symptoms_Strange_Behavior
PX660901080000 How often did you feel that your behavior or more
actions were strange or different from that of other people? show less
N/A
PX660901_Psychiatric_Symptoms_Suicidal_Thoughts
PX660901130000 How often did you feel like hurting or more
killing yourself? show less
N/A
PX660901_Psychiatric_Symptoms_Tension
PX660901010000 How often have you felt nervous, tense, more
worried, frustrated, or afraid? show less
N/A
PX660901_Psychiatric_Symptoms_Violent_Thoughts
PX660901140000 How often have you felt like seriously more
hurting someone else? show less
N/A
Early Psychosis Translational Research
Measure Name

Psychiatric Symptoms - Frequency

Release Date

January 17, 2017

Definition

A questionnaire to assess the frequency of psychiatric symptoms.

Purpose

This measure can be used to assess the effectiveness of interventions in reducing the symptoms of emotional distress in populations with severe mental illness or substance abuse disorders.

Keywords

early psychosis, symptoms, mood, psychosis, suicide, suicidal behaviors, cognition, forgetfulness, Colorado Symptom Index, CSI

Measure Protocols
Protocol ID Protocol Name
660901 Psychiatric Symptoms - Frequency
Publications

Savill, M., et al. (2024) Exploring Data Collection Priorities of Community Partners in Early Psychosis Care Psychiatric Services. 2024 September; 75(9): 854-862. doi: 10.1176/appi.ps.20230455