confidentialised unit record file - secasa · 2013-02-13 · confidentialised unit record file ......

Technical Paper

Mental Health andWellbeing of Adults,Australia

Confidentialised UnitRecord File

1997

Australian Bureau of Statistics

Canberra November 2000

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C O N T E N T S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page

List of abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv

Further information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

Overview

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

About the survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SMHWB CURF files

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

About the SMHWB CURF files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Structure of the documentation files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Note for users without SAS or SPSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Information on SMHWB data items

Composite International Diagnostic Instument . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Data interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Socio demographic data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Mental health data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Decimal places . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Not stated and not applicable codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Using the data

Survey design and effects of sampling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Use of weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Reliability of the estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Standard errors and relative standard errors

Indicative standard errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Standard errors of proportions and percentages . . . . . . . . . . . . . . . . . . . . . . 12

Standard errors of differences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Standard errors of standardised rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Standard error table T1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Replicate weights technique

Derivation of replicate weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Revised full survey weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Choice of full survey weight for analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Application of replicate weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Use of jackknife replicate weights with statistical packages . . . . . . . . . . . . . . . 16

Non-sampling error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Sample table 1a. Persons: Prevalence of disorders (revised weight) . . . . . . . . . . . . 17

Table 1b. Persons: Prevalence of disorders (original weight) . . . . . . . . . . . . . . . . 18

Appendixes

1 Survey of Mental Health and Wellbeing data items

A. Data item summary listing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

B. Data item detailed listing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

C. Duration variables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

2 Aggregated variables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

3 Disorders and conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

4 ICD-10 diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

5 DSM-IV diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

6 Personality disorder screener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

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L I S T O F A B B R E V I A T I O N S

ABBREVIATIONS

ABS Australian Bureau of Statistics

BDQ Brief Disability Questionnaire

CIDI Composite International Diagnostic Interview

DSM–IV Diagnostic and Statistical Manual of Mental Disorders—fourth edition

EPQ Eysenck Personality Questionnaire

GAD Generalised anxiety disorder

GHQ-12 General Health Questionnaire-12

GP General Practitioner

ICD–10 International Classification of Diseases—10th revision

MCS Mental Component Summary

MMSE Mini-mental State Examination

MOS Medical Outcomes Study

NMHS National Mental Health Strategy

OCD Obsessive-compulsive disorder

OHP Other Health Professional

OMHP Other Mental Health Professional

PCS Physical Component Summary

PTSD Post-traumatic stress disorder

SMHWB 1997 National Survey of Mental Health and Wellbeing of Adults

RSE Relative standard error

SE Standard error

SF–12 Short Form–12

US United States

WHO World Health Organization

The WHO Centre The World Health Organization Training and Reference

Centre for CIDI in Australia

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F U R T H E R I N F O R M A T I O N

GENERAL INQUIRIES

For information about other ABS statistics and services, please refer to the back page.

CURF INQUIRIES

If you have any technical queries about the CURF, please contact

The Assistant Director

Survey Development and Processing

Australia Bureau of Statistics

PO Box 10

BELCONNEN ACT 2616

Telephone : (02) 6252 7409

Facsimile : (02) 6252 6357

email : [email protected]

This technical paper is available in electronic Acrobat format on request. In addition, if

you have any data queries, or for information regarding the Undertaking, Licence

conditions and Order form relating to this CURF, please contact:

Josie Barac

Health Section

Australian Bureau of Statistics

PO Box 10

BELCONNEN ACT 2616

Telephone : (02) 6252 6415

Facsimile : (02) 6252 8007

Email : [email protected].

QUESTIONNAIRE

The survey questionnaire was developed by the WHO Centre. CURF users can obtain a

copy of the questionnaire from:

Director

Quality and Effectiveness Section

Mental Health and Special Programs Branch (MDP 37)

Commonwealth Department of Health and Aged Care

PO Box 9848

CANBERRA ACT 2601

RELATED PRODUCTS

Mental Health and Wellbeing: Profile of Adults, 1997 (4326.0)

National Survey of Mental Health and Wellbeing of Adults: Users' Guide (4327.0)

Information Paper: Mental Health and Wellbeing of Adults, Australia, Confidentialised

Unit Record File (4329.0)

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O V E R V I E W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INTRODUCTION

This document provides information about the 1997 National Survey of Mental Health

and Wellbeing of Adults (SMHWB) Confidentialised Unit Record File (CURF). The

SMHWB CURF is available on CD-ROM. More detailed documentation is provided in

electronic form.

The release of these data is possible under the Census and Statistics Act 1905, which

allows for the release of data in the form of unit records where the information is not

likely to enable the identification of a particular person or organisation. There are no

names or addresses on the file. Some items of information collected in the survey have

been deleted from the unit record file and the level of detail for some others has been

suppressed or reduced to ensure that the confidentiality of individuals has been

protected.

The 1997 SMHWB CURF is released under strict conditions which are specified in

'Conditions of release' (Appendix 7).

There are 10,641 person records on the 1997 SMHWB CURF, which when weighted by

expansion factors on each record, gives a population estimate of 13,464,779 for people

aged 18 years and over. Some minor discrepancies should be expected due to

rounding.

Subject to limitations of sample size and the data classifications used, it is possible for

users to manipulate the data, produce tabulations and undertake statistical analyses to

their own specifications. Any statistics produced from the sample file will be subject to

sampling error.

ABOUT THE SURVEY

The 1997 SMHWB is a comprehensive survey of Australian adults' mental health. The

survey was an initiative of, and funded by, the then Commonwealth Department of

Health and Family Services as part of the National Mental Health Strategy.

The survey provides detailed information about the prevalence of selected major mental

disorders, the level of disability associated with these disorders, and health services used

and help needed as a consequence of a mental health problem for Australians aged 18

years or more.

The survey was conducted throughout Australia from May to August 1997 under the

authority of the Census and Statistics Act 1905, on a voluntary basis.

The SMHWB consisted of a representative sample of residents of private dwellings

(houses, flats, etc.) in all States and Territories. The sample excluded special dwellings

(such as hospitals, institutions, nursing homes, hotels, hostels, etc.), and dwellings in

remote and sparsely settled parts of Australia.

The survey also excluded persons from overseas holidaying in Australia, members of

non-Australian defence forces and their dependants stationed in Australia, and

households containing non-Australian diplomatic personnel.

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ABOUT THE SURVEY continued

Trained Australian Bureau of Statistics (ABS) interviewers approached approximately

13,600 dwellings. One person aged 18 years or over from each dwelling was randomly

chosen to participate in the survey. Personal interviews were completed with 10,641

persons, representing a response rate of 78%.

Detailed information about the survey is contained in the publication National Survey of

Mental Health and Wellbeing of Adults: Users' Guide, 1997 (Cat. no. 4327.0). Some of

the information contained in the Appendixes of this document is included in the Users'

Guide. An overview of survey results is contained in Mental Health and Wellbeing:

Profile of Adults, Australia, 1997 (Cat. no. 4326.0).

In addition to these publications and the CURF, an extensive range of other unpublished

data is available from the ABS on request.

FURTHER INFORMATION

For information on technical, data or other queries please refer to page v.

O V E R V I E W.............................................................................................

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S M H W B C U R F F I L E S . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INTRODUCTION

The 1997 SMHWB CURF contains 10,641 confidentialised respondent records from the

survey. Each record contains demographic, socio-economic and geographic indicators,

along with a comprehensive set of responses to the Composite International Diagnostic

Interview (CIDI) and questions on disability and health service usage. The CIDI also

provides a diagnosis of selected mental disorders in accordance with the International

Classification of Diseases—10th revision (ICD–10), and the Diagnostic and Statistical

Manual of Mental Disorders—4th revision (DSM–IV).

Confidentialising the File

These data are released under the Census and Statistics Act 1905, which enables release

of data in the form of unit records where the information is not likely to enable the

identification of a particular person or organisation. Accordingly, there are no names or

addresses of survey respondents on the CURF and some other steps have been taken to

protect confidentiality, such as omitting selected data items collected in the survey and

reducing the detail of other data items. As a result, it may not be possible to exactly

reconcile some tabular/aggregated data produced from the CURF with data published by

the ABS.

A list of all the data items on the SMHWB data file is provided in this document

(Appendix 1), and data items for which the level of detail has been reduced are also

included (Appendix 2).

Questionnaire

In addition to the data item list, CURF users should obtain a copy of the survey

questionnaire. This questionnaire was developed by The WHO Centre and is available

from:

Director

Quality and Effectiveness Section

Mental Health and Special Programs Branch (MDP 37)

Commonwealth Department of Health and Aged Care

PO Box 9848

CANBERRA ACT 2601

ABOUT THE SMHWB CURF FILES

MHS97.DAT This file contains the raw confidentialised survey data in column

delimited ASCII text format.

MHS97.TXT This file contains documentation of the MHS97.DAT raw data including

data item labels, field start positions and lengths, code values and category labels. To

assist clients with data analysis it also contains weighted and unweighted frequencies

of each code value. The file is in plain textual format to facilitate reading or printing

using most word processors.

MHS97.FMT This file contains the same data as MHS97.TXT but in

computer-readable format, the structure of which is described in this Technical Paper.

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The metadata in this file can be combined with the data in MHS97.DAT's by means of

a computer program run in the client's statistical analysis environment, to produce

the datasets needed for analysis of the survey data. This has been done for the SAS

and SPSS for Windows but clients with other statistical software will have to write

their own programs using the SAS and SPSS programs as a guide.

CURFSAS.SAS This contains the SAS program which was used to reformat the

metadata in MHS97.FMT into the SAS input program in MHS97.SAS.

CURFSPSS.SAS This contains the SAS program which was used to reformat the

metadata in MHS97.FMT into the SPSS input program in MHS97.SAS.

MHS97.SAS This file contains the SAS input program generated using CURFSAS.SAS

which was used to read the data in MHS97.DAT into the SAS dataset MHS97.SD2.

MHS97.SPS This file contains the SPSS input program generated using CURFSPSS.SAS

which was used to read the data in MHS97.DAT into the SPSS dataset MHS97.SAV.

MHS97.SD2 This file contains the CURF data in a SAS for Windows format.

MHS97.SAV This file contains the CURF data in SPSS for Windows format.

COPRIGHT.TXT contains the ABS copyright warning notice, to the effect that

copyright to the confidentialised survey data is held by the ABS.

README.TXT This file contains a brief description of each of the files comprising a

survey CURF package available for purchase by clients of the ABS.

STRUCTURE OF THE DOCUMENTATION FILES

To reduce printing and handling costs, classifications for data items have been included

on the CD-ROM as MHS97.TXT. This file contains ANSI print control characters.

MHS97.FMT is a compressed version of the above print file which enable user specific

documentation to be written. It consists of a series of lines of data 14 characters in

length. Each field of the CURF data files is described in four lines followed by one line

for each set of frequency results.

Each line of data is identified by the first nine characters which contain the following:

Character(s) Type Contents

1 num Record number (1,2,...)

2–5 num Field number (1,2,....)

6–9 num Sequence number within field (1,2,....)

The first four lines of documentation for each field contain the following:

Line with sequence number 0000:


10–39 char Field name

40 char Record code (P=person record)

41–44 num Field location within record

45–48 num Field length

49–52 num Page reference to MHS97.TXT

53–56 char Field type (FILL=filler CON=classificatory field,OBS=observation field)

57–62 num Date of preparation (DDMMYY) of clerical documentation

S M H W B C U R F F I L E S .............................................................................................


63 char Adjustment flag (A=for reasons of confidentiality,B=adjusted from main ABS file but data are the same)

64–79 char Range of values of field

80–83 char Data item group (abbreviated)

84–143 char Notes concerning field



10–49 char Data item group (explicit)

50–148 char Field label



10–108 char Population definition for field

109–118 num Number of records corresponding to the defined population

119–128 num Weighted estimate corresponding to the defined population



10–108 char Computation corresponding to the defined population

Remaining documentation lines contain the following:


10–17 num Code value for classificatory fields, 99999999 for allobservation fields

18–27 num Number of records containing each value

28–37 num Percent of records containing each value (need to divide by100)

38–42 num Percent of weighted estimates corresponding to each value(need to divide by 100)

43–47 num Percent of weighted estimates corresponding to each value(need to divide by 100)

48–146 char Descriptor for each code value (classificatory fields)

NOTE FOR USERS WITHOUT SAS OR SPSS

The services of a computer programmer will be required to reformat the data for analysis

software other than SAS or SPSS. The CURF data is provided in SAS (v6.12) and SPSS

(v8.0) format. The programs used to load the data into SAS and SPSS are provided for

users of earlier versions of these software packages and for users of other software to use

as a basis for their own load programs. You will need to examine CURFSAS.SAS and

CURFSPSS.SAS together with that part of the technical paper which describes the

structure of MHS97.FMT to understand how the data was loaded into these analysis

packages. You will also need to examine the documentation for your analysis software to

determine the structure of the load program it requires. You will then have to write a

program (in any language) to reformat the data in MHS97.FMT into an input program

for your analysis package. This program can then be run using your analysis package to

import the survey data from MHS97.DAT.

S M H W B C U R F F I L E S .............................................................................................

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I N F O R M A T I O N O N S M H W B D A T A I T E M S . . .

This chapter describes some specific data items. A full data item listing is provided in

Appendix 1. Additional information such as code values and category labels are

contained in the files MHS97.TXT and MHS97.FMT.

Some data items directly reflect responses to individual questions contained in the

survey questionnaire while others may have been derived from responses to two or

more questions. Because of the volume and complexity of the derivations, and the need

to understand the logic and intentions underlying them, the derivations have not been

presented in this documentation. If you have any queries about the derivation of

particular items, please contact Wendy Howe on Canberra (02) 6252 7409. Listing of

the SAS code used to derive items is available on request.

COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIEW

Measuring mental health in the community through household surveys is a complex task

as mental disorder is usually determined through clinical diagnoses. For the SMHWB

the diagnostic component of the interview was administered through a modified version

of the CIDI. This is a comprehensive interview for adults which can be used to assess

current and lifetime prevalence of mental disorders through the measurement of

symptoms and their impact on day-to-day activities.

The questions in the CIDI are written to represent the criteria for a subset of mental

disorders defined by the ICD–10. A small number of additional questions are included

so that criteria of the DSM–IV can be identified.

As part of the CIDI, probe questions are asked when a respondent is identified as having

a symptom. These questions are designed to identify severity or clinical significance,

whether the symptom was always caused by drugs, medicines, alcohol, physical illness or

injury, or whether the symptom was due to mental disorder. Responses to the questions

are put together by computer algorithms, first to assess each criterion, and then to

combine criteria into diagnoses. Further details on the criteria for mental disorder

diagnosis are contained in the survey user guide (Cat. no. 4327.0).

The World Health Organization (WHO) Training and Reference Centre for CIDI (The

WHO Centre) in Australia, contracted by HFS, developed a computerised version of the

CIDI, including diagnostic algorithms, for the SMHWB.

DATA INTERPRETATION

The survey instrument also incorporates additional CIDI modules which provide a set of

screening questions for other mental disorders such as personality disorders. These

modules provide an indication of whether a disorder may be present. However, they do

not collect sufficient information to determine whether the criteria for a diagnosis of a

mental disorder by the CIDI are met. As a diagnosis for these mental disorders is not

made, the overall prevalence rates of mental disorder presented in the SMHWB may

underestimate the extent of mental disorder in Australia.

The CIDI is a structured interview for diagnosis of mental disorder for research

purposes. The CIDI can inform a clinician's diagnosis but not replace it. Estimates of.............................................................................................6 A B S • M E N T A L H E A L T H & W E L L B E I N G : C O N F I D E N T I A L I S E D U N I T R E C O R D F I L E • 1 9 9 7

mental disorders presented in the SMHWB are not clinical diagnoses and are therefore

dependent on the accuracy of diagnosis based on survey data.

The questions used in this survey to collect data on labour force status and educational

qualifications differ from those used in other ABS surveys. As such, these data items

provide an indication of an individual's status and, though not directly comparable with

other ABS surveys, they are sufficient to associate with mental health status.

SOCIO DEMOGRAPHIC DATA

SEIFA index of relative social disadvantage

The Index of Relative Social Disadvantage was derived from the 1991 Census. It assigns

an index to geographic areas based on socio-economic variables such as economic

resources of households, education, occupation, family structure and ethnicity. It is one

of five indexes derived by the ABS from the 1991 Census to assist in the analysis of

socio-economic characteristics. Details of the indexes are contained in 1991 Census:

Socio-economic indexes for areas (Cat. no. 2912.0).

Each person on the file was allocated an index score, based on the Collectors District

(CD) in which they were enumerated (in most cases their usual residence). The score

was grouped by decile. The decile relates to the area in which the person was

enumerated, not to the socio-economic characteristics of the individual. A high decile

score suggests that the area has fewer families of low income and fewer people with little

training and in unskilled occupations, whereas a low score suggests that the area has

more families and people of this type.

Remote, rural and metropolitan classification of area.

Statistical local areas (SLAs) have been categorised to form this classification in order to

provide information about rural and remote Australia. The long distances to large

population centres and low population densities throughout Australia create issues and

challenges for people in remote and rural areas.

For this survey three measures of area have been identified.

Details of this classification is contained in Rural, Remote and Metropolitan Areas

Classification 1991 Census: Edition, Department of Primary Industries and Energy ,

November 1994.

..........................................................................................Classification Population details

Metropolitan Capital cities and other metropolitan areas with apopulation over 100 000

Rural centres Large or small rural centres with a population between10 000 and 99 999

Rural and remote areas Other rural areas or remote centres with a populationless than 10 000

..........................................................................................

I N F O R M A T I O N O N S M H W B D A T A I T E M S.............................................................................................


MENTAL HEALTH DATA

Duration of disorder

Durations of symptoms have been provided on the file. Duration in years has been

attached where a response has been recorded for onset and recency questions. Onset

was calculated on the earliest symptom and recency on the latest symptom. Duration

variables have a field name of DURF and are the result of comparing the age of onset

with the age of recency. The duration of disorder has not been provided on the file but

can be obtained by cross-classifying the population with a disorder by duration of its

symptoms.

Additional information on duration variables is available in Appendix 1c.

Respondents who used services for mental health problems

Respondents who used services for mental health problems (i.e. were admitted to a

general hospital for nerves or mental problems, a psychiatric hospital or a drug and

alcohol unit; or who consulted a health professional for a mental problem) were asked

about the types of help they received:

information

medication

counselling

social intervention to help sort out practical issues, such as housing or financial

problems

skills training to improve your ability to work, to look after yourself or to use your

time.

For each type of help they received, respondents were asked if they got as much help as

they needed and if not, they were asked to choose the main reason why not:

preferred to manage myself

didn't think anything more could help

didn't know how or where to get more help

afraid to ask for more help, or of what others would think of me if I did

couldn't afford the money

asked but didn't get the help

got help from another source.

For each type of help they did not receive, respondents were asked whether they felt

they needed it, and if so the main reason why they did not get it (from the list above).

Respondents who did not use services for mental health problems

Respondents who had not used services for mental health problems but who had

symptoms that indicated the likely presence of mental disorder (see Users' guide,

Cat. no. 4327.0, for more information) were asked whether they felt they needed each of

the five types of help (above) and the main reason why they did not seek it (from the list

above).

N F O R M A T I O N O N S M H W B D A T A I T E M S.............................................................................................


Perceived need

For each type of help, respondents who either used services for mental health problems,

or who had not used services for mental health problems but who had symptoms that

indicated the likely presence of mental disorder, were classified as follows:

no need—those who were not receiving help and felt that they had no need of it

need fully met—those who were receiving help and felt that it was adequate

need partially met—those who were receiving help but not as much as they felt they

needed

need not met—those who were not receiving help but felt that they needed it.

Likely diagnoses

Apart from fully scored CIDI diagnoses, some respondents had symptoms which

indicated a potential mental disorder but criteria for a diagnosis may have not been met.

Therefore a likely diagnosis has been derived for tiredness , social fears, fear travelling,

fear of panic, months of worry, sad for two or more years, sad for two or more weeks,

happy/irritable, unusual ideas, memory failure, recurrent thoughts, traumatic event,

nature/personality, drug use and drinking. These items may be important when the

sections on service usage and perceived need are analysed.

Mini-mental State Examination (MMSE)

This examination has been included in the survey to permit the screening for cognitive

impairment. It does not allow diagnosis for an organic mental disorder as the source of

the syndrome is unknown. The MMSE was administered to all persons interviewed who

were aged 65 years or above at the time of the interview.

The physical section of the MMSE was pro-rated if the respondent was unable to

complete these questions. This action was necessary to avoid error scores being

recorded for a respondent incorrectly.

DECIMAL PLACES

All decimal places have been removed from items on the CURF by multiplying the

decimal place out. This needs to be reversed when conducting analysis on these items.

NOT STATED AND NOT APPLICABLE CODES

A number of variables have codes which indicate either that: the question was

not applicable to the respondent (e.g. males were not asked for the number of

children ever had); or the respondent did not answer that particular question. In

most cases, these are categorical variables. When calculations such as means,

medians or percentiles are done on these variables, you need to exclude the

people with not stated or not applicable codes.

I N F O R M A T I O N O N S M H W B D A T A I T E M S.............................................................................................


U S I N G T H E D A T A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SURVEY DESIGN AND EFFECTS OF SAMPLING

The SMHWB was conducted throughout Australia using a stratified multistage area

sample of private dwellings. The area-based selection ensured that all sections of the

population living in private dwellings within the geographical scope of the survey were

represented in the sample. Each State and Territory was stratified geographically and

independent samples were selected from each stratum. Each stratum contained a

number of Collection Districts (CDs) defined for the 1991 Population and Housing

Census. A sample of these blocks was selected for inclusion in the survey and a

systematic random sample of dwellings was selected from these blocks. Only one

respondent per household was interviewed and the scope of the survey was limited to

those aged 18 years or over usually resident at the dwelling. 10,641 fully responding

interviews were achieved.

As the survey was conducted on a sample of all households and members of those

households, it is important to take account of the method of sample selection when

deriving estimates from the unit record file. This is particularly important as a person's

chance of selection in the survey varied, depending on the State/Territory and region in

which they lived. If these chances of selection are not accounted for, by use of

appropriate weights, the results will be biased.

USE OF WEIGHTS

The survey estimates conform to independent estimation of the Australian population

for the third quarter of 1997. Specifically, the estimates conform to national age by sex

population estimates, and State/Territory by part of State population estimates. The post

stratification method used to weight the responses incorporated post strata formed at

State by part of State by sex by age group levels, then each person was assigned an initial

weight equal to the inverse of the probability of selection of the person. These

preliminary weights were then adjusted to sum to known population benchmarks at the

post stratum level to give a set of full survey weights.

If survey estimates for population sub-groups are to be derived from the CURF it is

essential that they are calculated by adding the weights of the persons in each category,

not just by counting the number of people falling into each category. If each person

were to be counted only once then no account would be taken of the fact that a person's

chance of selection in the survey varied from region to region and the resulting

estimates may be seriously biased.

There are two sets of weights on the file which can be used to calculate survey estimates.

Further information is provided in sections on Revised full survey weight and Choice of

full survey weight for analysis on page 15. These sections should be read carefully

before any analysis is undertaken on this file.


RELIABILITY OF THE ESTIMATES

Two types of error are possible in an estimate based on a sample survey: sampling error

and non-sampling error. The sampling error is a measure of the variability that occurs by

chance because a sample, rather than the entire population, is surveyed. Since the

estimates from this survey are based on information obtained from randomly selected

occupants of a sample of dwellings they are subject to sampling variability; that is they

may differ from the figures that would have been produced if all occupants in all

dwellings had been included in the survey.

STANDARD ERRORS

One measure of the likely difference between the estimate and the value obtained if all

persons had been included is given by the standard error (SE). There are about two

chances in three that a sample estimate will differ by less than one SE from the figure

that would have been obtained if all persons in all dwellings had been included, and

about 19 chances in 20 that the difference will be less than two SEs.

Another measure of the likely difference is the relative standard error (RSE), which is

obtained by expressing the SE as a percentage of the estimate. The RSE is a useful

measure in that it provides an immediate indication of the percentage errors likely to

have occurred due to sampling, and thus avoids the need to refer also to the size of the

estimate.

Two measures of variability are outlined below: indicative standard errors based on

estimates provided by the ABS; and variance calculated using a replicate weights

technique.

Indicative standard errors

Space does not allow for the separate indication of the SEs of all estimates which can be

produced from the CURF. A table of SEs and RSEs for selected estimates of numbers of

persons is contained on page 13 in T1. These figures do not give a precise measure of

the SE for a particular estimate but provide an indication of its magnitude. ABS has

modelled these SEs on the full survey design information.

As the SEs in table T1 show, the smaller the estimate the higher the RSE. Very small

estimates are subject to such high SEs (relative to the size of the estimate) as to detract

seriously from their value for most reasonable uses. Only estimates with RSEs less than

25% are considered sufficiently reliable for most purposes. Estimates with larger RSEs,

between 25% and less than 50% should be used with caution, while estimates with RSEs

of 50% or more are considered unreliable for most uses.

Standard errors can be approximated as in the following example. The estimated

number of persons who had an affective disorder in the last 12 months was 778,600.

The size of the estimate lies between 500,000 and 1,000,000. The corresponding SEs for

these two numbers in table T1 are 19,400 and 24,450. The SE for 778,600 is

approximated by interpolation using the following formula:

SE = lower SE + ((size of estimate – lower size) / (upper size – lower size)) X

(upper SE – lower SE)

= 19,400 + ((778,600 – 500,000) / (1,000,000 – 500,000)) X (24,450 – 19,400)

= 22,200 (rounded to the nearest hundred)

U S I N G T H E D A TA .............................................................................................


Therefore, there are about two chances in three that the value that would have been

produced if all persons in all dwellings had been included in the survey will fall in the

range of 756,400 to 800,800 and about 19 chances in 20 that the value will fall within the

range 734,200 to 823,000.

Standard errors of proportions and percentages

Proportions and percentages formed from the ratio of two estimates are also subject to

sampling errors. The size of the error depends on the accuracy of both the numerator

and the denominator.

A formula to approximate the RSE of a proportion or percentage (based on person

estimates) is given below:

RSE (x/y) =√ ( [RSE(x)]2– RSE(y)]2 )

For example, 8.6% of males aged 18–24 years experienced an anxiety disorder during the

last 12 months. It can be calculated that the numerator is approximately 79,300 and the

denominator is approximately 921,900. The SE of 921,900 is approximately 23,700, so

the RSE is 2.6%. The SE of 79,300 is approximately 9,200, so the RSE is 11.6%. Applying

the above formula, the RSE of the percentage is √ [ (11.6)2–(2.6)2 ] or 11.3%, giving a SE

for the proportion (8.6%) of 1.0 percentage points. Therefore, there are about two

chances in three that the percentage of men aged 18–24 years who experienced an

anxiety disorder is between 7.6% and 9.6% and 19 chances in 20 that the proportion is

within the range 6.6% and 10.6%.

From the above formula, the RSE of the estimated proportion or percentage will be

lower than the RSE of the estimate of the numerator. Thus an approximation for SEs of

proportions or percentages may be derived by neglecting the RSE of the denominator,

i.e. by obtaining the RSE of the number of persons corresponding to the numerator of

the proportion or percentage and then applying this figure to the estimated proportion

or percentage.

Standard errors of differences

As with estimates of proportions and percentages, published figures may also be used to

estimate the difference between survey estimates (of numbers or percentages). Such a

figure is itself an estimate and is subject to sampling error. The sampling error of the

difference between two estimates depends on their SEs and the relationship

(correlation) between them.

An approximate SE of the difference between two estimates (x–y) may be calculated by

the following formula:

SE (x–y) = √ ([SE(x)]2 + [SE(y)]2)

While this formula will only be exact for differences between separate and uncorrelated

characteristics or sub-populations it is likely to give reasonable SE estimates.

Standard errors of standardised rates

For age standardised rates for Australia, there is little difference in calculating RSEs to

those given in table T1. Calculations of RSEs for age standardised rates therefore remain

as described above.

U S I N G T H E D A T A .............................................................................................


T1 SE and RSE(a) of person estimates......................................................................................

Size of estimate SE RSE

%

......................................................................................(b)1 000 820 82.0

(b)1 500 1 070 71.3

(b)2 000 1 280 64.0

(b)2 500 1 500 60.0

(b)3 000 1 650 55.0

(b)3 500 1 800 51.4

(c)4 000 1 950 48.8

(c)5 000 2 250 45.0

(c)7 000 2 750 39.3

(c)10 000 3 350 33.5

(c)15 000 4 150 27.7

20 000 4 800 24.0

30 000 5 900 19.7

40 000 6 800 17.0

50 000 7 550 15.1

100 000 10 350 10.4

150 000 12 250 8.2

200 000 13 800 6.9

300 000 16 150 5.4

500 000 19 400 3.9

1 000 000 24 450 2.4

2 000 000 30 050 1.5

5 000 000 38 000 0.8

10 000 000 44 050 0.4

......................................................................................(a) SEs and RSEs are modelled on full survey design information.

(b) Estimates with a RSE of 50% or more. These estimates are consideredunreliable for most purposes.

(c) Estimates with a RSE between 25% and less than 50%. These estimatesshould be treated with caution.

U S I N G T H E D A TA .............................................................................................


REPLICATE WEIGHTS TECHNIQUE

A class of techniques called replication methods provide a general method of estimating

variances for the types of complex sample designs and weighting procedures employed

in ABS household surveys.

The basic idea behind the replication approach is to select subsamples repeatedly from

the whole sample. For each of these subsamples the statistic of interest is calculated.

The variance of the full sample statistic is then estimated using the variability among the

replicate statistics calculated from the subsamples. The subsamples are called replicate

groups and the statistics calculated from these replicates are called replicate estimates.

There are various ways of creating replicate subsamples from the full sample. The

replicate weights produced for the SMHWB have been created under the Jackknife

method of replication which is described below.1

There are numerous advantages to using the replicate weighting approach. These

include :

the same procedure is applicable to most statistics such as means, percentages,

ratios, correlations, derived statistics and regression coefficients

it is not necessary for the analyst to have available detailed survey design information

if the replicate weights are included with the data file.

Derivation of replicate weights

The Jackknife method of replicate weighting has been adopted for the SMHWB. Replicate

weights were derived as follows :

30 replicate groups were formed with each group formed to mirror the overall sample.

Units from a CD all belong to the same replicate group and a unit can belong to only

one replicate group

one replicate group was dropped from the file and then the remaining records were

weighted in the same manner as for the full sample but with broader post stratification

due to the smaller sample size (as a result of one replicate group being dropped)

the records in the group that was dropped received a weight of zero

this process was repeated for each replicate group (ie a total of 30 times)

ultimately each record had 30 replicate weights attached to it with one of these being a

zero weight

1 Kirk M. Wolter: "Introduction to variance estimation" New York: Springer-Verlag, 1985.

U S I N G T H E D A T A .............................................................................................


Revised full survey weight

As explained above, the variance of the statistic of interest (such as a prevalence rate or a

regression coefficient) is estimated using the variability of the replicate statistics calculated

from the subsamples. The most accurate estimate of the variance will be produced when

the statistic is calculated in the same way from the full sample and the replicate samples.

This requires that the full survey weights and the replicate weights be based on the same

post stratification.

Hence, because a broader post stratification was used to calculate the replicate weights, a

revised set of full survey weights has been produced, based on these post strata. If the

replicate weights are used in conjunction with the revised full survey weights, the relative

standard errors calculated will be close to the relative standard errors in the model

underpinning table T1. If the replicate weights are used in conjunction with the original

survey weights, the standard errors calculated will be approximately double that value.

Choice of full survey weight for analysis

The estimates presented in the survey publication Mental Health and Wellbeing: Profile of

Adults, Australia, 1997, Catalogue number 4326.0 can only be reproduced by using the

original set of survey weights. Standard errors for these estimates can be estimated using

table T1 on page 13 in this Technical paper.

Otherwise, the choice of which set of full survey weights to use depends on the type of

analysis being undertaken.

For calculating estimates of straightforward measures, such as numbers or percentages,

either set of full survey weights can be used. Standard errors can be estimated from

table T1.

For more complex analyses, it is recommended that the revised set of full survey

weights be used in conjunction with the replicate weight technique to calculate

Jackknife variance estimates. This will ensure that the estimate and its standard error are

based on the same post stratification.

Application of replicate weights

As noted above, replicate weights enable variances of estimates to be calculated relatively

simply. They also enable unit record analyses such as chi-square tests and logistic regression

to be conducted which take into account the complex sample design.

Replicate estimates for any variable of interest can be calculated from the 30 replicate

groups, giving 30 replicate estimates. The distribution of this set of replicate estimates, in

conjunction with the full sample estimate (based on the revised set of full survey weights) is

then used to approximate the variance of the full sample estimate.

U S I N G T H E D A TA .............................................................................................


Application of replicate weights (cont.)

The Jackknife variance estimate is calculated from:

where

is the number of Replicate Groups, 30 in this case

is the estimate of the variable of interest from the full sample

is the estimate of the variable of interest after the kth replicate group has been

dropped

This method is appropriate for any variable of interest.

It can also be used when modelling relationships from unit record data, regardless of the

modelling technique used. In modelling, the full sample would be used to estimate the

parameter being studied, such as a regression coefficient, and the 30 replicate groups

used to provide 30 replicate estimates of the parameter. The variance of the estimate of

the parameter from the full sample is then approximated, as above, by the variability of

the replicate estimates.

Use of Jackknife replicate weights with statistical packages

Not all statistical packages currently allow direct calculation of SEs using Jackknife

replicate weights. However, those packages that allow direct use of Balanced Repeated

Replication (BRR) methodology generally include the option of an adjustment factor. This

factor can be incorporated to overcome the difference between the variance formulae.

Please refer to the Subject matter contact details for advice on this (see p. 2).

To enable the replicate weights to be checked, we have also included the first table from

the SMHWB: Profile of Adults publication with Standard Errors using this approach (see

following page). Table 1a (which uses the revised set of full survey weights) should be

run from the CURF to check that the same Standard Errors are obtained as in Table 1a in

this Technical paper. Table 1b uses estimates from the original set of full survey weights

and can be used to give a comparison between the estimates of both sets of full survey

weights.

NON-SAMPLING ERROR

The imprecision due to sampling variability, which is measured by the SE, should not be

confused with inaccuracies that may occur because of imperfections in reporting by

interviewers and respondents and errors made in coding and processing of data.

Inaccuracies of this kind are referred to as the non-sampling error, and they may occur in

any enumeration, whether it be in a full count or only a sample. In practice, the

potential for non-sampling error adds to the uncertainty of the estimates caused by

sampling variability. However, it is not possible to quantify the non-sampling error.

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U S I N G T H E D A T A .............................................................................................


TABLE 1a. PERSONS: PREVALENCE OF DISORDERS(a) AND STANDARD ERRORS

(BASED ON REVISED SET OF FULL SURVEY WEIGHTS - WEIGHT2)

Estimates Standard errors Relative standard errors

Males Female

s

Persons Males Female

s

Person

s

Males Female

s

Person

s

'000 '000 '000 '000 '000 '000 % % %

Physical conditions 2 383.4 2 796.9 5 180.3 49.2 50.0 74.3 2.1 1.8 1.4

Mental disorders

Anxiety disorders —

Panic disorder 37.0 136.6 173.7 9.3 11.2 14.4 23.7 8.2 8.2

Agoraphobia 46.5 100.9 147.5 8.0 11.5 13.2 18.5 11.2 9.2

Social phobia 160.6 212.3 372.9 16.5 20.9 26.7 10.3 9.8 7.2

Generalised anxiety disorder 153.7 256.6 410.3 15.0 23.5 30.8 9.8 9.2 7.5

Obsessive-compulsive disorder 20.1 28.0 48.1 4.8 6.2 8.8 23.6 21.7 18.0

Post-traumatic stress disorder 150.1 287.2 437.3 19.8 19.5 29.5 13.2 6.8 6.7

Total anxiety disorders 466.6 835.1 1 301.7 28.7 33.6 45.3 6.2 4.0 3.5

Affective disorders —

Depression 225.6 469.6 695.2 18.8 23.3 34.4 8.6 4.8 5.0

Dysthymia 60.9 88.7 149.6 8.2 12.9 17.3 13.5 14.6 11.6

Total affective disorders(b) 271.2 508.7 779.9 21.3 26.4 37.3 8.1 4.9 4.8

Substance use disorders

Alcohol harmful use 287.1 126.7 413.9 22.8 11.5 26.9 8.3 9.2 6.8

Alcohol dependence 331.2 124.5 455.7 26.9 10.4 28.9 8.5 8.1 6.6

Drug use disorders(c) 274.1 105.8 380.0 23.9 11.9 24.6 9.4 12.5 7.3

Total substance use disorders 774.5 322.1 1 096.6 36.5 15.4 41.9 5.0 5.1 4.0

Total mental disorders 1 189.8 1 251.2 2 440.9 47.5 44.8 70.8 4.0 3.6 2.9

No mental disorders or physicalconditions

3 499.7 3 357.6 6 857.3 48.5 53.9 85.4 1.4 1.6 1.3

Total(d) 6 627.1 6 837.7 13 464.8

(a) During the 12 months prior to interview.

(b) Includes other affective disorders such as mania, hypomania and bipolar affective disorder.

(c) Includes harmful use and dependence.

(d) A person may have more than one mental disorder with or without a physical condition. The components when added may therefore be larger than the total.

Source: 1997 National Survey of Mental Health and Well-being of Adults.

U S I N G T H E D A TA .............................................................................................


TABLE 1b. PERSONS: PREVALENCE OF DISORDERS(a)

(BASED ON ORIGINAL SET OF FULL SURVEY WEIGHTS - WEIGHT)

Estimates

Males Females Persons

'000 '000 '000

Physical conditions 2 380.2 2 811.0 5 191.2

Mental disorders

Anxiety disorders —

Panic disorder 38.5 133.7 172.2

Agoraphobia 46.7 102.8 149.6

Social phobia 161.4 207.3 368.7

Generalised anxiety disorder 156.8 256.0 412.8

Obsessive-compulsivedisorder

19.3 28.5 47.8

Post-traumatic stress disorder 153.3 285.8 439.2

Total anxiety disorders 469.7 829.1 1 298.9

Affective disorders —

Depression 228.4 465.7 694.1

Dysthymia 63.4 88.3 151.7

Total affective disorders(b) 276.1 505.0 781.1


Alcohol harmful use 282.8 122.5 405.3

Alcohol dependence 343.5 125.2 468.7

Drug use disorders(c) 203.2 87.0 290.2

Total substance use disorders 734.1 304.7 1 038.7

Total mental disorders 1 151.6 1 231.5 2 383.1

No mental disorders or physicalconditions

3 543.1 3 360.7 6 903.8

Total(d) 6 627.1 6 837.7 13 464.8

(a) During the 12 months prior to interview.

(b) Includes other affective disorders such as mania, hypomania and bipolar affective disorder.

(c) Includes harmful use and dependence.

(d) A person may have more than one mental disorder with or without a physical condition. The componentswhen added may therefore be larger than the total.

Source: 1997 National Survey of Mental Health and Well-being of Adults.

U S I N G T H E D A T A .............................................................................................


A P P E N D I X 1A D A T A I T E M S U M M A R Y L I S T I N G . . . . . . . . . . . . . . . .

Page

CONTENTS

Identifying items

Random identifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Geographic items

Geographic items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Demographics

Person description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Labour force . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Dwelling details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Household description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

General measures of mental health and wellbeing

Short Form–12 (SF–12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Short Form–12 —service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . 22

Eysenck Personality Questionnaire (EPQ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Kessler Psychological Distress Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Delighted–terrible Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Physical conditions

Physical conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Physical conditions—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . 23

Neurasthenia

Neurasthenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Neurasthenia—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . 24

Smoking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Anxiety disorders

Social phobia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Agoraphobia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Panic disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Generalised anxiety disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Anxiety—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Depressive disorders

Depression—all episodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Depression—main episode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Dysthymia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Depressive disorders—service utilisation and days out of role . . . . . . . . . . . . . . . . . . 30

Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Manic and bipolar affective disorder

Mania—all episodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Mania—main episode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Mania—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32


Page

Psychosis screener

Psychosis screener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Disorders resulting from use of alcohol

Alcohol use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Alcohol—harmful use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Alcohol—dependence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Alcohol—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Obsessive–compulsive disorder

Obsessive–compulsive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Obsessive–compulsive disorder—service utilisation and days out of role . . . . . . . . . . 34

Post–traumatic stress disorder

Post–traumatic stress disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Post–traumatic stress disorder—service utilisation and days out of role . . . . . . . . . . . 35

Substance–related disorders

Amount and type of drug use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Drugs—harmful use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Harmful use— cause of any problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Drugs—dependence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Dependence—cause of emotional and physical problems . . . . . . . . . . . . . . . . . . . . . 38

Drugs—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Organic mental disorders

Mini–Mental State Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Personality disorder screener

Personality disorder screener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Personality—service utilisation and days out of role . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Disability

Brief Disability Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Health service util isation and perceived health needs

Hospital admissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Health professional consultations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Perceived need for help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

General Health Questionnaire–12 item scale (GHQ–12)

General Health Questionnaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Likely diagnosis of mental health problem

Likely diagnosis of mental health problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

CIDI mental disorder diagnosis

ICD–10 classification of mental and behaviour disorders . . . . . . . . . . . . . . . . . . . . . . 45

DSM–IV classification of mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Other scored information

Other scored information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Trauma dating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Recode: social phobia, trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Weights

Weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Replicates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Revised weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

A P P E N D I X 1A • D A T A I T E M S U M M A R Y L I S T I N G .............................................................................................


A P P E N D I X 1B D A T A I T E M D E T A I L E D L I S T I N G . . . . . . . . . . . . . . . .

DATA ITEM GROUP / FIELD DESCRIPTION LABEL FIELDNUMBER

STARTPOSITION

LENGTH(BYTES)

FIELD NAME RANGE OF CODES

............................................................................................DATA ITEM GROUP : IDENTIFYING ITEMS

Random identifier 1 1 8 RANDOMID 0-99999999

DATA ITEM GROUP : GEOGRAPHIC ITEMS

Index of relative socio-economic disadvantage 2 9 2 DLOWSA 0-10

Rural remote and metropolitan classification of area 3 11 1 URBANRU 1-3

DATA ITEM GROUP : PERSON DESCRIPTION

Sex 4 12 1 A1 1-2

Age 5 13 2 A2 1-18

Country of birth 6 15 1 A3_1 1-3

Year of arrival 7 16 1 A4 0-6

Number times married/defacto 8 17 1 A15 0-5

Marital status 9 18 1 A15A 1-6

Number children 10 19 1 A15B 0-6

Age when only child born 11 20 2 A15C 0-19

Age when eldest child born 12 22 2 A15D 0-20

Age when youngest child born 13 24 2 A15E 0-20

DATA ITEM GROUP : LANGUAGE

Usual language spoken in household 14 26 1 A5A 1-2

DATA ITEM GROUP : EDUCATION

Attending school 15 27 1 A6 0-1,5

Finished secondary school 16 28 1 A8 0-1,5

Completed educational qualification 17 29 1 A9 0-1,5

Currently studying 18 30 1 A14 0-1,5

Full or part time study 19 31 1 A14A 0-2

Highest qualification 20 32 1 HQUALDRV 0,3-9

DATA ITEM GROUP : LABOUR FORCE

Ever worked 21 33 1 A16 1,5

Ever worked w/out pay 22 34 1 A16A 0-1,5

Work last week 23 35 1 A17 0,1,5

Work w/out pay last week 24 36 1 A17A 0-1,5

Work absence last week 25 37 1 A18 0-1,5

More one job last week 26 38 1 A19 0-1,5

Hrs per week all jobs 27 39 1 A23 0-9

Occupation 28 40 1 OCCUPAT3 0-9

Mhs labour force status 29 41 1 MHSLFST 1-5

Mhs length of unemployment 30 42 1 UNEMPLOY 0-6



STARTPOSITION

LENGTH(BYTES)


............................................................................................DATA ITEM GROUP : INCOME

Sources of income 31 43 1 A29 1,5

Main source of income 32 44 1 A30 0-8

DATA ITEM GROUP : DWELLING DETAILS

Housing tenure 33 45 1 TENURE1 1-4

DATA ITEM GROUP : HOUSEHOLD DESCRIPTION

Household type expanded 34 46 2 HOUTYPE 1-10

Number of persons in household 35 48 1 NUMPERS 1-8

Number of children in household 36 49 1 KIDTO17 0-5

Number of elderly in household 37 50 1 OVER64 0-4

Number of males in household 38 51 1 MALEHH 0-5

Number of females in household 39 52 1 FEMALEHH 0-5

DATA ITEM GROUP : MENTAL HEALTH

Sf general health assessment 40 53 1 B1 1-5

Sf moderate activity 41 54 1 B2 1-3

Sf climb stairs 42 55 1 B3 1-3

Sf accomplished less because of physical health 43 56 1 B4 1,5

Sf limited because of physical health 44 57 1 B5 1,5

Sf accomplished less because of emotional problems 45 58 1 B6 1,5

Sf less careful because of emotional problems 46 59 1 B7 1,5

Sf pain interfered with normal activities 47 60 1 B8 1-5

Sf calm and peaceful 48 61 1 B9 1-6

Sf lots of energy 49 62 1 B10 1-6

Sf felt down 50 63 1 B11 1-6

Sf how much time problems interfered with activities 51 64 1 B12 1-6

Sf consultations with doctor 52 65 2 B13 0-9

Sf total days out of role 53 67 2 B14 0-10

Sf partial days out of role 54 69 2 B15 0-10

Epq mood up or down 55 71 1 B16 1,5

Epq miserable 56 72 1 B17 1,5

Epq irritable 57 73 1 B18 1,5

Epq feelings hurt 58 74 1 B19 1,5

Epq fed up 59 75 1 B20 1,5

Epq nervous person 60 76 1 B21 1,5

Epq worrier 61 77 1 B22 1,5

Epq highly strung 62 78 1 B23 1,5

Epq worry too long 63 79 1 B24 1,5

Epq nerves 64 80 1 B25 1,5

Epq lonely 65 81 1 B26 1,5

Epq guilt 66 82 1 B27 1,5

K10 tired for no reason 67 83 1 B28 1-5

K10 nervous 68 84 1 B29 1-5

K10 so nervous can not calm down 69 85 1 B30 0-5

A P P E N D I X 1B • D A T A I T E M D E T A I L E D L I S T I N G..............................................................................................

...............................................................................................22 A B S • M E N T A L H E A L T H & W E L L B E I N G : C O N F I D E N T I A L I S E D U N I T R E C O R D F I L E • 1 9 9 7


STARTPOSITION

LENGTH(BYTES)


............................................................................................K10 hopeless 70 86 1 B31 1-5

K10 restless 71 87 1 B32 1-5

K10 so restless can not sit still 72 88 1 B33 0-5

K10 depressed 73 89 1 B34 1-5

K10 everything effort 74 90 1 B35 1-5

K10 so sad can not cheer up 75 91 1 B36 1-5

K10 worthless 76 92 1 B37 1-5

Dt feel about life as a whole 77 93 1 B40 1-7

Phys medical conditions 78 94 1 C1 1,5

Phys asthma 79 95 1 C1A 0-1,5

Phys bronchitis 80 96 1 C2 0-1,5

Phys anaemia 81 97 1 C3 0-1,5

Phys blood pressure 82 98 1 C4 0-1,5

Phys heart trouble 83 99 1 C5 0-1,5

Phys arthritis 84 100 1 C6 0-1,5

Phys kidney disease 85 101 1 C7 0-1,5

Phys diabetes 86 102 1 C8 0-1,5

Phys cancer 87 103 1 C9 0-1,5

Phys stomach or duodenal ulcer 88 104 1 C10 0-1,5

Phys liver or gallbladder trouble 89 105 1 C11 0-1,5

Phys hernia or rupture 90 106 1 C12 0-1,5

Phys doctor consultations 91 107 2 C13 0-9

Phys total days out of role 92 109 2 C14 0-10

Phys partial days out of role 93 111 2 C15 0-10

Neur everyday physical tasks 94 113 1 C16 1-5

Neur physical tasks - doctor 95 114 1 C16_MD 0-5

Neur physical tasks - result using medication 96 115 1 C16_OTH3 0-1,5

Neur physical tasks - result physical injury 97 116 1 C16_OTH4 0-1,5

Neur everyday mental tasks 98 117 1 C17 1-5

Neur mental tasks - doctor 99 118 1 C17_MD 0-5

Neur mental tasks - result using medication 100 119 1 C17_OTH3 0-1,5

Neur mental tasks - result physical injury 101 120 1 C17_OTH4 0-1,5

Neur difficult to recover even when rested 102 121 1 C18 0-1,5

Neur tired all the time for three months or more 103 122 1 C19 0-1,5

Neur tired all the time - this year 104 123 1 C19A 0-1,5

Neur headaches - clinical significance 105 124 1 C20 0-5

Neur headaches - doctor diagnosis 106 125 1 C20_MD 0-5

Neur headaches - result using medication 107 126 1 C20_OTH3 0-1,5

Neur headaches - result physical injury 108 127 1 C20_OTH4 0-1,5

Neur wake unrefreshed - clinical significance 109 128 1 C21 0-5

Neur wake unrefreshed - doctor diagnosis 110 129 1 C21_MD 0-5

Neur wake unrefreshed - result using medication 111 130 1 C21_OTH3 0-1,5

Neur wake unrefreshed - result physical injury 112 131 1 C21_OTH4 0-1,5

Neur muscle pain - clinical significance 113 132 1 C22 0-5

Neur muscle pain - doctor diagnosis 114 133 1 C22_MD 0-5

Neur muscle pain - result using medication 115 134 1 C22_OTH3 0-1,5

A P P E N D I X 1B • D A T A I T E M D E T A I L E D L I S T I N G.............................................................................................



STARTPOSITION

LENGTH(BYTES)


............................................................................................Neur muscle pain - result physical injury 116 135 1 C22_OTH4 0-1,5

Neur dizziness - clinical significance 117 136 1 C23 0-5

Neur dizziness - doctor diagnosis 118 137 1 C23_MD 0-5

Neur dizziness - result using medication 119 138 1 C23_OTH3 0-1,5

Neur dizziness - result physical injury 120 139 1 C23_OTH4 0-1,5

Neur unable relax - clinical significance 121 140 1 C24 0-5

Neur unable relax - doctor diagnosis 122 141 1 C24_MD 0-5

Neur unable relax - result using medication 123 142 1 C24_OTH3 0-1,5

Neur unable relax - result physical injury 124 143 1 C24_OTH4 0-1,5

Neur impatient - clinical significance 125 144 1 C25 0-5

Neur impatient - doctor diagnosis 126 145 1 C25_MD 0-5

Neur impatient - result using medication 127 146 1 C25_OTH3 0-1,5

Neur impatient - result physical injury 128 147 1 C25_OTH4 0-1,5

Neur onset 129 148 1 C26_ONS 0-6

Neur recency 130 149 1 C26_REC 0-6

Neur doctor consultations 131 150 2 C27 0-9

Neur total days out of role 132 152 2 C28 0-10

Neur partial days out of role 133 154 2 C29 0-10

Smkg currently 134 156 1 C30 1,5

Smkg regularly smoke 135 157 1 C31 0-1,5

Smkg ever smoked regularly 136 158 1 C32 0-1,5

Anx soc fear of situations 137 159 1 D33 1,5

Anx soc eat or drink 138 160 1 D33A_1 0-1,5

Anx soc talk to people 139 161 1 D33A_2 0-1,5

Anx soc writing 140 162 1 D33A_3 0-1,5

Anx soc speak at meeting 141 163 1 D33A_4 0-1,5

Anx soc party 142 164 1 D33A_5 0-1,5

Anx soc speech in public 143 165 1 D33A_6 0-1,5

Anx soc other 144 166 1 D33A_7 0-1,5

Anx soc avoided situations 145 167 1 D34 0-1,5

Anx soc avoid eat drink 146 168 1 D34A_1 0-1,5

Anx soc avoid talk people 147 169 1 D34A_2 0-1,5

Anx soc avoid writing 148 170 1 D34A_3 0-1,5

Anx soc avoid speak at meeting 149 171 1 D34A_4 0-1,5

Anx soc avoid party 150 172 1 D34A_5 0-1,5

Anx soc avoid speech in public 151 173 1 D34A_6 0-1,5

Anx soc avoid other 152 174 1 D34A_7 0-1,5

Anx soc - clinical significance 153 175 1 D35 0,2-5

Anx soc - doctor diagnosis 154 176 1 D35_MD 0-5

Anx soc - result using medication 155 177 1 D35_OTH3 0-1,5

Anx soc - result physical injury 156 178 1 D35_OTH4 0-1,5

Anx soc show anxiety 157 179 1 D36 0-1,5

Anx soc excessive fear 158 180 1 D37 0-1,5

Anx soc unreasonable fear 159 181 1 D37A 0-1,5

Anx soc upset with self 160 182 1 D37B 0-1,5

Anx soc interfere with normal activities 161 183 1 D38 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Anx soc upset when in situation 162 184 1 D39 0-1,5

Anx soc blush shake 163 185 1 D40_1 0-1,5

Anx soc nausea 164 186 1 D40_2 0-1,5

Anx soc lose bladder or bowel control 165 187 1 D40_3 0-1,5

Anx soc heart race 166 188 1 D40A_1 0-1,5

Anx soc sweat 167 189 1 D40A_2 0-1,5

Anx soc tremble 168 190 1 D40A_3 0-1,5

Anx soc dry mouth 169 191 1 D40A_4 0-1,5

Anx soc short breath 170 192 1 D40A_5 0-1,5

Anx soc choking 171 193 1 D40A_6 0-1,5

Anx soc chest pain 172 194 1 D40A_7 0-1,5

Anx soc dizzy 173 195 1 D40A_8 0-1,5

Anx soc things unreal 174 196 1 D40A_9 0-1,5

Anx soc lose control or pass out 175 197 1 D40A_10 0-1,5

Anx soc might die 176 198 1 D40A_11 0-1,5

Anx soc chills or flushes 177 199 1 D40A_12 0-1,5

Anx soc numbness 178 200 1 D40A_13 0-1,5

Anx soc onset 179 201 1 D41_ONS 0-6

Anx soc recency 180 202 1 D41_REC 0-6

Anx soc fear present when situation encountered 181 203 1 D42 0-1,5

Anx ag fear of travelling 182 204 1 D43 0-1,5

Anx ag outside home 183 205 1 D43A_1 0-1,5

Anx ag travelling 184 206 1 D43A_2 0-1,5

Anx ag in crowd 185 207 1 D43A_3 0-1,5

Anx ag public place 186 208 1 D43A_4 0-1,5

Anx ag avoided situations 187 209 1 D44 0-1,5

Anx ag avoid outside home 188 210 1 D44A_1 0-1,5

Anx ag avoid travelling 189 211 1 D44A_2 0-1,5

Anx ag avoid crowd 190 212 1 D44A_3 0-1,5

Anx ag avoid public place 191 213 1 D44A_4 0-1,5

Anx ag not remain alone 192 214 1 D45 0-1,5

Anx ag stay with someone 193 215 1 D45A 0-1,5

Anx ag - clinical significance 194 216 1 D46 0,2-5

Anx ag - doctor diagnosis 195 217 1 D46_MD 0-5

Anx ag - result using medication 196 218 1 D46_OTH3 0-1,5

Anx ag doctor - result physical injury 197 219 1 D46_OTH4 0-1,5

Anx ag upset when in situations 198 220 1 D47 0-1,5

Anx ag heart race 199 221 1 D48_1 0-1,5

Anx ag sweat 200 222 1 D48_2 0-1,5

Anx ag tremble 201 223 1 D48_3 0-1,5

Anx ag dry mouth 202 224 1 D48_4 0-1,5

Anx ag short breath 203 225 1 D48_5 0-1,5

Anx ag choking 204 226 1 D48_6 0-1,5

Anx ag chest pain 205 227 1 D48_7 0-1,5

Anx ag nausea 206 228 1 D48_8 0-1,5

Anx ag dizzy 207 229 1 D48_9 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Anx ag things unreal 208 230 1 D48_10 0-1,5

Anx ag lose control or pass out 209 231 1 D48_11 0-1,5

Anx ag might die 210 232 1 D48_12 0-1,5

Anx ag chills or flushes 211 233 1 D48_13 0-1,5

Anx ag numbness 212 234 1 D48_14 0-1,5

Anx ag unable to escape 213 235 1 D49 0-1,5

Anx ag unable to get help 214 236 1 D50 0-1,5

Anx ag excessive fear 215 237 1 D51 0-1,5

Anx ag unreasonable fear 216 238 1 D51A 0-1,5

Anx ag upset with self 217 239 1 D51B 0-1,5

Anx ag onset 218 240 1 D52_ONS 0-6

Anx ag recency 219 241 1 D52_REC 0-6

Anx ag fear present when situation encountered 220 242 1 D53 0-1,5

Anx pan ever had an attack 221 243 1 D54 1,5

Anx pan attack in life threatening situation 222 244 1 D55 0-1,5

Anx pan attack not in life threatening situation 223 245 1 D55A 0-1,5

Anx pan more than one attack 224 246 1 D56 0-1,5

Anx pan heart race 225 247 1 D57_1 0-1,5

Anx pan sweat 226 248 1 D57_2 0-1,5

Anx pan tremble 227 249 1 D57_3 0-1,5

Anx pan short breath 228 250 1 D57_4 0-1,5

Anx pan choking 229 251 1 D57_5 0-1,5

Anx pan chest pain 230 252 1 D57_6 0-1,5

Anx pan nausea 231 253 1 D57_7 0-1,5

Anx pan dizzy 232 254 1 D57_8 0-1,5

Anx pan things unreal 233 255 1 D57_9 0-1,5

Anx pan lose control or pass out 234 256 1 D57_10 0-1,5

Anx pan might die 235 257 1 D57_11 0-1,5

Anx pan chills or flushes 236 258 1 D57_12 0-1,5

Anx pan numbness 237 259 1 D57_13 0-1,5

Anx pan dry mouth 238 260 1 D57_14 0-1,5

Anx pan attack began suddenly and got worse 239 261 1 D58 0-1,5

Anx pan - clinical significance 240 262 1 D58A 0,2-5

Anx pan - doctor diagnosis 241 263 1 D58A_MD 0-5

Anx pan - result using medication 242 264 1 D58A_OT3 0-1,5

Anx pan - result physical injury 243 265 1 D58A_OT4 0-1,5

Anx pan attack in the last year 244 266 1 D59 0-1,5

Anx pan worried might have another attack 245 267 1 D59A 0-1,5

Anx pan worry about consequences of attacks 246 268 1 D59B 0-1,5

Anx pan change everyday activities 247 269 1 D59C 0-1,5

Anx pan four attacks in one month 248 270 1 D60 0-1,5

Anx pan four attacks every week 249 271 1 D60A 0-1,5

Anx pan onset 250 272 1 D61_ONS 0-6

Anx pan recency 251 273 1 D61_REC 0-6

Anx pan attacks in feared situations 252 274 1 D62 0-1,5

Anx gad months of worry 253 275 1 D63 1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Anx gad longest period of worrying(1) 254 276 1 D63A 0-1,5

Anx gad worry more than most people 255 277 1 D63B 0-1,5

Anx gad longest period of worrying(2) 256 278 1 D63C 0-1,5

Anx gad excessive fear 257 279 1 D64A 0-1,5

Anx gad worried most days 258 280 1 D64B 0-1,5

Anx gad difficult to stop worrying 259 281 1 D64C 0-1,5

Anx gad worry (about weight drugs) 260 282 1 D64D_I 0-1,5

Anx gad worry (other) 261 283 1 D64D_II 0-1,5

Anx gad restless 262 284 1 D65_1 0-1,5

Anx gad keyed up 263 285 1 D65_2 0-1,5

Anx gad easily tired 264 286 1 D65_3 0-1,5

Anx gad trouble concentrating 265 287 1 D65_4 0-1,5

Anx gad irritable 266 288 1 D65_5 0-1,5

Anx gad tense and aching muscles 267 289 1 D65_6 0-1,5

Anx gad trouble sleeping 268 290 1 D65_7 0-1,5

Anx gad heart pound 269 291 1 D65_8 0-1,5

Anx gad sweat 270 292 1 D65_9 0-1,5

Anx gad tremble 271 293 1 D65_10 0-1,5

Anx gad dry mouth 272 294 1 D65_11 0-1,5

Anx gad short of breath 273 295 1 D65_12 0-1,5

Anx gad choking 274 296 1 D65_13 0-1,5

Anx gad pain in chest 275 297 1 D65_14 0-1,5

Anx gad pain in stomach 276 298 1 D65_15 0-1,5

Anx gad nausea 277 299 1 D65_16 0-1,5

Anx gad dizzy 278 300 1 D65_17 0-1,5

Anx gad things unreal 279 301 1 D65_18 0-1,5

Anx gad lose control or pass out 280 302 1 D65_19 0-1,5

Anx gad might die 281 303 1 D65_20 0-1,5

Anx gad chills or flushes 282 304 1 D65_21 0-1,5

Anx gad numbness 283 305 1 D65_22 0-1,5

Anx gad lump in throat 284 306 1 D65_23 0-1,5

Anx gad easily startled 285 307 1 D65_24 0-1,5

Anx gad - clinical significance 286 308 1 D66 0,2-5

Anx gad - doctor diagnosis 287 309 1 D66_MD 0-5

Anx gad - result using medication 288 310 1 D66_OTH3 0-1,5

Anx gad - result physical injury 289 311 1 D66_OTH4 0-1,5

Anx gad upset with self 290 312 1 D67 0-1,5

Anx gad interfere with everyday activities 291 313 1 D68 0-1,5

Anx gad onset 292 314 1 D69_ONS 0-6

Anx gad recency 293 315 1 D69_REC 0-6

Anx doctor consultancies 294 316 1 D70 0-6

Anx total days out of role 295 317 2 D71 0-10

Anx partial days out of role 296 319 2 D72 0-10

Dep two weeks feel sad - clinical significance 297 321 1 E1 1,3-5

Dep two weeks feel sad - doctor diagnosis 298 322 1 E1_MD 0-5

Dep two weeks feel sad - result using medication 299 323 1 E1_OTH3 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dep two weeks feel sad - result physical injury 300 324 1 E1_OTH4 0-1,5

Dep two weeks lost interest - clinical significance 301 325 1 E2 1,3-5

Dep two weeks lost interest - doctor diagnosis 302 326 1 E2_MD 0-5

Dep two weeks lost interest - result using medication 303 327 1 E2_OTH3 0-1,5

Dep two weeks lost interest - result physical injury 304 328 1 E2_OTH4 0-1,5

Dep lack energy 305 329 1 E3_I 0-1,5

Dep less appetite 306 330 1 E4_I 0-1,5

Dep lose weight 307 331 1 E5_I 0-1,5

Dep weight lose pounds 308 332 2 E5A_ILB 0-99

Dep weight lose kilos 309 334 2 E5A_IKG 0-99

Dep larger appetite 310 336 1 E6_I 0-1,5

Dep gain weight 311 337 1 E7_I 0-1,5

Dep weight gain pounds 312 338 2 E7A_ILB 0-99

Dep weight gain kilos 313 340 2 E7A_IKG 0-99

Dep trouble sleeping 314 342 1 E8_I 0-1,5

Dep wake two hours before wanted 315 343 1 E8A_I 0-1,5

Dep sleeping too much 316 344 1 E9_I 0-1,5

Dep talk or move slowly 317 345 1 E10_I 0-1,5

Dep anyone notice slow talk and movement 318 346 1 E10A_I 0-1,5

Dep move all the time 319 347 1 E11_I 0-1,5

Dep anyone notice moving all the time 320 348 1 E11A_I 0-1,5

Dep feel worthless 321 349 1 E12_I 0-1,5

Dep feel guilty 322 350 1 E12A_I 0-1,5

Dep particular reason for feeling guilty 323 351 1 E12B_I 0-1,5

Dep guilty and worthless about depression 324 352 1 E12C_I 0-1,5

Dep feel not good as people 325 353 1 E13_I 0-1,5

Dep little self confidence 326 354 1 E14_I 0-1,5

Dep trouble concentrate 327 355 1 E15_I 0-1,5

Dep unable to read or watch TV 328 356 1 E15A_I 0-1,5

Dep thoughts come slower 329 357 1 E16_I 0-1,5

Dep unable make up mind 330 358 1 E17_I 0-1,5

Dep thinking about death 331 359 1 E18_I 0-1,5

Dep thought about committing suicide 332 360 1 E19_I 0-1,5

Dep made a plan to commit suicide 333 361 1 E19A_I 0-1,5

Dep attempted suicide (last 12 months) 334 362 1 E20_I 0-1,5

Dep felt bad on awaking 335 363 1 E22_I 0-1,5

Dep less interested in sex 336 364 1 E23_I 0-1,5

Dep unable to enjoy good things happening 337 365 1 E24_I 0-1,5

Dep - clinical significance 338 366 1 E25 0-1,3-5

Dep - doctor diagnosis 339 367 1 E25_MD 0-5

Dep - result using medication 340 368 1 E25_OTH3 0-1,5

Dep - result physical injury 341 369 1 E25_OTH4 0-1,5

Dep longest period 342 370 2 E26 0-56

Dep interfere with normal activities 343 372 1 E26A 0-1,5

Dep onset 344 373 1 E27_ONS 0-6

Dep recency 345 374 1 E27_REC 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dep anxiety and depression at the same time 346 375 1 E28 0-1,5

Dep how many periods of depression 347 376 2 E29 0-99

Dep felt ok between episodes 348 378 1 E29A 0-1,5

Dep able to work between episodes 349 379 1 E29B 0-1,5

Dep felt ok for two months between episodes 350 380 1 E29C 0-1,5

Dep number of separate episodes 351 381 1 E29D 0-9

Dep period after bereavement 352 382 1 E30 0-1,5

Dep period not after bereavement 353 383 1 E30A 0-1,5

Dep after childbirth 354 384 1 E30B 0-1,5

Dep two or more separate episodes 355 385 1 E31_ID 0-1,5

Dep month of most symptoms 356 386 2 E32 0-12

Dep sad 357 388 1 E33 0-1,5

Dep loss of interest 358 389 1 E33A 0-1,5

Dep lack energy 359 390 1 E3_II 0-1,5

Dep less appetite 360 391 1 E4_II 0-1,5

Dep lose weight 361 392 1 E5_II 0-1,5

Dep weight loss pounds 362 393 2 E5A_IILB 0-99

Dep weight loss kilos 363 395 2 E5A_IIKG 0-99

Dep larger appetite 364 397 1 E6_II 0-1,5

Dep gain weight 365 398 1 E7_II 0-1,5

Dep weight gain pounds 366 399 2 E7A_IILB 0-99

Dep weight gain kilos 367 401 2 E7A_IIKG 0-99

Dep trouble sleeping 368 403 1 E8_II 0-1,5

Dep wake two hours before wanted 369 404 1 E8A_II 0-1,5

Dep sleeping too much 370 405 1 E9_II 0-1,5

Dep talk move slowly 371 406 1 E10_II 0-1,5

Dep anyone notice slow talk and movement 372 407 1 E10A_II 0-1,5

Dep move all the time 373 408 1 E11_II 0-1,5

Dep anyone notice moving all the time 374 409 1 E11A_II 0-1,5

Dep felt worthless 375 410 1 E12_II 0-1,5

Dep felt guilty 376 411 1 E12A_II 0-1,5

Dep particular reason 377 412 1 E12B_II 0-1,5

Dep guilty and worthless about depression 378 413 1 E12C_II 0-1,5

Dep felt not good people 379 414 1 E13_II 0-1,5

Dep little self confidence 380 415 1 E14_II 0-1,5

Dep trouble concentrate 381 416 1 E15_II 0-1,5

Dep unable to read or watch TV 382 417 1 E15A_II 0-1,5

Dep thoughts slower 383 418 1 E16_II 0-1,5

Dep unable make mind 384 419 1 E17_II 0-1,5

Dep think about death 385 420 1 E18_II 0-1,5

Dep thought about committing suicide 386 421 1 E19_II 0-1,5

Dep make a plan to commit suicide 387 422 1 E19A_II 0-1,5

Dep attempted suicide 388 423 1 E20_II 0-1,5

Dep felt bad when awaking 389 424 1 E22_II 0-1,5

Dep less interest in sex 390 425 1 E23_II 0-1,5

Dep unable to enjoy good things happening 391 426 1 E24_II 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dep dys two years feel sad most days 392 427 1 E34 1,5

Dep dys full two years - clinical significance 393 428 1 E34A 0-5

Dep dys full two years - doctors diagnosis 394 429 1 E34A_MD 0-5

Dep dys full two years - result using medication 395 430 1 E34A_OT3 0-1,5

Dep dys full two years - result physical injury 396 431 1 E34A_OT4 0-1,5

Dep dys past 12 months 397 432 1 E34B 0-1,5

Dep dys which month did feeling end 398 433 2 E34C 0-12

Dep dys trouble sleep 399 435 1 E35 0-1,5

Dep dys sleep too much 400 436 1 E36 0-1,5

Dep dys little appetite 401 437 1 E37 0-1,5

Dep dys eat much more 402 438 1 E38 0-1,5

Dep dys lack energy 403 439 1 E39 0-1,5

Dep dys not as good as others 404 440 1 E40 0-1,5

Dep dys little self confidence 405 441 1 E41 0-1,5

Dep dys trouble concentrating 406 442 1 E42 0-1,5

Dep dys unable to make up mind 407 443 1 E43 0-1,5

Dep dys often in tears 408 444 1 E44 0-1,5

Dep dys feel hopeless 409 445 1 E45 0-1,5

Dep dys could not cope with everyday life 410 446 1 E46 0-1,5

Dep dys life could not get better 411 447 1 E47 0-1,5

Dep dys no longer want to be with friends 412 448 1 E48 0-1,5

Dep dys less talkative 413 449 1 E49 0-1,5

Dep dys lose interest in most things 414 450 1 E50 0-1,5

Dep dys loss of interest in sex 415 451 1 E51 0-1,5

Dep dys - clinical significance 416 452 1 E52 0-5

Dep dys - doctor diagnosis 417 453 1 E52_MD 0-5

Dep dys - result using medication 418 454 1 E52_OTH3 0-1,5

Dep dys - result physical injury 419 455 1 E52_OTH4 0-1,5

Dep dys anxious and depressed at same time 420 456 1 E54 0-1,5

Dep doctor consultancies 421 457 1 E55 0-6

Dep total days out of role 422 458 2 E56 0-10

Dep partial days out of role 423 460 2 E57 0-10

Ever thought about suicide 424 462 1 E58 0-1,5

Ever attempted suicide 425 463 1 E59 0-1,5

Attempted suicide in last 12 months 426 464 1 E59A 0-1,5

Man happy or excited - clinical significance 427 465 1 F1 1,3-5

Man happy or excited - doctor diagnosis 428 466 1 F1_MD 0-5

Man happy or excited - result using medication 429 467 1 F1_OTH3 0-1,5

Man happy or excited - result physical injury 430 468 1 F1_OTH4 0-1,5

Man irritable - clinical significance 431 469 1 F2 0-1,3-5

Man irritable - doctor diagnosis 432 470 1 F2_MD 0-5

Man irritable - result using medication 433 471 1 F2_OTH3 0-1,5

Man irritable - result physical injury 434 472 1 F2_OTH4 0-1,5

Man more active 435 473 1 F3_I 0-1,5

Man unable sit still 436 474 1 F4_I 0-1,5

Man spending sprees 437 475 1 F5_I 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Man interest in sex increased 438 476 1 F6_I 0-1,5

Man less careful sex activities 439 477 1 F6A_I 0-1,5

Man talk so fast could not be understood 440 478 1 F7_I 0-1,5

Man thoughts raced 441 479 1 F8_I 0-1,5

Man say or do embarrassing things 442 480 1 F9_I 0-1,5

Man very friendly with strangers 443 481 1 F10_I 0-1,5

Man special gift example given 444 482 1 F11_EX 0-1,5

Man special gift - plausible 445 483 1 F11_I 0-1,5

Man different person 446 484 1 F11A 0-1,5

Man has powers 447 485 1 F11B 0-1,5

Man hardly sleep 448 486 1 F12_I 0-1,5

Man easily distracted 449 487 1 F13_I 0-1,5

Man change plans 450 488 1 F13A_I 0-1,5

Man more active 451 489 1 F3_II 0-1,5

Man unable sit still 452 490 1 F4_II 0-1,5

Man spending sprees 453 491 1 F5_II 0-1,5

Man interest in sex increased 454 492 1 F6_II 0-1,5

Man less careful sex activities 455 493 1 F6A_II 0-1,5

Man talk so fast could not be understood 456 494 1 F7_II 0-1,5

Man thoughts raced 457 495 1 F8_II 0-1,5

Man say or do things embarrassing things 458 496 1 F9_II 0-1,5

Man very friendly with strangers 459 497 1 F10_II 0-1,5

Man special gift - plausible 460 498 1 F11_II 0-1,5

Man hardly sleep 461 499 1 F12_II 0-1,5

Man easily distracted 462 500 1 F13_II 0-1,5

Man change plans 463 501 1 F13A_II 0-1,5

Man - clinical significance 464 502 1 F14 0-5

Man - doctor diagnosis 465 503 1 F14_MD 0-5

Man - result using medication 466 504 1 F14_OTH3 0-1,5

Man - result physical injury 467 505 1 F14_OTH4 0-1,5

Man longest period with symptoms 468 506 2 F15 0-29

Man excitement and depression close periods 469 508 1 F16 0-1,5

Man all excitement episodes near depressed episodes 470 509 1 F16A 0-1,5

Man all depressed episodes near excitement episodes 471 510 1 F16B 0-1,5

Man onset 472 511 1 F17_ONS 0-6

Man recency 473 512 1 F17_REC 0-6

Man number of periods of 4 days 474 513 1 F18 0-2

Man number of periods of a week or more 475 514 1 F18A 0-2

Man hospital overnight admissions 476 515 1 F19 0-1,5

Man more than one episode coded 477 516 1 F20_ID 0-1,5

Man month with most symptoms 478 517 2 F21 0-12

Man any episodes before last 12 months 479 519 1 F23 0-1,5

Man behaviour changes before last 12 months 480 520 1 F23A 0-5

Man previous period - clinical significance 481 521 1 F23A_MD 0-5

Man previous period - result using medication 482 522 1 F23A_OT3 0-1,5

Man previous period - result physical injury 483 523 1 F23A_OT4 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Man doctor consultations 484 524 1 F24 0-2

Man total days out of role 485 525 2 F25 0-10

Man partial days out of role 486 527 2 F26 0-10

Psy interfered with or controlled thoughts 487 529 1 G1 1,5

Psy hard for others to believe 488 530 1 G1A 0-1,5

Psy feel people too interested 489 531 1 G2 1,5

Psy feel things arranged specially 490 532 1 G2A 0-1,5

Psy special powers 491 533 1 G3 1,5

Psy belong to a group with powers 492 534 1 G3A 0-1,5

Psy has a doctor said schizophrenia 493 535 1 G4 1,5

Alc total 12 drinks in last 12 months 494 536 1 J1 1,5

Alc confirmation of less than 12 drinks 495 537 1 J1A 0-1,5

Alc one drink every day 496 538 1 J2_1 0-1,5

Alc one drink 3-4 days week 497 539 1 J2_2 0-1,5

Alc one drink 1-2 days week 498 540 1 J2_3 0-1,5

Alc one drink 1-3 days month 499 541 1 J2_4 0-1,5

Alc one drink less once month 500 542 1 J2_5 0-1,5

Alc usual number of drinks per day 501 543 2 J3 0-25

Alc onset 502 545 1 J3A_ONS 0-6

Alc recency 503 546 1 J3B_REC 0-6

Alc most drinks on a single day 504 547 2 J3C 0-25

Alc interfered with work 505 549 1 J4 0-1,5

Alc cause of fights 506 550 1 J5 0-1,5

Alc trouble with family 507 551 1 J5A 0-1,5

Alc continued drinking although family problems 508 552 1 J5B 0-1,5

Alc arrested under influence 509 553 1 J6 0-1,5

Alc situations in danger situations 510 554 1 J7 0-1,5

Alc onset (harmful use) 511 555 1 J8_ONS 0-6

Alc recency (harmful use) 512 556 1 J8_REC 0-6

Alc more to get effect 513 557 1 J9 0-1,5

Alc same amount has less effect 514 558 1 J9A 0-1,5

Alc strong desire to drink 515 559 1 J10 0-1,5

Alc want a drink badly thinking of nothing else 516 560 1 J10A 0-1,5

Alc drink more than intended 517 561 1 J11 0-1,5

Alc drink longer than intended 518 562 1 J11A 0-1,5

Alc wanted to cut down 519 563 1 J12 0-1,5

Alc tried to stop but could not 520 564 1 J12A 0-1,5

Alc great deal of time getting over effects 521 565 1 J13 0-1,5

Alc give up activities 522 566 1 J14 0-1,5

Alc problems after quitting 523 567 1 J15 0-1,5-6

Alc shakes 524 568 1 J15_1 0-1,5-6

Alc unable to sleep 525 569 1 J15_2 0-1,5

Alc feeling nervous 526 570 1 J15_3 0-1,5

Alc restless 527 571 1 J15_4 0-1,5

Alc sweat 528 572 1 J15_5 0-1,5

Alc heart beating fast 529 573 1 J15_6 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Alc nausea or vomiting 530 574 1 J15_7 0-1,5

Alc headaches 531 575 1 J15_8 0-1,5

Alc weakness 532 576 1 J15_9 0-1,5

Alc seeing hearing or feeling things 533 577 1 J15_10 0-1,5

Alc seizure 534 578 1 J15_11 0-1,5

Alc two or more positive symptoms (J15 1-11) 535 579 1 J15A 0-1,5

Alc drink to keep from problems 536 580 1 J15B 0-1,5

Alc caused any medical conditions 537 581 1 J16 0-1,5

Alc hepatitis or liver disease 538 582 1 J16A_1 0-1,5

Alc stomach disease 539 583 1 J16A_2 0-1,5

Alc feet tingle 540 584 1 J16A_3 0-1,5

Alc memory problems 541 585 1 J16A_4 0-1,5

Alc pancreatitis 542 586 1 J16A_5 0-1,5

Alc any other diseases 543 587 1 J16A_6 0-1,5

Alc other diseases example 544 588 1 J16A_6_X 0,5

Alc continued knowing drink causing problem 545 589 1 J16B 0-1,5

Alc continued knowing had medical problems 546 590 1 J17 0-1,5

Alc caused emotional or psychological problem 547 591 1 J18 0-1,5

Alc uninterested in usual activities 548 592 1 J18A_1 0-1,5

Alc depressed 549 593 1 J18A_2 0-1,5

Alc suspicious of others 550 594 1 J18A_3 0-1,5

Alc strange thoughts 551 595 1 J18A_4 0-1,5

Alc continued drinking knowing causing emotional problem 552 596 1 J18B 0-1,5

Alc onset (any problems) 553 597 1 J20_ONS 0-6

Alc recency (any problems) 554 598 1 J20_REC 0-6

Time since any problems due to alcohol 555 599 2 DURJ20 0-23

Alc doctor consultations 556 601 1 J21 0-2

Alc total days out of role 557 602 2 J22 0-10

Alc partial days out of role 558 604 2 J23 0-10

Obs unpleasant thought 559 606 1 K1 1,5

Obs persistent ideas 560 607 1 K1A 1,5

Obs thought two weeks or more 561 608 1 K2 0-1,5

Obs thought feelings of guilt 562 609 1 K3_1 0-1,5

Obs thought body shape 563 610 1 K3_2 0-1,5

Obs thought drug usage 564 611 1 K3_3 0-1,5

Obs thought hair pulling 565 612 1 K3_4 0-1,5

Obs thought serious ill 566 613 1 K3_5 0-1,5

Obs combination 567 614 1 K3_6 0-1,5

Obs thoughts seemed unreasonable 568 615 1 K4 0-1,5

Obs thinking more than should have 569 616 1 K4A 0-1,5

Obs enjoy these thoughts 570 617 1 K4B 0-1,5

Obs thought recurred - clinical significance 571 618 1 K5 0-1

Obs thought recurred - doctor diagnosis 572 619 1 K5_MD 0-5

Obs thought recurred - result using medication 573 620 1 K5_OTH3 0-1,5

Obs thought recurred - result physical injury 574 621 1 K5_OTH4 0-1,5

Obs thoughts more than one hour 575 622 1 K6 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Obs thoughts interfered with normal activities 576 623 1 K7 0-1,5

Obs onset (thoughts) 577 624 1 K8_ONS 0-6

Obs recency (thoughts) 578 625 1 K8_REC 0-6

Obs repetitive actions 579 626 1 K9 1,5

Obs do things in strict order 580 627 1 K10 1,5

Obs count something and could not stop 581 628 1 K11 1,5

Obs say certain words over and over 582 629 1 K12 1,5

Obs unnecessary behaviour 583 630 1 K13 0-1,5

Obs try to control behaviour 584 631 1 K14 0-1,3,5

Obs feel uncomfortable with behaviour 585 632 1 K15 0-1,5

Obs something bad would happen 586 633 1 K15A 0-1,5

Obs enjoy behaviour 587 634 1 K16 0-1,5

Obs behaviours - clinical significance 588 635 1 K17 0,3-5

Obs behaviours - doctor diagnosis 589 636 1 K17_MD 0-5

Obs behaviours - result using medication 590 637 1 K17_OTH3 0-1,5

Obs behaviours - result physical injury 591 638 1 K17_OTH4 0-1,5

Obs onset (behaviours) 592 639 1 K18_ONS 0-6

Obs recency (behaviours) 593 640 1 K18_REC 0-6

Obs interfere with normal activities 594 641 1 K19 0-1,5

Obs most days for 2 weeks or more 595 642 1 K20 0-1,5

Obs more than one hour a day 596 653 1 K21 0-1,5

Obs doctor consultations 597 644 1 K21A 0-2

Obs total days out of role 598 645 2 K21B 0-10

Obs partial days out of role 599 647 2 K21C 0-10

Ptsd direct combat 600 649 1 K22_1_I 1,5

Ptsd life threat accident 601 650 1 K22_2_I 1,5

Ptsd natural disaster 602 651 1 K22_3_I 1,5

Ptsd witness killing or injury 603 652 1 K22_4_I 1,5

Ptsd rape 604 653 1 K22_5_I 1,5

Ptsd sexually molested 605 654 1 K22_6_I 1,5

Ptsd physically attacked 606 655 1 K22_7_I 1,5

Ptsd tortured or terrorised 607 656 1 K22_89_I 1,5

Ptsd other event example 608 657 1 K22_10DE 0-1,5

Ptsd other stress event 609 658 1 K22_10_I 1,5

Ptsd someone close example 610 659 1 K22_11DE 0-1,5

Ptsd shock someone close 611 660 1 K22_11_I 1,5

Ptsd event only once in lifetime 612 661 1 K22A_1A 0-1,5

Ptsd more than one stressful event 613 662 1 K22A_1B 0-1,5

Ptsd which most stressful event 614 663 2 K22A_2 0-11

Ptsd onset 615 665 1 K22B_ONS 0-6

Ptsd feel terrified 616 666 1 K22C 0-1,5

Ptsd feel helpless 617 667 1 K22D 0-1,5

Ptsd keep remembering 618 668 1 K23 0-1,5

Ptsd nightmares 619 669 1 K24 0-1,5

Ptsd happening again 620 670 1 K25 0-1,5

Ptsd upset when reminded 621 671 1 K26 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Ptsd sweat heart beat 622 672 1 K27 0-1,5

Ptsd trouble sleeping then 623 673 1 K28 0-1,5

Ptsd trouble sleep 12 months 624 674 1 K28A 0-1,5

Ptsd irritable then 625 675 1 K29 0-1,5

Ptsd irritable 12 months 626 676 1 K29A 0-1,5

Ptsd difficulty concentrating then 627 677 1 K30 0-1,5

Ptsd difficulty concentrating 12 months 628 678 1 K30A 0-1,5

Ptsd concerned about danger then 629 679 1 K31 0-1,5

Ptsd concerned about danger 12 months 630 680 1 K31A 0-1,5

Ptsd easily startled then 631 681 1 K32 0-1,5

Ptsd easily startled 12 months 632 682 1 K32A 0-1,5

Ptsd try not to think about event 633 683 1 K33 0-1,5

Ptsd avoid people places 634 684 1 K34 0-1,5

Ptsd memory blank 635 685 1 K35 0-1,5

Ptsd head injury 636 686 1 K35A 0-1,5

Ptsd unconscious 637 687 1 K35B 0-1,5

Ptsd lose interest in important things then 638 688 1 K36 0-1,5

Ptsd no interest in important things 12 months 639 689 1 K36A 0-1,5

Ptsd feel isolated then 640 690 1 K37 0-1,5

Ptsd feel isolated 12 months 641 691 1 K37A 0-1,5

Ptsd difficulty with feelings then 642 692 1 K38 0-1,5

Ptsd difficulty with feelings 12 months 643 693 1 K38A 0-1,5

Ptsd no point in future then 644 694 1 K39 0-1,5

Ptsd no point in future 12 months 645 695 1 K39A 0-1,5

Ptsd how soon after event any problems 646 696 1 K40 0-6

Ptsd how long problems continued 647 697 1 K41 0-5

Ptsd recency problems 648 698 1 K42_REC 0-5

Ptsd tell doctor 649 699 1 K43 0-1,5

Ptsd tell other professional 650 700 1 K43_1 0-1,5

Ptsd take medication drugs or alcohol 651 701 1 K43_2 0-1,5

Ptsd problems interfere with normal activities 652 702 1 K43_3 0-1,5

Ptsd very upset with self 653 703 1 K44 0-1,5

Ptsd problems prevent social activities 12 months 654 704 1 K45 0-1,5

Ptsd doctor consultations 655 705 1 K46 0-2

Ptsd total days out of role 656 706 2 K47 0-10

Ptsd partial days out of role 657 708 2 K48 0-10

Dru any prescribed medication 658 710 1 L1 1,5

Dru used larger than prescribed amounts 659 711 1 L1A 0-1,5

Dru used non-prescribed medication more 5 times 660 712 1 L2 1,5

Dru used other drugs more than 5 times 661 713 1 L3 1,5

Dru marijuana 662 714 1 L4_1 0-1,5

Dru marijuana method of use 663 715 1 L6_1 0-6

Dru stimulants 664 716 1 L4_2 0-1,5

Dru stimulants method of use 665 717 1 L6_2 0-6

Dru prescription stimulant 666 718 1 L4_2A 0-1,5

Dru sedatives 667 719 1 L4_3 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dru sedatives method of use 668 720 1 L6_3 0-6

Dru prescription sedatives 669 721 1 L4_3A 0-1,5

Dru opioids 670 722 1 L4_4 0-1,5

Dru opioids method of use 671 723 1 L6_4 0-6

Dru prescription opioids 672 724 1 L4_4A 0-1,5

Dru marijuana how often 673 725 1 L7_1 1-5

Dru marijuana onset 674 726 1 L7A_1ONS 1-6

Dru marijuana recency 675 727 1 L7B_1REC 1-6

Dru marijuana last use 676 728 1 L7C_1REC 1-6

Dru marijuana - duration 677 729 1 DURL7C1 0-2

Dru stimulants how often 678 730 1 L7_2 1-5

Dru stimulants onset 679 731 1 L7A_2ONS 0-6

Dru stimulants recency 680 732 1 L7B_2REC 0-6

Dru stimulants last use 681 733 1 L7C_2REC 0-6

Dru stimulants - duration 682 734 1 DURL7C2 0-2

Dru sedatives how often 683 735 1 L7_3 1-5

Dru sedatives onset 684 736 1 L7A_3ONS 0-6

Dru sedatives recency 685 737 1 L7B_3REC 0-6

Dru sedatives last use 686 738 1 L7C_3REC 0-6

Dru sedatives - duration 687 739 1 DURL7C3 0-2

Dru opioids how often 688 740 1 L7_4 1-5

Dru opioids onset 689 741 1 L7A_4ONS 0-6

Dru opioids recency 690 742 1 L7B_4REC 0-6

Dru opioids last use 691 743 1 L7C_4REC 0-6

Dru opioids - duration 692 744 1 DURL7C4 0-2

Dru interfere with normal activities 693 745 1 L8 0-5

Dru marijuana interfere 694 746 1 L8A_1 0-1,5

Dru stimulants interfere 695 747 1 L8A_2 0-1,5

Dru sedatives interfere 696 748 1 L8A_3 0-1,5

Dru opioids interfere 697 749 1 L8A_4 0-1,5

Dru caused family problems 698 750 1 L9 0-1,5

Dru caused police problems 699 751 1 L9A 0-1,5

Dru marijuana caused problems 700 752 1 L9B_1 0-1,5

Dru marijuana continued use although problems 701 753 1 L9C_1 0-1,5

Dru stimulants caused problems 702 754 1 L9B_2 0-1,5

Dru stimulants continued use although problems 703 755 1 L9C_2 0-1,5

Dru sedatives caused problems 704 756 1 L9B_3 0-1,5

Dru sedatives continued use although problems 705 757 1 L9C_3 0-1,5

Dru opioids caused problems 706 758 1 L9B_4 0-1,5

Dru opioids continued use although problems 707 759 1 L9C_4 0-1,5

Dru used in danger situations 708 760 1 L10 0-1,5

Dru marijuana in danger situations 709 761 1 L10A_1 0-1,5

Dru stimulants in danger situations 710 762 1 L10A_2 0-1,5

Dru sedatives in danger situations 711 763 1 L10A_3 0-1,5

Dru opioids in danger situations 712 764 1 L10A_4 0-1,5

Dru marijuana onset problems 713 765 1 L11_1ONS 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dru marijuana recency problems 714 766 1 L11_1REC 0-6

Dru stimulants onset problems 715 767 1 L11_2ONS 0-6

Dru stimulants recency problems 716 768 1 L11_2REC 0-6

Dru sedatives onset problems 717 769 1 L11_3ONS 0-6

Dru sedatives recency problems 718 770 1 L11_3REC 0-6

Dru opioids onset problems 719 771 1 L11_4ONS 0-6

Dru opioids recency problems 720 772 1 L11_4REC 0-6

Dru need more for effect 721 773 1 L12 0-1,5

Dru same had less effect 722 774 1 L12A 0-1,5

Dru marijuana need more for effect 723 775 1 L12B_1 0-1,5

Dru stimulants need more for effect 724 776 1 L12B_2 0-1,5

Dru sedatives need more for effect 725 777 1 L12B_3 0-1,5

Dru opioids need more for effect 726 778 1 L12B_4 0-1,5

Dru strong desire to use 727 779 1 L13 0-1,5

Dru want so badly 728 780 1 L13A 0-1,5

Dru marijuana strong desire to use 729 781 1 L13B_1 0-1,5

Dru stimulants strong desire to use 730 782 1 L13B_2 0-1,5

Dru sedatives strong desire to use 731 783 1 L13B_3 0-1,5

Dru opioids strong desire to use 732 784 1 L13B_4 0-1,5

Dru wanted to stop 733 785 1 L14 0-1,5

Dru marijuana wanted to stop 734 786 1 L14A_1 0-1,5

Dru marijuana cut down 1 month 735 787 1 L14B_1 0-1,5

Dru stimulants wanted to stop 736 788 1 L14A_2 0-1,5

Dru stimulants cut down 1 month 737 789 1 L14B_2 0-1,5

Dru sedatives wanted to stop 738 790 1 L14A_3 0-1,5

Dru sedatives cut down 1 month 739 791 1 L14B_3 0-1,5

Dru opioids wanted to stop 740 792 1 L14A_4 0-1,5

Dru opioids cut down 1 month 741 793 1 L14B_4 0-1,5

Dru spent time using or recovering 742 794 1 L15 0-1,5

Dru marijuana spent time using or recovering 743 795 1 L15A_1 0-1,5

Dru stimulants spent time using or recovering 744 796 1 L15A_2 0-1,5

Dru sedatives spent time using or recovering 745 797 1 L15A_3 0-1,5

Dru opioids spent time using or recovering 746 798 1 L15A_4 0-1,5

Dru used more or for longer 747 799 1 L16 0-1,5

Dru difficult to stop 748 800 1 L16A 0-1,5

Dru marijuana used more or for longer 749 801 1 L16B_1 0-1,5

Dru stimulants used more or for longer 750 802 1 L16B_2 0-1,5

Dru sedatives used more or for longer 751 803 1 L16B_3 0-1,5

Dru opioids used more or for longer 752 804 1 L16B_4 0-1,5

Dru problems caused by stopping 753 805 1 L17 0-1,5

Dru marijuana problems caused by stopping 754 806 1 L17A_1 0-1,5

Dru marijuana use to keep from problem 755 807 1 L17B_1 0-1,5

Dru stimulants problems caused by stopping 756 808 1 L17A_2 0-1,5

Dru stimulants use to keep from problem 757 809 1 L17B_2 0-1,5

Dru sedatives problems caused by stopping 758 810 1 L17A_3 0-1,5

Dru sedatives use to keep from problem 759 811 1 L17B_3 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dru opioids problems caused by stopping 760 812 1 L17A_4 0-1,5

Dru opioids use to keep from problem 761 813 1 L17B_4 0-1,5

Dru medical problems 762 814 1 L18 0-1,5

Dru marijuana health problems 763 815 1 L18A_1 0-1,5

Dru marijuana though health problems 764 816 1 L18B_1 0-1,5

Dru stimulants health problems 765 817 1 L18A_2 0-1,5

Dru stimulants though health problems 766 818 1 L18B_2 0-1,5

Dru sedatives health problems 767 819 1 L18A_3 0-1,5

Dru sedatives though health problems 768 820 1 L18B_3 0-1,5

Dru opioids health problems 769 821 1 L18A_4 0-1,5

Dru opioids though health problems 770 822 1 L18B_4 0-1,5

Dru emotional problems 771 823 1 L19 0-1,5

Dru marijuana emotional problems 772 824 1 L19A_1 0-1,5

Dru marijuana though emotional problems 773 825 1 L19B_1 0-1,5

Dru stimulants emotional problems 774 826 1 L19A_2 0-1,5

Dru stimulants though emotional problems 775 827 1 L19B_2 0-1,5

Dru sedatives emotional problems 776 828 1 L19A_3 0-1,5

Dru sedatives though emotional problems 777 829 1 L19B_3 0-1,5

Dru opioids emotional problems 778 830 1 L19A_4 0-1,5

Dru opioids though emotional problems 779 831 1 L19B_4 0-1,5

Dru give up activities 780 832 1 L20 0-1,5

Dru marijuana give up activities 781 833 1 L20A_1 0-1,5

Dru stimulants give up activities 782 834 1 L20A_2 0-1,5

Dru sedatives give up activities 783 835 1 L20A_3 0-1,5

Dru opioids give up activities 784 836 1 L20A_4 0-1,5

Dru marijuana onset problems 785 837 1 L24_1ONS 0-6

Dru marijuana recency problems 786 838 1 L24_1REC 0-6

Dru stimulants onset problems 787 839 1 L24_2ONS 0-6

Dru stimulants recency problems 788 840 1 L24_2REC 0-6

Dru sedatives onset problems 789 841 1 L24_3ONS 0-6

Dru sedatives recency problems 790 842 1 L24_3REC 0-6

Dru opioids onset problems 791 853 1 L24_4ONS 0-6

Dru opioids recency problems 792 844 1 L24_4REC 0-6

Dru doctor consultancies 793 845 1 L25 0-2

Dru total days out of role 794 846 2 L26 0-10

Dru partial days out of role 795 848 2 L27 0-10

Mmse tell doctor about problems 796 850 1 M1 0-1,5,8

Mmse orientation year 797 851 1 M2 0,5,8

Mmse orientation year ok 798 852 1 M2_OK 0-1,5,8

Mmse orientation season 799 853 1 M3 0,5,8

Mmse orientation season ok 800 854 1 M3_OK 0-1,5,8

Mmse orientation date 801 855 1 M4 0,5,8

Mmse orientation date ok 802 856 1 M4_OK 0-1,5,8

Mmse orientation day 803 857 1 M5 0-1,5,8

Mmse orientation day ok 804 858 1 M5_OK 0-1,5,8

Mmse orientation month 805 859 1 M6 0,5,8




STARTPOSITION

LENGTH(BYTES)


............................................................................................Mmse orientation month ok 806 860 1 M6_OK 0-1,5,8

Mmse orientation state 807 861 1 M7 0,5,8

Mmse orientation state ok 808 862 1 M7_OK 0-1,5,8

Mmse orientation city 809 863 1 M8 0,5,8

Mmse orientation city ok 810 864 1 M8_OK 0-1,5,8

Mmse orientation suburb 811 865 1 M9 0,5,8

Mmse orientation suburb ok 812 866 1 M9_OK 0-1,5,8

Mmse orientation floor 813 867 1 M10A 0,5,8

Mmse orientation floor ok 814 868 1 M10A_OK 0-1,5,8

Mmse orientation address 815 869 1 M10B 0,5,8

Mmse orientation address ok 816 870 1 M10B_OK 0-1,5,8

Mmse short-term memory apple 817 871 1 M11_1 0-1,5,8

Mmse short-term memory table 818 872 1 M11_2 0-1,5,8

Mmse short-term memory penny 819 873 1 M11_3 0-1,5,8

Mmse subtraction 93 820 874 3 M12_1 0-999

Mmse subtraction 93 ok 821 877 1 M12_1_OK 0-1,5,7-9









Mmse backwards world 830 894 1 M13 0,5,7-8

Mmse backwards world ok 831 895 1 M13_OK 0-8

Mmse long-term memory apple 832 896 1 M14_1 0-1,5,8

Mmse long-term memory table 833 897 1 M14_2 0-1,5,8

Mmse long-term memory penny 834 898 1 M14_3 0-1,5,8

Mmse wrist watch 835 899 1 M15A 0-1,5,8

Mmse pencil 836 900 1 M15B 0-1,5,8

Mmse repeat phrase 837 901 1 M16 0-1,5,8

Mmse read words then do 838 902 1 M17 0-1,5,7-8

Mmse paper right hand 839 903 1 M18A 0-1,5,8

Mmse paper in half 840 904 1 M18B 0-1,5,8

Mmse paper on lap 841 905 1 M18C 0-1,5,8

Mmse write sentence 842 906 1 M19 0-1,5,7-8

Mmse copy drawing 843 907 1 M20 0-1,5,7-8

Mmse skip section 844 908 1 M20_I 0-1,5,8

Mmse more than 12 5s M2-M11 and M14-M20 845 909 1 M20_ID 0-1,5,8

Pers fun life 846 910 1 N1 1,5

Pers dont react well to offence 847 911 1 N2 1,5

Pers not fussy about details 848 912 1 N3 1,5

Pers kind of person 849 913 1 N4 1,5

Pers show feelings to all 850 914 1 N5 1,5

Pers big decisions by others 851 915 1 N6 1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Pers feel tense 852 916 1 N7 1,5

Pers never get angry 853 917 1 N8 1,5

Pers go to extremes to keep people 854 918 1 N9 1,5

Pers very cautious 855 919 1 N10 1,5

Pers never arrested 856 920 1 N11 1,5

Pers cold detached 857 921 1 N12 1,5

Pers intense relationships dont last 858 922 1 N13 0-1,5

Pers people are honest 859 923 1 N14 1,5

Pers hard to disagree when dependent 860 924 1 N15 1,5

Pers feel awkward socially 861 925 1 N16 1,5

Pers easily influenced by surroundings 862 926 1 N17 1,5

Pers mistreat and feel bad 863 927 1 N18 1,5

Pers argue to get own way 864 928 1 N19 1,5

Pers refused hold job 865 929 1 N20 1,5

Pers dont show reaction when praised 866 930 1 N21 1,5

Pers held grudges 867 931 1 N22 1,5

Pers too much time do things perfectly 868 932 1 N23 1,5

Pers make fun of me behind back 869 933 1 N24 1,5

Pers never threatened suicide 870 934 1 N25 0-1,5

Pers feelings changing constantly 871 935 1 N26 1,5

Pers fight for rights 872 936 1 N27 0-1,5

Pers dress to stand out 873 937 1 N28 0-1,5

Pers lie or con for self 874 938 1 N29 1,5

Pers dont stick with plan 875 939 1 N30 1,5

Pers no desire for sex 876 940 1 N31 0-1,5

Pers too strict about rules 877 941 1 N32 1,5

Pers uncomfortable alone 878 942 1 N33 1,5

Pers dont get involved with people 879 943 1 N34 1,5

Pers will not be centre attention 880 944 1 N35 0-1,5

Pers suspect spouse unfaithful 881 945 1 N36 0-1,5

Pers break things when angry 882 946 1 N37 1,5

Pers close friendships a long time 883 947 1 N38 1,5

Pers worry people not like me 884 948 1 N39 0-1,5

Pers feel empty inside 885 949 1 N40 0-1,5

Pers work hard no time for else 886 950 1 N41 0-1,5

Pers worry left alone 887 951 1 N42 0-1,5

Pers things dangerous not bothered 888 952 1 N43 0-1,5

Pers flirt 889 953 1 N44 0-1,5

Pers do not ask favours 890 954 1 N45 0-1,5

Pers prefer solo activities 891 955 1 N46 0-1,5

Pers lose temper 892 956 1 N47 0-1,5

Pers too formal and stiff 893 957 1 N48 0-1,5

Pers seek advice for everyday things 894 958 1 N49 0-1,5

Pers keep to self 895 959 1 N50 0-1,5

Pers hard to stay out of trouble 896 960 1 N51 0-1,5

Pers conspiracy in the world 897 961 1 N52 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Pers moody 898 962 1 N53 0-1,5

Pers hard to accept new way doing things 899 963 1 N54 0-1,5

Pers strange person 900 964 1 N55 0-1,5

Pers take chances and do reckless things 901 965 1 N56 0-1,5

Pers need friends to be happy 902 966 1 N57 0-1,5

Pers prefer own thoughts 903 967 1 N58 0-1,5

Pers prefer things own way 904 968 1 N59 0-1,5

Pers paranoid all adult life 905 969 1 N60_1 0-1,5

Pers paranoid interfered 906 970 1 N60_1A 0-1,5

Pers paranoid onset 907 971 1 N60_1BNS 0-6

Pers paranoid recency 908 972 1 N60_1BEC 0-6

Pers schizoid all adult life 909 973 1 N60_2 0-1,5

Pers schizoid interfered 910 974 1 N60_2A 0-1,5

Pers schizoid onset 911 975 1 N60_2BNS 0-6

Pers schizoid recency 912 976 1 N60_2BEC 0-6

Pers dissocial all adult life 913 977 1 N60_3 0-1,5

Pers dissocial interfered 914 978 1 N60_3A 0-1,5

Pers dissocial onset 915 979 1 N60_3BNS 0-6

Pers dissocial recency 916 980 1 N60_3BEC 0-6

Pers impulsive all adult life 917 981 1 N60_4 0-1,5

Pers impulsive interfered 918 982 1 N60_4A 0-1,5

Pers impulsive onset 919 983 1 N60_4BNS 0-6

Pers impulsive recency 920 984 1 N60_4BEC 0-6

Pers borderline all adult life 921 985 1 N60_5 0-1,5

Pers borderline interfered 922 986 1 N60_5A 0-1,5

Pers borderline onset 923 987 1 N60_5BNS 0-6

Pers borderline recency 924 988 1 N60_5BEC 0-6

Pers histrionic all adult life 925 989 1 N60_6 0-1,5

Pers histrionic interfered 926 990 1 N60_6A 0-1,5

Pers histrionic onset 927 991 1 N60_6BNS 0-6

Pers histrionic recency 928 992 1 N60_6BEC 0-6

Pers anankastic all adult life 929 993 1 N60_7 0-1,5

Pers anankastic interfered 930 994 1 N60_7A 0-1,5

Pers anankastic onset 931 995 1 N60_7BNS 0-6

Pers anankastic recency 932 996 1 N60_7BEC 0-6

Pers anxious all adult life 933 997 1 N60_8 0-1,5

Pers anxious interfered 934 998 1 N60_8A 0-1,5

Pers anxious onset 935 999 1 N60_8BNS 0-6

Pers anxious recency 936 1 000 1 N60_8BEC 0-6

Pers dependent all adult life 937 1 001 1 N60_9 0-1,5

Pers dependent interfered 938 1 002 1 N60_9A 0-1,5

Pers dependent onset 939 1 003 1 N60_9BNS 0-6

Pers dependent recency 940 1 004 1 N60_9BEC 0-6

Pers doctor consultancies 941 1 005 1 N61 0-2

Pers total days out of role 942 1 006 2 N62 0-10

Pers partial days out of role 943 1 008 2 N63 0-10




STARTPOSITION

LENGTH(BYTES)


............................................................................................Bdq limit vigorous activity 944 1 010 1 Q1A 1-3

Bdq limit moderate activity 945 1 011 1 Q1B 1-3

Bdq limit climbing stairs 946 1 012 1 Q1C 1-3

Bdq limit bending or lifting 947 1 013 1 Q1D 1-3

Bdq limit walking distances 948 1 014 1 Q1E 1-3

Bdq limit self care activities 949 1 015 1 Q1F 1-3

Bdq cut down any activity because of illness 950 1 016 1 Q2 1-3

Bdq daily routine reduced activity 951 1 017 1 Q3 1-3

Bdq motivation for work decreased 952 1 018 1 Q4 1-3

Bdq personal efficiency decreased 953 1 019 1 Q5 1-3

Bdq social relations deteriorated 954 1 020 1 Q6 1-3

Bdq total days out of role 955 1 021 2 Q7 0-99

Bdq total days stayed in bed 956 1 023 2 Q8 0-99

Bdq problem troubles most 957 1 025 2 Q9 0-27

Bdq how limited in activities 958 1 027 1 Q9A 1-3

Hlth one night any hosp 959 1 028 1 R1 1,5

Hlth overnight general hosp 960 1 029 1 R2 0-1,5

Hlth admission to general for physical condition 961 1 030 1 R2A 0-1,5

Hlth times in general for physical condition 962 1 031 2 R2A_1 0-99

Hlth nights in general for physical condition 963 1 033 3 R2A_2 0-999

Hlth admission in general for mental problem 964 1 036 1 R2B 0-1,5

Hlth times in general for mental problem 965 1 037 2 R2B_1 0-99

Hlth nights in general for mental problem 966 1 039 2 R2B_2 0-99

Hlth public or private general hospital 967 1 041 1 R2B_3 0-1,5

Hlth admission to psychiatric 968 1 042 1 R3 0-1,5

Hlth times in psychiatric 969 1 043 2 R3A_1 0-99

Hlth nights in psychiatric 970 1 045 3 R3A_2 0-999

Hlth public or private psychiatric 971 1 048 1 R3A_3 0-1,5

Hlth admission to drug unit 972 1 049 1 R4 0-1,5

Hlth times in drug unit 973 1 050 2 R4A_1 0-99

Hlth nights in drug unit 974 1 052 2 R4A_2 0-99

Hlth public or private drug unit 975 1 054 1 R4A_3 0-1,5

Hlth other hospital 976 1 055 1 R4A_4 0,5

Hlth any health practitioners 977 1 056 1 R5 1,5

Hlth general practitioner (GP) 978 1 057 1 R5A_1 0-1,5

Hlth radiologist 979 1 058 1 R5A_2 0-1,5

Hlth pathologist 980 1 059 1 R5A_3 0-1,5

Hlth physician 981 1 060 1 R5A_4 0-1,5

Hlth surgical specialist 982 1 061 1 R5A_5 0-1,5

Hlth psychiatrist 983 1 062 1 R5A_6 0-1,5

Hlth psychologist 984 1 063 1 R5A_7 0-1,5

Hlth social worker 985 1 064 1 R5A_8 0-1,5

Hlth drug counsellor 986 1 065 1 R5A_9 0-1,5

Hlth other counsellor 987 1 066 1 R5A_10 0-1,5

Hlth nurse 988 1 067 1 R5A_11 0-1,5

Hlth mental health team 989 1 068 1 R5A_12 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Hlth chemist 990 1 069 1 R5A_13 0-1,5

Hlth ambulance officer 991 1 070 1 R5A_14 0-1,5

Hlth other health professional 992 1 071 1 R5A_15 0-1,5

Hlth times GP 993 1 072 2 R6_1 0-20

Hlth times GP for mental problem 994 1 074 2 R7_1 0-14

Hlth where GP 995 1 076 1 R8_1 0-5

Hlth times radiologist 996 1 077 1 R6_2 0-8

Hlth times radiologist for mental problem 997 1 078 1 R7_2 0-2

Hlth where radiologist 998 1 079 1 R8_2 0-5

Hlth times pathologist 999 1 080 1 R6_3 0-8

Hlth times pathologist for mental problem 1 000 1 081 1 R7_3 0-2

Hlth where pathologist 1 001 1 082 1 R8_3 0-5

Hlth times physician 1 002 1 083 1 R6_4 0-8

Hlth times physician for mental problem 1 003 1 084 1 R7_4 0-2

Hlth where physician 1 004 1 085 1 R8_4 0-5

Hlth times surgical specialist 1 005 1 086 1 R6_5 0-8

Hlth times surgical specialist for mental problem 1 006 1 087 1 R7_5 0-2

Hlth where surgical specialist 1 007 1 088 1 R8_5 0-5

Hlth times psychiatrist 1 008 1 089 1 R6_6 0-8

Hlth times psychiatrist for mental problem 1 009 1 090 1 R7_6 0-8

Hlth where psychiatrist 1 010 1 091 1 R8_6 0-5

Hlth times psychologist 1 011 1 092 1 R6_7 0-8

Hlth times psychologist for mental problem 1 012 1 093 1 R7_7 0-8

Hlth where psychologist 1 013 1 094 1 R8_7 0-5

Hlth times social worker 1 014 1 095 1 R6_8 0-7

Hlth times social worker for mental problem 1 015 1 096 1 R7_8 0-7

Hlth where social worker 1 016 1 097 1 R8_8 0-5

Hlth times drug counsellor 1 017 1 098 1 R6_9 0-2

Hlth times drug counsellor for mental problem 1 018 1 099 1 R7_9 0-2

Hlth where drug counsellor 1 019 1 100 1 R8_9 0-5

Hlth times other counsellor 1 020 1 101 1 R6_10 0-7

Hlth times other counsellor for mental problem 1 021 1 102 1 R7_10 0-7

Hlth where other counsellor 1 022 1 103 1 R8_10 0-5

Hlth times nurse 1 023 1 104 1 R6_11 0-8

Hlth times nurse for mental problem 1 024 1 105 1 R7_11 0-2

Hlth where nurse 1 025 1 106 1 R8_11 0-5

Hlth times mental health team 1 026 1 107 1 R6_12 0-2

Hlth times mental health team for mental problem 1 027 1 108 1 R7_12 0-2

Hlth where mental health team 1 028 1 109 1 R8_12 0-5

Hlth times chemist 1 029 1 110 1 R6_13 0-8

Hlth times chemist for mental problem 1 030 1 111 1 R7_13 0-2

Hlth where chemist 1 031 1 112 1 R8_13 0-5

Hlth times ambulance 1 032 1 113 1 R6_14 0-2

Hlth times ambulance for mental problem 1 033 1 114 1 R7_14 0-2

Hlth where ambulance 1 034 1 115 1 R8_14 0-5

Hlth times other professional 1 035 1 116 1 R6_15 0-8




STARTPOSITION

LENGTH(BYTES)


............................................................................................Hlth times other professional for mental problem 1 036 1 117 1 R7_15 0-7

Hlth where other professional 1 037 1 118 1 R8_15 0-5

Hlth help information 1 038 1 119 1 R9_1 0-1,5

Hlth help medicine 1 039 1 120 1 R9_2 0-1,5

Hlth help psychotherapy 1 040 1 121 1 R9_3 0-1,5

Hlth help cognitive behaviour therapy 1 041 1 122 1 R9_4 0-1,5

Hlth help counselling 1 042 1 123 1 R9_5 0-1,5

Hlth help house money problems 1 043 1 124 1 R9_6 0-1,5

Hlth help ability work 1 044 1 125 1 R9_7 0-1,5

Hlth help look after self 1 045 1 126 1 R9_8 0-1,5

Hlth help meet people 1 046 1 127 1 R9_9 0-1,5

Hlth help other 1 047 1 128 1 R9_10 0-1,5

Hlth main problem help information 1 048 1 129 1 R9A_1 0-1,5

Hlth main problem help medicine 1 049 1 130 1 R9A_2 0-1,5

Hlth main problem help psychotherapy 1 050 1 131 1 R9A_3 0-1,5

Hlth main problem help cognitive behaviour therapy 1 051 1 132 1 R9A_4 0-1,5

Hlth main problem help counselling 1 052 1 133 1 R9A_5 0-1,5

Hlth main problem help house money 1 053 1 134 1 R9A_6 0-1,5

Hlth main problem help ability to work 1 054 1 135 1 R9A_7 0-1,5

Hlth main problem help look after self 1 055 1 136 1 R9A_8 0-1,5

Hlth main problem help meet people 1 056 1 137 1 R9A_9 0-1,5

Hlth main problem help other 1 057 1 138 1 R9A_10 0-1,5

Hlth most help main problem 1 058 1 139 2 R9B 0-11

Hlth information - get enough help 1 059 1 141 1 R10_1A 0-1,5

Hlth information - get more help 1 060 1 142 1 R10_1B 0-7

Hlth information - needed help 1 061 1 143 1 R10_2A 0-1,5

Hlth information - why didnt get 1 062 1 144 1 R10_2B 0-7

Hlth medicine - get enough help 1 063 1 145 1 R11_1A 0-1,5

Hlth medicine - get more help 1 064 1 146 1 R11_1B 0-7

Hlth medicine - needed help 1 065 1 147 1 R11_2A 0-1,5

Hlth medicine - why didnt get 1 066 1 148 1 R11_2B 0-7

Hlth therapy - get enough help 1 067 1 149 1 R12_1A 0-1,5

Hlth therapy - get more help 1 068 1 150 1 R12_1B 0-7

Hlth therapy - needed help 1 069 1 151 1 R12_2A 0-1,5

Hlth therapy - why didnt get 1 070 1 152 1 R12_2B 0-7

Hlth practical issues - get enough help 1 071 1 153 1 R13_1A 0-1,5

Hlth practical issues - get more help 1 072 1 154 1 R13_1B 0-7

Hlth practical issues - needed help 1 073 1 155 1 R13_2A 0-1,5

Hlth practical issues - why didnt get 1 074 1 156 1 R13_2B 0-7

Hlth self care ability - get enough help 1 075 1 157 1 R14_1A 0-1,5

Hlth self care ability - get more help 1 076 1 158 1 R14_1B 0-7

Hlth self care ability - needed help 1 077 1 158 1 R14_2A 0-1,5

Hlth self care ability - why didnt get 1 078 1 160 1 R14_2B 0-7

Hlth needed information 1 079 1 161 1 R15 0-1,5

Hlth why didnt get information 1 080 1 162 1 R15A 0-7

Hlth needed medicine 1 081 1 163 1 R16 0-1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Hlth why didnt get medicine 1 082 1 164 1 R16A 0-7

Hlth needed counselling therapy 1 083 1 165 1 R17 0-1,5

Hlth why didnt get counselling therapy 1 084 1 166 1 R17A 0-7

Hlth needed practical issues help 1 085 1 167 1 R18 0-1,5

Hlth why didnt get practical issues help 1 086 1 168 1 R18A 0-7

Hlth needed improve self care ability 1 087 1 169 1 R19 0-1,5

Hlth why didnt get help self care ability 1 088 1 170 1 R19A 0-7

Ghq able to concentrate 1 089 1 171 1 S1 1-4

Ghq lost sleep over worry 1 090 1 172 1 S2 1-4

Ghq playing useful part 1 091 1 173 1 S3 1-4

Ghq capable of decisions 1 092 1 174 1 S4 1-4

Ghq under strain 1 093 1 175 1 S5 1-4

Ghq can not overcome difficulties 1 094 1 176 1 S6 1-4

Ghq enjoy normal activities 1 095 1 177 1 S7 1-4

Ghq face problems 1 096 1 178 1 S8 1-4

Ghq depressed 1 097 1 179 1 S9 1-4

Ghq losing confidence in self 1 098 1 180 1 S10 1-4

Ghq felt worthless person 1 099 1 181 1 S11 1-4

Ghq reasonably happy 1 100 1 182 1 S12 1-4

Any potential diagnosis 1 101 1 183 1 LIKDIAG0 0-1

Tiredness 1 102 1 184 1 LIKDIAG1 0-1

Social fears 1 103 1 185 1 LIKDIAG2 0-1

Fear travelling 1 104 1 186 1 LIKDIAG3 0-1

Fear of panic 1 105 1 187 1 LIKDIAG4 0-1

Months of worry 1 106 1 188 1 LIKDIAG5 0-1

Sad 2+ years 1 107 1 189 1 LIKDIAG6 0-1

Sad 2+ weeks 1 108 1 190 1 LIKDIAG7 0-1

Happy/irritable 1 109 1 191 1 LIKDIAG8 0-1

Unusual ideas 1 110 1 192 1 LIKDIAG9 0-1

Memory failure 1 111 1 193 1 LIKDIA10 0-1

Recurrent thoughts 1 112 1 194 1 LIKDIA11 0-1

Traumatic event 1 113 1 195 1 LIKDIA12 0-1

Nature/personality 1 114 1 196 1 LIKDIA13 0-1

Drug use 1 115 1 197 1 LIKDIA14 0-1

Drinking 1 116 1 198 1 LIKDIA15 0-1

DATA ITEM GROUP : SCORED ITEMS: ICD_10

Neurasthenia 1 117 1 199 1 F48_0 0-1,3,5

Neurasthenia - onset 1 118 1 200 1 F48_0A 0-6

Neurasthenia - recency 1 119 1 201 1 F48_0C 0-6

Neurasthenia - duration 1 120 1 202 2 DURF480 0-99

Dependence syndrome - alcohol 1 121 1 204 1 F10_2 0-1,3,5

Dependence syndrome - alcohol - duration 1 122 1 205 2 DURF102 0-99

Harmful use - alcohol 1 123 1 207 1 F10_1 0-1,3,5

Harmful use - alcohol - onset 1 124 1 208 1 F10_1A 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................Harmful use - alcohol - recency 1 125 1 209 1 F10_1C 0-6

Harmful use - alcohol - duration 1 126 1 210 2 DURF101 0-99

Dependence syndrome - opioids 1 127 1 212 1 F11_2 0-1,3,5

Dependence syndrome - opioids - duration 1 128 1 213 2 DURF112 0-99

Dependence syndrome - cannabinoids 1 129 1 215 1 F12_2 0-1,3,5

Dependence syndrome - cannabinoids - duration 1 130 1 216 2 DURF122 0-99

Dependence syndrome - sedatives 1 131 1 218 1 F13_2 0-1,3,5

Dependence syndrome - sedatives - duration 1 132 1 219 2 DURF132 0-99

Dependence syndrome - stimulants 1 133 1 221 1 F15_2 0-1,3,5

Dependence syndrome - stimulants - duration 1 134 1 222 2 DURF152 0-99

Harmful use - opioids 1 135 1 224 1 F11_1 0-1,3,5

Harmful use - opioids - duration 1 136 1 225 2 DURF111 0-99

Harmful use - cannabinoids 1 137 1 227 1 F12_1 0-1,3,5

Harmful use - cannabinoids - duration 1 138 1 228 2 DURF121 0-99

Harmful use - sedatives or hypnotics 1 139 1 230 1 F13_1 0-1,3,5

Harmful use - sedatives - duration 1 140 1 231 2 DURF131 0-99

Harmful use - stimulants 1 141 1 233 1 F15_1 0-1,3,5

Harmful use - stimulants - duration 1 142 1 234 2 DURF151 0-99

Hypomania 1 143 1 236 1 F30_0 0-1,3,5

Hypomania - onset 1 144 1 237 1 F30_0A 0-6

Hypomania - recency 1 145 1 238 1 F30_0C 0-6

Mania - duration 1 146 1 239 2 DURF300 0-99

Mania without psychotic symptoms 1 147 1 241 1 F30_1 0-1,3,5

Mania without psychotic symptoms - onset 1 148 1 242 1 F30_1A 0-6

Mania without psychotic symptoms - recency 1 149 1 243 1 F30_1C 0-6

1 150 1 244 2 FILLER

Mania with psychotic symptoms 1 151 1 246 1 F30_2 0-1,3,5

Mania with psychotic symptoms - onset 1 152 1 247 1 F30_2A 0-6

Mania with psychotic symptoms - recency 1 153 1 248 1 F30_2C 0-6

1 154 1 249 2 FILLER

Mild depressive episode 1 155 1 251 1 F32_0 0-1,3,5

Mild depressive episode - onset 1 156 1 252 1 F32_0A 0-6

Mild depressive episode - recency 1 157 1 253 1 F32_0C 0-6

Depressive episode - duration 1 158 1 254 2 DURF320 0-99

Moderate depressive episode 1 159 1 256 1 F32_1 0-1,3,5

Moderate depressive episode - onset 1 160 1 257 1 F32_1A 0-6

Moderate depressive episode - recency 1 161 1 258 1 F32_1C 0-6

Drugs cannabinoids - any symptoms - duration 1 162 1 259 2 DURF321 0-99

Severe depressive episode without psychotic symptoms 1 163 1 261 1 F32_2 0-1,3,5

Severe depressive episode w/out psychotic symptoms - onset 1 164 1 262 1 F32_2A 0-6

Severe depressive episode w/out psychotic symptoms - recency 1 165 1 263 1 F32_2C 0-6

Drugs stimulants - any symptoms - duration 1 166 1 264 2 DURF322 0-99

Mild depressive episode without somatic syndrome 1 167 1 266 1 F32_00 0-1,3,5

Mild depressive episode w/out somatic syndrome - onset 1 168 1 267 1 F32_00A 0-6

Mild depressive episode without somatic syndrome - recency 1 169 1 268 1 F32_00C 0-6

Drugs sedatives - any symptoms - duration 1 170 1 269 2 DURF3200 0-99




STARTPOSITION

LENGTH(BYTES)


............................................................................................Mild depressive episode with somatic syndrome 1 171 1 271 1 F32_01 0-1,3,5

Mild depressive episode with somatic syndrome - onset 1 172 1 272 1 F32_01A 0-6

Mild depressive episode with somatic syndrome - recency 1 173 1 273 1 F32_01C 0-6

Drugs opioids - any symptoms - duration 1 174 1 274 2 DURF3201 0-99

Moderate depressive episode without somatic syndrome 1 175 1 276 1 F32_10 0-1,3,5

Moderate depressive episode w/out somatic syndrome - onset 1 176 1 277 1 F32_10A 0-6

Moderate depressive episode w/out somatic syndrome - recency 1 177 1 278 1 F32_10C 0-6

Alcohol - usual drinks - duration 1 178 1 279 2 DURF3210 0-99

Moderate depressive episode with somatic syndrome 1 179 1 281 1 F32_11 0-1,3,5

Moderate depressive episode with somatic syndrome - onset 1 180 1 282 1 F32_11A 0-6

Moderate depressive episode with somatic syndrome - recency 1 181 1 283 1 F32_11C 0-6

Alcohol - 1 or more symptoms - duration 1 182 1 284 2 DURF3211 0-99

Recurrent depressive episode - mild - without somatic syndrome 1 183 1 286 1 F33_00 0-1,3,5

Recurrent depressive episode - mild - w/out somatic syndrome -onset

1 184 1 287 1 F33_00A 0-6

Recurrent depressive episode - mild - w/out somatic syndrome -recency

1 185 1 288 1 F33_00C 0-6

1 186 1 289 2 FILLER

Recurrent depressive episode - mild - with somatic syndrome 1 187 1 291 1 F33_01 0-1,3,5

Recurrent depressive episode - mild - with somatic syndrome -onset

1 188 1 292 1 F33_01A 0-6

Recurrent depressive episode - mild - with somatic syndrome -recency

1 189 1 293 1 F33_01C 0-6

1 190 1 294 2 FILLER

Recurrent depressive episode - moderate - without somaticsyndrome

1 191 1 296 1 F33_10 0-1,3,5

Recurrent depressive episode - moderate - w/out somatic syndrome- onset

1 192 1 297 1 F33_10A 0-6

Recurrent depressive episode - moderate - w/out somatic syndrome- recency

1 193 1 298 1 F33_10C 0-6

1 194 1 299 2 FILLER

Recurrent depressive episode - moderate - with somatic syndrome 1 195 1 301 1 F33_11 0-1,3,5

Recurrent depressive episode - moderate - with somatic syndrome- onset

1 196 1 302 1 F33_11A 0-6

Recurrent depressive episode - moderate - with somatic syndrome- recency

1 197 1 303 1 F33_11C 0-6

1 198 1 304 2 FILLER

Recurrent depressive episode - severe - without psychoticsymptoms

1 199 1 306 1 F33_2 0-1,3,5

Recurrent depressive episode - severe - w/out psychotic symptoms- onset

1 200 1 307 1 F33_2A 0-6

Recurrent depressive episode - severe - w/out psychotic symptoms- recency

1 201 1 308 1 F33_2C 0-6

1 202 1 309 2 FILLER

Bipolar affective disorder 1 203 1 311 1 F31 0-1,3,5

Bipolar affective disorder - onset 1 204 1 312 1 F31A 0-6

Bipolar affective disorder - recency 1 205 1 313 1 F31C 0-6

Bipolar affective disorder - duration 1 206 1 314 2 DURF31 0-99

Dysthymia 1 207 1 316 1 F34_1 0-1,3,5

Dysthymia - recency 1 208 1 317 1 F34_1C 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................Dysthymia - duration 1 209 1 318 2 DURF341 0-99

Panic disorder 1 210 1 320 1 F41_0 0-1,3,5

Panic disorder - onset 1 211 1 321 1 F41_0A 0-6

Panic disorder - recency 1 212 1 322 1 F41_0C 0-6

1 213 1 323 2 FILLER

Panic disorder - moderate 1 214 1 325 1 F41_00 0-1,3,5

Panic disorder - moderate - onset 1 215 1 326 1 F41_00A 0-6

Panic disorder - moderate - recency 1 216 1 327 1 F41_00C 0-6

Panic disorder - moderate - duration 1 217 1 328 2 FILLER

Panic disorder - severe 1 218 1 330 1 F41_01 0-1,3,5

Panic disorder - severe - onset 1 219 1 331 1 F41_01A 0-6

Panic disorder - severe - recency 1 220 1 332 1 F41_01C 0-6

Panic disorder - duration 1 221 1 333 2 DURF4101 0-99

Agoraphobia 1 222 1 335 1 F40_0 0-1,3,5

Agoraphobia - onset 1 223 1 336 1 F40_0A 0-6

Agoraphobia - recency 1 224 1 337 1 F40_0C 0-6

Agoraphobia - duration 1 225 1 338 2 DURF400 0-99

Agoraphobia without panic disorder 1 226 1 340 1 F40_00 0-1,3,5

Agoraphobia without panic disorder - onset 1 227 1 341 1 F40_00A 0-6

Agoraphobia without panic disorder - recency 1 228 1 342 1 F40_00C 0-6

1 229 1 343 2 FILLER

Agoraphobia with panic disorder 1 230 1 345 1 F40_01 0-1,3,5

Agoraphobia with panic disorder - onset 1 231 1 346 1 F40_01A 0-6

Agoraphobia with panic disorder - recency 1 232 1 347 1 F40_01C 0-6

1 233 1 348 2 FILLER

Social phobia 1 234 1 350 1 F40_1 0-1,3,5

Social phobia - onset 1 235 1 351 1 F40_1A 0-6

Social phobia - recency 1 236 1 352 1 F40_1C 0-6

Social phobia - duration 1 237 1 353 2 DURF401 0-99

Generalised anxiety disorder 1 238 1 355 1 F41_1 0-1,3,5

Generalised anxiety disorder - onset 1 239 1 356 1 F41_1A 0-6

Generalised anxiety disorder - recency 1 240 1 357 1 F41_1C 0-6

Generalised anxiety disorder - duration 1 241 1 358 2 DURF411 0-99

Obsessive-compulsive disorder - predominantly obsessionalthoughts or ruminations

1 242 1 360 1 F42_0 0-1,3,5

Ocd - thoughts - onset 1 243 1 361 1 F42_0A 0-6

Ocd - thoughts - recency 1 244 1 352 1 F42_0C 0-6

Ocd - thoughts - duration 1 245 1 363 2 DURF420 0-99

Obsessive-compulsive disorder - predominantly compulsivebehaviours

1 246 1 365 1 F42_1 0-1,3,5

Ocd - behaviours - onset 1 247 1 366 1 F42_1A 0-6

Ocd - behaviours - recency 1 248 1 367 1 F42_1C 0-6

Ocd - behaviours - duration 1 249 1 368 2 DURF421 0-99

Obsessive-compulsive disorder - mixed thoughts and behaviours 1 250 1 370 1 F42_2 0-1,3,5

Ocd - mixed 1 251 1 371 1 F42_2A 0-6

Ocd - mixed - recency 1 252 1 372 1 F42_2C 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................1 253 1 373 2 FILLER

Post-traumatic stress disorder 1 254 1 375 1 F43_1 0-1,3,5

Post-traumatic stress disorder - onset 1 255 1 376 1 F43_1A 0-6

Post-traumatic stress disorder - recency 1 256 1 377 1 F43_1C 0-6

Post-traumatic stress disorder - duration 1 257 1 378 2 DURF431 0-99

DATA ITEM GROUP : SCORED ITEMS DSM_IV

Alcohol dependence 1 258 1 380 1 D303_90 0-1,3,5

Alcohol harmful use 1 259 1 381 1 D305_00 0-1,3,5

Alcohol harmful - onset 1 260 1 382 1 D305_00A 0-6

Alcohol harmful - recency 1 261 1 383 1 D305_00C 0-6

Opioid dependence 1 262 1 384 1 D304_00 0-1,3,5

Cannabis dependence 1 263 1 385 1 D304_30 0-1,3,5

Sedative dependence 1 264 1 386 1 D304_10 0-1,3,5

Amphetamine dependence 1 265 1 387 1 D304_40 0-1,3,5

Opioid harmful use 1 266 1 388 1 D305_50 0-1,3,5

Cannabis harmful 1 267 1 389 1 D305_20 0-1,3,5

Sedative harmful 1 268 1 390 1 D305_40 0-1,3,5

Amphetamine harmful 1 269 1 391 1 D305_70 0-1,3,5

Major depressive disorder - single episode - mild 1 270 1 392 1 D296_21 0-1,3,5

Major depressive disorder - single episode - mild - onset 1 271 1 393 1 D296_21A 0-6

Major depressive disorder - single episode - mild - recency 1 272 1 394 1 D296_21C 0-6

Major depressive disorder - single episode - moderate 1 273 1 395 1 D296_22 0-6

Major depressive disorder - single episode - moderate - onset 1 274 1 396 1 D296_22A 0-6

Major depressive disorder - single episode - moderate - recency 1 275 1 397 1 D296_22C 0-6

Major depressive disorder - single episode - severe withoutpsychotic features

1 276 1 398 1 D296_23 0-1,3,5

Major depressive disorder - single episode - severe w/out psychoticfeatures - onset

1 277 1 399 1 D296_23A 0-6

Major depressive disorder - single episode - severe w/out psychoticfeatures - recency

1 278 1 400 1 D296_23C 0-6

Major depressive disorder - recurrent - mild 1 279 1 401 1 D296_31 0-1,3,5

Major depressive disorder - recurrent - mild - onset 1 280 1 402 1 D296_31A 0-6

Major depressive disorder - recurrent - mild - recency 1 281 1 403 1 D296_31C 0-6

Major depressive disorder - recurrent - moderate - 1 282 1 404 1 D296_32 0-1,3,5

Major depressive disorder - recurrent - moderate - onset 1 283 1 405 1 D296_32A 0-6

Major depressive disorder - recurrent - moderate - recency 1 284 1 406 1 D296_32C 0-6

Major depressive disorder - recurrent - severe without psychoticfeatures

1 285 1 407 1 D296_33 0-1,3,5

Major depressive disorder - recurrent - severe w/out psychoticfeatures - onset

1 286 1 408 1 D296_33A 0-6

Major depressive disorder - recurrent - severe w/out psychoticfeatures - recency

1 287 1 409 1 D296_33C 0-6

Bipolar I disorder - single manic episode - mild 1 288 1 410 1 D296_01 0-1,3,5

Bipolar I disorder - single manic episode - mild - onset 1 289 1 411 1 D296_01A 0-6

Bipolar I disorder - single manic episode - mild - recency 1 290 1 412 1 D296_01C 0-6

Bipolar I disorder - single manic episode - moderate 1 291 1 413 1 D296_02 0-1,3,5

Bipolar I disorder - single manic episode - moderate - onset 1 292 1 414 1 D296_02A 0-6




STARTPOSITION

LENGTH(BYTES)


............................................................................................Bipolar I disorder - single manic episode - moderate - recency 1 293 1 415 1 D296_02C 0-6

Bipolar I disorder - single man episode - severe 1 294 1 416 1 D296_03 0-1,3,5

Bipolar I disorder - single man episode - severe - onset 1 295 1 417 1 D296_03A 0-6

Bipolar I disorder - single man episode - severe - recency 1 296 1 418 1 D296_03C 0-6

Bipolar I disorder - manic - mild 1 297 1 419 1 D296_41 0-1,3,5

Bipolar I disorder - manic - mild - onset 1 298 1 420 1 D296_41A 0-6

Bipolar I disorder - manic - mild - recency 1 299 1 421 1 D296_41C 0-6

Bipolar I disorder - manic - moderate 1 300 1 422 1 D296_42 0-1,3,5

Bipolar I disorder - manic - moderate - onset 1 301 1 423 1 D296_42A 0-6

Bipolar I disorder - manic - moderate - recency 1 302 1 424 1 D296_42C 0-6

Bipolar I disorder - manic - severe 1 303 1 425 1 D296_43 0-1,3,5

Bipolar I disorder - manic - severe - onset 1 304 1 426 1 D296_43A 0-6

Bipolar I disorder - manic - severe - recency 1 305 1 427 1 D296_43C 0-6

Bipolar II disorder 1 306 1 428 1 D296_89 0-1,3,5

Bipolar II disorder - onset 1 307 1 429 1 D296_89A 0-6

Bipolar II disorder - recency 1 308 1 430 1 D296_89C 0-6

Dysthymic disorder 1 309 1 431 1 D300_4 0-1,3,5

Obsessive-compulsive disorder 1 310 1 432 1 D300_3 0-1,3,5

Obsessive-compulsive disorder - onset 1 311 1 433 1 D300_3A 0-6

Obsessive-compulsive disorder - recency 1 312 1 434 1 D300_3C 0-6

Post-traumatic stress disorder 1 313 1 435 1 D309_81 0-1,3,5

Post-traumatic stress disorder - onset 1 314 1 436 1 D309_81A 0-6

Post-traumatic stress disorder - recency 1 315 1 437 1 D309_81C 0-6

Panic disorder without agoraphobia 1 316 1 438 1 D300_01 0-1,3,5

Panic disorder w/out agoraphobia - onset 1 317 1 439 1 D300_01A 0-6

Panic disorder w/out agoraphobia - recency 1 318 1 440 1 D300_01C 0-6

Panic disorder with agoraphobia 1 319 1 441 1 D300_21 0-1,3,5

Panic disorder with agoraphobia - onset 1 320 1 442 1 D300_21A 0-6

Panic disorder with agoraphobia - recency 1 321 1 443 1 D300_21C 0-6

Agoraphobia without history of panic disorder 1 322 1 444 1 D300_22 0-1,3,5

Agoraphobia w/out history of panic disorder - onset 1 323 1 445 1 D300_22A 0-6

Agoraphobia w/out history of panic disorder - recency 1 324 1 446 1 D300_22C 0-6

Social phobia 1 325 1 447 1 D300_23 0-1,3,5

Social phobia - onset 1 326 1 448 1 D300_23A 0-6

Social phobia - recency 1 327 1 449 1 D300_23C 0-6

DATA ITEM GROUP : SCORED ITEMS - OTHER

Generalised anxiety disorder 1 328 1 450 1 D300_02 0-1,3,5

Generalised anxiety disorder - onset 1 329 1 451 1 D300_02A 0-6

Generalised anxiety disorder - recency 1 330 1 452 1 D300_02C 0-6

Sf-12 physical summary scale score 1 331 1 453 5 PCS_12 0-99999

Sf-12 mental summary scale score 1 332 1 458 5 MCS_12 0-99999

Score on Kendler's neuroticism items from the EPQ 1 333 1 463 2 EPQ12 0-12

Score on Kessler's psychological distress scale 1 334 1 465 2 KESLR10 10-50

Number of medical conditions present 1 335 1 467 2 MEDCON 0-10

Psychosis screener questions 1 336 1 469 1 PSYCH 1,5




STARTPOSITION

LENGTH(BYTES)


............................................................................................Score on Mini Mental State Exam 1 337 1 470 2 MMSE 0-30,99

Paranoid personality disorder 1 338 1 472 1 F60_0 0-1,3-5

Paranoid personality disorder - onset 1 339 1 473 1 F60_0A 0-6

Paranoid personality disorder - recency 1 340 1 474 1 F60_0C 0-6

Paranoid personality disorder - duration 1 341 1 475 2 DURF600 0-99

Schizoid personality disorder 1 342 1 477 1 F60_1 0-1,3-5

Schizoid personality disorder - onset 1 343 1 478 1 F60_1A 0-6

Schizoid personality disorder - recency 1 344 1 479 1 F60_1C 0-6

Schizoid personality disorder - duration 1 345 1 480 2 DURF601 0-99

Dissocial personality disorder 1 346 1 482 1 F60_2 0-5

Dissocial personality disorder - onset 1 347 1 483 1 F60_2A 0-6

Dissocial personality disorder - recency 1 348 1 484 1 F60_2C 0-6

Dissocial personality disorder - duration 1 349 1 485 2 DURF602 0-99

Impulsive personality disorder 1 350 1 487 2 F60_30 0,10,20,30,35,40

Impulsive personality disorder - onset 1 351 1 489 1 F60_30A 0-6

Impulsive personality disorder - recency 1 352 1 490 1 F60_30C 0-6

Impulsive personality disorder - duration 1 353 1 491 2 DURF6030 0-99

Borderline personality disorder 1 354 1 493 1 F60_31 0-1,3-5

Borderline personality disorder - onset 1 355 1 494 1 F60_31A 0-6

Borderline personality disorder - recency 1 356 1 495 1 F60_31C 0-6

Borderline personality disorder - duration 1 357 1 496 2 DURF6031 0-99

Histrionic personality disorder 1 358 1 498 1 F60_4 0-1,3-5

Histrionic personality disorder - onset 1 359 1 499 1 F60_4A 0-6

Histrionic personality disorder - recency 1 360 1 500 1 F60_4C 0-6

Histrionic personality disorder - duration 1 361 1 501 2 DURF604 0-99

Anankastic personality disorder 1 362 1 503 1 F60_5 0-1,3-5

Anankastic personality disorder - onset 1 363 1 504 1 F60_5A 0-6

Anankastic personality disorder - recency 1 364 1 505 1 F60_5C 0-6

Anankastic personality disorder - duration 1 365 1 506 2 DURF605 0-99

Anxious personality disorder 1 366 1 508 1 F60_6 0-1,3-5

Anxious personality disorder - onset 1 367 1 509 1 F60_6A 0-6

Anxious personality disorder - recency 1 368 1 510 1 F60_6C 0-6

Anxious personality disorder - duration 1 369 1 511 2 DURF606 0-99

Dependent personality disorder 1 370 1 513 1 F60_7 0-1,3-5

Dependent personality disorder - onset 1 371 1 514 1 F60_7A 0-6

Dependent personality disorder - recency 1 372 1 515 1 F60_7C 0-6

Dependent personality disorder - duration 1 373 1 516 2 DURF607 0-99

Total BDQ score (WHO) 1 374 1 518 2 BDQWHO 0-22

Total BDQ score (MOS) 1 375 1 520 2 BDQMOS 0-16

Number of days effected by disability 1 376 1 522 2 BDQALD 0-31,99

BDQ score for main problem/positive diagnosis 1 377 1 524 3 BDQMAIN 0-999

Likert score on the GHQ 1 378 1 527 2 GHQLIK 0-36

GHQ score on the GHQ 1 379 1 529 2 GHQGHQ 0-12




STARTPOSITION

LENGTH(BYTES)


............................................................................................DATA ITEM GROUP : TRAUMA DATING

Trauma event and anxiety symptoms 1 381 1 539 1 TR_ANX 0,1-3

Trauma event and affective symptoms 1 382 1 540 1 TR_AFF 0,1-3

Trauma event and substance use symptoms 1 383 1 541 1 TR_SUBS 0,1-3

Trauma event and any mental symptoms 1 384 1 542 1 TR_MENT 0,1-3

Other phobia described 1 385 1 543 1 SOCPHOB 0-7

Other traumatic event described 1 386 1 544 2 TRAUM 0-12

DATA ITEM GROUP : WEIGHT

Person weight (needs dividing by 10000) 1 380 1 531 8 WEIGHT 0-99999999

DATA ITEM GROUP : REPLICATE WEIGHTS

Replicate person weight 1 (divide by 10000) 1 387 1 546 8 WTJK1 0-99999999

Replicate person weight 2 (divide by 10000) 1 388 1554 8 WTJK2 0-99999999





























DATA ITEM GROUP: REVISED WEIGHT

Revised person weight - use with rep weights (divide by 10000) 1 417 1 786 8 WEIGHT2 0-99999999



A P P E N D I X 1C DURATION VARIABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


STARTPOSITION

LENGTH(BYTES)


............................................................................................DATA ITEM GROUP : DURATION VARIABLES

Substance abuse

Harmful use

Alcohol 1 126 1 210 2 DURF101 0-99

Drugs opioids 1 136 1 225 2 DURF111 0-99

Drugs cannabinoids 1 138 1 228 2 DURF121 0-99

Drugs sedatives 1 140 1 231 2 DURF131 0-99

Drugs stimulants 1 142 1 234 2 DURF151 0-99

Dependence syndrome

Alcohol 1 122 1 205 2 DURF102 0-99

Drugs opioids 1 128 1 213 2 DURF112 0-99

Drugs cannabinoids 1 130 1 216 2 DURF122 0-99

Drugs sedatives 1 132 1 219 2 DURF132 0-99

Drugs stimulants 1 134 1 222 2 DURF152 0-99

Affective disorders

Mania 1 146 1 239 2 DURF300 0-99

Depression 1 158 1 254 2 DURF320 0-99

Bipolar affective disorder 1 206 1 314 2 DURF31 0-99

Dysthymia 1 209 1 318 2 DURF341 0-99

Anxiety disorders

Panic disorder 1 221 1 333 2 DURF4101 0-99

Agoraphobia 1 225 1 338 2 DURF400 0-99

Social phobia 1 237 1 353 2 DURF401 0-99

Generalised anxiety disorder (GAD) 1 241 1 358 2 DURF411 0-99

Obsessive-compulsive disorder (OCD) - thoughts 1 245 1 363 2 DURF420 0-99

Obsessive-compulsive disorder (OCD) - behaviours 1 249 1 368 2 DURF421 0-99

Post-traumatic stress disorder (PTSD) 1 257 1 378 2 DURF431 0-99

Other disorders

Neurasthenia 1 120 1 202 2 DURF480 0-99

Paranoid personality disorder 1 341 1 475 2 DURF600 0-99

Schizoid personality disorder 1 345 1 480 2 DURF601 0-99

Dissocial personality disorder 1 349 1 485 2 DURF602 0-99

Impulsive personality disorder 1 353 1 491 2 DURF6030 0-99

Borderline personality disorder 1 357 1 496 2 DURF6031 0-99

Histrionic personality disorder 1 361 1 501 2 DURF604 0-99

Anankastic personality disorder 1 365 1 506 2 DURF605 0-99

Anxious personality disorder 1 369 1 511 2 DURF606 0-99

Dependent personality disorder 1 373 1 516 2 DURF607 0-99

..........................................................................................A B S • M E N T A L H E A L T H & W E L L B E I N G : C O N F I D E N T I A L I S E D U N I T R E C O R D F I L E • 1 9 9 7 53


STARTPOSITION

LENGTH(BYTES)


............................................................................................DATA ITEM GROUP : DURATION VARIABLES

Other substance use symptoms

Alcohol - 1 or more symptoms 1 182 1 284 2 DURF3211 0-99

Drugs cannabinoid - any symptoms 1 162 1 259 2 DURF321 0-99

Drugs stimulant - any symptoms 1 166 1 264 2 DURF322 0-99

Drugs sedative - any symptoms 1 170 1 269 2 DURF3200 0-99

Drugs opioid - any symptoms 1 174 1 274 2 DURF3201 0-99

Time since any problems due to alcohol 555 599 2 DURJ20 0-21

Use of substances

Drugs marijuana 677 729 1 DURL7C1 0-2

Drugs stimulants 682 734 1 DURL7C2 0-2

Drugs sedatives 687 739 1 DURL7C3 0-2

Drugs opioids 692 744 1 DURL7C4 0-2

Alcohol - usual drinks 1 178 1 279 2 DURF3210 0-99

Duration of disorder

Durations of symptoms in years have been provided, and where the duration is less

than one year a Code of 97 has been assigned. Duration variables have a field name of

DURF and are the result of comparing the age of onset with the age of recency. Onset

was calculated on the earliest symptom and recency on the latest symptom. The

duration of disorder has not been provided on the file but can be obtained by

cross-classifying the population with a disorder by duration of their symptoms.

Additional information has been provided for the drugs and alcohol section of the

survey. Extra symptoms identified in the interview were allocated a duration - see

Other substance use symptoms.

Many conditions have different levels of severity, for example, depression and panic

disorder. The duration variable is calculated on the earliest and latest symptom for the

disorder as a whole so, for example, depressive and recurrent depressive disorders can

only be diagnosed with one duration of depression, i.e., DURF320.

The DURJ and DURL variables (see Use of substances) are similar in construction to

the DURF variables. The DURJ has been supplied to provide information about the last

time any problems were experienced through use of alcohol. The DURL has been

created to provide information on the last time a substance was used.

The codes 98 and 99 used in the duration variable refer to 98 'Indeterminate' and 99

'Age unknown'. When the respondent cannot provide a specific age (for onset or

recency), then either a code 98 or 99 may be applied. If the respondent provides an

age range, the median of the range is used to calculate duration. Where the median is

greater than the current age a code 98 'Indeterminate' is used. Otherwise, a code 99

'Age unknown' is used for duration.

A P P E N D I X 1C • D U R A T I O N V A R I A B L E S..............................................................................................


A P P E N D I X 2 A G G R E G A T E D V A R I A B L E S . . . . . . . . . . . . . . . . . . . . . . . .

For reasons of confidentiality and/or statistical integrity the detail available for the

following items on the SMHWB data file has been reduced to the categories shown.

DATA ITEMS AGGREGATIONS DATA ITEMS AGGREGATIONS

........................................................................................... ...........................................................................................Geographic items Person description continued

SEIFA—index of relativesocio-economicdisadvantage

Lowest decile

Second decile

Third decile

Fourth decile

Fifth decile

Sixth decile

Seventh decile

Eighth decile

Highest decile

Age Single years 18–24

25–29

30–34

35–39

40–44

45–49

50–54

55–59

60–64

65–69

70–74

75 and over

Rural, remote andmetropolitan areasclassification

Capital city/other metropolitan

Large/small rural centres

Other rural areas

Number of children 0

1–5 (single numbers)

6 or more children

Person description

Country of birth Australia

Main English-Speaking Countries

All other

Age when only childborn

Not applicable

Less than 19

19–35 (single years)

36 years or more

Year of arrival Not applicable

1980 or before

1981–85

1986–90

1991–95

1996 or later

Age when eldest childborn

Not applicable

Less than 19


36 years or more

Number of timesmarried/defacto

0


5 or more marriages

Age when youngestchild born

Not applicable

Less than 19


36 years or more



........................................................................................... ...........................................................................................Language Labour force

Usual language spokenat home

English

Other language

Labour force status(derived item)

Employed full time

Employed part time

Not employed short term

Not employed long term

Not in labour force

Education

Highest qualification Not applicable

Bachelor degree or higher

Undergraduate diploma

Associate diploma

Skilled vocational qualification

Basic vocational qualification

Inadequate description

No higher qualification

Usual hours workedeach week in all jobs

Not applicable

1–14 hours

15–19 hours

20–24 hours

25–29 hours

30–34 hours

35–39 hours

40–49 hours

50 hours or more

Income

Main source of income Not applicable

Wage or salary

Government pension, allowance orbenefit

Child support

Superannuation/annuity

Own business or share inpartnership

Rental investment

Dividends or interest

Other

Occupation Not applicable

Managers/administrators

Professionals

Associate professionals

Tradespersons and related workers

Advanced clerical and serviceworkers

Intermediate clerical, sales andservice workers

Intermediate production andtransport workers

Elementary clerical, sales andservice workers

Labourers and related workers

Dwelling details

Tenure type Owner

Purchaser

Renter

Other

Length ofunemployment

Not applicable

1–4 weeks

5–8 weeks

9–12 weeks

13–26 weeks

27–52 weeks

53 weeks or more

A P P E N D I X 2 • A G G R E G A T E D D A T A I T E M S.............................................................................................



........................................................................................... ...........................................................................................Household description SF–12—service utilisation and days out of role

Household type Person living alone

Married/de facto couple only

Married/de facto couple living onlywith their unmarried child(ren)aged 15 or over

Married/de facto couple living onlywith their child(ren) aged 0–14only

Married/de facto couple living onlywith their child(ren) aged 0-14and their unmarried child(ren)aged 15 or over

One person living only with his/herunmarried children aged 15 orover

One person living only with his/herchildren aged 0-14

One person living only with his/herchildren aged 0-14 and his/herunmarried child(ren) aged 15 orover

Other family households

All other households

SF–12 : doctor

consultations

SF–12 : total days

out of role

SF–12 : partial daysout of role

0

1–8 (single visits)

9 or more visits

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Number of persons inhousehold


8 or more persons

Number of children inhousehold

0


5 or more

Number of elderly 65 +over in household

0


4 or more

Number of males inhousehold

0


5 or more

Number of females inhousehold

0


5 or more

A P P E N D I X 2 • A G G R E G A T E D D A T A I T E M S............................................................................................



........................................................................................... ...........................................................................................Physical—service utilisation and days out of role Anxiety—service utilisation and days out of role

Physical : doctorconsultations

0


9 or more visits

Anxiety : doctorconsultancies

0


9 or more visits

Physical : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Anxiety : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Physical : partial daysout of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Anxiety : partial daysout of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Neurasthenia—service utilisation and days out of role Depression—service utilisation and days out of role

Neurasthenia : doctorconsultations

0


9 or more visits

Depression : doctorconsultancies

0


9 or more visits

Neurasthenia : totaldays out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Depression : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Neurasthenia : partialdays out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Depression : partialdays out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days




........................................................................................... ...........................................................................................Mania—main episode OCD—service utilisation and days out of role

Mania : longest periodwith symptoms

0

1–28 (single days)

29 or more days

OCD : doctorconsultations

0


9 or more visits

Mania : number ofperiods of 4 days

0

1 episode

2 or more episodes

OCD : total days out ofrole

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Mania : number ofperiods of a week or more

0

1 episode

2 or more episodes

OCD : partial days outof role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Mania—service utilisation and days out of role PTSD—service utilisation and days out of role

Mania : doctorconsultations

0


9 or more visits

PTSD : doctorconsultations

0


9 or more visits

Mania : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

PTSD : total days out ofrole

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Mania : partial days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

PTSD : partial days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days




........................................................................................... ...........................................................................................Alcohol use Amount and type of drug use

Alcohol : usual numberof drinks per day

Not applicable

1–20 drinks (single values)

21 or more drinks

(Range, if unsure of exact number)

1–3 drinks

4–8 drinks

More than 9 drinks

Drugs : marijuana—duration

0

Less than 1 year

1 year or more

Alcohol : most drinks on a single day

Not applicable

1–20 drinks (single values)

21 or more drinks

(Range, if unsure of exact number)

1–3 drinks

4–8 drinks

More than 9 drinks

Drugs : stimulants—duration

0

Less than 1 year

1 year or more

Alcohol : time since anyproblems due toalcohol

0


21 or more years

Drugs : sedatives—duration

0

Less than 1 year

1 year or more

Drugs : opioids—duration

0

Less than 1 year

1 year or more

Alcohol —service utilisation and days out of role Drugs—service utilisation and days out of role

Alcohol : doctorconsultations

0


9 or more visits

Drugs : doctorconsultations

0


9 or more visits

Alcohol : total days outof role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Drugs : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Alcohol : partial daysout of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Drugs : partial days outof role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days




........................................................................................... ...........................................................................................Personality—service utilisation and days out of role Hospital admissions

Personality : doctorconsultancies

0


9 or more visits

Hospital : times ingeneral hospital forphysical condition

Not applicable

1–8 (single admissions)

9 or more admissions

Personality : total days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Hospital : nights ingeneral hospital forphysical condition

Not applicable

1–28 (single nights)

29 or more nights

Personality : partial days out of role

0

1–7 (single days)

8–14 days

15–21 days

22–28 days

Hospital : times ingeneral hospital formental problem

Not applicable



Hospital : nights ingeneral hospital formental problem

Not applicable


29 or more nights

Hospital : times inpsychiatric hospital

Not applicable



Hospital : nights inpsychiatric hospital

Not applicable


29 or more nights

Hospital : times in drug and alcohol unit in a hospital

Not applicable



Hospital : nights indrug and alcohol unit in a hospital

Not applicable


29 or more nights




........................................................................................... ...........................................................................................Health professional consultations Health professional consultations continued

Professional : timesgeneral practitioner

0


16–20 visits

21–25 visits

26–30 visits

31 or more visits

Don't know

Professional : timesphysician or othermedical specialist for mental problem

0

1 visit

2 or more visits

Professional : timesgeneral practitionerfor mental problem

0


11–15 visits

16–20 visits

21 or more visits

Don't know

Professional : timessurgical specialist or gynaecologist

0


6–10 visits

11 or more visits

Don't know

Professional : timesradiologist

0


6–10 visits

11 or more visits

Don't know

Professional : timessurgical specialist or gynaecologist formental problem

0

1 visit

2 or more visits

Professional : timesradiologist for mental problem

0

1 visit

2 or more visits

Professional : timespsychiatrist

0


6–10 visits

11 or more visits

Don't know

Professional : timespathologist

0


6–10 visits

11 or more visits

Don't know

Professional : timespsychiatrist formental problem

0


6–10 visits

11 or more visits

Don't know

Professional : timespathologist for mental problem

0

1 visit

2 or more visits

Professional : timespsychologist

0


6–10 visits

11 or more visits

Don't know

Professional : timesphysician or othermedical specialist

0


6–10 visits

11 or more visits

Don't know

Professional : timespsychologist formental problem

0


6–10 visits

11 or more visits

Don't know




........................................................................................... ...........................................................................................Health professional consultations continued Health professional consultations continued

Professional : timessocial worker orwelfare officer

0


6 or more visits

Don't know

Professional : timesmental health team

0

1 visit

2 or more visits

Professional : timessocial worker orwelfare officer formental problem

0


6 or more visits

Don't know

Professional : timesmental health teamfor mental problem

0

1 visit

2 or more visits

Professional : timesdrug and alcoholcounsellor

0

1 visit

2 or more visits

Professional : timeschemist

0


6–10 visits

11 or more visits

Don't know

Professional : timesdrug and alcoholcounsellor for mental problem

0

1 visit

2 or more visits

Professional : timeschemist for mentalproblem

0

1 visit

2 or more visits

Professional : timesother counsellor

0


6 or more visits

Don't know

Professional : timesambulance

0

1 visit

2 or more visits

Professional : timesother counsellor formental problem

0


6 or more visits

Don't know

Professional : timesambulance formental problem

0

1 visit

2 or more visits

Professional : timesnurse

0


6–10 visits

11 or more visits

Don't know

Professional : timesother professional

0


6–10 visits

11 or more visits

Don't know

Professional : timesnurse for mentalproblem

0

1 visit

2 or more visits

Professional : timesother professional for mental problem

0


6–10 visits

11 or more visits

Don't know




........................................................................................... ...........................................................................................Trauma dating Social Phobia -Recoding of other phobia

Trauma event andanxiety symptoms

0 = Not applicable

1 = Trauma occurred before onsetof symptoms

2 = Trauma occurred same asonset of symptoms

3 = Trauma occurred after onsetof symptoms

Other phobia described 0 = Not applicable

1 = Eating or drinking in public

2 = Talking and sounding foolish

3 = Writing while watched

Trauma event andaffective symptoms

0 = Not applicable




4 = Taking part in a meeting or class

5 = Going to a party or social event

6 = Giving a speech

7 = Other

Trauma event andsubstance symptoms

0 = Not applicable




PTSD - Recoding of other event

Trauma event and anymental symptoms

0 = Not applicable




Other traumatic eventdescribed

0 = Not applicable

1 = War experience

2 = Life threatening accident

3 = Natural disaster

4 = Witness to killing

5 = Rape

6 = Sexual molestation

7 = Physical assault

8 = Held captive or tortured

10 = Other

11 = Happened to

someone else

12 = Potentially not applicable



A P P E N D I X 3 D I S O R D E R S A N D C O N D I T I O N S . . . . . . . . . . . . . .

This Appendix provides information on the mental disorders and chronic physical

conditions included in the SMHWB. The survey included questions to produce both

ICD–10 and DSM–IV diagnoses of mental disorders. In addition, it included

questions which screened for personality disorders and psychosis, the Mini Mental

State Examination (MMSE), and questions on selected physical conditions.

MENTAL DISORDER

The SMHWB provided CIDI diagnoses for selected major mental disorders according

to the ICD–10 and DSM–IV classifications. Disorders included in the SMHWB were

chosen taking into consideration:

disorders expected to affect more than one per cent of the population;

the capacity of the CIDI to diagnose specific mental disorders;

the limitations of a household survey in identifying relevant population groups.

ICD–10 and DSM–IV estimates for the overall prevalence of mental disorder, as well

as for specific disorders, differ due to variations in the diagnostic criteria (see

Appendixes 4 and 5). For this survey, the prevalence of mental disorders relates to

any occurrence during the 12 months prior to interview. Output categories are

limited according to the prevalence of individual disorders. In some cases disorders

must be grouped together in order to obtain reliable prevalence estimates.

Probe questions

At certain points in the CIDI, respondents could be asked a series of probe questions

about symptoms, problems or experiences in order to establish whether these were

clinically significant and whether they were due to medication, drugs, alcohol or a

physical illness/injury.

The questions on clinical significance assessed whether the symptoms were

sufficiently severe for the person to seek professional help, or whether the

symptoms interfered with their life or activities a lot. The symptoms were

considered below clinical significance if the person did not tell a doctor or other

health professional about the symptoms, did not take medication for them more

than once and did not feel that they interfered with his or her life a lot. These

symptoms did not count towards a diagnosis of mental disorder. Some symptoms

are inherently of clinical significance because of their grave nature, e.g. a suicide

attempt. In such cases, the clinical significance questions were not asked.

Further questions sought to establish whether symptoms were always the result of

the person's use of medication, drugs or alcohol; or of physical illness or injury. If

either of these explanations, or some combination of the two, explained all of the

occurrences of the symptoms, they did not count towards a diagnosis of mental

disorder.

If the respondent had told a doctor, a further set of questions was asked to

determine from the doctor's diagnosis whether or not the symptoms were possible

psychiatric symptoms.


Other exclusions

The probe questions exclude symptoms on the grounds of psychoactive substance

use, or physical illness/injury.

Some disorders are excluded by the presence of other mental disorder(s). For

example, neurasthenia is not recorded in the presence of a depressive episode,

hypomania, mania, bipolar affective disorder, panic disorder or generalised anxiety

disorder. Not all exclusion criteria specified in the ICD–10 and DSM–IV were able to

be addressed in the survey. Exclusion criteria are detailed in Appendixes 4 and 5.

Psychotic symptoms

For disorders involving mania or hypomania, the presence or absence of psychotic

symptoms was measured by an item on delusions of grandiosity. For all other

disorders, no attempt was made to assess the presence or absence of psychotic

symptoms. In some instances, individuals were allocated to 'without psychotic

symptoms/features' by default:

F32.2 Severe depressive episode without psychotic symptoms (ICD–10)

F33.2 Recurrent depressive disorder, severe without psychotic symptoms

(ICD–10)

296.23 Major depressive disorder, single episode, severe without psychotic

features (DSM–IV)

296.33 Major depressive disorder, recurrent, severe without psychotic features

(DSM–IV)

ICD–10 DIAGNOSES OF MENTAL DISORDERS

The following ICD–10 diagnoses (each indicated by mnemonic and name) were

covered by the SMHWB.


F10.1 Harmful use - alcohol

F11.1 Harmful use - opioids

F12.1 Harmful use - cannabinoids

F13.1 Harmful use - sedatives or hypnotics

F15.1 Harmful use - stimulants

F10.2 Dependence syndrome - alcohol

F11.2 Dependence syndrome - opioids

F12.2 Dependence syndrome - cannabinoids

F13.2 Dependence syndrome - sedatives or hypnotics

F15.2 Dependence syndrome - stimulants

A P P E N D I X 3 • D I S O R D E R S A N D C O N D I T I O N S ..............................................................................................


ICD–10 DIAGNOSES OF MENTAL DISORDERS continued

Affective disorders

F30.0 Hypomania

F30.1 Mania without psychotic symptoms

F30.2 Mania with psychotic symptoms

F31 Bipolar affective disorder

F32.0 Mild depressive episode

F32.1 Moderate depressive episode

F32.2 Severe depressive episode without psychotic symptoms

F32.00 Mild depressive episode without somatic syndrome

F32.01 Mild depressive episode with somatic syndrome

F32.10 Moderate depressive episode without somatic syndrome

F32.11 Moderate depressive episode with somatic syndrome

F33.00 Recurrent depressive disorder, mild without somatic syndrome

F33.01 Recurrent depressive disorder, mild with somatic syndrome

F33.10 Recurrent depressive disorder, moderate without somatic syndrome

F33.11 Recurrent depressive disorder, moderate with somatic syndrome

F33.2 Recurrent depressive disorder, severe without psychotic symptoms

F34.1 Dysthymia

Anxiety disorders

F40.0 Agoraphobia

F40.00 Agoraphobia without panic disorder

F40.01 Agoraphobia with panic disorder

F40.1 Social phobia

F41.0 Panic disorder

F41.00 Panic disorder - moderate

F41.01 Panic disorder - severe

F41.1 Generalised anxiety disorder

F42.0 Obsessive-compulsive disorder - predominantly obsessional thoughts or

ruminations

F42.1 Obsessive-compulsive disorder - predominantly compulsive acts

F42.2 Obsessive-compulsive disorder - mixed obsessional thoughts and acts

F43.1 Post-traumatic stress disorder

Neurasthenia

F48.0 Neurasthenia



DSM–IV DIAGNOSES OF MENTAL DISORDERS

The following DSM–IV diagnoses (each indicated by mnemonic and name) were

covered by the SMHWB.

Substance related disorders

305.00 Alcohol abuse

305.50 Opioid abuse

305.20 Cannabis abuse

305.40 Sedative abuse

305.70 Amphetamine abuse

303.90 Alcohol dependence

304.00 Opioid dependence

304.30 Cannabis dependence

304.10 Sedative dependence

304.40 Amphetamine dependence

Mood (affective) disorders

296.21 Major depressive disorder, single episode, mild

296.22 Major depressive disorder, single episode, moderate

296.23 Major depressive disorder, single episode, severe without psychotic

features

296.31 Major depressive disorder, recurrent, mild

296.32 Major depressive disorder, recurrent, moderate

296.33 Major depressive disorder, recurrent, severe without psychotic features

300.4 Dysthymic disorder

296.01 Bipolar I disorder, single manic episode, mild

296.02 Bipolar I disorder, single manic episode, moderate

296.03 Bipolar I disorder, single manic episode, severe without psychotic

symptoms

296.41 Bipolar I disorder, manic, mild

296.42 Bipolar I disorder, manic, moderate

296.43 Bipolar I disorder, manic, severe without psychotic symptoms

296.89 Bipolar II disorder

Anxiety disorders

300.01 Panic disorder without agoraphobia

300.21 Panic disorder with agoraphobia

300.22 Agoraphobia without history of panic disorder

300.23 Social phobia

300.3 Obsessive-compulsive disorder

309.81 Post-traumatic stress disorder

300.02 Generalised anxiety disorder



ONSET AND RECENCY

Questions on onset (first time) and recency (last time) were asked for each group of

symptoms corresponding to a diagnosis of mental disorder. With the exception of

dysthymia, responses were categorised as:

current (within last two weeks)

two weeks to less than one month ago

one month to less than six months ago

six months to less than one year ago

in the last 12 months (not sure when)

more than one year ago.

Duration

If the response to the question on either onset or recency was 'more than one year

ago', the respondent was asked how old they were the (first or last) time they had

the symptoms. The duration of the disorder was derived from these data.

Dysthymia however, requires a duration of at least two years. Respondents who

indicated that they had experienced symptoms of dysthymia in the 12 months prior

to interview were asked their age of onset. Recency was defined as current if they

still had dysthymia; otherwise it was determined by comparing the month of

interview with the month the most recent episode had ended.

PHYSICAL CONDITIONS

A subset of items from Belloc, Breslow & Hochstim (1971) was used as a measure of

physical conditions in general. Respondents were asked about the presence of any

of the following chronic (long-lasting) and current conditions:

asthma

chronic bronchitis

anaemia

high blood pressure

heart trouble

arthritis

kidney disease

diabetes

cancer

stomach or duodenal ulcer

chronic gall bladder or liver trouble

hernia or rupture.



COMORBIDITY

Comorbidity refers to the occurrence of more than one disorder at the same time.

The existence of some conditions predisposes individuals to others. For example,

severe social phobia may cause depression and alcohol dependence. Further, the

presence of mental and/or physical conditions in combination is likely to compound

the difficulties people face. The SMHWB enables analysis of comorbidity, both in

terms of the number of disorders, and combinations of different types.

PSYCHOSIS SCREENER

Psychoses are mental disorders in which people have strange ideas (e.g. that they

are being spied on by aliens) or experiences (e.g. hearing voices when there is no

one there). These strange ideas or experiences are unaffected by rational argument

and are out of keeping with the views of any culture or group to which the person

belongs. The survey included 4 items (7 questions) designed to screen for the likely

presence of psychosis. There is no standard output from these items, but output

may be tailored to users' specifications.

PERSONALITY DISORDERS SCREENER

The SMHWB included screening questions for nine ICD–10 personality disorders

(listed below). It is important to note that these provide indicators of possible

presence only. The screener included only two general criteria which apply to all

personality disorders, plus those criteria relating to specific personality disorders

that could be assessed as 'true' or 'false'. Most respondents were not required to

answer all the questions in this section; respondents were only required to answer

sufficient questions to determine whether the required number of criteria had been

met. No probe questions were asked regarding symptoms of personality disorder.

F60.0 Paranoid personality disorder

F60.1 Schizoid personality disorder

F60.2 Dissocial personality disorder

F60.30 Emotionally unstable personality disorder - impulsive type

F60.31 Emotionally unstable personality disorder - borderline type

F60.4 Histrionic personality disorder

F60.5 Anankastic personality disorder

F60.6 Anxious (avoidant) personality disorder

F60.7 Dependent personality disorder

Specific screening criteria for each of these disorders are presented in Appendix 6.



MINI-MENTAL STATE EXAMINATION

The Mini-Mental State Examination was adapted by the WHO Centre from Folstein,

Folstein & McHugh (1975) and included a number of items to test orientation,

registration, calculation and attention, recall and language and visual construction.

The MMSE screens for the presence of cognitive impairment, but does not identify

any particular organic mental disorders. The MMSE was asked of all respondents

aged 65 years or over.

The MMSE has a maximum score of 30 points. A score of 23 or less is generally

accepted as indicating the presence of cognitive impairment. The severity of

cognitive impairment may be classified as:

no cognitive impairment (24-30)

mild cognitive impairment (18-23)

severe cognitive impairment (17 or less).

Where respondents could not complete tasks due to physical impediments, their

MMSE score was prorated.



A P P E N D I X 4 I C D – 1 0 D I A G N O S E S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

This Appendix presents descriptions of the CIDI diagnostic criteria according to the

ICD–10. Note that not all exclusions specified in the ICD–10 were able to be addressed

in the SMHWB.

SUBSTANCE USE DISORDERS

Questions about alcohol were only asked if the person had at least 12 alcoholic

drinks in the 12 months prior to interview. Questions about specific drugs were

only asked if the person: used that drug more than five times; used it without a

prescription; or, if the drug was prescribed, overused it.

Harmful use (F1x.1) A pattern of use of psychoactive substances causing damage to physical or mental

health. A diagnosis was achieved if this pattern occurred in the 12 months prior

to interview. Harmful patterns may lead to disability and are often associated

with adverse social consequences. Harmful use should not be diagnosed if

dependence syndrome is present.

This survey collected information on:

Harmful use - alcohol (F10.1)

Harmful use - opioids (F11.1)

Harmful use - cannabinoids (F12.1)

Harmful use - sedatives or hypnotics (F13.1)

Harmful use - stimulants (F15.1).

Dependence syndrome (F1x.2) A maladaptive pattern of substance use in which the use of the substance takes

on a much higher priority for a person than other behaviours that once had

greater value. The central characteristic is the strong, sometimes overpowering,

desire to take the substance despite significant substance-related problems. A

diagnosis was achieved if three or more of the following occurred in the 12

months prior to interview:

strong desire or compulsion to take the substance

difficulties in controlling substance-taking behaviour

withdrawal

tolerance

neglect of alternative interests because of substance use

continued use despite knowing it is causing significant problems.


Dependence syndrome - alcohol (F10.2)

Dependence syndrome - opioids (F11.2)

Dependence syndrome - cannabinoids (F12.2)

Dependence syndrome - sedatives or hypnotics (F13.2)

Dependence syndrome - stimulants (F15.2).


AFFECTIVE DISORDERS

Hypomania (F30.0) A lesser degree of mania, characterised by elevated or irritable mood to a degree

that is abnormal for the individual concerned and sustained for at least four

consecutive days. It leads to some interference with daily living. At least three of

the following must be present:

increased activity or restlessness

increased talkativeness

distractibility

decreased need for sleep

increased sexual energy

overspending or other types of reckless or irresponsible behaviour

over familiarity or increased sociability.

Hypomania is not accompanied by psychotic symptoms and the episode does

not meet the criteria for mania, bipolar affective disorder or a depressive episode.

Mania without psychotic Mood is elevated, expansive or irritable out of keeping with the person's

symptoms (F30.1) circumstances leading to severe disruption with daily living. The episode lasts

for at least seven days and is characterised by at least three of the following

(four if the mood is merely irritable):

increased activity or restlessness


flight of ideas or the feeling that thoughts are racing

loss of normal social inhibitions


inflated self-esteem or grandiosity

distractibility

reckless behaviour

marked sexual energy or sexual indiscretions.

There are no psychotic symptoms.

Mania with psychotic The episode meets the criteria for mania (above) but psychotic symptoms are

symptoms (F30.2) present.

Bipolar affective disorder (F31) Characterised by two or more episodes in which the person's mood and activity

levels are significantly disturbed—on some occasions lowered (depression) and

on some occasions elevated (mania or hypomania). For this survey, a diagnosis

of Bipolar affective disorder was given if the person met criteria for mania or

hypomania and had more than one episode of hypomania or mania, or if the

person met criteria for mania or hypomania and also for a depressive episode.

The survey does not allow differentiation according to the type of the current

episode.

A P P E N D I X 4 • I C D – 1 0 D I A G N O S E S..............................................................................................


AFFECTIVE DISORDERS continued

Depressive episode A depressive episode lasts for at least two weeks and is only diagnosed if the

person has never had a hypomanic or manic episode.

At least two of the following are present:

depressed mood

loss of interest in activities

lack of energy or increased fatigue.

Additional symptoms from the following list must be present, to give a total of at

least four:

loss of confidence or self esteem

feelings of worthlessness or guilt

thoughts of death or suicide, or suicide attempts

diminished ability to concentrate, think or make decisions

change in psychomotor activity; agitation or retardation

sleep disturbance

change in appetite.

The survey collected information to differentiate the following disorders based

on the number of symptoms the person experienced:

Mild depressive episode (F32.0) - two symptoms from the first list, and an

additional symptom or symptoms from the second list above to give a total

of at least four.

Moderate depressive episode (F32.1) - two symptoms from the first list, and

additional symptoms from the second list above to give a total of at least six.

Severe depressive episode without psychotic symptoms (F32.2) - all three

symptoms from the first list and additional symptoms from the second list

above to give a total of at least eight.

Somatic syndrome To qualify for somatic syndrome four of the following must be present

loss of interest or pleasure in normal activities

lack of emotional reactions

waking early in the morning

depression worse in the morning

objective evidence of psychomotor retardation or agitation

loss of appetite

weight loss

loss of libido.

The survey was designed to collect information to enable differentiation of:

Mild depressive episode without somatic syndrome (F32.00)

Mild depressive episode with somatic syndrome (F32.01)

Moderate depressive episode without somatic syndrome (F32.10)

Moderate depressive episode with somatic syndrome (F32.11).

In the ICD–10, the presence or absence of the somatic syndrome is not specified

for severe depressive episode.



AFFECTIVE DISORDERS continued

Recurrent depressive disorder The person has had at least one previous depressive episode and has not had a

hypomanic or manic episode.

The survey collected information on the following:

Recurrent depressive disorder, mild without somatic syndrome (F33.00)

Recurrent depressive disorder, mild with somatic syndrome (F33.01)

Recurrent depressive disorder, moderate without somatic syndrome

(F33.10)

Recurrent depressive disorder, moderate with somatic syndrome (F33.11)

Recurrent depressive disorder, severe without psychotic symptoms (F33.2).

Dysthymia (F34.1) A disorder characterised by constant (or constantly recurring) chronic depression

of mood lasting at least two years, which is not sufficiently severe, or whose

episodes are not sufficiently prolonged, to qualify as recurrent depressive

disorder. Intervening periods of normal mood last less than two months. The

person feels tired and depressed, sleeps badly and feels inadequate, but is usually

able to cope with the basic demands of everyday life. There are no episodes of

hypomania.

During some of the periods of depression at least three of the following are

present:

reduced energy or activity

insomnia

loss of self-confidence or feeling inadequate

difficulty in concentrating

frequent tearfulness

loss of interest in enjoyment of sex and other pleasurable activities

feeling of hopelessness or despair

feeling unable to cope with everyday responsibilities

pessimism about the future or brooding over the past

social withdrawal

reduced talkativeness.



ANXIETY DISORDERS

Agoraphobia (F40.0) Characterised by marked and consistently manifest fear in, or avoidance of, at

least two of the following:

crowds

public places

travelling alone

travelling away from home.

The person experiences distress about the avoidance or anxiety symptoms and

recognises that these are excessive or unreasonable.

At least two of the following anxiety symptoms must have been present together

in the feared situation, and one of these symptoms must be from the first four

listed:

pounding heart

sweating

trembling or shaking

dry mouth

difficulty breathing

feeling of choking

chest pain

nausea

dizziness

feelings of unreality

fear of losing control

fear of dying

hot flushes or cold chills

numbness or tingling sensations.

Symptoms are restricted to, or predominate in, the feared situations or

contemplation of the feared situations. They are not the result of a depressive

episode, hypomania, mania, bipolar affective disorder or obsessive-compulsive

disorder.

The survey collected information to differentiate the presence of absence of

panic disorder (F41.0):

Agoraphobia without panic disorder (F40.00)

Agoraphobia with panic disorder (F40.01)

Note, for a diagnosis of Agoraphobia with panic disorder (F40.00), this survey did

not restrict the panic-like symptoms to the feared situation. This was in order to

resolve the logical inconsistency between panic-like symptoms being restricted to

the feared situation and Panic disorder symptoms not being associated with a

specific situation.



ANXIETY DISORDERS continued

Social phobia (F40.1) Characterised by fears in social situations such as eating or drinking in public,

encountering known individuals in public, or being in small group situations such

as parties, meetings or classrooms.

Either of the following must be present:

fear of being the focus of attention or fear of behaving in a way that will be

embarrassing or humiliating

avoidance of being the focus of attention, or of situations where there is fear

of behaving in an embarrassing or humiliating way.

At least two of the anxiety symptoms defined in Agoraphobia (F40.0) must be

manifest in the feared situation at some time since the onset of the disorder,

together with at least one of the following:

blushing or shaking

nausea or fear of vomiting

urgency or fear of losing control of bowels or bladder.

Symptoms are restricted to, or predominate in, the feared situations or

contemplation of the feared situations. The person experiences distress about

the avoidance or the anxiety symptoms and recognises that these are excessive or

unreasonable. The symptoms are not due to a depressive episode, hypomania,

mania, bipolar affective disorder or obsessive-compulsive disorder.

Panic disorder (F41.0) The essential feature of this disorder is recurrent panic (anxiety) attacks that are

not consistently associated with a specific situation or object. A panic attack is a

discrete episode of intense fear or discomfort that starts abruptly and reaches a

peak within a few minutes. Panic attacks are not associated with marked exertion

or with exposure to dangerous or life-threatening situations. At least four of the

following symptoms are present, including one of the first four:

pounding heart

sweating


dry mouth


feeling of choking

chest pain

nausea

dizziness



fear of dying



The symptoms are not due to a depressive episode, hypomania, mania or bipolar

affective disorder.

Panic disorder - moderate At least four panic attacks in a four week period.

(F41.00)

Panic disorder - severe (F41.01) At least four panic attacks per week over a four week period.




Generalised anxiety disorder Characterised by a period of at least six months with tension, worry and

(GAD) (F41.1) apprehension about everyday events and problems that does not meet criteria

for Panic disorder, phobic disorders or Obsessive-compulsive disorder. At least

four of the following symptoms must be present, with at least one of the first

four:

pounding heart

sweating


dry mouth


feeling of choking

chest pain

nausea, stomach pain or discomfort

dizziness



fear of dying



muscle tension or aches and pains

restlessness

feeling on edge

a sensation of a lump in the throat

exaggerated response to minor surprises

difficult concentrating

irritability

trouble falling or staying asleep.

Obsessive-compulsive disorder Either obsessions or compulsions (or both) are present on most days for at least

(OCD) (F42) two weeks. Obsessions (thoughts, ideas or images) and compulsions (acts) share

the following features, all of which must be present:

acknowledged as originating in the mind of the respondent

repetitive and unpleasant, and at least one obsession or compulsion is

acknowledged as excessive or unreasonable

the person tries to resist them, and at least one obsession or compulsion

that is unsuccessfully resisted must be present

the person derives no pleasure from the obsessive thought or compulsive

act.

The obsessions or compulsions cause distress or interference with the person's

functioning, usually by wasting time. They are not the result of a depressive

episode, hypomania, mania or bipolar affective disorder.

The survey collected information to differentiate the following disorders:

Obsessive-compulsive disorder—predominantly obsessional thoughts or

ruminations (F42.0)

Obsessive-compulsive disorder—predominantly compulsive acts (F42.1)

Obsessive-compulsive disorder—mixed obsessional thoughts and acts

(F42.2).




Post-traumatic stress disorder Characterised by symptoms experienced within six months of exposure to

(PTSD) (F43.1) an extremely traumatic event which would be likely to cause distress in almost

anyone:

had direct combat experience in a war

involved in a life-threatening accident

involved in a fire, flood or other natural disaster

witnessed someone being badly injured or killed

raped

sexually molested

seriously physically attacked or assaulted

threatened with a weapon, held captive or kidnapped

tortured or the victim of terrorists

any other extremely stressful or upsetting experience of this sort excluding

bereavement, chronic illness, business loss, marital or family conflict, book,

movie or television.

The traumatic event is persistently remembered or relived e.g. flashbacks,

dreams, or distress when reminded of the event. The person exhibits avoidance

of circumstances resembling or associated with the event and exhibits either an

inability to recall some or all aspects of the trauma or two or more of the

following symptoms of increased sensitivity and arousal:

difficulty in falling or staying asleep

irritability

difficulty concentrating

hypervigilance

exaggerated startle response.

NEURASTHENIA (F48.0)

Either complaints of fatigue after minor mental effort, or complaints of fatigue

and weakness after minor physical effort lasting at least three months. The

person is unable to recover by means of rest, relaxation, or entertainment. These

indications are accompanied by a variety of other physical symptoms such as

muscular aches and pains, dizziness, tension headaches, sleep disturbance,

inability to relax and irritability. The disorder does not occur in the presence of a

depressive episode, hypomania, mania, bipolar affective disorder, panic disorder

or generalised anxiety disorder.



A P P E N D I X 5 D S M – I V D I A G N O S E S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

This Appendix presents descriptions of the CIDI diagnostic criteria according to the

DSM–IV. Note that not all exclusions specified in the DSM–IV were able to be addressed

in the SMHWB.

SUBSTANCE-RELATED DISORDERS

Questions about alcohol were only asked if the person had at least 12 alcoholic

drinks in the 12 months prior to interview. Questions about specific drugs were

only asked if the person: used that drug more than five times; used it without a

prescription; or, if the drug was prescribed, overused it.

Substance abuse A maladaptive pattern of substance use leading to impairment or distress

occurring over a 12 month period. This pattern is manifest by failure to fulfil role

obligations, use in situations which are dangerous, legal problems or continued

substance use despite social and interpersonal problems caused or exacerbated

by the effects of substance use. The symptoms have never met the criteria for

substance dependence for this class of substance. This survey collected

information on:

Alcohol abuse (305.00)

Opioid abuse (305.50)

Cannabis abuse (305.20)

Sedative abuse (305.40)

Amphetamine abuse (305.70).

Substance dependence A maladaptive pattern of substance use leading to impairment or distress. Three

or more of the following problems occur in the same 12 month period:

tolerance

withdrawal

taking more of the substance or for longer than intended

desire or unsuccessful efforts to cut down

a great deal of time obtaining, using or recovering from the effects of the

substance

reduction in important activities because of substance use

continued use despite knowing it is causing significant problems.


Alcohol dependence (303.90)

Opioid dependence (304.00)

Cannabis dependence (304.30)

Sedative dependence (304.10)

Amphetamine dependence (304.40).


MOOD (AFFECTIVE) DISORDERS

Major depressive episode Five or more of the following symptoms, including one of the first two, have

been present for at least two weeks:

depressed mood

loss of interest and pleasure

weight change or appetite disturbance

sleep disturbance

psychomotor changes

low energy

feelings of worthlessness or guilt

poor concentration or difficulty making decisions

recurrent thoughts of death or suicidal ideation, plans or attempts.

These symptoms must represent a change from previous functioning, and are not

better accounted for by bereavement. In addition, the episode must be

accompanied by significant distress or impairment in social, occupational or

other important areas of functioning. A diagnosis of depressive disorder is only

achieved if the person has never had a hypomanic, manic or mixed episode.

Recurrence is indicated by the occurrence of separate episodes with an

intervening period of at least two consecutive months.

Severity The survey collected information to differentiate the following disorders based


Major depressive disorder, single episode, mild (296.21)

Major depressive disorder, single episode, moderate (296.22)

Major depressive disorder, single episode, severe without psychotic features

(296.23)

Major depressive disorder, recurrent, mild (296.31)

Major depressive disorder, recurrent, moderate (296.32)

Major depressive disorder, recurrent, severe without psychotic features

(296.33).

The episode is categorised as mild if five or six symptoms are present, moderate

if seven are present, or severe if more than seven are present.

Dysthymic disorder (300.4) Characterised by chronically depressed mood that occurs most of the day more

days than not for at least two years, without a break of two months or more. A

diagnosis of dysthymia can only be made if the initial two year period of

symptoms is free of major depressive episodes and the person has never had a

hypomanic, manic or mixed episode.

At least two of the additional symptoms are present

appetite disturbance

sleep disturbance

low energy

low self-esteem

poor concentration or difficulty making decisions

feelings of hopelessness.

The episode must be accompanied by significant distress or impairment in social,

occupational or other important areas of functioning.

A P P E N D I X 5 • D S M – I V D I A G N O S E S..............................................................................................


MOOD (AFFECTIVE) DISORDERS continued

Manic episode Characterised by abnormally elevated, expansive or irritable mood lasting at least

seven days (or any duration if hospitalisation is required). Three or more of the

following symptoms (four if the mood is only irritable) are present:

inflated self esteem or grandiosity




distractibility

increase in goal-directed activity or psychomotor agitation

excessive involvement in pleasurable activities that have a high potential for

painful consequences.

The episode causes marked impairment in occupational functioning or

relationships. Psychotic features may be present. The person does not meet

criteria for a mixed episode.

Hypomanic episode Characterised by abnormally elevated, expansive or irritable mood lasting at least

four days. Three or more of the following symptoms (four if the mood is only

irritable) are present:

inflated self esteem or grandiosity




distractibility

increase in goal-directed activity or psychomotor agitation

excessive involvement in pleasurable activities that have a high potential for

painful consequences.

While the episode is associated with a change in functioning that is not

characteristic of the person, it is not severe enough to cause marked impairment

in occupational functioning or relationships. There are no psychotic features.

Mixed episode Criteria are met for both a major depressive episode and a manic episode for at

least seven days.



MOOD (AFFECTIVE) DISORDERS continued

Bipolar I disorder Characterised by the occurrence of one or more manic episodes. Often

(296.0x/296.4x) individuals have also had one or more major depressive episodes. Recurrence is

indicated by either a shift in the polarity of the episode or an interval between

episodes of at least two months without manic symptoms.

Severity The survey collected information to differentiate the following disorders based


Bipolar I disorder, single manic episode, mild (296.01)

Bipolar I disorder, single manic episode, moderate (296.02)

Bipolar I disorder, single manic episode, severe without psychotic symptoms

(296.03)

Bipolar I disorder, mild (296.41)

Bipolar I disorder, moderate (296.42)

Bipolar I disorder, severe without psychotic symptoms (296.43).

Since the survey did not allow assessment of the nature of the most recent

episode 296.4x is used as a label for recurrent manic episodes, manic and

depressive episodes or manic and mixed episodes. The episode is categorised as

mild if three or four symptoms are present, moderate if five or six are

present, or severe if more than six are present.

Bipolar II disorder (296.89) Characterised by one or more major depressive episode accompanied by at leastone hypomanic episode. The person has never had a manic or mixed episode.

ANXIETY DISORDERS

Panic attack A period of intense fear or discomfort which begins suddenly and reaches a peak

within a few minutes. At least four of the following symptoms are present:

pounding heart

sweating


shortness of breath

feeling of choking

chest pain

nausea

dizziness


fear if losing control

fear of dying


hot flushes or cold chills.

Agoraphobia Characterised by anxiety about being in situations from which escape might be

difficult or in which help may not be available if the person has a panic attack.

Such situations include being outside the home alone, being in a crowd,

travelling in trains, buses or cars and being in a public place. The person avoids

the situations, endures them with distress or requires the presence of a

companion. These symptoms are not better accounted for by Social phobia,

Obsessive-compulsive disorder or Post-traumatic stress disorder.




Panic disorder The essential feature of this disorder is recurrent panic (anxiety) attacks that

occur suddenly and unpredictably. At least one of the attacks has been followed

by one month or more of at least one of the following:

concern about having additional attacks

worry that the attack means that the person is "going crazy", losing control or

having a heart attack

change in behaviour because of the attacks.

These symptoms cannot be better accounted for by Social phobia,

Obsessive-compulsive disorder or Post-traumatic stress disorder.

The survey collected information to differentiate the presence of absence of

Agoraphobia:

Panic disorder without agoraphobia (300.01)

Panic disorder with agoraphobia (300.21).

Agoraphobia without history of Characterised by the presence of Agoraphobia related to fear of developing

panic disorder (300.22) panic-like symptoms, without the criteria for Panic disorder ever being met.

Social phobia (300.23) Characterised by a persistent fear of one or more social or performance

situations. The person fears that he or she will act in a way (or show anxiety

symptoms) that will be embarrassing or humiliating. Exposure to the feared

situation almost always provokes anxiety which may take the form of a panic

attack. For this survey, the presence of two or more symptoms of a panic attack

was required. The feared situations are avoided, or endured with distress and

the person recognises that the fear is excessive or unreasonable. The disorder is

accompanied by distress and interference with normal routine and functioning.

For those who were less than 18 years when the phobia ended, the duration

must be at least 6 months The fear or avoidance are not better accounted for by

Panic disorder with or without Agoraphobia.

Obsessive-compulsive disorder Either obsessions or compulsions are present.

(OCD) (300.3) Obsessions are defined by the following:

recurrent and persistent thoughts, impulses or images that are experienced

as intrusive and inappropriate and that cause marked anxiety

the thoughts, impulses or images are not simply excessive worries about

real-life problems

the person tries to ignore or suppress such thoughts, impulses or images or

to neutralise them

the person realises that the thoughts, impulses or images come from his or

her own mind, and are not imposed from without.

Compulsions are defined by the following:

repetitive behaviours or mental acts that the person feels driven to perform

the behaviours or mental acts are aimed at preventing or reducing distress or

some dreaded event or situation, but are not realistic or are clearly excessive.

The content of the obsessions or compulsions is not exclusively a preoccupation

with another disorder in the form of feelings of guilt, body shape, weight or

eating, drugs, a serious illness, or some combination of these. The obsessions or

compulsions cause distress, are time consuming or interfere with the person's

normal routine or functioning. The person realises that the obsessions or

compulsions are excessive or unreasonable.




Post-traumatic stress disorder Characterised by symptoms lasting more than one month following exposure to

(PTSD) (309.81) an extremely traumatic event in which the person experienced or witnessed an

event that involved actual or threatened death or serious injury, or a threat to the

physical integrity of self or others. Further, the person's response involved

intense fear, helplessness or horror.

The traumatic event is persistently re-experienced in one or more of the

following ways:

recollections

dreams

acting or feeling as if the event were recurring

distress when reminded of the event

physiological reactivity when reminded of the event.

The person exhibits avoidance of things associated with the event evidenced by

three or more of the following:

efforts to avoid thinking, feeling or talking about the event

efforts to avoid activities, places or people that arouse recollections of the

event

inability to recall aspects of the trauma

diminished interest or participation in significant events

feelings of estrangement from others

restricted range of affect

sense of a foreshortened future.

Two or more of the following symptoms of increased arousal are present

difficulty falling or staying asleep

irritability


hypervigilance

exaggerated startle response.

The disturbance causes significant distress or impairment in functioning.

Generalised anxiety disorder Characterised by excessive anxiety and worry about a number of events or

(GAD) (300.02) activities, occurring more days than not for at least six months. Three or more ofthe following symptoms are present (with at least some present for more days

that not for the past six months):

restlessness

fatigue


irritability

muscle tension

sleep disturbance.

The person finds it difficult to control the worry, and it causes significant distress

or impairment in social, occupational or other important areas of functioning.

The anxiety and worry are not confined to the features of another disorder (e.g.

Panic disorder, Social phobia, Obsessive-compulsive disorder or Post-traumatic

stress disorder), and the disturbance does not occur exclusively during a mood

disorder.



A P P E N D I X 6 P E R S O N A L I T Y D I S O R D E R S C R E E N E R . . . . . . . . .

Personality disorders are characterised by evidence that the person's

characteristic and enduring patterns of inner experience and behaviour deviate

markedly from the cultural norm. This survey included screening questions for

nine ICD–10 personality disorders.

Assessment of the general criteria for personality disorders was limited to the

following two criteria:

the symptoms cause personal distress, or adverse impact on the social

environment, or both

the deviation is stable and of long duration, having its onset in late childhood

or adolescence.

The specific criteria for each personality disorder in this survey are presented

below.

Paranoid personality disorder At least four of the following must be present:

(F60.0) screener � excessive sensitivity to setbacks and rebuffs

tendency to bear grudges persistently

suspiciousness and a pervasive tendency to distort experience by

misconstruing the neutral or friendly actions of others

combative and tenacious sense of personal rights out of keeping with the

actual situation

recurrent suspicions, without justification, regarding fidelity of sexual partner

persistent self-referential attitude

preoccupation with unsubstantiated conspiratorial explanations of events.

Schizoid personality disorder At least four of the following must be present:

(F60.1) screener � few, if any, activities provide pleasure

emotional coldness, detachment

a limited capacity to express either warm feelings or anger

apparent indifference to either praise or criticism

little interest in having sexual experiences with another person

consistent choice of solitary activities

preoccupation with fantasy and introspection

no desire for, or possession of close friends or confiding relationships (or

only one)

insensitivity to prevailing social norms and conventions.

Dissocial personality disorder At least three of the following must be present:

(F60.2) screener � callous unconcern for the feelings of others

attitude of irresponsibility and disregard for social norms, rules and

obligations

incapacity to maintain enduring relationships

low tolerance to frustration, and a low threshold for aggressive behaviour

incapacity to experience guilt, or to learn from adverse experience.


Emotionally unstable personality At least three of the following must be present:

disorder - impulsive type � tendency to act impulsively and without consideration of consequences

(F60.30) screener � tendency to quarrelsome behaviour and to conflict with others

liability to outbursts of anger or violence

difficulty in maintaining any course of action that offers no immediate reward

unstable and changeable mood.

Emotionally unstable personality At least three of the following must be present:

disorder - borderline type � disturbances in and uncertainty about self-image, aims and preferences

(F60.31) screener � liability to become involved in intense and unstable relationships

excessive efforts to avoid abandonment

recurrent threats or acts of self-harm

chronic feelings of emptiness.

Histrionic personality disorder At least four of the following must be present:

(F60.4) screener � self-dramatisation, theatricality or exaggerated expression of emotions

suggestibility

shallow and unstable affectivity

seeking excitement and activities in which the person is the centre of

attention

inappropriate seductiveness

over concern with physical attractiveness.

Anankastic personality disorder At least four of the following must be present:

(F60.5) screener � feelings of excessive doubt and caution

preoccupations with details

perfectionism that interferes with task completion

excessive conscientiousness and

preoccupation with productivity to the exclusion of pleasure and

interpersonal relationships

excessive formality and adherence to social conventions

rigidity and stubbornness

insistence by the person that others submit to his or her way of doing things,

or reluctance to allow others to do things.

Anxious (avoidant) personality At least four of the following must be present:

disorder (F60.6) screener � persistent and pervasive feelings of tension and apprehension

belief that one is socially inept

excessive preoccupation with being criticised or rejected

unwillingness to become involved with people unless certain of being liked

restrictions in lifestyle because of need for physical security

avoidance of social or occupational activities that involve significant

interpersonal contact.

Dependent personality disorder At least four of the following must be present:

(F60.7) screener � allowing others to make one's important life decisions

subordination of one's own needs to those of others on whom one is

dependent

unwillingness to make reasonable demands on the people one depends on

feeling uncomfortable or helpless when alone

fears about being left alone and having to care for oneself

limited capacity to take everyday decisions without advice and reassurance

from others.

A P P E N D I X 6 • P E R S O N A L I T Y D I S O R D E R S S C R E E N E R..............................................................................................


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