University of Pennsylvania, Institutional Review Board
133 South 36th Street, Mezzanine Philadelphia, PA 19104-3246
Standard Screening Instruments
The following standard instruments do not need to be included in submissions to the IRB.
Questionnaires, in bold, may contain more sensitive questions. Depending on the nature of the study, whether
the information is already know and in the medical record, the targeted populations, and the other protections
in place in your study, the investigator should consider obtaining a Certificate of Confidentiality.
Those in italic red contain no sensitive questions.
Psychiatric, Cognitive, and Behavioral Surveys
AAMR Adaptive Behavior Scales
Achenbach Child Behavior Checklist
Beck Anxiety Inventory
Beck Depression Inventory
Behavioral Assessment of Pain – Medical Stability
Quick Screen (BAP – MSQS)
California Healthy Kids Survey
CES-D
Children’s (High School) Personality Questionnaire
Children’s Depression Inventory
Connors Rating Scales
Diagnostic Interview Schedule (DIS)
Diagnostic Interview Schedule for Children
(DIS-C)
Diagnostic Interview Schedule for DSM-IV
Fear-Avoidance Beliefs Questionnaire
Hamilton Rating Scales (Depression, Anxiety)
Hendler Screening Test
Kaufman Tests
Millon (MCMI and variants)
Mini Mental Status Examination
Minnesota Multiphasic Personality Inventory
(MMPI) and variants
Modified Zung Depression Inventory
Monitoring the Future
National Household Survey on Drug Abuse
(NHSDA)
IRB Version: April 2007
Pain Anxiety Symptoms Scale
Personality Assessment Inventory (PAI)
Personality Factor
Profile of Mood Scales
Reynold’s Adolescent Depression Scale
Structured Clinical Interview for DSM-III –R (SCIDP)
Schizophrenia and Affective Disorders
Schedule (SADS)
Screening Instrument for Targeting Educational
Risk in Preschool Children (S.I.F.T.E.R.)
Screening Instrument for Targeting Educational
Risk (S.I.F.T.E.R.)
Spielbarger Inventories (Anger/Anxiety)
Stanford Binet
Structured Psychiatric Interview for DSM-III
(SCID and its variants)
Structured Clinical Interview for DSM-III-R –
Patient Version (SCID-P)
Survey of Student Resources and Assets (Search
Institute)
Symptom Checklist 90
Wechsler Intelligence and Memory Scales
Weschler Memory Scales
Wide Range Achievement (WRAT) or Memory
(WRAML) Scales
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University of Pennsylvania, Institutional Review Board
133 South 36th Street, Mezzanine Philadelphia, PA 19104-3246
Youth Risk Behavior Surveillance Survey (YRBSS)
(CDC)
Cognitive Factors and Coping Strategies
Cognitive Errors Questionnaire
Cognitive Evaluation Questionnaire
Pain Locus of Control Questionnaire
Pain and Impairment Relationship Scale (PAIRS)
Cognitive Strategies Questionnaire (CSQ)
Coping Strategy Questionnaire
Pain Assessment
Back Pain Classification Scale
Behavioral Assessment of Pain - Medical Stability
Quick Screen (BAP-MSQS)
Behavioral Assessment of Pain Questionnaire
Chronic Illness Problem Inventory
Functional Rating Scale
Hendler Screening Test
Illness Behavior Questionnaire
The Pain Behavior Scale
Neck Pain Disability Index
McGill-Melzack Pain Questionnaire
McGill- Melzack Comprehensive Pain
Questionnaire
Vanderbilt Pain Management Inventory
West Haven – Yale Multidimensional Pain
Inventory (WHYMPI)
Other Measures
Assessment of Informed Consent – Evaluator
Version (SD-18) – newly added
DHEA
Level of Expressed Needs Questionnaire
Job Stress Survey
Sickness Impact Profile
SF-36
Vietnam Era Twin Study of Aging (VETSA)
Vietnam Era Twin Study of Aging (VETSA)
Medical -History Interview
Vietnam Era Twin Study of Aging (VETSA)
Medical Questionnaire
References:
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Pittsburg IRB. List of Standard Screening Instruments.
Washington University Saint Louis IRB Guidance: Standard Screening Instruments Not Requiring
Submission with Research Protocols.
IRB Version: April 2007
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