Psychiatric, Cognitive, and Behavioral Surveys

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2.07

Human Research

Protection Office

Box 8089

(314)633-7400

Fax (314)367-3041

Standard Screening Instruments Not Requiring Submission with Research Protocols

The following are well-known, approved measures and do not need to be included in submissions to the HRPO.

We have marked the questionnaires, in bold , that may contain more sensitive questions. Depending on the nature of your study, whether the information is already know and in the medical record, the targeted populations, and the other protections in place in your study, you may wish to obtain a Certificate of Confidentiality.

Those in italic red contain no sensitive questions.

AAMR Adaptive Behavior Scales

Achenbach Child Behavior Checklist

Beck Anxiety Inventory

Psychiatric, Cognitive, and Behavioral Surveys

Personality Assessment Inventory (PAI)

Personality Factor

Profile of Mood Scales

Reynold’s Adolescent Depression Scale

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

Structured Clinical Interview for DSM-III –R (SCID-P)

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 –

Kaufman Tests

Millon (MCMI and variants)

Patient Version (SCID-P)

Survey of Student Resources and Assets (Search

Institute)

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)

Pain Anxiety Symptoms Scale

Symptom Checklist 90

Wechsler Intelligence and Memory Scales

Weschler Memory Scales

Wide Range Achievement (WRAT) or Memory

(WRAML) Scales

Youth Risk Behavior Surveillance Survey (YRBSS)

(CDC)

Cognitive Errors Questionnaire

Cognitive Evaluation Questionnaire

Pain Locus of Control Questionnaire

Cognitive Factors and Coping Strategies

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)

Assessment of Informed Consent – Evaluator Version

(SD-18) – newly added

DHEA

Level of Expressed Needs Questionnaire

Job Stress Survey

Other Measures

Vietnam Era Twin Study of Aging (VETSA) Medical

-History Interview

Vietnam Era Twin Study of Aging (VETSA) Medical

Questionnaire

Sickness Impact Profile

SF-36

Vietnam Era Twin Study of Aging (VETSA)

References:

HRPO Task Force composed of psychologists, psychiatrists, and social/behavioral scientists.

 Lewandowski, Michael J Ph.D. “Pain Assessment: Implications for Vocational Rehabilitation. Fall 2000. www.painassessmentresources.com/Files/ABVE%20presentation.pdf

Pittsburg IRB. List of Standard Screening Instruments.

WUMC Department of Psychiatry. Compilation of surveys commonly administered to school-age children. Dec

2001.

ExemptScreening under HRPO Forms Committee .

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