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Document Name: SSAND: PD: Panic Disorder
Document Accession: phd001345.1

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SSAND: PD: Panic Disorder

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PD1 INT1 . ASK IF SC1 = 5. Earlier you mentioned having attacks of fear or panic when all of a sudden you felt very frightened, anxious, or uneasy. Think of a bad attack like that. During that attack, which of the following problems did you have?
PD1 INT2. ASK IF SC1A = 5. Earlier you mentioned having attacks when all of a sudden you had several problems like being short of breath, your heart pounding or feeling dizzy, and being afraid you would die or go crazy. Think of a bad attack like that. During that attack, which of the following problems did you have?

SKIP TO PD2 AFTERFOUR“YES” RESPONSES.

PD1_1. Did your heart pound or race? (KEY PHRASE: heart racing)
1 = NO5 = YES
PD1_2. Were you short of breath? (KEY PHRASE: being short of breath)
1 = NO5 = YES
PD1_3. Did you have nausea or discomfort in your stomach? (KEY PHRASE: having nausea)
1 = NO5 = YES
PD1_4. Did you feel dizzy or faint? (KEY PHRASE: feeling dizzy)
1 = NO5 = YES
PD1_5. Did you sweat? (KEY PHRASE: sweating)
1 = NO5 = YES
PD1_6. Did you tremble or shake? (KEY PHRASE: trembling)
1 = NO5 = YES
PD1_7. Did you have a dry mouth? (KEY PHRASE: having a dry mouth)
1 = NO5 = YES
PD1_8. Did you feel like you were choking? (KEY PHRASE: choking)
1 = NO5 = YES
PD1_9. Did you have pain or discomfort in your chest? (KEY PHRASE: having discomfort in your chest)
1 = NO5 = YES
PD1_10. Were you afraid that you might lose control of yourself or go crazy? (KEY PHRASE: fearing that you might lose control of yourself)
1 = NO5 = YES
PD1_11. Did you feel that you were not really there, like you were watching a movie of yourself? (KEY PHRASE: feeling unreal)
1 = NO5 = YES

IF YES, KIP TO PD1_13

PD1_12. Did you feel that things around you were unreal or like a dream? (KEY PHRASE: feeling like things around you were unreal)
1 = NO5 = YES
PD1_13. Were you afraid that you might pass out? (KEY PHRASE: fearing that you might pass out)
1 = NO5 = YES
PD1_14. Were you afraid that you might die? (KEY PHRASE: fearing that you might die)
1 = NO5 = YES
PD1_15. Did you have hot flushes or chills? (KEY PHRASE: having hot flushes)
1 = NO5 = YES
PD1_16. Did you have numbness or tingling sensations? (KEY PHRASE: having numbness)
1 = NO5 = YES

HOW MANY RESPONSES ARE CODED “5” IN PD1_1 - 16? 0-3 : SKIP TO NEXT SECTION. 4 OR MORE, CONTINUE

PD2. During your attacks, did the problems like (PARENTHETICAL PHRASE OF FIRST 3 SX CODED “YES” IN PD1_1 – PD1_16) begin suddenly and reach their peak within 10 minutes after the attacks began? PROBE: Did they begin within 10 minutes after the start of the attack?
1 = NO..SKIP TO NEXT SECTION
3 = SOMETIMES (IF VOL)
5 = YES
DK SKIP TO NEXT SECTION
RF SKIP TO NEXT SECTION
PD3. About how many of these sudden attacks have had in your entire lifetime? ATTACKS
  • CODE:
  • MORE THAN 900...900
  • “MORE THAN I CAN REMEMBER”...995
DOES PD4 = 1 ATTACK?
1 = NO SKIP TO PD75 = YES
PD4. When did the attack occur: in the past month, two to six months ago, seven to twelve months ago, or more than twelve months ago?
1 = PAST MONTH.SKIP TO PD6
2 = 2-6 SKIP TO PD6
3 = 7-12 SKIP TO PD6
4 = 12 OR MORE
PD5. Can you remember your exact age when the attack occurred?
1 = NO SKIP TO PD5B5 = YESDK SKIP TO PD5BRF SKIP TO PD5B
PD5A. (IF NEC: How old were you?) GO TO PD8. AGE
  • DK SKIP TO PD6
  • RF SKIP TO PD6
PD5B. About how old were you? AGE

BOX PD5 IF “Don’t Know” OR “All my life” OR “As long as I can remember”, ASK PD5B1. OTHERS, CONTINUE.

PD5B1. PROBE: Was it before you first started school?
1 = NO5 = YES SKP TO PD6
PD5B2. PROBE: Was it before you were a teenager?
1 = NO5 = YES

Attacks of this sort can occur in 3 different situations. The first are when the attacks occur unexpectedly “out of the blue”. The second are when a person has an unreasonably strong fear. For example, some people have a terrible fear of bugs or of heights or of being in a crowd. The third are when a person is in real danger, like a car accident or bank robbery.

PD6. Which of these 3 describes your attack: did it occur unexpectedly “out of the blue”, in a situation that you strongly fear, or in a situation of real danger? IF R THOUGHT THERE WAS REAL DANGER EVEN THOUGH IT TURNED OUT NOT TO BE DANGEROUS, CODE “REAL DANGER” *SKIP TO NEXT SECTION.
1 = OUT OF THE BLUE2 = STRONG FEAR3 = REAL DANGER
PD7. Can you remember your exact age the very first time you had one of these attacks?
1 = NO SKIP TO PD7B5 = YESDK SKIP TO PD7BRF SKIP TO PD7B
A. (IF NEC: How old were you?) GO TO PD8. AGE
  • DK SKIP TO PD6
  • RF SKIP TO PD6
B. About how old were you? AGE

BOX PD7 IF “Don’t Know” OR “All my life” OR “As long as I can remember”, ASK PD7B1. OTHERS, CONTINUE.

PD7B1. PROBE: Was it before you first started school?
1 = NO5 = YES SKP TO PD8
PD7B2. PROBE: Was it before you were a teenager?
1 = NO5 = YES
PD8. Did you have one of these attacks at any time in the past 12 months?
1 = NO SKIP TO PD8D5 = YESDK SKIP TO PD9RF SKIP TO PD9
PD8A. How recently - in the past month, between two and six months ago, or more than six months ago?
1 = PAST MONTH2 = 2-6 MONTHS3 = MORE THAN 6 MONTHS
PD8B. How many weeks in the past 12 months did you have at least one attack? WEEKS
PD8C. And how many attacks in all did you have in the past 12 months? SKIP TO PD11. ATTACKS
PD8D. How old were you the last time you had one of these attacks? AGE
PD9. What is the largest number of attacks you ever had in any single year of your life? ATTACKS
PD10. About how many separate years in your life did you have at least one attack? YEARS
PD11. After having one of these attacks, did you ever have any of the following experiences:
PD11_1. A month or more when you often worried that you might have another attack? IF YES, SKIP TO PD12
1 = NO5 = YES
PD11_2. A month or more when you often worried that something terrible might happen because of the attacks, like having a car accident, having a heart attack, or losing control? IF YES, SKIP TO PD12
1 = NO5 = YES
PD11_3. A month or more when you changed your everyday activities because of the attacks? IF YES, SKIP TO PD12
1 = NO5 = YES
PD11_4. A month or more when you avoided certain situations because of fear about having another attack? IF YES, SKIP TO PD12
1 = NO5 = YES
ARE THERE ANY RESPONSES CODED “5” IN PD11_1 - 4?
1 = NO SKIP TO PD145 = YES
PD12. How old were you the first time you had a month when you either worried, changed your everyday activities, or avoided certain situations because of the attacks? AGE
PD13. Did you have a month of worry or change in activity like that in the past 12 months?
1 = NO SKIP TO PD13E5 = YES
A. How recently - in the past month, between two and six months ago, or more than six months ago?
1 = PAST MONTH2 = 2-6 MONTHS3 = MORE THAN 6 MONTHS
B. How many months of worry or change in activity did you have in the past 12 months? MONTHS
C. During the time in the past 12 months when your worry about having another attack was most frequent and severe, did you worry nearly all the time, most of the time, often, sometimes, or only rarely?
1 = NEARLY ALL TIME
2 = MOST OF TIME
3 = OFTEN
4 = SOMETIMES
5 = ONLY RARELY
D. And how severe was the worry during this time: mild, moderate, severe, or so severe that you were unable to carry out important tasks? SKIP TO PD14.
1 = MILD2 = MODERATE3 = SEVERE4 = SO SEVERE
E. About how old were you the last time you had a month like this when you worried about having another attack? AGE

Attacks of this sort can occur in three different situations. The first are when the attacks occur unexpectedly “out of the blue”. The second are when a person has an unreasonably strong fear. For example, some people have a terrible fear of bugs or of heights or of being in a crowd. The third are when a person is in real danger, like a car accident or a bank robbery.

PD14. The next question is about how many of your attacks occurred in each of these three kinds of situations. Did you ever have an attack that occurred unexpect- edly “out of the blue”?
1 = NO SKIP TO PD155 = YESDK SKIP TO PD15RF SKIP TO PD15
DP14A. About how many attacks in your lifetime have occurred unexpectedly “out of the blue”? ATTACKS
  • CODE:
  • MORE THAN 900...900
  • “MORE THAN I CAN REMEMBER”...995
PD15. About how many attacks in your lifetime occurred in situations where you were not in real danger, but where you had an un-reasonably strong fear of the situations? ATTACKS
  • CODE:
  • MORE THAN 900...900
  • “MORE THAN I CAN REMEMBER”...995
PD16. About how many attacks in your lifetime occurred in situations where you were in real danger? IF R THOUGHT THERE WAS REAL DANGER EVEN THOUGH IT TURNED OUT NOT TO BE DANGEROUS, CODE “REAL DANGER”. ATTACKS
  • CODE:
  • MORE THAN 900...900
  • “MORE THAN I CAN REMEMBER”...995
PD16. DOES PD14 = “YES”?
1 = NO SKIP TO NEXT SECTION5 = YES
PD16A. DOES PD15 = “0” AND PD16 = “0”?
1 = NO5 = YES SKIP TO PD18
PD17. How old were you (when you had the attack/ the first time you had an attack) “out of the blue” for no obvious reason? AGE

BOX PD17 IF “Don’t Know” OR “All my life” OR “As long as I can remember”, ASK PD17_1. OTHERS, CONTINUE.

PD17_1. PROBE: Was it before you first started school?
1 = NO5 = YES SKP TO PD18
PD17_2. PROBE: Was it before you were a teenager?
1 = NO5 = YES
PD18. How much did (this/these) unexpected “out of the blue” attack(s) or worry about having another attack ever interfere with either your work, your social life, or your personal relationships: not at all, a little, some, a lot, or extremely?
1 = NOT AT ALL
2 = A LITTLE
3 = SOME
4 = A LOT
5 = EXTREMELY
BOX PD18 DOES PD14A = “1”?
1 = NO SKIP TO PD19A5 = YES
PD19. Did this unexpected “out of the blue” attack occur while you were asleep? SKIP TO NEXT SECTION.
1 = NO5 = YES
PD19A. How many of your unexpected “out of the blue” attacks occurred while you were asleep? ATTACKS
PD20. Attacks of this sort sometimes occur as a result of physical causes such as physical illness or injury or the use of medication, drugs, or alcohol. Do you think any of your attacks ever occurred as the result of physical causes?
1 = NO SKIP TO PD335 = YESDK SKIP TO PD33RF SKIP TO PD33
A. Do you think all of your attacks were the result of physical causes?
1 = NO SKIP TO PD335 = YESDK SKIP TO PD33RF SKIP TO PD33
B. Briefly, what were the physical causes?
PD33. DOES PD20A = “1”?
1 = NO SKIP TO PD355 = YES
PD34. DOES PD10 = “YES”?
1 = NO SKIP TO PD395 = YES SKIP TO PD40
PD35. DOES PD10 = “YES”?
1 = NO SKIP TO PD395 = YES
PD21. How many unexpected “out of the blue” attacks did you have in the past 12 months? ATTACKS
BOX PD21 WHAT DOES PD21 EQUAL?
1 = 02 = 1 SKIP TO PD223 = OTHER SKIP TO PD21B
PD21A. How old were you the last time you had an un-expected “out of the blue” attack? SKIP TO PD39. AGE
PD21B. About how many weeks in the past 12 months did you have at least one of these attacks? WEEKS
PD22. How recently - in the past month, between two and six months ago, or more than six months ago? SKIP TO PD23.
1 = PAST MONTH2 = 2-6 MONTHS3 = 7-12 MONTHS4 = 12 OR MORE MONTHS
PD22. DOES PD13 = “YES”?
1 = NO SKIP TO PD295 = YES ...SKIP TO PD24
PD23. When you had an attack in the past 12 months, how much emotional distress did it cause you during the attack itself: none, mild, moderate, severe, or so extremely severe that you were unable to concentrate and had to stop what you were doing?
0 = NONE
1 = MILD
2 = MODERATE
3 = SEVERE
4 = EXTREMELY SEVERE
PD24. Sometimes people with attacks get upset by physical sensations that remind them of the attacks. Examples include being out of breath after physical exercise, feeling speeded up after drinking coffee or caffeinated beverages, feeling out of control after using alcohol or drugs, and feeling tingly while watching a scary motion picture or television show. In the past 12 months, did you ever get upset by any physical sensations that reminded you of your attacks?
1 = NO SKIP TO PD445 = YESDK SKIP TO PD44RF SKIP TO PD44
PD24A. How strong was your discomfort with any physical sensations like these in the past 12 months: mild, moderate, severe, or so severe that you became very worried that these might cause you to have another attack?
1 = MILD2 = MODERATE3 = SEVERE4 = SO SEVERE
PD25. How often did you avoid situations or activities that might cause these physical sensations in the past 12 months: all the time, most of the time, sometimes, rarely, or never?
1 = ALL THE TIME
2 = MOST OF THE TIME
3 = SOMETIMES
4 = RARE SKIP TO PD27
5 = NEVER.. SKIP TO PD27
DK SKIP TO PD27
RF SKIP TO PD27
PD26. How much did avoidance of these situations interfere with either your work, your social life, or your personal relationships over the past 12 months: not at all, a little, some, a lot, or extremely?
1 = NOT AT ALL
2 = A LITTLE
3 = SOME
4 = A LOT
5 = EXTREMELY

PD27. Think about the month or longer in the past 12 months when your attack(s) or worry about the attacks (was/were) most severe. Using the 0 to 10 scale on page 5 of your booklet, where 0 means no interference and 10 means very severe interference, what number describes how much the attack(s) or worry about the attacks interfered with each of the following activities during that time?

PROBE: How much did the attacks interfere with (ACTIVITY) during that time?

PROBE: You can use any number between 0 and 10 to answer.

A. Your home management, like cleaning, shopping, and taking care of the (house/apartment)? DOES NOT APPLY 97
B. Your ability to work? DOES NOT APPLY 97
C. Your ability to form and maintain close relationships with other people? DOES NOT APPLY 97
D. Your social life? DOES NOT APPLY 97
BOX PD27 ARE ALL RESPONSES CODED “0” OR “97” IN PD27A – PD27D?
1 = NO5 = YES SKIP TO PD29
PD28. About how many days out of 365 in the past 12 months were you totally unable to work or carry out your normal activities because of your attacks or because of worry about the attacks? DAYS

(IF NEC: You can use any number between 0 and 365 to answer.)
PD29. Did you ever in your life talk to a medical doctor or other professional about your attacks? (By professional we mean psychologists, counselors, spiritual advisors, herbalists, acupuncturists, and other healing professionals.)
1 = NO SKIP TO PD32B
5 = YES
DK SKIP TO PD32B
RF SKIP TO PD32B
A. How old were you the first time (you talked to a professional about your attacks)? AGE
PD30. Did you ever get treatment for your attacks that you considered helpful or effective?
1 = NO SKIP TO PD30C
5 = YES
DK SKIP TO PD30C
RF SKIP TO PD30C
A. How old were you the first time (you got helpful treatment for your attacks)? AGE
B. How many professionals did you ever talk to about your attacks, up to and including the first time you got helpful treatment? SKIP TO PD31. PROFESSIONALS
  • DK SKIP TO PD64
  • RF SKIP TO PD64
C. How many professionals did you ever talk to about your attacks? PROFESSIONALS
PD31. Did you receive professional treatment for your attacks at any time in the past 12 months?
1 = NO5 = YES
PD32. Were you ever hospitalized overnight for your attacks?
1 = NO SKIP TO PD32B5 = YES
A. How old were you the first time (you were hospitalized overnight because of your attacks)? AGE
PD33. How many of your close relatives including biological parents, brothers and sisters, and children ever had attacks of this sort? RELATIVES