UK Data Archive Study Number 1086 - Socio-Psychiatric Survey on Distribution and Aetiology of Psychiatric Disorder, 1975-1976; Lewis and North Uist --- / t"- (V.. V I tN-'- • ----? __ r,,' 1 (" ---- --' , ' , I \ I \ 1 \ 1\ \ 111 des .study , So',' / p- r-r. -.. I 1 .... .:- .. ... .... _-.:::.z'-_ f ,/)7" L '{I,le 1,111JCI'LII'; (11A-./r L ,I ,0'.:' ,/:1 5//'7', /r;, ,....:'C l.-.r , .,- ....... _ .-r ' , ... ,c'l1v 51'",.., I I" ... -6 <--[.7.. "'<" f ' n ('\, lit bo('n L',1,' rplt.::':>tJ(,n tall a"'Gout C\ Jl {S 1 , , d I oJ'; 1. 0 J t, or stell, 11 n,:; 11 ul 1 1 t C' pl il Job :lll-C to rC'l.1i .. e event s 10 ]lS) ell 11 trl c c..1}-I'lLC -POllltS to Diller 5 or .J'" (''3 ]\TU\-J l'd],] e to ,lS'\: a_1J,'.:?Y!.. tIle last_I..§. \ I Sectlon I - HR\LTH lias Llnyone In the ,Sal1l1Y_c"cen 2...JJ:.? \That about you? H01 .. - SerlOUS was /\nyol1 e 0 f'f' ,,,'ork the chlldrcn or husband or parents? 1 t? ;n lJccnuse of' It? For how Ions? etc, J san) OJl C b c l (lllJ t 1 1-,<.,t hospl.tLll dllr1.n.; the ! " , r'or 'l,l/at.. 11111CSS? Pas a adlJ11ss1on or an el lio,v lOl11}; for? "hat ch,)n,se5 It l.nvolve for you? \nlat 1.5 the I,cdlcal outlook? etc .. I If a relatl.ve or frlend t Any operatlons at all' e.g. to self, c11l1d, husband 'T (' re I Ila t you present' lee} up to the G,d you expect dea th? ,,·Lre )OU l11volved ofter,.ards In Llny l\ay? For :,)vur'3elf or JOur relatlves e,C' 1.n the past 12 11Ontlls.- lias suffered f"Oll - ,/ • Any chest trouhl c§, ¥- '1"-6'''"'- ,. l-lI.;h blood 1'1"(, lIcart tro1l,)le' l( /' ...... n uJccr or othrr stom.:lch iroul:>le J. J ney or 11100der trouble' r, j a.» " t c s f11: J-01U or otJler glandular trounle { 1, )C] f'rllni 4>£ dlL.Z.Y spells 'I\'ervolls ir(.Juble of .:J.ny kl)'ld Any P, )11('J15 11 treubl@s e .. g .. 1 11111111 perl(lfl::::)Lic. - I
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UK Data Archive Study Number 1086 -
Socio-Psychiatric Survey on Distribution and Aetiology of Psychiatric Disorder, 1975-1976; Lewis and North Uist
--- /
t"- (V.. V I tN-'• ----?
__ ~'}"t4.
r,,' 1 (" ---- --' , ' , I \ I \ 1 \ 1\
\ 111 [J~ Jl('l)J~) des .study , So',' / p-
r-r. -.. I 1 .... .:- .. ... ~- .... _-.:::.z'-_ f
"o~"'L ,/)7" r~./ ~ L
'{I,le 1,111JCI'LII'; (11A-./r L
C"'/'~~£ ,I
,0'.:' ,/:1 5//'7', /r;, ~,~.~_~
,....:'C l.-.r , .,- ....... _ .-r
~'l' ' , ,~""".( ... ,c'l1v 51'",.., I I"
~~ ... -6 <--[.7.. "'<" f ' n ('\, lit J~dS bo('n L',1,' 11_~JJ(dt rplt.::':>tJ(,n tall a"'Gout C\ Jl {S 1 , , d I oJ'; 1. 0 J t, or stell, 11 n,:; 11 ul 1 1 t C' pl cced~ns il Job
:lll-C to rC'l.1i .. e event s 10 ]lS) ell 11 trl c c..1}-I'lLC -POllltS
to Diller (~\"llt 5 or .J'" JfJ~111t, (''3
]\TU\-J l'd],] e to ,lS'\: a_1J,'.:?Y!.. tIle last_I..§. ~o:r2t;lS \
I Sectlon I - HR\LTH
~ lias Llnyone In the ,Sal1l1Y_c"cen 2...JJ:.?
\That about you? H01 .. - SerlOUS was
/\nyol1 e 0 f'f' ,,,'ork
the chlldrcn or husband or parents? 1 t? ;n cl1cr~ency? lJccnuse of' It? For how Ions?
etc,
~ J I'~ san) OJl C b c (~n l (lllJ t t_~~ _~L.?r 1 e~t, 1-,<.,t 12-r-)-()]J'-Y:~--5-")-
hospl.tLll dllr1.n.; the
!
" ,
r'or 'l,l/at.. 11111CSS? Pas ~t a rout~ne adlJ11ss1on or an el ,er~el1cy?
lio,v lOl11}; for? "hat ch,)n,se5 d~d It l.nvolve for you? \nlat 1.5 the I,cdlcal outlook? etc ..
I
If a relatl.ve or frlend
t Any operatlons at all' e.g. to self, c11l1d, husband
'T (' re I Ila t
you present' lee} up to the
G,d you expect dea th?
,,·Lre )OU l11volved ofter,.ards In Llny l\ay?
For :,)vur'3elf or JOur relatlves e,C' 1.n the past 12 11Ontlls.-
e.g. ['ree school d1.nncrs, 1.:1IJJly allo1'ance, sl.ckness bene11 t) '-1"'~i"'"'1f'CO'~ I..-..A k........c;111
T.lO ~ have anythlng put ~ for~~_r'.;cncy?
or ,~ould you rely 0)1 rela1..1vcs to help out ~~nanclDlly?
In. Ule l)tlst 12 110ntlls
lnvolvll1b: yourself', farllly or lrlcnds .. ,~orry 1vlth t11e c~llar~n?
{I ... '-. \lr.,"" i:- t t '1.\ ,.' I ~ ;; f" ..... \ • ioI v
.. or \;],at about l:-hef't? or 11re? or bad
or any Ilvestock lost unexpectedly?
"
e.g. any partlcular
';1 , I
storl1S?
~ny J 11n855 or death 1,'e haven' t Il1ent,oncd so Jar? ,
L.g. t.o a ne"1Ghbour , ,
J10h' lnvol"\~ed 1,'ere you wlth tlll..S? .'
5-'~_ }-,aJ ;::~ny ne,,'s about sOl'1ethln~ ·"h1Ch J 5 [;Olng to happen 1n toe lu-Lurc?
e.g. ]laVJns to Inove house, a ~ood prlce £or ,~ool/oats
or 110i ~ettlns such 1S ,)ou'd hoped?
(
Gr {laVe you lcc.rnt .:"l~y~hln~ w1.<:..:"'(pe~~<:..(}_ 2b~]_~_~~~~one you thou2,ht "\ au h.neh! ,,'ell - ~~~C_~21J n;_"tJlat has ~c:!_~'}J'~_)_1)2~r ldcas about tJ.1CI~?
e.g. a frJend borro"Jl1S )JOlley , ..... nd not repc3.yll1.S ) ()ll ,
a 1)OY])-1 end £:,oln& oui.. "'"1 ill '301'1COne else f1J1d 'lot 1ellen:; 0'011, fd*'1 n Chllu b(,;).:1'~l'l.s 111 <1 "\ ~"ty )(.111'0 never E')...lH"'>C1.pd
~ect1on VIII - ;<l~LIGION 're~er to __ ;r= ":. ~-="::"oZ ::. =~ .... ~ =- I-=--=-= ul1SherS to
rell..';] ous '=I.f11 1 I o-t t.l on (lUestlon 1J1 r~rly p3rt
Float about the chlldrcn? " ... 'v/ .... £,/(";',-I "'Il~ t..!,/'l!/,r
110" o~ten do you ['o? )
(
o:f
~i/;;--;;;-::::'_~7 "'o?;;;--;:~~"7'1_-v 7!;;> £/OU F7C/.soI1c~ll;; ,\ny other church act)V"Ltles \l.!l ld'lCh you help or are lnvolved?
e.g. SJcl~ V1S~1]lg, Sunday school
Is your husband/son an elner o~ tl.e church?
In
< --------
l~ not people no
ron!; as ever, do you thln.1\.?
t posslble reasons e.!.:. youns; lnterested
~ )""{>.~" (! ~ -, I
',~elve talked t' --f tlo e P" s t 12
hllve ],ad -
~~_~pcned?
\
\ \
\ \
\ \ \ t \
\
t" ,- , , \
,
"
qUlte a blt a')o~1..1~J_l~"S __ ~~~t. __ h.:lVeJ.l...:~lcned to you III I Ion tl1 5 ,_l_I2.~_~LuG J:2~s __ ~]~ __ C/i)''::~Cl 1_'3 __ 0 ~. _ _ 0] ff 1 cult]. es JOu l'la1 JIdv_e_~1~e_r_c __ bC=_8J:_~Jl)~ ~Ec..E_~-.0.J_ly _:~l~~ thln,cs that have
Age of S when mother died: ~ ---- ~-, ---~ ~-- -- -._-------- -
-2-Parents separated? Yes/No:
Age of S at parents' separation: D So who-brought you up for most of your childhood? . . . . . . . . . . . . . . . . . . . . . \vere ou ever se arated from the war or an illness in your
(e.g. for evacuation during at any point in your childhood?
Hiscnrriages? Have you ever had any? Yes/No: Date of 1ast: •••••••••••
Any stillbirths? Date of .last: . . . . . . . . . . . . . .
Present Household (include anyone coming regularly at weekends ete. Note any children at boarding school)
I , Occup. of any' children at Relationship Marital statusl Approx. Age. work (or type of's clH'llh ):
-::-
-----~--_ .. _---_.
-)-
Soc~al Contacts
Can you tell me someth~ng about your close relat~ves (we don,'t need names but are Just ~nterested to know what contact people have w~th each other)
What about, your. parents/brothers and s~sters/cluldren
For frequency of contact ~n the year ask: Can you tell me how often you are ~n contact w~th ••••••••••• , that ~S, how often you v~s~t, go out w~th, or telephone each other?
~or cases: If d~fferent frequency before and after Cl, rate tw~ce, ~f poss~ble.
If v~.~ts to relat~ves Feported, ask "How do you feel about v~s~t~ng? Do you enJoy ~t? Do you feel you ~ to go and seo •••••••••• 1
Do you v~s~t relat~ves w~th your spouse/paronts/ch~ldren? YES/NO Do relat~ves come to your house? Do you have a car? A telephone?
, , 1. CLOSE REUTIVES OUTSIDE HOUSEHOLD
, las t ye,arl Where
-b~l""''''' I 'W=. Frequency of contac m
l~v~ng Seen ---onc e a - ~
'h~p _§...~ __ a,£fL __ :n last : R!w I Every Few Once, 1 lh area of studJ
- S SUlgle) - year week l"bmes ' month tunes a (eg London) M(marr~ed)
Yes (gate no. I a or a ymr 2 Elsewhere No ofchys imonth two year , ) Abroad - - - - - per wk.
--- - - - - -- - --I - - - - I
--
---- - - -" --- - --- -
, I
-
--- - -- - -i
- - --t - - -i - -
-- T - - - - ! I I i I , I I J
-
2. OTHER RELATIVES OUTSIDE HOUSEHOLD (~ncl In-laws)
----r-----~--~--~~~--.-------~~----------, I
r
3. Friends and Acquaintances
Do you have any friends or acquain'tances that you visit or go out with or who visit you?
(Cover those mentioned spontaneously, up to q) (No need to record names)
Do you v:i!sit friends.with-your'spousc/parents/children? How often? Do they come, t'o see you'!
Seen in last year? Frequency of contact in last year .
,
Once a week I Few ' times 21 Few times 'Once a i Yes/No nlimb",r of days month
Every month or a a year year ,
, .
- _._.
, , '
r I ,
._ ... ,-- -~'q. Nei!,:hbours (if included above, do not rate twice)
"Are there any neighbours that you visit or go out with or who visit you?
I I ' '
I "
' " , ,
, I , ,
. ' i , ,
(frequencies as above)
5. \,ork Associates
Anyon,s" at work that you see socially out of work hours?
I , .. I ,
..
I I I
(frequencies as a'bove)
6) if appropriate. Have you a rcgu];ar' boy/girl friend? How often do you s,ee each other?
7) Are you engaged?
, I
1
-5-
8} Do you belong to any clubs/organ1zat10ns, or go regularly to a pub?
9} Do you go to Church? How often? Wb1ch Church?
10} If you had a problem of some sort, who would be the f1rst person w1th whom you would want to d1scuss 1t? (Probe for how ava1lable th1s person 1S) Is there anyone else? Someone you could really trust? Anyth1ng you could not d1scuss w1th them?
If ment10ns no-one b} or relat1ve only 1n a} or b} c} l¥hat about fr1ends or acqua1ntances?
FREQUENCY OF CONTACT WITH CONFIDANT(S} (1f not already obta1ned)
27. Natural mOLherls currcrt rcsJdencc 1. In S' s ho clSEch,-l d 2. In 'loruu ~11 of S ot' adJoJ.rl1 n£ borough 3. :ClosL"''h" (-1 C ~n lorJdon 4. Ot .er X. Y.
I
--] I . ;~----....... --
__ J
;;8. P-,rents ever s" I -1r 2. t~ ct (r:affimum 1 yr) or dl vorc ed -1. yes 2. no
29. ABe of S at pare:lts I (1st) separahon or dnorce - 1. 0-5
)(-. 3) Cccupn1..~"'H1Cl.l c1:: .. SCrel03.!'CY bptNeen S antl fEitp€:r () -'t.e LiJly , .. J'A!l S ... , .. ,:~ll fatber J.n same houC;,ehold)
b) SIS ~.CS.Utl<ltl.C".'lal MobJ.lJ.ty
,~. -I II
, ~
all
O. 1. ? j. I-
cases ~.e. even w]""n fath&r ~s deal or not ~n same household as S) ",ol S rll&1'n~e..l - f::.. tht?r non-I"\f..lnual S r'",!.u~l - f.' U",r rrof~ ss~ol1al S ncn-l':t:lu:;.l - father r.;a'1ual S rJOn-4\':..ln~E,1 - :r-~t{ler profe9F;lonal
~ , 5. 5 ; T'uf' f .. (, l" nal - l,qther r-··J.l1u31 6. S -profc:",s .... r,nn 1 - fa tJJ€:-r "JOn-r"Junual x. Y.
37. a) Edueat~onal c~sereraney bewteen (rate cnly IIhen S <'nC' f:,ther cur ently
S and father ~n same hot'senold)
b) S' s ,,<luea tH',11l1 'T·ob~h ty (1O,j,e In all cc,ncs ~ .e. even I.'hen fa ther dead/~ot ~n Saf"e household as S)
1. 11:11 ::J...e. ,"'ny of the follcwJ.ng combln.:..tl.ons S 1, .-t ,chool 15/ullder - father elerM:ntary S l,dt schoo], 16/over (,,0 'further ecluLat~on') - father Bra,r.ar S stJ.l1 o.t school 16/over - fatner Gr\~]1jl ,a.r or 'r.!J.LfJE-r ed I
S un.lvcr£lty/'furtl~er ed r - fat};er 'J'l.l;"'t-r eJ' ?. S 1 (. it .school 15/unck·J - f c. t.her .... ral-... 'T.ar 3 S :'eit fie hool 15/ul1df r - fe. ther 'lllChcr cd I
'of. ~ l...:fc sc:~()cl 16/over eut no iurth€r ed - f.s'lnGr 'hl ghar ed' 5. S left c chool 16/ovvr bl,t no furtJ,~r ed - f",t:,er elen&ntary 6. S "'c:tl1 .. t school C6:rernJ:Jar/nonGr!l·,.oar) !It 16/over - father Elez;,!'ntary '7. S Wll Vo:" G~ ty - f"ther elenentary 8. S ur:.J v ..!rc1. ty - ft. tb€:r eral J ar 9. S ott eX' further ed - ff1ther elermnts.ry
10. S ot}'or lLat:b0r ec. - father crarrr',;".I..r X Y.
2 .. 25-1':9 3. ;--:.,4 1,. 35 -39 5. 1,0-1-4 6. 1,5-49 7. 50-54 8. 55-59 9. 60-65 Y. Y.
S 1 'J l ,7'c. r~:s tC" J, 8 last Cl. ... ;-:l~ -':;-:~;se/cc}-lB.l"l:t. t tee)
47. Total no. of elu lurEn of ):r~(';"~t r.lf\r:rl"r~ 0-0 etc. 9- = 9+
48. ABe of younp;est cluld 11 v~n5 at home
L9. A, e of elcest cblcl 11Vln:.: at he·me O. 0-1 1. 2-.5 2. 6-10 3. 11-1.5 4. 16-20 .5. 21-2.5 6. 26-30 7. 31-3.5 8. 36+ x. Y.
,0. l{o. of ch~ldren h v~ne: at homo: Under .5 .5-10 11-1.5 16-20 21+ X. Y •
.51. Death of any ch~ld (~f ~ore than one, record f~rst dea,h)
\ "'~ tlun a \>l~ek c·f b~rth ~ < 6 Mths
\ ")<1yr ... <..5 YFs <. .5 yrs+
52. t:onth cf any de~ 1-12 Y. Y •
r---- -I I I -~-------
-] " I .
• I
1-
.53. L&r,7est educabonlil (etween S and any ch~ld L"~np, at horo,e (rate only for cluldr~n .
1. N~l ~.e. ''-!'ly one of t]-·e follDl>!1nc co"bJ::. .. t~r.I'8 CJuld hft school 1.5/under - S ele~,entary Clul,] left sclJool 16/over - (no further educabon) - S Grammar Clulc :;:;hll At school 16/over - S [~ra,u ar/lugher ed Clulc at unlvers~ty/lu~her cd - S cra.mar/luGher ed
2. Cluld left school 1.5/under- S ura~r 3. Cluld ] eft school 1.5/under - S lul,her ed 4. Clul~ Jefe school 16/over eut no further ed - S h~eher ed 5. Clul:! left school 16/over eut no further ed - S elementary 6. Clul-=: sbll at school (Grammar/non-':raml'1E<r) at 16/over - S elen.entary 7. Clul,: u-.~v~rslty - S ehmentary 8. Cluld u)!~ vcrs~ ty - S gramlllar 9. Clulcl other further ad - S elementary 10. ClulC:: otLcr further ed - S 'rammar X. Y.
. .
9
54. Largest occupatl.onal dl.screpancy between Sand Rny cluld ll.vl.nf) at home * ___ O. nl.l
1. s manual, chJ.ld non-~anual 2. S manuel, child professl.onal 3. S non-manual, cluld canu~l 4. S non-manual, cluld professl.onal 5. S professl.onal, chJ.ld manual 6. S profesGional, chJ.ld non-manual x. Y •
x. Y. (n.a. housewl.fe/n.a._unemployed -(non-housellll.fe)----- -
61. FOR ~IJ\R~Il!;D WOMEN ONLY Type of work before marrl.ed
O. Student 1. profcssl.onnal 2. intermedl.ate prof./manag. 3. manager/owner small concern 4. skl.lled non-manual 5. au.lled filallual 6. sem -skl.lled If. unskl.lled 8. dl.dn't work befpre marrl.age X. Y.
62.Descnphon of any w"rk and any tral.Jllng
63. No of years after marrl.age gave up work O=a t marrl.ae;e 1=1 etc 9=9+ x. Y.
FOR I'BMnLE <>UBJECTS
GynaecolOBl.Cal hl.story of the last 2 years (al
12-24 months(before A)
64. Number of pre~n~nCl.es
Months pr"gnant
66. Ml.e .carrl.age etc
0, 1, 2, 3.
0,1, _2, -3, 4. __ 5, 6, 7, 8, 9.
1. yes 2. no
(a)
j
(b) 0-12 months (before A)
0, 1, 2, 3.
0, 1, 2, 3, 4, 5, 6, 7, 8, 9.
1. yes 2. no
Sexual Status (a) before C3
(b) after C3
11
1. no contact with oppos1te sex 2. cas~,l contacts (protitutes, pick-ups) 3. c,mtacts of relatJ.vely sgort duration (4-5 weeks) 4. Contacts of longer duration ( 5 weeks) 5. Ste~dy relat10nsh1p 6. Engagement/'understanding' 7. cohabJ.ta on W1th some sort of household 8. marnuGe
(rate the state ncar0st '8' before and after C3)
68. New Soc1al Status group: High
Intermed1ate
low
69. Life stage 1. under 35, unmarrJ.ed
1(A) R.G. occupations I and II 1(B) R.G. occuaptions III 2(A) R.G. occupatJ.ons IV and V where there 1S
a car abd a telephone and/or where S or her husband have had 16+ educat10n
2(B) Remamder of IV and V 3. All those with OCcupat10ns rat1ng VI and VII
2. under 35, murr1ed, no ch11dren 3. youngest ch11d under 5 4. youngest ch11d 6 - 14 5. youngest ch11d 15+ 6. Older, m ch11dren at home, never marr1ed 7. Older, 110 cluldren at home, ever marr1ed
70. Inhmacf A 1) Truly J.ntJ.mute relat10nsh1p w1th husband/boyfr1end. Cantalk about
all, subJects. ,Strl'ng eV1dence of warmth and sat1sfact10n. Contact at least 4 t1mes a week 1f boyfr1end. Conf1dences between women arc 1acluded even w1thout eV1dence of any phys1cal relat10nsh1p - but they should be hnng to"ether.
A(1)2 Truly Jnhluate realtJ.onsh1p (as above) mod1hed or interrllpted by 111ness, etc.
;"(2), "l4l!:ldrum~1 relahonslup but has another 1ntilll!ite conhdant. Contact as above.
h(3) "H1.l!llCrUh"I r"lat10nship W1 th no toher conhdant. Contact as above.
A(4) Conf11ctful marr1aCe or relat10nsh1p. but eV1dence of perJ.ods of wlrmth and 111tU'laCY. Contact as above.
B(1) Int1nate relat10nsh1p w1th another woman. Contact at least 4 tl.mes .. 1 we e k.
B(2) Has a confJ.ddnt seen at least once a week and other SOCJ.al contDcts.
C Must have (l confJ.dant D No ccnf1dant
71. Acitivit1es (actual f1111ng of t1me) 1. very ~ny ~ctl.Vltl.eS 2. 3· 4. very fow act1v1ties
I
I
'C~rd Col'. No. .,
1
] 2
3
4
5 .
~
7
\ 8
9
10
11
12
13
;t ~
14
'\
15
16
17
18
19
20
21
I:!)!~., n. ~l 1 '! -- -- - ----
R~tlnl' >c>le 110.
(where ;,],prOprlate)
2. Commnnlty Code
68. Soclal cla~s
5. AlOe of S.
(fnll )
6. h~e of S. ( bTouped)
7. Natlonall ty/ place of olrth
8. )'arlt"l st .. tus
10. Whet PT e'.l1ployed
11. ClIrrent or l-.st oCcup;:;tlnn
12. Len"th S's pre~p'1t occupatlon
13. AI;e S. Flnlshed e~llC:ltlon
11);a.S I S f1.nP'..!lCl.al rele
14 'Ib's cocco
15. Fatl 'er' s ecc.
16. S's current h<l.)seh<!llci
17. '{",u~eh"ld 'nze exclll 'lnB S.
\
C ,r!! 1.1.
r rn (';01. Ho. "="atlnLT f ("~le "~o. ------
?2
23
24
25
--------
1P. 1'0 cJ o~e llVlne; :'P:!. ... tlV(>S
?n. "0.) lVln~ s,bs
26 14.c.RGO level':Notl~~Ofting employment of Head of Household 27 23. rerc;nn broll,ht S.
28
up lOP,;pst (~ ter'a~
24. Ho-:-rs. ,';0 mot'-1er Gv"'d
29. ~ 14.a.Crot:t.i.n,g ,I,n,vplvemen of Head of Household
Forecast rof lmportant change NC\.Js of lmportant rvcnt or Clrcumstance Forcc3sls of dlBt~t change Valued goal fulf11lment or dlsap~olntment of subJect Impor~ant deC)S10n Brealung baa news ~lef'tlng 'key' person from past Any '1nternal' change at work Treatment related event )
\ \
nk na
Rahng
,
Event I No.
2 ,
3 tJ, ..
"', "'h'V'~ 4 "',
J~fr\i
~~ 6 n
, , , 7
8' /(~'.
9
10 '1" ~
'. '" ... .,.t·~~~""· ,l,tI ( "
, ,11 i ,'\" .,. i.
.' .... ~1t ~:II~\'~,. L ~ • , ~ 1 1
, '
~ ",t·
"". :... ·.+l';l-.~'
.;' 1 ..... ~ ,I; \
, '1,");
, ,
, , '
"" ,
'- ,
~ j , J
ct! L~ I ", ~, "' 'r.~'~ ..
-6-2. IndeEendence of event
(a) 1. Independent of current ep~aode 3. PosB~bly lndependent of current epll!!ode
and occurrIng before C1. 5. POBSlbly Independent of current epIsode
and occurrIng after C1. 6. Related to current episode X. nk Y. na Related to prevIous epIsode and
occurrIng durIng It (b) 1. Not related t~ a prevloue epIsode
2. Related tb a previous eplsode
28. ConfrontatIon I
Consequences - aftermath 1n thIs scale 1. Our event precedes main InCIdent (FORECAST EVENTS) 2. Our event coincIdes wIth maln InCIdent
S 1) present maIn InCIdent (e.g dIscovers burglar at work)
or 11) present ImmedIate aftermath or 111) not present but knows maIn InCIdent
bappem.ng 3. Our event follows maIn lnCldent 5 'told' NEWG
of ~nc~dent 4. Our event follows ma~n ~nc1dent. S DISCOVERS after
math (e.g. d1Bcovers results of burglary) 5. S flnds out unexpectedly about clrcumetances WhlCh
do not have a maln lnCldent, REVELATION (e.g. told by husband of Ius affaJ.r of fJ.ndJ.np; out about J. t J.n another way)
29. 1. 2.
3.
Presence at maln lncldent
S present at maln lnCldent and immcd1at~fftcrmath S not present at ma1n lncldent but knOW8 1~ 15 happenlng and present at l.mmed1ste aftermath 8 not present at rnal.n lncl.dent and docs not know l.t 18 happenl.ng, but prescnt at J.lM1cdl.ate aft~r-
4. moth. \ S not present at maln 1nC1dent nor lmmedlate aftermath, but knows J.t 15 happen1ng. S not present nt maln 1nC1dcnt nor 1mmedlate aftermath and does not know 1t lS happenlng.
5.
(RATE THIS FOR REVELATION EVENTS RATED'S' ON CONFRONTATICN)
Y. Forecast Event. Maan 1nCldent not yet happened. ,
30. Source
1. SubJect Event 2. Relatlve or other 3. Equal lnvolvement subJect and other 4. Soc{al/lnstltutlonal
1
5. Un~lanned events X. nk
_3 Y. ns 4
5
\
\ Nd ,
'r;~ { .' .) , ' , :~ I '
~11,lt~)
",
, ' t I
I ;J.',
\Ilf , t
Ratlng , ,
'"
JE~~nt '. Rating
6' .~~~t , ,
8 " , .'
9 .' .. , -110
34•
-7-
Focus· of maJ.n l.ncldcnt
D. SubJect
1 Household member
2. JOlnt
3. SubJect's posscaS10n
4. Other peraon
X nk
Y. na
·Pcrson lDvolved lTI malll lnCldcnt Wh1Ch mayor may not be an avent.
ProElngUl.t::L, - relatlonS]lE before event
D. Parent or parental surrogate
1. Clnld
2. SpouB~cohab1tce/fl.ance
3. Slbllng
4. Close relatlve of ~pouse or other rclatlve of S
5. J01nt Wl.th hOUF.lchold mcmhere
6 Koy per~on from uast
7. CIOBe frl.end (~tcudy B1rl!boy frl.end or named conf1dant)
B. Other frlend nCl@;hbour/worl<mate
9. Casual acqualntance/stranger
x. nk
Y. na (SUbJect only focus)
'"
-8-
III. PREPARATION FOR EVENT
General de5cr~ptlon - to lnclude any warnlng about the event.
Event
Event
Event , . , ~,~ .. '/
J "-" ~,.
': ";*f; ),.1'~ ; ...... ~"''"'''I .' 'i
" .1
Event ,;
Event
Event
Event
Event
Event
'" , , /
/
-9-
12. Preparatlon for event - any durlng the last 3 months
- 'emot~onal' (exclude day of occurrence)
1. Marked worry/anxlety etc.
2. "Ioderate worry/anxl.ety
3. Some worry/anxlety
4. Llttle or none
5. No opuortunlty - nO preparatlon tlme
X nk
.
'.-of r \ ,."'1
, , , ",,'
I." \~ ~", ,. ''f..ttl''I1.,,1 \ t
_ T ... .,. .-~ ,
'.~;,., " ,i ,,' ',\) " ~,
\' nJ,' I,r .. )~J/, , ,J
, ,
, "
IV.
Event
Event
-10-
IHHEDIATE REACTIONS (In th~s sect10n and Sect10n V
made from the dom1nant percept10n dur1ng the week of consequences extend beyond week of event - up to 3 we,eke
2. v/elcom1ng 3. Some pos1tlve feellng 4. N11 or very I1ttle
2. Negatlve feellng
1. R~Ject1ng or marked negatlve feellngs - maJor emot10nal 1nvestment
2. ReJectlng or marked negat1ve feellng
3. Some negatlve feell-ng 4. Nl1 or very Ilttle
3. Anger/hostll1ty/outrage
4. Anxlety/d1sturbance/feellng upset
5. Depres~non
1. Marked 2. Moderate 3. Some
~vent RatJ.ng No. 4. N11 or I1ttle X. nk 1
Y. na 2
3 4
5
6
7
8
9
I 10
9
Event No.
1
2
3 4
5
6
7 8
9 10
-
6. Overall threat un leusantnesa dur1n da folloWlnB event
RatJ.ng
Rat1ng Event
No
1
2
3 I,
5
6
7
8
9 10
anythlng unpleasant e g death, paln, Joss, legal actlon, lOBS selfesteem, etc.)
1. Market
.,. I"
Rabng
.- , , ,
, I I , , , ,
, \ "[l·t" ," ,
, I ,
~ ~ i.'KI 'r"l~ I , ,,!, '\; I ' , , >- 1
,
vent Contextual Reported, . " No. ' ... ),
2. Moderate 3. Some 4. L1ttle or none X nk 1
Y. na 2
3
4
5
6
7 8 , 9
10
c' ,>,
,
, , , ,
-' ~ " ,.
1
.'1 , ">'I '(I, ' J ,>,' ',' 1 \.; J ;1' ,
!f.\" .
v.
Event
Event
Event
Event
Evene
Event
-12-
IMPLICATIONS AND COl/SEQUENCES (Rahngs are to be made from the , :,." domlnant perspectl ve by the end of the week of the event I except, :gJr!t~ ;,.r;t.~14'~ i'~ \'iherc the lmmedlste consequences of the event extend beyond the 1,~( ,\ week. \Jhere th15 happenG I the perspoctl ve may be taken from up .~ ., ~:,~: to 3 weeks follo\oJl.ng the cVE"nt).
General descrlptLon of lmpllcatlons and consequences of event Ir
4. No\oV' important ~neB of actlonlasp~rallon made poss~ble
5. Major help
6. Some help
8. Irrelevant - not helplng or hlndcxl1lg In a lSignlfl.caHt way
9. Event conf~rms prevlous f~lure In l.mportant area of l1fe
X. nk
Y. na 10
I 1 H~' ~\,1'1 \~';I;",l
r\tl.:' t t~ . "t
i
VI. HELP
GencrCl.l dcscr1 ptlon
Event
Event
Event
Event
i:vent
Event
Event
-17-
Record full detaJ 15 of Pr<lcl,cnl 'oclp ('mot..l.onal support (sourc0 01 help) d'Ggusc,onj- who ""th ________________ o!?PPI!P!!!;s:!:,l:1.on ,1mOl vaJ cnG G
-18-
2. Reported POSItIve Support
1. 11"rked
2. Some
Y. na rater unable to vIsualIse POSItIve sup~ort beIng gIven In thIS 61tuatlon
3. Reported CpposILlon
1. 11arked
2 Some
Y. nn rater undbJc to VIsualIse OPPOSItIon In thIS SItuatIon
-
~ Event RutIng No. -
1 -
2
3
4
5
i_ 6~~ __________ __
-----------------! Event I N RaLlns :---~-- -----------
'secorrU-y Ul"oleasan tnes~/T::"lreat 0:-- lreat of) loss of valued person \1. ('h'e~t of) loss of self-esteem ~. (T,eat of) loss of ,alued goal 3~ Ha 'r~al prob1 aM 4. (Cl nge ) rQut~re/actlv~ty 5. Pa-/health/threat to 11fo - S 6. P?-l/health/threat to 11fo 0 7. C~t~ct ov~~ declslons/
o 1 )atl.o::1s B. ~ eperso~al ~enSlon bet~een S
and ther(s) 9 .. ' '
8.
• Dl"lt\ -bed bcha,,?-our of household mel:lpcs/close r;blat1 ves - - - ,
x. '1ls~e-'enco..:.s ~,.+f:flculty Y.. 1I1.A,\
T1mlng of Cff~Culby/tr~sltlonal (
1. B to 9< 2.. C1 to t. I 3. Both (as .onE 9.5
lcrGth l.n ~eliod x. Y.
state etc ..
total ~ 1/12 not :lli1portant)
('H:VlRE 'BOTi" RA'1.1) &, r'dERE IS A DIFFZfu"2,CE III D nICULTY DURING ThE 1'''0 PERIODS PATE '>CAlLS ON B - C1)
~ ----- ,
( e.) OOJ('ctlvc l~l...IL(o) General Seven.t.J Se "erl t:£
1. 1 • 2. 2. 3. .3. 4. 4. 5. 5. 6. 6. 7. N A. 7. Ii jJ
DescrlEt::..or.:.
(a) Indepenaen-ce 1 D. ,~,
-' ProbablY lndepenaent - woula be but 51tuatl~n hac lasted 1 year T
before C1 1. P?"obably lndependent of (..urr~'1t
eplscdc 2. Probably !.ndependcnt of :.urrE!TIt
ep~50de (related ~o prcvloLS eFLsode) 3.. Posslblj lndependc~t of Ckrr~lt
epl.scd~
4. P055lbly lr.dependent of ctu"rent ep1sode (related to prevlous ..ep~sodl")
5. POS5l~ly ~elatea to c~rent ep1~ode 6. Relat~bd to cur~ent cplsode x. () (
to report d~fflculty If not depressed - rate whethe= or not Qlff1culty exp~rlenced by S before C~
2. SeverltJ lnGufflC1ent to rate '1' (see eAa~ples) O\t cle~ eVldence that S E:xper~enced dlfflcultJ~ oefore C1 (must be rated '1' or '3' on Scale 5)
3. Other cases X. PVerare arolJIlt of t1.f'".e '\-nth' problem COL Ii - 1n do phyS1Cal sense (tal<e as base.l1.ne a\24 h~~r day Do not count hours asleEp = 8 hours If no other 1nfo~atlo~. I~ t1.me has changed, tcl-e Most domlllant pattern 1.n perlod) O. No dl.rect conta~ w1.th focus of
problem (see example~) 1. Da~ly, most of the day (approx.5; h7s) 2. DcU.ly, fa1r aMount of day 3. D~ly, brlefly (approx. 1 hr) 4. Few t~es a week 5. Weekly, or less ofte~ 6. Monthly, or less often 7. Problcn has no-overall clear externsl
focus (see cxa~plec) 8. No QOlJJ.n.:mt pattern X. Y. No probl.",
(.-L''j
r _~ \ CI , -
>-,,0
L~i.a~'::.-_=-U ('=: ,~C.'l'0"\!~ LO:JS!S3;'~'fl.2.~ .. ,!:' .... 'D.),; . t ';,:; Cr ., I ;:)ul~l ~~ . t.~! I
10. POGsIbllltv of S')DstIh .. tes JI1 ,ear fUl..ltre (tlC3t Grnt.ro.lly, C C '3ubst~t~tCf;r 'role' r .... 'th .. r tn.:t.'1 specIfIc per&on)
11
12.
1. ImpOSE>lblC? t.o rCpl;IOE.. 2. Gll:c.lt dlf1lculty In replo.ccllcnt 3 Cons~d( r.;lble (11ffIcu1ty 4. ~!oderatc dIffIculty 5. thnUlo.1 dlfflcult.y 6 Not a loss sltu~tIon/loss not 16.
x. Y.
su~tdblc to rate on th~s scale
Conrlltrncnt (trcet spl?cIil.cally, e.g. person r:lt'u::'r tn?..n 'role') 1. CledI 1) 11l.bhcr than average> 2. Aver().cc 3. Clcu.xly lOIol.'e:- than o.verc.gc x. Y. Not u loss sItuatIon/loss not
sUItable to r~tc on thIS scale
Tra..'15I b..onal sto.te/Statc of uncc:-talntv (base 0'1 6elf-~cport 1Dd/or OGJectlvc conslderallons) (Rate In order 1, 28 3) 1. Yes, trrulsl tlondl st.:lte (also =
state of W1cel tal'1ty) < 1 yr 2. Yes, tran~ltIo~nl st~te (also =
state of uncertaInty) ~ 1 yr 3. Yes, st~te of unec~talnty only 4. No x. Y.
lJesr-rIptIon
17
\ .... ,.I. ~ t t \... I
(CL..I1 be appll..:-a to al.l. dlfflcult::.cs,· "..l·wtp0!'" cr "'ot st..:ttc.. of I.!!'certa .... nt) 1. C~rtalJ1 of fc.tvourablc -outco'-c 2. So~c doubts uuout f~vourable outcome 3; }Io,y- doubts ~bout f~vour"blo outcome 4. P~dctleally eerta~n cf Q'1favouro.oJe
outcome ~ c. Sltuallon w~ll ~ot --X [lmprovc Y Dlfficulty over bi/not st~<ca at C1
LYDcctcd b.ne durc:.tlon of e"\.lJosure to a:::. aL. "2.... "2...
dlfflculty transltlona1 state etc. at C1-(r<fers to Scale 15 ~certaln (rate 8 or 9 ~f posslble) 1. (ProbabJ y) /( 6 m 2. (Probably) /< 1 yr 3 (I'.cobo.bly) /< 2 yr 4. (?roGably) 2 - 5 yrs 5. (Probably) 6 - 10 yrs 6. (Probably) 10+ yrs 7. (Prob~bly) pornanent 8 Uncert.:UJl probably( 1 yr 9. Ullcert'lln probably;> 1 yr x. Y DIfflculty/transltlonal State over
bl C1/,ot st,~t"d at C1 \
Lcn~th of e'rOSU1~ to C.:flculty/ transItlonal st?te etc. up t~ll C1 1. <: 2 m 2. 2 - " " 3. 4 " 6 rn 4. > 1> M
5. < 1 yr 6 )'-1yt 7. ,}2y'r 8 ">' 5 j-r 9. 5'10 yr x. Y. ILA D~filculty began after C1
(0", '- S
18. Pr<lctIcal help "Il. th proa] €:'M c...::;)\.- L \.L....
13 • ...T~n~np; of tran~1 tIonhl st.:J.t.c/ unccrta\nty (refers to Scale 12) 1. B to C1 2. C1 to A 3. Both x. Y.
14. LIkLly tlne durnt]on of perIod of uncertaInty ~refers to Scale 12) 1. T~mc knoW! exactly 2. Une ert.::u i. - tIMe known w~ th~n
l~lts
3. UW ... crtaIn - tIne unknown x. Y.
f
19
1. H"-T'y.cd 2. SQna' 3 N~l x. Y. EMot~on~ Support (a) POSItIve erotlonal ~uooort C~ 1. ~;-
1. l"c.r-red 2. SOrT'C
3. Nll A. Y (b) AC~lve O?UO~31 tlon/1.n~erfcrcl"'cc <..0 ....... ZC::,
1. Had.cd 2. Some 3. Nll x. Y. (c) Ar,blvcl.ence(c.g. lack of aI'y 3u;Jport C"'- l.~
where ~Ib~t clearly expect It or clear CVIQen~e of (a) & (b) togctner)
1. ~1.:u-l-:.cd
2. SOl":'I.:: 3. Jhl x. Y. Dc~crIptlon of Qurat~on etc·. of Gl.r~po;'"t