#!/usr/bin/env python
"""
camcops_server/tasks/cisr.py
===============================================================================
Copyright (C) 2012, University of Cambridge, Department of Psychiatry.
Created by Rudolf Cardinal (rnc1001@cam.ac.uk).
This file is part of CamCOPS.
CamCOPS is free software: you can redistribute it and/or modify
it under the terms of the GNU General Public License as published by
the Free Software Foundation, either version 3 of the License, or
(at your option) any later version.
CamCOPS is distributed in the hope that it will be useful,
but WITHOUT ANY WARRANTY; without even the implied warranty of
MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
GNU General Public License for more details.
You should have received a copy of the GNU General Public License
along with CamCOPS. If not, see <https://www.gnu.org/licenses/>.
===============================================================================
"""
from enum import Enum
import logging
from typing import List, Optional
from cardinal_pythonlib.classes import classproperty
from cardinal_pythonlib.logs import BraceStyleAdapter
import cardinal_pythonlib.rnc_web as ws
from semantic_version import Version
from sqlalchemy.sql.sqltypes import Boolean, Integer, UnicodeText
from camcops_server.cc_modules.cc_constants import CssClass
from camcops_server.cc_modules.cc_ctvinfo import CTV_INCOMPLETE, CtvInfo
from camcops_server.cc_modules.cc_html import (
answer,
bold,
get_yes_no,
get_yes_no_none,
italic,
pmid,
subheading_spanning_two_columns,
td,
tr,
)
from camcops_server.cc_modules.cc_request import CamcopsRequest
from camcops_server.cc_modules.cc_sqla_coltypes import (
CamcopsColumn,
ZERO_TO_FOUR_CHECKER,
ONE_TO_TWO_CHECKER,
ONE_TO_THREE_CHECKER,
ONE_TO_FOUR_CHECKER,
ONE_TO_FIVE_CHECKER,
ONE_TO_SIX_CHECKER,
ONE_TO_SEVEN_CHECKER,
ONE_TO_EIGHT_CHECKER,
ONE_TO_NINE_CHECKER,
)
from camcops_server.cc_modules.cc_summaryelement import SummaryElement
from camcops_server.cc_modules.cc_task import Task, TaskHasPatientMixin
log = BraceStyleAdapter(logging.getLogger(__name__))
# =============================================================================
# Constants
# =============================================================================
DEBUG_SHOW_QUESTIONS_CONSIDERED = True
NOT_APPLICABLE_TEXT = "—"
# -----------------------------------------------------------------------------
# Comments for fields
# -----------------------------------------------------------------------------
CMT_DEMOGRAPHICS = "(Demographics) "
CMT_1_NO_2_YES = " (1 no, 2 yes)"
CMT_1_YES_2_NO = " (1 yes, 2 no)"
CMT_DURATION = (
" (1: <2 weeks; 2: 2 weeks–6 months; 3: 6 months–1 year; "
"4: 1–2 years; 5: >2 years)"
)
CMT_NEVER_SOMETIMES_ALWAYS = " (1 never, 2 sometimes, 3 always)"
CMT_DAYS_PER_WEEK = " (1: none, 2: one to three, 3: four or more)"
CMT_NIGHTS_PER_WEEK = CMT_DAYS_PER_WEEK
CMT_UNPLEASANT = (
" (1 not at all, 2 a little unpleasant, 3 unpleasant, "
"4 very unpleasant)"
)
CMT_NO_SOMETIMES_OFTEN = " (1 no, 2 sometimes, 3 often)"
CMT_BOTHERSOME_INTERESTING = (
" (1 no, 2 yes, 3 haven't done anything " "interesting)"
)
CMT_DURING_ENJOYABLE = " (1 no, 2 yes, 3 haven't done anything enjoyable)"
CMT_FATIGUE_CAUSE = (
" (1 problems with sleep; 2 medication; 3 physical illness; 4 working too "
"hard inc. childcare; 5 stress/worry/other psychological; 6 physical "
"exercise; 7 other; 8 don't know)"
)
CMT_STRESSORS = (
" (1 family members; 2 relationships with friends/colleagues; 3 housing; "
"4 money/bills; 5 own physical health; 6 own mental health; 7 work/lack "
"of work; 8 legal; 9 political/news)"
)
CMT_SLEEP_CHANGE = " (1: <15min, 2: 15–60min, 3: 1–3h, 4: >=3h)"
CMT_ANHEDONIA = (
" (1 yes; 2 no, less enjoyment than usual; " "3 no, don't enjoy anything)"
)
CMT_PANIC_SYMPTOM = "Panic symptom in past week: "
# ... and results:
DESC_DEPCRIT1 = "Depressive criterion 1 (mood, anhedonia, energy; max. 3)"
DESC_DEPCRIT2 = (
"Depressive criterion 2 (appetite/weight, concentration, "
"sleep, motor, guilt, self-worth, suicidality; max. 7)"
)
DESC_DEPCRIT3 = (
"Depressive criterion 3: somatic syndrome (anhedonia, lack of emotional "
"reactivity, early-morning waking, depression worse in the morning, "
"psychomotor retardation/agitation, loss of appetite, weight loss, loss "
"of libido; max. 8)"
)
DESC_DEPCRIT3_MET = "Somatic syndrome criterion met (≥4)?"
DESC_NEURASTHENIA_SCORE = "Neurasthenia score (max. 3)"
DISORDER_OCD = "Obsessive–compulsive disorder"
DISORDER_DEPR_MILD = "Depressive episode: at least mild"
DISORDER_DEPR_MOD = "Depressive episode: at least moderate"
DISORDER_DEPR_SEV = "Depressive episode: severe"
DISORDER_CFS = "Chronic fatigue syndrome"
DISORDER_GAD = "Generalized anxiety disorder"
DISORDER_AGORAPHOBIA = "Agoraphobia"
DISORDER_SOCIAL_PHOBIA = "Social phobia"
DISORDER_SPECIFIC_PHOBIA = "Specific phobia"
DISORDER_PANIC = "Panic disorder"
# -----------------------------------------------------------------------------
# Number of response values (numbered from 1 to N)
# -----------------------------------------------------------------------------
N_DURATIONS = 5
N_OPTIONS_DAYS_PER_WEEK = 3
N_OPTIONS_NIGHTS_PER_WEEK = 3
N_OPTIONS_HOW_UNPLEASANT = 4
N_OPTIONS_FATIGUE_CAUSES = 8
N_OPTIONS_STRESSORS = 9
N_OPTIONS_NO_SOMETIMES_OFTEN = 3
NUM_PANIC_SYMPTOMS = 13 # from a to m
# -----------------------------------------------------------------------------
# Actual response values
# -----------------------------------------------------------------------------
# For e.g. SOMATIC_DUR, etc.: "How long have you..."
V_DURATION_LT_2W = 1
V_DURATION_2W_6M = 2
V_DURATION_6M_1Y = 3
V_DURATION_1Y_2Y = 4
V_DURATION_GE_2Y = 5
# For quite a few: "on how many days in the past week...?"
V_DAYS_IN_PAST_WEEK_0 = 1
V_DAYS_IN_PAST_WEEK_1_TO_3 = 2
V_DAYS_IN_PAST_WEEK_4_OR_MORE = 3
V_NIGHTS_IN_PAST_WEEK_0 = 1
V_NIGHTS_IN_PAST_WEEK_1_TO_3 = 2
V_NIGHTS_IN_PAST_WEEK_4_OR_MORE = 3
V_HOW_UNPLEASANT_NOT_AT_ALL = 1
V_HOW_UNPLEASANT_A_LITTLE = 2
V_HOW_UNPLEASANT_UNPLEASANT = 3
V_HOW_UNPLEASANT_VERY = 4
V_FATIGUE_CAUSE_SLEEP = 1
V_FATIGUE_CAUSE_MEDICATION = 2
V_FATIGUE_CAUSE_PHYSICAL_ILLNESS = 3
V_FATIGUE_CAUSE_OVERWORK = 4
V_FATIGUE_CAUSE_PSYCHOLOGICAL = 5
V_FATIGUE_CAUSE_EXERCISE = 6
V_FATIGUE_CAUSE_OTHER = 7
V_FATIGUE_CAUSE_DONT_KNOW = 8
V_STRESSOR_FAMILY = 1
V_STRESSOR_FRIENDS_COLLEAGUES = 2
V_STRESSOR_HOUSING = 3
V_STRESSOR_MONEY = 4
V_STRESSOR_PHYSICAL_HEALTH = 5
V_STRESSOR_MENTAL_HEALTH = 6
V_STRESSOR_WORK = 7
V_STRESSOR_LEGAL = 8
V_STRESSOR_POLITICAL_NEWS = 9
V_NSO_NO = 1
V_NSO_SOMETIMES = 2
V_NSO_OFTEN = 3
V_SLEEP_CHANGE_LT_15_MIN = 1
V_SLEEP_CHANGE_15_MIN_TO_1_H = 2
V_SLEEP_CHANGE_1_TO_3_H = 3
V_SLEEP_CHANGE_GT_3_H = 4
V_ANHEDONIA_ENJOYING_NORMALLY = 1
V_ANHEDONIA_ENJOYING_LESS = 2
V_ANHEDONIA_NOT_ENJOYING = 3
# Specific other question values:
V_EMPSTAT_FT = 1 # unused
V_EMPSTAT_PT = 2 # unused
V_EMPSTAT_STUDENT = 3 # unused
V_EMPSTAT_RETIRED = 4 # unused
V_EMPSTAT_HOUSEPERSON = 5 # unused
V_EMPSTAT_UNEMPJOBSEEKER = 6 # unused
V_EMPSTAT_UNEMPILLHEALTH = 7 # unused
V_EMPTYPE_SELFEMPWITHEMPLOYEES = 1 # unused
V_EMPTYPE_SELFEMPNOEMPLOYEES = 2 # unused
V_EMPTYPE_EMPLOYEE = 3 # unused
V_EMPTYPE_SUPERVISOR = 4 # unused
V_EMPTYPE_MANAGER = 5 # unused
V_EMPTYPE_NOT_APPLICABLE = 6 # unused
# ... the last one: added by RNC, in case pt never employed. (Mentioned to
# Glyn Lewis 2017-12-04. Not, in any case, part of the important bits of the
# CIS-R.)
V_HOME_OWNER = 1 # unused
V_HOME_TENANT = 2 # unused
V_HOME_RELATIVEFRIEND = 3 # unused
V_HOME_HOSTELCAREHOME = 4 # unused
V_HOME_HOMELESS = 5 # unused
V_HOME_OTHER = 6 # unused
V_WEIGHT2_WTLOSS_NOTTRYING = 1
V_WEIGHT2_WTLOSS_TRYING = 2
V_WEIGHT3_WTLOSS_GE_HALF_STONE = 1
V_WEIGHT3_WTLOSS_LT_HALF_STONE = 2
V_WEIGHT4_WTGAIN_YES_PREGNANT = 3
V_WEIGHT5_WTGAIN_GE_HALF_STONE = 1
V_WEIGHT5_WTGAIN_LT_HALF_STONE = 2
V_GPYEAR_NONE = 0
V_GPYEAR_1_2 = 1
V_GPYEAR_3_5 = 2
V_GPYEAR_6_10 = 3
V_GPYEAR_GT_10 = 4
V_ILLNESS_DIABETES = 1
V_ILLNESS_ASTHMA = 2
V_ILLNESS_ARTHRITIS = 3
V_ILLNESS_HEART_DISEASE = 4
V_ILLNESS_HYPERTENSION = 5
V_ILLNESS_LUNG_DISEASE = 6
V_ILLNESS_MORE_THAN_ONE = 7
V_ILLNESS_NONE = 8
V_SOMATIC_PAIN1_NEVER = 1
V_SOMATIC_PAIN1_SOMETIMES = 2
V_SOMATIC_PAIN1_ALWAYS = 3
V_SOMATIC_PAIN3_LT_3H = 1
V_SOMATIC_PAIN3_GT_3H = 2
V_SOMATIC_PAIN4_NOT_AT_ALL = 1
V_SOMATIC_PAIN4_LITTLE_UNPLEASANT = 2
V_SOMATIC_PAIN4_UNPLEASANT = 3
V_SOMATIC_PAIN4_VERY_UNPLEASANT = 4
V_SOMATIC_PAIN5_NO = 1
V_SOMATIC_PAIN5_YES = 2
V_SOMATIC_PAIN5_NOT_DONE_ANYTHING_INTERESTING = 3
V_SOMATIC_MAND2_NO = 1
V_SOMATIC_MAND2_YES = 2
V_SOMATIC_DIS1_NEVER = 1
V_SOMATIC_DIS1_SOMETIMES = 2
V_SOMATIC_DIS1_ALWAYS = 3
V_SOMATIC_DIS2_NONE = 1
V_SOMATIC_DIS2_1_TO_3_DAYS = 2
V_SOMATIC_DIS2_4_OR_MORE_DAYS = 3
V_SOMATIC_DIS3_LT_3H = 1
V_SOMATIC_DIS3_GT_3H = 2
V_SOMATIC_DIS4_NOT_AT_ALL = 1
V_SOMATIC_DIS4_LITTLE_UNPLEASANT = 2
V_SOMATIC_DIS4_UNPLEASANT = 3
V_SOMATIC_DIS4_VERY_UNPLEASANT = 4
V_SOMATIC_DIS5_NO = 1
V_SOMATIC_DIS5_YES = 2
V_SOMATIC_DIS5_NOT_DONE_ANYTHING_INTERESTING = 3
V_SLEEP_MAND2_NO = 1
V_SLEEP_MAND2_YES_BUT_NOT_A_PROBLEM = 2
V_SLEEP_MAND2_YES = 3
V_IRRIT_MAND2_NO = 1
V_IRRIT_MAND2_SOMETIMES = 2
V_IRRIT_MAND2_YES = 3
V_IRRIT3_SHOUTING_NO = 1
V_IRRIT3_SHOUTING_WANTED_TO = 2
V_IRRIT3_SHOUTING_DID = 3
V_IRRIT4_ARGUMENTS_NO = 1
V_IRRIT4_ARGUMENTS_YES_JUSTIFIED = 2
V_IRRIT4_ARGUMENTS_YES_UNJUSTIFIED = 3
V_DEPR5_COULD_CHEER_UP_YES = 1
V_DEPR5_COULD_CHEER_UP_SOMETIMES = 2
V_DEPR5_COULD_CHEER_UP_NO = 3
V_DEPTH1_DMV_WORSE_MORNING = 1
V_DEPTH1_DMV_WORSE_EVENING = 2
V_DEPTH1_DMV_VARIES = 3
V_DEPTH1_DMV_NONE = 4
V_DEPTH2_LIBIDO_NA = 1
V_DEPTH2_LIBIDO_NO_CHANGE = 2
V_DEPTH2_LIBIDO_INCREASED = 3
V_DEPTH2_LIBIDO_DECREASED = 4
V_DEPTH5_GUILT_NEVER = 1
V_DEPTH5_GUILT_WHEN_AT_FAULT = 2
V_DEPTH5_GUILT_SOMETIMES = 3
V_DEPTH5_GUILT_OFTEN = 4
V_DEPTH8_LNWL_NO = 1
V_DEPTH8_LNWL_SOMETIMES = 2
V_DEPTH8_LNWL_ALWAYS = 3
V_DEPTH9_SUICIDAL_THOUGHTS_NO = 1
V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD = 2
V_DEPTH9_SUICIDAL_THOUGHTS_YES = 3
V_DOCTOR_YES = 1
V_DOCTOR_NO_BUT_OTHERS = 2
V_DOCTOR_NO = 3
V_ANX_PHOBIA2_ALWAYS_SPECIFIC = 1
V_ANX_PHOBIA2_SOMETIMES_GENERAL = 2
V_PHOBIAS_TYPE1_ALONE_PUBLIC_TRANSPORT = 1
V_PHOBIAS_TYPE1_FAR_FROM_HOME = 2
V_PHOBIAS_TYPE1_PUBLIC_SPEAKING_EATING = 3
V_PHOBIAS_TYPE1_BLOOD = 4
V_PHOBIAS_TYPE1_CROWDED_SHOPS = 5
V_PHOBIAS_TYPE1_ANIMALS = 6
V_PHOBIAS_TYPE1_BEING_WATCHED = 7
V_PHOBIAS_TYPE1_ENCLOSED_SPACES_HEIGHTS = 8
V_PHOBIAS_TYPE1_OTHER = 9
V_PANIC1_N_PANICS_PAST_WEEK_0 = 1
V_PANIC1_N_PANICS_PAST_WEEK_1 = 2
V_PANIC1_N_PANICS_PAST_WEEK_GT_1 = 3
V_PANIC3_WORST_LT_10_MIN = 1
V_PANIC3_WORST_GE_10_MIN = 2
V_COMP4_MAX_N_REPEATS_1 = 1
V_COMP4_MAX_N_REPEATS_2 = 2
V_COMP4_MAX_N_REPEATS_GE_3 = 3
V_OBSESS_MAND1_SAME_THOUGHTS_REPEATED = 1
V_OBSESS_MAND1_GENERAL_WORRIES = 2
V_OBSESS4_LT_15_MIN = 1
V_OBSESS4_GE_15_MIN = 2
V_OVERALL_IMPAIRMENT_NONE = 1
V_OVERALL_IMPAIRMENT_DIFFICULT = 2
V_OVERALL_IMPAIRMENT_STOP_1_ACTIVITY = 3
V_OVERALL_IMPAIRMENT_STOP_GT_1_ACTIVITY = 4
# -----------------------------------------------------------------------------
# Internal coding, NOT answer values:
# -----------------------------------------------------------------------------
# Magic numbers from the original:
WTCHANGE_NONE_OR_APPETITE_INCREASE = 0
WTCHANGE_APPETITE_LOSS = 1
WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN = 2
WTCHANGE_WTLOSS_GE_HALF_STONE = 3
WTCHANGE_WTGAIN_GE_HALF_STONE = 4
# ... I'm not entirely sure why this labelling system is used!
DESC_WEIGHT_CHANGE = (
"Weight change "
f"({WTCHANGE_NONE_OR_APPETITE_INCREASE}: none or appetite increase; "
f"{WTCHANGE_APPETITE_LOSS}: appetite loss without weight loss; "
f"{WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN}: "
"non-deliberate weight loss or gain <0.5 st; "
f"{WTCHANGE_WTLOSS_GE_HALF_STONE}: weight loss ≥0.5 st; "
f"{WTCHANGE_WTGAIN_GE_HALF_STONE}: weight gain ≥0.5 st)"
)
PHOBIATYPES_OTHER = 0
PHOBIATYPES_AGORAPHOBIA = 1
PHOBIATYPES_SOCIAL = 2
PHOBIATYPES_BLOOD_INJURY = 3
PHOBIATYPES_ANIMALS_ENCLOSED_HEIGHTS = 4
# ... some of these are not really used, but I've followed the original CIS-R
# for clarity
# One smaller than the answer codes:
OVERALL_IMPAIRMENT_NONE = 0
OVERALL_IMPAIRMENT_DIFFICULT = 1
OVERALL_IMPAIRMENT_STOP_1_ACTIVITY = 2
OVERALL_IMPAIRMENT_STOP_GT_1_ACTIVITY = 3
# Again, we're following this coding structure primarily for compatibility:
DIAG_0_NO_DIAGNOSIS = 0
DIAG_1_MIXED_ANX_DEPR_DIS_MILD = 1
DIAG_2_GENERALIZED_ANX_DIS_MILD = 2
DIAG_3_OBSESSIVE_COMPULSIVE_DIS = 3
DIAG_4_MIXED_ANX_DEPR_DIS = 4
DIAG_5_SPECIFIC_PHOBIA = 5
DIAG_6_SOCIAL_PHOBIA = 6
DIAG_7_AGORAPHOBIA = 7
DIAG_8_GENERALIZED_ANX_DIS = 8
DIAG_9_PANIC_DIS = 9
DIAG_10_MILD_DEPR_EPISODE = 10
DIAG_11_MOD_DEPR_EPISODE = 11
DIAG_12_SEVERE_DEPR_EPISODE = 12
SUICIDE_INTENT_NONE = 0
SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS = 1
SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING = 2
SUICIDE_INTENT_SUICIDAL_THOUGHTS = 3
SUICIDE_INTENT_SUICIDAL_PLANS = 4
SLEEPCHANGE_NONE = 0 # added
SLEEPCHANGE_EMW = 1
SLEEPCHANGE_INSOMNIA_NOT_EMW = 2
SLEEPCHANGE_INCREASE = 3
DESC_SLEEP_CHANGE = (
f"Sleep change ({SLEEPCHANGE_NONE}: none; "
f"{SLEEPCHANGE_EMW}: early-morning waking; "
f"{SLEEPCHANGE_INSOMNIA_NOT_EMW}: insomnia without early-morning waking; "
f"{SLEEPCHANGE_INCREASE}: sleep increase)"
)
DIURNAL_MOOD_VAR_NONE = 0
DIURNAL_MOOD_VAR_WORSE_MORNING = 1
DIURNAL_MOOD_VAR_WORSE_EVENING = 2
PSYCHOMOTOR_NONE = 0
PSYCHOMOTOR_RETARDATION = 1
PSYCHOMOTOR_AGITATION = 2
# Answer values or pseudo-values:
V_MISSING = 0 # Integer value of a missing answer
V_UNKNOWN = -1 # Dummy value, never used for answers
SCORE_PREFIX = "... "
# -----------------------------------------------------------------------------
# Scoring constants:
# -----------------------------------------------------------------------------
MAX_TOTAL = 57
MAX_SOMATIC = 4
MAX_HYPO = 4
MAX_IRRIT = 4
MAX_CONC = 4
MAX_FATIGUE = 4
MAX_SLEEP = 4
MAX_DEPR = 4
MAX_DEPTHTS = 5
MAX_PHOBIAS = 4
MAX_WORRY = 4
MAX_ANX = 4
MAX_PANIC = 4
MAX_COMP = 4
MAX_OBSESS = 4
MAX_DEPCRIT1 = 3
MAX_DEPCRIT2 = 7
MAX_DEPCRIT3 = 8
SOMATIC_SYNDROME_CRITERION = 4 # number of symptoms
# -----------------------------------------------------------------------------
# Question numbers
# -----------------------------------------------------------------------------
# Not quite sure to do an autonumbering enum that also can have synonyms, like
# C++. The AutoNumberEnum (q.v.) is close, but won't do the synonyms. So:
_nasty_hack_next_enum = 1 # start with 1
def next_enum() -> int:
global _nasty_hack_next_enum
v = _nasty_hack_next_enum
_nasty_hack_next_enum += 1
return v
[docs]class CisrQuestion(Enum):
# The values below look like integers, but they aren't; they are of type
# CisrQuestion, and have attributes like ".value".
START_MARKER = next_enum()
INTRO_1 = START_MARKER
INTRO_2 = next_enum()
INTRO_DEMOGRAPHICS = next_enum()
ETHNIC = next_enum()
MARRIED = next_enum()
EMPSTAT = next_enum()
EMPTYPE = next_enum()
HOME = next_enum()
HEALTH_WELLBEING = next_enum()
APPETITE1_LOSS_PAST_MONTH = next_enum()
WEIGHT1_LOSS_PAST_MONTH = next_enum()
WEIGHT2_TRYING_TO_LOSE = next_enum()
WEIGHT3_LOST_LOTS = next_enum()
APPETITE2_INCREASE_PAST_MONTH = next_enum()
WEIGHT4_INCREASE_PAST_MONTH = next_enum()
# WEIGHT4A = WEIGHT4 with pregnancy question; blended
WEIGHT5_GAINED_LOTS = next_enum()
GP_YEAR = next_enum()
DISABLE = next_enum()
ILLNESS = next_enum()
SOMATIC_MAND1_PAIN_PAST_MONTH = next_enum()
SOMATIC_PAIN1_PSYCHOL_EXAC = next_enum()
SOMATIC_PAIN2_DAYS_PAST_WEEK = next_enum()
SOMATIC_PAIN3_GT_3H_ANY_DAY = next_enum()
SOMATIC_PAIN4_UNPLEASANT = next_enum()
SOMATIC_PAIN5_INTERRUPTED_INTERESTING = next_enum()
SOMATIC_MAND2_DISCOMFORT = next_enum()
SOMATIC_DIS1_PSYCHOL_EXAC = next_enum()
SOMATIC_DIS2_DAYS_PAST_WEEK = next_enum()
SOMATIC_DIS3_GT_3H_ANY_DAY = next_enum()
SOMATIC_DIS4_UNPLEASANT = next_enum()
SOMATIC_DIS5_INTERRUPTED_INTERESTING = next_enum()
SOMATIC_DUR = next_enum()
FATIGUE_MAND1_TIRED_PAST_MONTH = next_enum()
FATIGUE_CAUSE1_TIRED = next_enum()
FATIGUE_TIRED1_DAYS_PAST_WEEK = next_enum()
FATIGUE_TIRED2_GT_3H_ANY_DAY = next_enum()
FATIGUE_TIRED3_HAD_TO_PUSH = next_enum()
FATIGUE_TIRED4_DURING_ENJOYABLE = next_enum()
FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH = next_enum()
FATIGUE_CAUSE2_LACK_ENERGY = next_enum()
FATIGUE_ENERGY1_DAYS_PAST_WEEK = next_enum()
FATIGUE_ENERGY2_GT_3H_ANY_DAY = next_enum()
FATIGUE_ENERGY3_HAD_TO_PUSH = next_enum()
FATIGUE_ENERGY4_DURING_ENJOYABLE = next_enum()
FATIGUE_DUR = next_enum()
CONC_MAND1_POOR_CONC_PAST_MONTH = next_enum()
CONC_MAND2_FORGETFUL_PAST_MONTH = next_enum()
CONC1_CONC_DAYS_PAST_WEEK = next_enum()
CONC2_CONC_FOR_TV_READING_CONVERSATION = next_enum()
CONC3_CONC_PREVENTED_ACTIVITIES = next_enum()
CONC_DUR = next_enum()
CONC4_FORGOTTEN_IMPORTANT = next_enum()
FORGET_DUR = next_enum()
SLEEP_MAND1_LOSS_PAST_MONTH = next_enum()
SLEEP_LOSE1_NIGHTS_PAST_WEEK = next_enum()
SLEEP_LOSE2_DIS_WORST_DURATION = (
next_enum()
) # DIS = delayed initiation of sleep # noqa
SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK = next_enum()
SLEEP_EMW_PAST_WEEK = next_enum() # EMW = early-morning waking
SLEEP_CAUSE = next_enum()
SLEEP_MAND2_GAIN_PAST_MONTH = next_enum()
SLEEP_GAIN1_NIGHTS_PAST_WEEK = next_enum()
SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT = next_enum()
SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK = next_enum()
SLEEP_DUR = next_enum()
IRRIT_MAND1_PEOPLE_PAST_MONTH = next_enum()
IRRIT_MAND2_THINGS_PAST_MONTH = next_enum()
IRRIT1_DAYS_PER_WEEK = next_enum()
IRRIT2_GT_1H_ANY_DAY = next_enum()
IRRIT3_WANTED_TO_SHOUT = next_enum()
IRRIT4_ARGUMENTS = next_enum()
IRRIT_DUR = next_enum()
HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH = next_enum()
HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS = next_enum()
HYPO1_DAYS_PAST_WEEK = next_enum()
HYPO2_WORRY_TOO_MUCH = next_enum()
HYPO3_HOW_UNPLEASANT = next_enum()
HYPO4_CAN_DISTRACT = next_enum()
HYPO_DUR = next_enum()
DEPR_MAND1_LOW_MOOD_PAST_MONTH = next_enum()
DEPR1_LOW_MOOD_PAST_WEEK = next_enum()
DEPR_MAND2_ENJOYMENT_PAST_MONTH = next_enum()
DEPR2_ENJOYMENT_PAST_WEEK = next_enum()
DEPR3_DAYS_PAST_WEEK = next_enum()
DEPR4_GT_3H_ANY_DAY = next_enum()
DEPR_CONTENT = next_enum()
DEPR5_COULD_CHEER_UP = next_enum()
DEPR_DUR = next_enum()
DEPTH1_DIURNAL_VARIATION = next_enum() # "depth" = depressive thoughts?
DEPTH2_LIBIDO = next_enum()
DEPTH3_RESTLESS = next_enum()
DEPTH4_SLOWED = next_enum()
DEPTH5_GUILT = next_enum()
DEPTH6_WORSE_THAN_OTHERS = next_enum()
DEPTH7_HOPELESS = next_enum()
DEPTH8_LNWL = next_enum() # life not worth living
DEPTH9_SUICIDE_THOUGHTS = next_enum()
DEPTH10_SUICIDE_METHOD = next_enum()
DOCTOR = next_enum()
DOCTOR2_PLEASE_TALK_TO = next_enum()
DEPR_OUTRO = next_enum()
WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH = next_enum()
WORRY_MAND2_ANY_WORRIES_PAST_MONTH = next_enum()
WORRY_CONT1 = next_enum()
WORRY1_INFO_ONLY = next_enum()
WORRY2_DAYS_PAST_WEEK = next_enum()
WORRY3_TOO_MUCH = next_enum()
WORRY4_HOW_UNPLEASANT = next_enum()
WORRY5_GT_3H_ANY_DAY = next_enum()
WORRY_DUR = next_enum()
ANX_MAND1_ANXIETY_PAST_MONTH = next_enum()
ANX_MAND2_TENSION_PAST_MONTH = next_enum()
ANX_PHOBIA1_SPECIFIC_PAST_MONTH = next_enum()
ANX_PHOBIA2_SPECIFIC_OR_GENERAL = next_enum()
ANX1_INFO_ONLY = next_enum()
ANX2_GENERAL_DAYS_PAST_WEEK = next_enum()
ANX3_GENERAL_HOW_UNPLEASANT = next_enum()
ANX4_GENERAL_PHYSICAL_SYMPTOMS = next_enum()
ANX5_GENERAL_GT_3H_ANY_DAY = next_enum()
ANX_DUR_GENERAL = next_enum()
PHOBIAS_MAND_AVOIDANCE_PAST_MONTH = next_enum()
PHOBIAS_TYPE1 = next_enum()
PHOBIAS1_DAYS_PAST_WEEK = next_enum()
PHOBIAS2_PHYSICAL_SYMPTOMS = next_enum()
PHOBIAS3_AVOIDANCE = next_enum()
PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK = next_enum()
PHOBIAS_DUR = next_enum()
PANIC_MAND_PAST_MONTH = next_enum()
PANIC1_NUM_PAST_WEEK = next_enum()
PANIC2_HOW_UNPLEASANT = next_enum()
PANIC3_PANIC_GE_10_MIN = next_enum()
PANIC4_RAPID_ONSET = next_enum()
PANSYM = next_enum() # questions about each of several symptoms
PANIC5_ALWAYS_SPECIFIC_TRIGGER = next_enum()
PANIC_DUR = next_enum()
ANX_OUTRO = next_enum()
COMP_MAND1_COMPULSIONS_PAST_MONTH = next_enum()
COMP1_DAYS_PAST_WEEK = next_enum()
COMP2_TRIED_TO_STOP = next_enum()
COMP3_UPSETTING = next_enum()
COMP4_MAX_N_REPETITIONS = next_enum()
COMP_DUR = next_enum()
OBSESS_MAND1_OBSESSIONS_PAST_MONTH = next_enum()
OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL = next_enum()
OBSESS1_DAYS_PAST_WEEK = next_enum()
OBSESS2_TRIED_TO_STOP = next_enum()
OBSESS3_UPSETTING = next_enum()
OBSESS4_MAX_DURATION = next_enum()
OBSESS_DUR = next_enum()
OVERALL1_INFO_ONLY = next_enum()
OVERALL2_IMPACT_PAST_WEEK = next_enum()
THANKS_FINISHED = next_enum()
END_MARKER = next_enum() # not a real page
CQ = CisrQuestion # shorthand
# Demographics section
FN_ETHNIC = "ethnic"
FN_MARRIED = "married"
FN_EMPSTAT = "empstat"
FN_EMPTYPE = "emptype"
FN_HOME = "home"
FN_APPETITE1 = "appetite1"
FN_WEIGHT1 = "weight1"
FN_WEIGHT2 = "weight2"
FN_WEIGHT3 = "weight3"
FN_APPETITE2 = "appetite2"
FN_WEIGHT4 = "weight4" # male/female responses unified (no "weight4a"
FN_WEIGHT5 = "weight5"
FN_GP_YEAR = "gp_year"
FN_DISABLE = "disable"
FN_ILLNESS = "illness"
FN_SOMATIC_MAND1 = "somatic_mand1"
FN_SOMATIC_PAIN1 = "somatic_pain1"
FN_SOMATIC_PAIN2 = "somatic_pain2"
FN_SOMATIC_PAIN3 = "somatic_pain3"
FN_SOMATIC_PAIN4 = "somatic_pain4"
FN_SOMATIC_PAIN5 = "somatic_pain5"
FN_SOMATIC_MAND2 = "somatic_mand2"
FN_SOMATIC_DIS1 = "somatic_dis1"
FN_SOMATIC_DIS2 = "somatic_dis2"
FN_SOMATIC_DIS3 = "somatic_dis3"
FN_SOMATIC_DIS4 = "somatic_dis4"
FN_SOMATIC_DIS5 = "somatic_dis5"
FN_SOMATIC_DUR = "somatic_dur"
FN_FATIGUE_MAND1 = "fatigue_mand1"
FN_FATIGUE_CAUSE1 = "fatigue_cause1"
FN_FATIGUE_TIRED1 = "fatigue_tired1"
FN_FATIGUE_TIRED2 = "fatigue_tired2"
FN_FATIGUE_TIRED3 = "fatigue_tired3"
FN_FATIGUE_TIRED4 = "fatigue_tired4"
FN_FATIGUE_MAND2 = "fatigue_mand2"
FN_FATIGUE_CAUSE2 = "fatigue_cause2"
FN_FATIGUE_ENERGY1 = "fatigue_energy1"
FN_FATIGUE_ENERGY2 = "fatigue_energy2"
FN_FATIGUE_ENERGY3 = "fatigue_energy3"
FN_FATIGUE_ENERGY4 = "fatigue_energy4"
FN_FATIGUE_DUR = "fatigue_dur"
FN_CONC_MAND1 = "conc_mand1"
FN_CONC_MAND2 = "conc_mand2"
FN_CONC1 = "conc1"
FN_CONC2 = "conc2"
FN_CONC3 = "conc3"
FN_CONC_DUR = "conc_dur"
FN_CONC4 = "conc4"
FN_FORGET_DUR = "forget_dur"
FN_SLEEP_MAND1 = "sleep_mand1"
FN_SLEEP_LOSE1 = "sleep_lose1"
FN_SLEEP_LOSE2 = "sleep_lose2"
FN_SLEEP_LOSE3 = "sleep_lose3"
FN_SLEEP_EMW = "sleep_emw"
FN_SLEEP_CAUSE = "sleep_cause"
FN_SLEEP_MAND2 = "sleep_mand2"
FN_SLEEP_GAIN1 = "sleep_gain1"
FN_SLEEP_GAIN2 = "sleep_gain2"
FN_SLEEP_GAIN3 = "sleep_gain3"
FN_SLEEP_DUR = "sleep_dur"
FN_IRRIT_MAND1 = "irrit_mand1"
FN_IRRIT_MAND2 = "irrit_mand2"
FN_IRRIT1 = "irrit1"
FN_IRRIT2 = "irrit2"
FN_IRRIT3 = "irrit3"
FN_IRRIT4 = "irrit4"
FN_IRRIT_DUR = "irrit_dur"
FN_HYPO_MAND1 = "hypo_mand1"
FN_HYPO_MAND2 = "hypo_mand2"
FN_HYPO1 = "hypo1"
FN_HYPO2 = "hypo2"
FN_HYPO3 = "hypo3"
FN_HYPO4 = "hypo4"
FN_HYPO_DUR = "hypo_dur"
FN_DEPR_MAND1 = "depr_mand1"
FN_DEPR1 = "depr1"
FN_DEPR_MAND2 = "depr_mand2"
FN_DEPR2 = "depr2"
FN_DEPR3 = "depr3"
FN_DEPR4 = "depr4"
FN_DEPR_CONTENT = "depr_content"
FN_DEPR5 = "depr5"
FN_DEPR_DUR = "depr_dur"
FN_DEPTH1 = "depth1"
FN_DEPTH2 = "depth2"
FN_DEPTH3 = "depth3"
FN_DEPTH4 = "depth4"
FN_DEPTH5 = "depth5"
FN_DEPTH6 = "depth6"
FN_DEPTH7 = "depth7"
FN_DEPTH8 = "depth8"
FN_DEPTH9 = "depth9"
FN_DEPTH10 = "depth10"
FN_DOCTOR = "doctor"
FN_WORRY_MAND1 = "worry_mand1"
FN_WORRY_MAND2 = "worry_mand2"
FN_WORRY_CONT1 = "worry_cont1"
FN_WORRY2 = "worry2"
FN_WORRY3 = "worry3"
FN_WORRY4 = "worry4"
FN_WORRY5 = "worry5"
FN_WORRY_DUR = "worry_dur"
FN_ANX_MAND1 = "anx_mand1"
FN_ANX_MAND2 = "anx_mand2"
FN_ANX_PHOBIA1 = "anx_phobia1"
FN_ANX_PHOBIA2 = "anx_phobia2"
FN_ANX2 = "anx2"
FN_ANX3 = "anx3"
FN_ANX4 = "anx4"
FN_ANX5 = "anx5"
FN_ANX_DUR = "anx_dur"
FN_PHOBIAS_MAND = "phobias_mand"
FN_PHOBIAS_TYPE1 = "phobias_type1"
FN_PHOBIAS1 = "phobias1"
FN_PHOBIAS2 = "phobias2"
FN_PHOBIAS3 = "phobias3"
FN_PHOBIAS4 = "phobias4"
FN_PHOBIAS_DUR = "phobias_dur"
FN_PANIC_MAND = "panic_mand"
FN_PANIC1 = "panic1"
FN_PANIC2 = "panic2"
FN_PANIC3 = "panic3"
FN_PANIC4 = "panic4"
FN_PANSYM_A = "pansym_a"
FN_PANSYM_B = "pansym_b"
FN_PANSYM_C = "pansym_c"
FN_PANSYM_D = "pansym_d"
FN_PANSYM_E = "pansym_e"
FN_PANSYM_F = "pansym_f"
FN_PANSYM_G = "pansym_g"
FN_PANSYM_H = "pansym_h"
FN_PANSYM_I = "pansym_i"
FN_PANSYM_J = "pansym_j"
FN_PANSYM_K = "pansym_k"
FN_PANSYM_L = "pansym_l"
FN_PANSYM_M = "pansym_m"
FN_PANIC5 = "panic5"
FN_PANIC_DUR = "panic_dur"
FN_COMP_MAND1 = "comp_mand1"
FN_COMP1 = "comp1"
FN_COMP2 = "comp2"
FN_COMP3 = "comp3"
FN_COMP4 = "comp4"
FN_COMP_DUR = "comp_dur"
FN_OBSESS_MAND1 = "obsess_mand1"
FN_OBSESS_MAND2 = "obsess_mand2"
FN_OBSESS1 = "obsess1"
FN_OBSESS2 = "obsess2"
FN_OBSESS3 = "obsess3"
FN_OBSESS4 = "obsess4"
FN_OBSESS_DUR = "obsess_dur"
FN_OVERALL2 = "overall2"
PANIC_SYMPTOM_FIELDNAMES = [
FN_PANSYM_A,
FN_PANSYM_B,
FN_PANSYM_C,
FN_PANSYM_D,
FN_PANSYM_E,
FN_PANSYM_F,
FN_PANSYM_G,
FN_PANSYM_H,
FN_PANSYM_I,
FN_PANSYM_J,
FN_PANSYM_K,
FN_PANSYM_L,
FN_PANSYM_M,
]
FIELDNAME_FOR_QUESTION = {
# CQ.INTRO_1: # information only
# CQ.INTRO_2: # information only
# CQ.INTRO_DEMOGRAPHICS: # information only
CQ.ETHNIC: FN_ETHNIC,
CQ.MARRIED: FN_MARRIED,
CQ.EMPSTAT: FN_EMPSTAT,
CQ.EMPTYPE: FN_EMPTYPE,
CQ.HOME: FN_HOME,
# CQ.HEALTH_WELLBEING: # information only
CQ.APPETITE1_LOSS_PAST_MONTH: FN_APPETITE1,
CQ.WEIGHT1_LOSS_PAST_MONTH: FN_WEIGHT1,
CQ.WEIGHT2_TRYING_TO_LOSE: FN_WEIGHT2,
CQ.WEIGHT3_LOST_LOTS: FN_WEIGHT3,
CQ.APPETITE2_INCREASE_PAST_MONTH: FN_APPETITE2,
CQ.WEIGHT4_INCREASE_PAST_MONTH: FN_WEIGHT4,
# CQ.WEIGHT4A: not used (= WEIGHT4 + pregnancy option)
CQ.WEIGHT5_GAINED_LOTS: FN_WEIGHT5,
CQ.GP_YEAR: FN_GP_YEAR,
CQ.DISABLE: FN_DISABLE,
CQ.ILLNESS: FN_ILLNESS,
CQ.SOMATIC_MAND1_PAIN_PAST_MONTH: FN_SOMATIC_MAND1,
CQ.SOMATIC_PAIN1_PSYCHOL_EXAC: FN_SOMATIC_PAIN1,
CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK: FN_SOMATIC_PAIN2,
CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY: FN_SOMATIC_PAIN3,
CQ.SOMATIC_PAIN4_UNPLEASANT: FN_SOMATIC_PAIN4,
CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING: FN_SOMATIC_PAIN5,
CQ.SOMATIC_MAND2_DISCOMFORT: FN_SOMATIC_MAND2,
CQ.SOMATIC_DIS1_PSYCHOL_EXAC: FN_SOMATIC_DIS1,
CQ.SOMATIC_DIS2_DAYS_PAST_WEEK: FN_SOMATIC_DIS2,
CQ.SOMATIC_DIS3_GT_3H_ANY_DAY: FN_SOMATIC_DIS3,
CQ.SOMATIC_DIS4_UNPLEASANT: FN_SOMATIC_DIS4,
CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING: FN_SOMATIC_DIS5,
CQ.SOMATIC_DUR: FN_SOMATIC_DUR,
CQ.FATIGUE_MAND1_TIRED_PAST_MONTH: FN_FATIGUE_MAND1,
CQ.FATIGUE_CAUSE1_TIRED: FN_FATIGUE_CAUSE1,
CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK: FN_FATIGUE_TIRED1,
CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY: FN_FATIGUE_TIRED2,
CQ.FATIGUE_TIRED3_HAD_TO_PUSH: FN_FATIGUE_TIRED3,
CQ.FATIGUE_TIRED4_DURING_ENJOYABLE: FN_FATIGUE_TIRED4,
CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH: FN_FATIGUE_MAND2,
CQ.FATIGUE_CAUSE2_LACK_ENERGY: FN_FATIGUE_CAUSE2,
CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK: FN_FATIGUE_ENERGY1,
CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY: FN_FATIGUE_ENERGY2,
CQ.FATIGUE_ENERGY3_HAD_TO_PUSH: FN_FATIGUE_ENERGY3,
CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE: FN_FATIGUE_ENERGY4,
CQ.FATIGUE_DUR: FN_FATIGUE_DUR,
CQ.CONC_MAND1_POOR_CONC_PAST_MONTH: FN_CONC_MAND1,
CQ.CONC_MAND2_FORGETFUL_PAST_MONTH: FN_CONC_MAND2,
CQ.CONC1_CONC_DAYS_PAST_WEEK: FN_CONC1,
CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION: FN_CONC2,
CQ.CONC3_CONC_PREVENTED_ACTIVITIES: FN_CONC3,
CQ.CONC_DUR: FN_CONC_DUR,
CQ.CONC4_FORGOTTEN_IMPORTANT: FN_CONC4,
CQ.FORGET_DUR: FN_FORGET_DUR,
CQ.SLEEP_MAND1_LOSS_PAST_MONTH: FN_SLEEP_MAND1,
CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK: FN_SLEEP_LOSE1,
CQ.SLEEP_LOSE2_DIS_WORST_DURATION: FN_SLEEP_LOSE2,
CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK: FN_SLEEP_LOSE3,
CQ.SLEEP_EMW_PAST_WEEK: FN_SLEEP_EMW,
CQ.SLEEP_CAUSE: FN_SLEEP_CAUSE,
CQ.SLEEP_MAND2_GAIN_PAST_MONTH: FN_SLEEP_MAND2,
CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK: FN_SLEEP_GAIN1,
CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT: FN_SLEEP_GAIN2,
CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK: FN_SLEEP_GAIN3,
CQ.SLEEP_DUR: FN_SLEEP_DUR,
CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH: FN_IRRIT_MAND1,
CQ.IRRIT_MAND2_THINGS_PAST_MONTH: FN_IRRIT_MAND2,
CQ.IRRIT1_DAYS_PER_WEEK: FN_IRRIT1,
CQ.IRRIT2_GT_1H_ANY_DAY: FN_IRRIT2,
CQ.IRRIT3_WANTED_TO_SHOUT: FN_IRRIT3,
CQ.IRRIT4_ARGUMENTS: FN_IRRIT4,
CQ.IRRIT_DUR: FN_IRRIT_DUR,
CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH: FN_HYPO_MAND1,
CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS: FN_HYPO_MAND2,
CQ.HYPO1_DAYS_PAST_WEEK: FN_HYPO1,
CQ.HYPO2_WORRY_TOO_MUCH: FN_HYPO2,
CQ.HYPO3_HOW_UNPLEASANT: FN_HYPO3,
CQ.HYPO4_CAN_DISTRACT: FN_HYPO4,
CQ.HYPO_DUR: FN_HYPO_DUR,
CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH: FN_DEPR_MAND1,
CQ.DEPR1_LOW_MOOD_PAST_WEEK: FN_DEPR1,
CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH: FN_DEPR_MAND2,
CQ.DEPR2_ENJOYMENT_PAST_WEEK: FN_DEPR2,
CQ.DEPR3_DAYS_PAST_WEEK: FN_DEPR3,
CQ.DEPR4_GT_3H_ANY_DAY: FN_DEPR4,
CQ.DEPR_CONTENT: FN_DEPR_CONTENT,
CQ.DEPR5_COULD_CHEER_UP: FN_DEPR5,
CQ.DEPR_DUR: FN_DEPR_DUR,
CQ.DEPTH1_DIURNAL_VARIATION: FN_DEPTH1,
CQ.DEPTH2_LIBIDO: FN_DEPTH2,
CQ.DEPTH3_RESTLESS: FN_DEPTH3,
CQ.DEPTH4_SLOWED: FN_DEPTH4,
CQ.DEPTH5_GUILT: FN_DEPTH5,
CQ.DEPTH6_WORSE_THAN_OTHERS: FN_DEPTH6,
CQ.DEPTH7_HOPELESS: FN_DEPTH7,
CQ.DEPTH8_LNWL: FN_DEPTH8,
CQ.DEPTH9_SUICIDE_THOUGHTS: FN_DEPTH9,
CQ.DEPTH10_SUICIDE_METHOD: FN_DEPTH10,
CQ.DOCTOR: FN_DOCTOR,
# CQ.DOCTOR2_PLEASE_TALK_TO: # info only
# CQ.DEPR_OUTRO: # info only
CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH: FN_WORRY_MAND1,
CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH: FN_WORRY_MAND2,
CQ.WORRY_CONT1: FN_WORRY_CONT1,
# CQ.WORRY1_INFO_ONLY: # info only
CQ.WORRY2_DAYS_PAST_WEEK: FN_WORRY2,
CQ.WORRY3_TOO_MUCH: FN_WORRY3,
CQ.WORRY4_HOW_UNPLEASANT: FN_WORRY4,
CQ.WORRY5_GT_3H_ANY_DAY: FN_WORRY5,
CQ.WORRY_DUR: FN_WORRY_DUR,
CQ.ANX_MAND1_ANXIETY_PAST_MONTH: FN_ANX_MAND1,
CQ.ANX_MAND2_TENSION_PAST_MONTH: FN_ANX_MAND2,
CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH: FN_ANX_PHOBIA1,
CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL: FN_ANX_PHOBIA2,
# CQ.ANX1_INFO_ONLY: # info only
CQ.ANX2_GENERAL_DAYS_PAST_WEEK: FN_ANX2,
CQ.ANX3_GENERAL_HOW_UNPLEASANT: FN_ANX3,
CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS: FN_ANX4,
CQ.ANX5_GENERAL_GT_3H_ANY_DAY: FN_ANX5,
CQ.ANX_DUR_GENERAL: FN_ANX_DUR,
CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH: FN_PHOBIAS_MAND,
CQ.PHOBIAS_TYPE1: FN_PHOBIAS_TYPE1,
CQ.PHOBIAS1_DAYS_PAST_WEEK: FN_PHOBIAS1,
CQ.PHOBIAS2_PHYSICAL_SYMPTOMS: FN_PHOBIAS2,
CQ.PHOBIAS3_AVOIDANCE: FN_PHOBIAS3,
CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK: FN_PHOBIAS4,
CQ.PHOBIAS_DUR: FN_PHOBIAS_DUR,
CQ.PANIC_MAND_PAST_MONTH: FN_PANIC_MAND,
CQ.PANIC1_NUM_PAST_WEEK: FN_PANIC1,
CQ.PANIC2_HOW_UNPLEASANT: FN_PANIC2,
CQ.PANIC3_PANIC_GE_10_MIN: FN_PANIC3,
CQ.PANIC4_RAPID_ONSET: FN_PANIC4,
# CQ.PANSYM: # multiple stems
CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER: FN_PANIC5,
CQ.PANIC_DUR: FN_PANIC_DUR,
# CQ.ANX_OUTRO: # info only
CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH: FN_COMP_MAND1,
CQ.COMP1_DAYS_PAST_WEEK: FN_COMP1,
CQ.COMP2_TRIED_TO_STOP: FN_COMP2,
CQ.COMP3_UPSETTING: FN_COMP3,
CQ.COMP4_MAX_N_REPETITIONS: FN_COMP4,
CQ.COMP_DUR: FN_COMP_DUR,
CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH: FN_OBSESS_MAND1,
CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL: FN_OBSESS_MAND2,
CQ.OBSESS1_DAYS_PAST_WEEK: FN_OBSESS1,
CQ.OBSESS2_TRIED_TO_STOP: FN_OBSESS2,
CQ.OBSESS3_UPSETTING: FN_OBSESS3,
CQ.OBSESS4_MAX_DURATION: FN_OBSESS4,
CQ.OBSESS_DUR: FN_OBSESS_DUR,
# CQ.OVERALL1: # info only
CQ.OVERALL2_IMPACT_PAST_WEEK: FN_OVERALL2,
}
# Questions for which 1 = no, 2 = yes (+/- other options)
QUESTIONS_1_NO_2_YES = [
CQ.APPETITE1_LOSS_PAST_MONTH,
CQ.WEIGHT1_LOSS_PAST_MONTH,
CQ.WEIGHT2_TRYING_TO_LOSE,
CQ.APPETITE2_INCREASE_PAST_MONTH,
CQ.WEIGHT4_INCREASE_PAST_MONTH, # may also offer "yes but pregnant" # noqa
CQ.SOMATIC_MAND1_PAIN_PAST_MONTH,
CQ.SOMATIC_MAND2_DISCOMFORT,
CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY,
CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING, # also has other options # noqa
CQ.SOMATIC_DIS3_GT_3H_ANY_DAY,
CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING, # also has other options # noqa
CQ.FATIGUE_MAND1_TIRED_PAST_MONTH,
CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY,
CQ.FATIGUE_TIRED3_HAD_TO_PUSH,
CQ.FATIGUE_TIRED4_DURING_ENJOYABLE, # also has other options
CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH,
CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY,
CQ.FATIGUE_ENERGY3_HAD_TO_PUSH,
CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE, # also has other options
CQ.CONC_MAND1_POOR_CONC_PAST_MONTH,
CQ.CONC_MAND2_FORGETFUL_PAST_MONTH,
CQ.CONC3_CONC_PREVENTED_ACTIVITIES,
CQ.CONC4_FORGOTTEN_IMPORTANT,
CQ.SLEEP_MAND1_LOSS_PAST_MONTH,
CQ.SLEEP_EMW_PAST_WEEK,
CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH,
CQ.IRRIT2_GT_1H_ANY_DAY,
CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH,
CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS,
CQ.HYPO2_WORRY_TOO_MUCH,
CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH,
CQ.DEPR1_LOW_MOOD_PAST_WEEK,
CQ.DEPR4_GT_3H_ANY_DAY,
CQ.DEPTH3_RESTLESS,
CQ.DEPTH4_SLOWED,
CQ.DEPTH6_WORSE_THAN_OTHERS,
CQ.DEPTH7_HOPELESS,
CQ.DEPTH10_SUICIDE_METHOD,
CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH,
CQ.WORRY3_TOO_MUCH,
CQ.WORRY5_GT_3H_ANY_DAY,
CQ.ANX_MAND1_ANXIETY_PAST_MONTH,
CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH,
CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS,
CQ.ANX5_GENERAL_GT_3H_ANY_DAY,
CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH,
CQ.PHOBIAS2_PHYSICAL_SYMPTOMS,
CQ.PHOBIAS3_AVOIDANCE,
CQ.PANIC4_RAPID_ONSET,
CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER,
CQ.COMP2_TRIED_TO_STOP,
CQ.COMP3_UPSETTING,
CQ.OBSESS2_TRIED_TO_STOP,
CQ.OBSESS3_UPSETTING,
]
# Questions for which 1 = yes, 2 = no (+/- other options)
QUESTIONS_1_YES_2_NO = [
CQ.DISABLE,
CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION,
CQ.HYPO4_CAN_DISTRACT,
]
# Yes-no (or no-yes) questions but with specific text
QUESTIONS_YN_SPECIFIC_TEXT = [
CQ.WEIGHT2_TRYING_TO_LOSE,
CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY,
CQ.SOMATIC_DIS3_GT_3H_ANY_DAY,
CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY,
CQ.FATIGUE_TIRED3_HAD_TO_PUSH,
CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY,
CQ.FATIGUE_ENERGY3_HAD_TO_PUSH,
CQ.CONC_MAND1_POOR_CONC_PAST_MONTH,
CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION,
CQ.CONC4_FORGOTTEN_IMPORTANT,
CQ.SLEEP_EMW_PAST_WEEK,
CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH,
CQ.IRRIT2_GT_1H_ANY_DAY,
CQ.HYPO2_WORRY_TOO_MUCH,
CQ.HYPO4_CAN_DISTRACT,
CQ.DEPR1_LOW_MOOD_PAST_WEEK,
CQ.DEPR4_GT_3H_ANY_DAY,
CQ.DEPTH6_WORSE_THAN_OTHERS,
CQ.DEPTH7_HOPELESS,
CQ.WORRY3_TOO_MUCH,
CQ.WORRY5_GT_3H_ANY_DAY,
CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS,
CQ.ANX5_GENERAL_GT_3H_ANY_DAY,
CQ.PHOBIAS2_PHYSICAL_SYMPTOMS,
CQ.PHOBIAS3_AVOIDANCE,
CQ.COMP2_TRIED_TO_STOP,
CQ.COMP3_UPSETTING,
CQ.OBSESS2_TRIED_TO_STOP,
CQ.OBSESS3_UPSETTING,
]
# Demographics questions (optional for diagnosis)
QUESTIONS_DEMOGRAPHICS = [
CQ.ETHNIC,
CQ.MARRIED,
CQ.EMPSTAT,
CQ.EMPTYPE,
CQ.HOME,
]
# "Questions" that are just a prompt screen
QUESTIONS_PROMPT_ONLY = {
# Maps questions to their prompt's xstring name
CQ.INTRO_1: "intro_1",
CQ.INTRO_2: "intro_2",
CQ.INTRO_DEMOGRAPHICS: "intro_demographics_statement",
CQ.HEALTH_WELLBEING: "health_wellbeing_statement",
CQ.DOCTOR2_PLEASE_TALK_TO: "doctor2",
CQ.DEPR_OUTRO: "depr_outro",
CQ.WORRY1_INFO_ONLY: "worry1",
CQ.ANX1_INFO_ONLY: "anx1",
CQ.ANX_OUTRO: "anx_outro",
CQ.OVERALL1_INFO_ONLY: "overall1",
CQ.THANKS_FINISHED: "end",
}
# "How many days per week" questions
# "Overall duration" questions
QUESTIONS_OVERALL_DURATION = [
CQ.SOMATIC_DUR,
CQ.FATIGUE_DUR,
CQ.CONC_DUR,
CQ.FORGET_DUR,
CQ.SLEEP_DUR,
CQ.IRRIT_DUR,
CQ.HYPO_DUR,
CQ.DEPR_DUR,
CQ.WORRY_DUR,
CQ.ANX_DUR_GENERAL,
CQ.PHOBIAS_DUR,
CQ.PANIC_DUR,
CQ.COMP_DUR,
CQ.OBSESS_DUR,
]
# Multi-way questions, other than yes/no ones.
QUESTIONS_MULTIWAY = {
# Maps questions to first and last number of answers.
CQ.WEIGHT3_LOST_LOTS: (1, 2),
CQ.WEIGHT4_INCREASE_PAST_MONTH: (1, 2), # may be modified to 3 if female
CQ.WEIGHT5_GAINED_LOTS: (1, 2),
CQ.GP_YEAR: (0, 4), # unusual; starts at 0
CQ.ILLNESS: (1, 8),
CQ.SOMATIC_PAIN1_PSYCHOL_EXAC: (1, 3),
CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING: (1, 3),
CQ.SOMATIC_DIS1_PSYCHOL_EXAC: (1, 3),
CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING: (1, 3),
CQ.FATIGUE_TIRED4_DURING_ENJOYABLE: (1, 3),
CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE: (1, 3),
CQ.SLEEP_LOSE2_DIS_WORST_DURATION: (1, 4),
CQ.SLEEP_CAUSE: (1, 6),
CQ.SLEEP_MAND2_GAIN_PAST_MONTH: (1, 3),
CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT: (1, 4),
CQ.IRRIT_MAND2_THINGS_PAST_MONTH: (1, 3),
CQ.IRRIT3_WANTED_TO_SHOUT: (1, 3),
CQ.IRRIT4_ARGUMENTS: (1, 3),
CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH: (1, 3),
CQ.DEPR2_ENJOYMENT_PAST_WEEK: (1, 3),
CQ.DEPR5_COULD_CHEER_UP: (1, 3),
CQ.DEPTH1_DIURNAL_VARIATION: (1, 4),
CQ.DEPTH2_LIBIDO: (1, 4),
CQ.DEPTH5_GUILT: (1, 4),
CQ.DEPTH8_LNWL: (1, 3),
CQ.DEPTH9_SUICIDE_THOUGHTS: (1, 3),
CQ.DOCTOR: (1, 3),
CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL: (1, 2),
CQ.PHOBIAS_TYPE1: (1, 9),
CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK: (1, 3),
CQ.PANIC_MAND_PAST_MONTH: (1, 3),
CQ.PANIC1_NUM_PAST_WEEK: (1, 3),
CQ.PANIC2_HOW_UNPLEASANT: (1, 3),
CQ.PANIC3_PANIC_GE_10_MIN: (1, 2),
CQ.COMP4_MAX_N_REPETITIONS: (1, 3),
CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL: (1, 2),
CQ.OBSESS4_MAX_DURATION: (1, 2),
CQ.OVERALL2_IMPACT_PAST_WEEK: (1, 4),
}
QUESTIONS_MULTIWAY_WITH_EXTRA_STEM = {
# Maps questions to first and last number of answers.
CQ.ETHNIC: (1, 7), # 7 includes our additional "prefer not to say"
CQ.MARRIED: (1, 6), # 6 includes our additional "prefer not to say"
CQ.EMPSTAT: (1, 8), # 8 includes our additional "prefer not to say"
CQ.EMPTYPE: (
1,
7,
), # 7 includes our additional "not applicable" + "prefer not to say" # noqa
CQ.HOME: (1, 7), # 7 includes our additional "prefer not to say"
}
QUESTIONS_DAYS_PER_WEEK = [
CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK,
CQ.SOMATIC_DIS2_DAYS_PAST_WEEK,
CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK,
CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK,
CQ.CONC1_CONC_DAYS_PAST_WEEK,
CQ.IRRIT1_DAYS_PER_WEEK,
CQ.HYPO1_DAYS_PAST_WEEK,
CQ.DEPR3_DAYS_PAST_WEEK,
CQ.WORRY2_DAYS_PAST_WEEK,
CQ.ANX2_GENERAL_DAYS_PAST_WEEK,
CQ.PHOBIAS1_DAYS_PAST_WEEK,
# not this: CQ.PHOBIAS4_AVOIDANCE_FREQUENCY -- different phrasing
# not this: CQ.PANIC1_FREQUENCY
CQ.COMP1_DAYS_PAST_WEEK,
CQ.OBSESS1_DAYS_PAST_WEEK,
]
QUESTIONS_NIGHTS_PER_WEEK = [
CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK,
CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK,
CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK, # (*) see below
# (*) Probably an error in the original:
# "On how many nights in the PAST SEVEN NIGHTS did you have problems
# with your sleep? (1) None. (2) Between one and three days. (3) Four
# days or more." Note day/night confusion. Altered to "nights".
CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK,
]
QUESTIONS_HOW_UNPLEASANT_STANDARD = [
CQ.SOMATIC_PAIN4_UNPLEASANT,
CQ.SOMATIC_DIS4_UNPLEASANT,
CQ.HYPO3_HOW_UNPLEASANT,
CQ.WORRY4_HOW_UNPLEASANT,
CQ.ANX3_GENERAL_HOW_UNPLEASANT,
]
QUESTIONS_FATIGUE_CAUSES = [
CQ.FATIGUE_CAUSE1_TIRED,
CQ.FATIGUE_CAUSE2_LACK_ENERGY,
]
QUESTIONS_STRESSORS = [CQ.DEPR_CONTENT, CQ.WORRY_CONT1]
QUESTIONS_NO_SOMETIMES_OFTEN = [
CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH,
CQ.ANX_MAND2_TENSION_PAST_MONTH,
CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH,
CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH,
# and no-sometimes-often values also used by:
# CQ.PANIC_MAND_PAST_MONTH
# ... but with variations on the text.
]
# =============================================================================
# Ancillary functions
# =============================================================================
def fieldname_for_q(q: CisrQuestion) -> str:
return FIELDNAME_FOR_QUESTION.get(q, "")
def enum_to_int(qe: CisrQuestion) -> int:
return qe.value
def int_to_enum(qi: int) -> CisrQuestion:
# https://stackoverflow.com/questions/23951641/how-to-convert-int-to-enum-in-python # noqa
return CisrQuestion(qi)
# =============================================================================
# CisrResult
# =============================================================================
class CisrResult(object):
def __init__(self, record_decisions: bool = False) -> None:
self.incomplete = False
self.record_decisions = record_decisions
self.decisions = [] # type: List[str]
# Symptom scoring
self.depression = 0 # DEPR in original
self.depr_crit_1_mood_anhedonia_energy = 0 # DEPCRIT1
self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui = 0 # DEPCRIT2
self.depr_crit_3_somatic_synd = 0 # DEPCRIT3
# ... looks to me like the ICD-10 criteria for somatic syndrome
# (e.g. F32.01, F32.11, F33.01, F33.11), with the "do you cheer up
# when..." question (DEPR5) being the one for "lack of emotional
# reactions to events or activities that normally produce an
# emotional response".
self.weight_change = (
WTCHANGE_NONE_OR_APPETITE_INCREASE # WTCHANGE IN original # noqa
)
self.somatic_symptoms = 0 # SOMATIC in original
self.fatigue = 0 # FATIGUE in original
self.neurasthenia = 0 # NEURAS in original
self.concentration_poor = 0 # CONC in original
self.sleep_problems = 0 # SLEEP in original
self.sleep_change = SLEEPCHANGE_NONE # SLEEPCH in original
self.depressive_thoughts = 0 # DEPTHTS in original
self.irritability = 0 # IRRIT in original
self.diurnal_mood_variation = DIURNAL_MOOD_VAR_NONE # DVM in original
self.libido_decreased = False # LIBID in original
self.psychomotor_changes = PSYCHOMOTOR_NONE # PSYCHMOT in original
self.suicidality = (
SUICIDE_INTENT_NONE
) # type: int # SUICID in original # noqa
self.depression_at_least_2_weeks = False # DEPR_DUR >= 2 in original
self.hypochondria = 0 # HYPO in original
self.worry = 0 # WORRY in original
self.anxiety = 0 # ANX in original
self.anxiety_physical_symptoms = False # AN4 == 2 in original
self.anxiety_at_least_2_weeks = False # ANX_DUR >= 2 in original
self.phobias_flag = False # PHOBIAS_FLAG in original
self.phobias_score = 0 # PHOBIAS in original
self.phobias_type = 0 # PHOBIAS_TYPE in original
self.phobic_avoidance = False # PHOBIAS3 == 2 in original
self.panic = 0 # PANIC in original
self.panic_rapid_onset = False # PANIC4 == 2 in original
self.panic_symptoms_total = 0 # PANSYTOT in original
self.compulsions = 0 # COMP in original
self.compulsions_tried_to_stop = False # COMP2 == 2 in original
self.compulsions_at_least_2_weeks = False # COMP_DUR >= 2 in original
self.obsessions = 0 # OBSESS in original
self.obsessions_tried_to_stop = False # OBSESS2 == 2 in original
self.obsessions_at_least_2_weeks = False # OBSESS_DUR >= 2 in original
self.functional_impairment = 0 # IMPAIR in original
# Disorder flags
self.obsessive_compulsive_disorder = False # OBCOMP in original
self.depression_mild = False # DEPRMILD in original
self.depression_moderate = False # DEPRMOD in original
self.depression_severe = False # DEPRSEV in original
self.chronic_fatigue_syndrome = False # CFS in original
self.generalized_anxiety_disorder = False # GAD in original
self.phobia_agoraphobia = False # PHOBAG in original
self.phobia_social = False # PHOBSOC in original
self.phobia_specific = False # PHOBSPEC in original
self.panic_disorder = False # PANICD in original
# Final diagnoses
self.diagnosis_1 = DIAG_0_NO_DIAGNOSIS # DIAG1 in original
self.diagnosis_2 = DIAG_0_NO_DIAGNOSIS # DIAG2 in original
# -------------------------------------------------------------------------
# Overall scoring
# -------------------------------------------------------------------------
def get_score(self) -> int: # SCORE in original
return (
self.somatic_symptoms
+ self.fatigue
+ self.concentration_poor
+ self.sleep_problems
+ self.irritability
+ self.hypochondria
+ self.depression
+ self.depressive_thoughts
+ self.worry
+ self.anxiety
+ self.phobias_score
+ self.panic
+ self.compulsions
+ self.obsessions
)
def needs_impairment_question(self) -> bool:
# code in OVERALL1 in original
threshold = 2 # for all symptoms
return (
self.somatic_symptoms >= threshold
or self.hypochondria >= threshold
or self.fatigue >= threshold
or self.sleep_problems >= threshold
or self.irritability >= threshold
or self.concentration_poor >= threshold
or self.depression >= threshold
or self.depressive_thoughts >= threshold
or self.phobias_score >= threshold
or self.worry >= threshold
or self.anxiety >= threshold
or self.panic >= threshold
or self.compulsions >= threshold
or self.obsessions >= threshold
)
def has_somatic_syndrome(self) -> bool:
return self.depr_crit_3_somatic_synd >= SOMATIC_SYNDROME_CRITERION
def get_final_page(self) -> CisrQuestion:
# see chooseFinalPage() in the C++ version
return (
CQ.OVERALL1_INFO_ONLY
if self.needs_impairment_question()
else CQ.THANKS_FINISHED
)
def decide(self, decision: str) -> None:
if self.record_decisions:
self.decisions.append(decision)
def _showint(self, name: str, value: int) -> None:
self.decide(f"{SCORE_PREFIX}{name}: {value}")
def _showbool(self, name: str, value: bool) -> None:
self.decide(f"{SCORE_PREFIX}{name}: {'true' if value else 'false'}")
def diagnosis_name(self, diagnosis_code: int) -> str:
if self.incomplete:
# Do NOT offer diagnostic information based on partial data.
# Might be dangerous (e.g. say "mild depressive episode" when it's
# severe + incomplete information).
return "INFORMATION INCOMPLETE"
if diagnosis_code == DIAG_0_NO_DIAGNOSIS:
return "No diagnosis identified"
elif diagnosis_code == DIAG_1_MIXED_ANX_DEPR_DIS_MILD:
return "Mixed anxiety and depressive disorder (mild)"
elif diagnosis_code == DIAG_2_GENERALIZED_ANX_DIS_MILD:
return "Generalized anxiety disorder (mild)"
elif diagnosis_code == DIAG_3_OBSESSIVE_COMPULSIVE_DIS:
return "Obsessive–compulsive disorder"
elif diagnosis_code == DIAG_4_MIXED_ANX_DEPR_DIS:
return "Mixed anxiety and depressive disorder"
elif diagnosis_code == DIAG_5_SPECIFIC_PHOBIA:
return "Specific (isolated) phobia"
elif diagnosis_code == DIAG_6_SOCIAL_PHOBIA:
return "Social phobia"
elif diagnosis_code == DIAG_7_AGORAPHOBIA:
return "Agoraphobia"
elif diagnosis_code == DIAG_8_GENERALIZED_ANX_DIS:
return "Generalized anxiety disorder"
elif diagnosis_code == DIAG_9_PANIC_DIS:
return "Panic disorder"
elif diagnosis_code == DIAG_10_MILD_DEPR_EPISODE:
return "Mild depressive episode"
elif diagnosis_code == DIAG_11_MOD_DEPR_EPISODE:
return "Moderate depressive episode"
elif diagnosis_code == DIAG_12_SEVERE_DEPR_EPISODE:
return "Severe depressive episode"
else:
return "[INTERNAL ERROR: BAD DIAGNOSIS CODE]"
def diagnosis_icd10_code(self, diagnosis_code: int) -> str:
if self.incomplete:
return ""
if diagnosis_code == DIAG_0_NO_DIAGNOSIS:
return ""
elif diagnosis_code == DIAG_1_MIXED_ANX_DEPR_DIS_MILD:
return "F41.2" # no sub-code for "mild"
elif diagnosis_code == DIAG_2_GENERALIZED_ANX_DIS_MILD:
return "F41.1" # no sub-code for "mild"
elif diagnosis_code == DIAG_3_OBSESSIVE_COMPULSIVE_DIS:
return "Obsessive–compulsive disorder"
elif diagnosis_code == DIAG_4_MIXED_ANX_DEPR_DIS:
return "F41.2"
elif diagnosis_code == DIAG_5_SPECIFIC_PHOBIA:
return "F40.2"
elif diagnosis_code == DIAG_6_SOCIAL_PHOBIA:
return "F40.1"
elif diagnosis_code == DIAG_7_AGORAPHOBIA:
return "F40.0" # not clear whether F40.00/F40.01 are distinguished
elif diagnosis_code == DIAG_8_GENERALIZED_ANX_DIS:
return "F41.1"
elif diagnosis_code == DIAG_9_PANIC_DIS:
return "F41.0"
elif diagnosis_code == DIAG_10_MILD_DEPR_EPISODE:
if self.has_somatic_syndrome():
return "F32.01"
else:
return "F32.00"
elif diagnosis_code == DIAG_11_MOD_DEPR_EPISODE:
if self.has_somatic_syndrome():
return "F32.11"
else:
return "F32.10"
elif diagnosis_code == DIAG_12_SEVERE_DEPR_EPISODE:
return "F32.2 or F32.3"
else:
return "[INTERNAL ERROR: BAD DIAGNOSIS CODE]"
def has_diagnosis(self, diagnosis_code: int) -> bool:
return not self.incomplete and diagnosis_code != DIAG_0_NO_DIAGNOSIS
def has_diagnosis_1(self) -> bool:
return self.has_diagnosis(self.diagnosis_1)
def has_diagnosis_2(self) -> bool:
return self.has_diagnosis(self.diagnosis_1)
def diagnosis_1_name(self) -> str:
return self.diagnosis_name(self.diagnosis_1)
def diagnosis_1_icd10_code(self) -> str:
return self.diagnosis_icd10_code(self.diagnosis_1)
def diagnosis_2_name(self) -> str:
return self.diagnosis_name(self.diagnosis_2)
def diagnosis_2_icd10_code(self) -> str:
return self.diagnosis_icd10_code(self.diagnosis_2)
def finalize(self) -> None:
at_least_1_activity_impaired = (
self.functional_impairment >= OVERALL_IMPAIRMENT_STOP_1_ACTIVITY
)
score = self.get_score()
# GAD
if (
self.anxiety >= 2
and self.anxiety_physical_symptoms
and self.anxiety_at_least_2_weeks
):
self.decide(
"Anxiety score >= 2 AND physical symptoms of anxiety AND "
"anxiety for at least 2 weeks. "
"Setting generalized_anxiety_disorder."
)
self.generalized_anxiety_disorder = True
# Panic
if self.panic >= 3 and self.panic_rapid_onset:
self.decide(
"Panic score >= 3 AND panic_rapid_onset. "
"Setting panic_disorder."
)
self.panic_disorder = True
# Phobias
if (
self.phobias_type == PHOBIATYPES_AGORAPHOBIA
and self.phobic_avoidance
and self.phobias_score >= 2
):
self.decide(
"Phobia type is agoraphobia AND phobic avoidance AND"
"phobia score >= 2. Setting phobia_agoraphobia."
)
self.phobia_agoraphobia = True
if (
self.phobias_type == PHOBIATYPES_SOCIAL
and self.phobic_avoidance
and self.phobias_score >= 2
):
self.decide(
"Phobia type is social AND phobic avoidance AND"
"phobia score >= 2. Setting phobia_social."
)
self.phobia_social = True
if (
self.phobias_type == PHOBIATYPES_SOCIAL
and self.phobic_avoidance
and self.phobias_score >= 2
):
self.decide(
"Phobia type is (animals/enclosed/heights OR other) AND "
"phobic avoidance AND phobia score >= 2. "
"Setting phobia_specific."
)
self.phobia_specific = True
# OCD
if (
self.obsessions + self.compulsions >= 6
and self.obsessions_tried_to_stop
and self.obsessions_at_least_2_weeks
and at_least_1_activity_impaired
):
self.decide(
"obsessions + compulsions >= 6 AND "
"tried to stop obsessions AND "
"obsessions for at least 2 weeks AND "
"at least 1 activity impaired. "
"Setting obsessive_compulsive_disorder."
)
self.obsessive_compulsive_disorder = True
if (
self.obsessions + self.compulsions >= 6
and self.compulsions_tried_to_stop
and self.compulsions_at_least_2_weeks
and at_least_1_activity_impaired
):
self.decide(
"obsessions + compulsions >= 6 AND "
"tried to stop compulsions AND "
"compulsions for at least 2 weeks AND "
"at least 1 activity impaired. "
"Setting obsessive_compulsive_disorder."
)
self.obsessive_compulsive_disorder = True
if (
self.obsessions == 4
and self.obsessions_tried_to_stop
and self.obsessions_at_least_2_weeks
and at_least_1_activity_impaired
):
# NOTE: 4 is the maximum for obsessions
self.decide(
"obsessions == 4 AND "
"tried to stop obsessions AND "
"obsessions for at least 2 weeks AND "
"at least 1 activity impaired. "
"Setting obsessive_compulsive_disorder."
)
self.obsessive_compulsive_disorder = True
if (
self.compulsions == 4
and self.compulsions_tried_to_stop
and self.compulsions_at_least_2_weeks
and at_least_1_activity_impaired
):
# NOTE: 4 is the maximum for compulsions
self.decide(
"compulsions == 4 AND "
"tried to stop compulsions AND "
"compulsions for at least 2 weeks AND "
"at least 1 activity impaired. "
"Setting obsessive_compulsive_disorder."
)
self.obsessive_compulsive_disorder = True
# Depression
if (
self.depression_at_least_2_weeks
and self.depr_crit_1_mood_anhedonia_energy > 1
and self.depr_crit_1_mood_anhedonia_energy
+ self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui
> 3
):
self.decide(
"Depressive symptoms >=2 weeks AND "
"depr_crit_1_mood_anhedonia_energy > 1 AND "
"depr_crit_1_mood_anhedonia_energy + "
"depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 3. "
"Setting depression_mild."
)
self.depression_mild = True
if (
self.depression_at_least_2_weeks
and self.depr_crit_1_mood_anhedonia_energy > 1
and (
self.depr_crit_1_mood_anhedonia_energy
+ self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui
)
> 5
):
self.decide(
"Depressive symptoms >=2 weeks AND "
"depr_crit_1_mood_anhedonia_energy > 1 AND "
"depr_crit_1_mood_anhedonia_energy + "
"depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 5. "
"Setting depression_moderate."
)
self.depression_moderate = True
if (
self.depression_at_least_2_weeks
and self.depr_crit_1_mood_anhedonia_energy == 3
and self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 4
):
self.decide(
"Depressive symptoms >=2 weeks AND "
"depr_crit_1_mood_anhedonia_energy == 3 AND "
"depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 4. "
"Setting depression_severe."
)
self.depression_severe = True
# CFS
if self.neurasthenia >= 2:
# The original had a pointless check for "DIAG1 == 0" too, but that
# was always true.
self.decide("neurasthenia >= 2. Setting chronic_fatigue_syndrome.")
self.chronic_fatigue_syndrome = True
# Final diagnostic hierarchy
# ... primary diagnosis
if score >= 12:
self.decide(
"Total score >= 12. Setting diagnosis_1 to "
"DIAG_1_MIXED_ANX_DEPR_DIS_MILD."
)
self.diagnosis_1 = DIAG_1_MIXED_ANX_DEPR_DIS_MILD
if self.generalized_anxiety_disorder:
self.decide(
"generalized_anxiety_disorder is true. Setting "
"diagnosis_1 to DIAG_2_GENERALIZED_ANX_DIS_MILD."
)
self.diagnosis_1 = DIAG_2_GENERALIZED_ANX_DIS_MILD
if self.obsessive_compulsive_disorder:
self.decide(
"obsessive_compulsive_disorder is true. Setting "
"diagnosis_1 to DIAG_3_OBSESSIVE_COMPULSIVE_DIS."
)
self.diagnosis_1 = DIAG_3_OBSESSIVE_COMPULSIVE_DIS
if score >= 20:
self.decide(
"Total score >= 20. Setting diagnosis_1 to "
"DIAG_4_MIXED_ANX_DEPR_DIS."
)
self.diagnosis_1 = DIAG_4_MIXED_ANX_DEPR_DIS
if self.phobia_specific:
self.decide(
"phobia_specific is true. Setting diagnosis_1 to "
"DIAG_5_SPECIFIC_PHOBIA."
)
self.diagnosis_1 = DIAG_5_SPECIFIC_PHOBIA
if self.phobia_social:
self.decide(
"phobia_social is true. Setting diagnosis_1 to "
"DIAG_6_SOCIAL_PHOBIA."
)
self.diagnosis_1 = DIAG_6_SOCIAL_PHOBIA
if self.phobia_agoraphobia:
self.decide(
"phobia_agoraphobia is true. Setting diagnosis_1 to "
"DIAG_7_AGORAPHOBIA."
)
self.diagnosis_1 = DIAG_7_AGORAPHOBIA
if self.generalized_anxiety_disorder and score >= 20:
self.decide(
"generalized_anxiety_disorder is true AND "
"score >= 20. Setting diagnosis_1 to "
"DIAG_8_GENERALIZED_ANX_DIS."
)
self.diagnosis_1 = DIAG_8_GENERALIZED_ANX_DIS
if self.panic_disorder:
self.decide(
"panic_disorder is true. Setting diagnosis_1 to "
"DIAG_9_PANIC_DIS."
)
self.diagnosis_1 = DIAG_9_PANIC_DIS
if self.depression_mild:
self.decide(
"depression_mild is true. Setting diagnosis_1 to "
"DIAG_10_MILD_DEPR_EPISODE."
)
self.diagnosis_1 = DIAG_10_MILD_DEPR_EPISODE
if self.depression_moderate:
self.decide(
"depression_moderate is true. Setting diagnosis_1 to "
"DIAG_11_MOD_DEPR_EPISODE."
)
self.diagnosis_1 = DIAG_11_MOD_DEPR_EPISODE
if self.depression_severe:
self.decide(
"depression_severe is true. Setting diagnosis_1 to "
"DIAG_12_SEVERE_DEPR_EPISODE."
)
self.diagnosis_1 = DIAG_12_SEVERE_DEPR_EPISODE
# ... secondary diagnosis
if score >= 12 and self.diagnosis_1 >= 2:
self.decide(
"score >= 12 AND diagnosis_1 >= 2. "
"Setting diagnosis_2 to DIAG_1_MIXED_ANX_DEPR_DIS_MILD."
)
self.diagnosis_2 = DIAG_1_MIXED_ANX_DEPR_DIS_MILD
if self.generalized_anxiety_disorder and self.diagnosis_1 >= 3:
self.decide(
"generalized_anxiety_disorder is true AND "
"diagnosis_1 >= 3. "
"Setting diagnosis_2 to DIAG_2_GENERALIZED_ANX_DIS_MILD."
)
self.diagnosis_2 = DIAG_2_GENERALIZED_ANX_DIS_MILD
if self.obsessive_compulsive_disorder and self.diagnosis_1 >= 4:
self.decide(
"obsessive_compulsive_disorder is true AND "
"diagnosis_1 >= 4. "
"Setting diagnosis_2 to DIAG_3_OBSESSIVE_COMPULSIVE_DIS."
)
self.diagnosis_2 = DIAG_3_OBSESSIVE_COMPULSIVE_DIS
if score >= 20 and self.diagnosis_1 >= 5:
self.decide(
"score >= 20 AND diagnosis_1 >= 5. "
"Setting diagnosis_2 to DIAG_4_MIXED_ANX_DEPR_DIS."
)
self.diagnosis_2 = DIAG_4_MIXED_ANX_DEPR_DIS
if self.phobia_specific and self.diagnosis_1 >= 6:
self.decide(
"phobia_specific is true AND diagnosis_1 >= 6. "
"Setting diagnosis_2 to DIAG_5_SPECIFIC_PHOBIA."
)
self.diagnosis_2 = DIAG_5_SPECIFIC_PHOBIA
if self.phobia_social and self.diagnosis_1 >= 7:
self.decide(
"phobia_social is true AND diagnosis_1 >= 7. "
"Setting diagnosis_2 to DIAG_6_SOCIAL_PHOBIA."
)
self.diagnosis_2 = DIAG_6_SOCIAL_PHOBIA
if self.phobia_agoraphobia and self.diagnosis_1 >= 8:
self.decide(
"phobia_agoraphobia is true AND diagnosis_1 >= 8. "
"Setting diagnosis_2 to DIAG_7_AGORAPHOBIA."
)
self.diagnosis_2 = DIAG_7_AGORAPHOBIA
if (
self.generalized_anxiety_disorder
and score >= 20
and self.diagnosis_1 >= 9
):
self.decide(
"generalized_anxiety_disorder is true AND "
"score >= 20 AND "
"diagnosis_1 >= 9. "
"Setting diagnosis_2 to DIAG_8_GENERALIZED_ANX_DIS."
)
self.diagnosis_2 = DIAG_8_GENERALIZED_ANX_DIS
if self.panic_disorder and self.diagnosis_1 >= 9:
self.decide(
"panic_disorder is true AND diagnosis_1 >= 9. "
"Setting diagnosis_2 to DIAG_9_PANIC_DIS."
)
self.diagnosis_2 = DIAG_9_PANIC_DIS
# In summary:
self.decide("FINISHED.")
self.decide("--- Final scores:")
self._showint("depression", self.depression)
self._showint(
"depr_crit_1_mood_anhedonia_energy",
self.depr_crit_1_mood_anhedonia_energy,
)
self._showint(
"depr_crit_2_app_cnc_slp_mtr_glt_wth_sui",
self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui,
)
self._showint(
"depr_crit_3_somatic_synd", self.depr_crit_3_somatic_synd
)
self._showint("weight_change", self.weight_change)
self._showint("somatic_symptoms", self.somatic_symptoms)
self._showint("fatigue", self.fatigue)
self._showint("neurasthenia", self.neurasthenia)
self._showint("concentration_poor", self.concentration_poor)
self._showint("sleep_problems", self.sleep_problems)
self._showint("sleep_change", self.sleep_change)
self._showint("depressive_thoughts", self.depressive_thoughts)
self._showint("irritability", self.irritability)
self._showint("diurnal_mood_variation", self.diurnal_mood_variation)
self._showbool("libido_decreased", self.libido_decreased)
self._showint("psychomotor_changes", self.psychomotor_changes)
self._showint("suicidality", self.suicidality)
self._showbool(
"depression_at_least_2_weeks", self.depression_at_least_2_weeks
)
self._showint("hypochondria", self.hypochondria)
self._showint("worry", self.worry)
self._showint("anxiety", self.anxiety)
self._showbool(
"anxiety_physical_symptoms", self.anxiety_physical_symptoms
)
self._showbool(
"anxiety_at_least_2_weeks", self.anxiety_at_least_2_weeks
)
self._showbool("phobias_flag", self.phobias_flag)
self._showint("phobias_score", self.phobias_score)
self._showint("phobias_type", self.phobias_type)
self._showbool("phobic_avoidance", self.phobic_avoidance)
self._showint("panic", self.panic)
self._showbool("panic_rapid_onset", self.panic_rapid_onset)
self._showint("panic_symptoms_total", self.panic_symptoms_total)
self._showint("compulsions", self.compulsions)
self._showbool(
"compulsions_tried_to_stop", self.compulsions_tried_to_stop
)
self._showbool(
"compulsions_at_least_2_weeks", self.compulsions_at_least_2_weeks
)
self._showint("obsessions", self.obsessions)
self._showbool(
"obsessions_tried_to_stop", self.obsessions_tried_to_stop
)
self._showbool(
"obsessions_at_least_2_weeks", self.obsessions_at_least_2_weeks
)
self._showint("functional_impairment", self.functional_impairment)
# Disorder flags
self._showbool(
"obsessive_compulsive_disorder", self.obsessive_compulsive_disorder
)
self._showbool("depression_mild", self.depression_mild)
self._showbool("depression_moderate", self.depression_moderate)
self._showbool("depression_severe", self.depression_severe)
self._showbool(
"chronic_fatigue_syndrome", self.chronic_fatigue_syndrome
)
self._showbool(
"generalized_anxiety_disorder", self.generalized_anxiety_disorder
)
self._showbool("phobia_agoraphobia", self.phobia_agoraphobia)
self._showbool("phobia_social", self.phobia_social)
self._showbool("phobia_specific", self.phobia_specific)
self._showbool("panic_disorder", self.panic_disorder)
self.decide("--- Final diagnoses:")
self.decide(
"Probable primary diagnosis: "
+ self.diagnosis_name(self.diagnosis_1)
)
self.decide(
"Probable secondary diagnosis: "
+ self.diagnosis_name(self.diagnosis_2)
)
# =============================================================================
# CISR
# =============================================================================
[docs]class Cisr(TaskHasPatientMixin, Task):
"""
Server implementation of the CIS-R task.
"""
__tablename__ = "cisr"
shortname = "CIS-R"
provides_trackers = False
# Demographics
ethnic = CamcopsColumn(
FN_ETHNIC,
Integer,
comment=(
CMT_DEMOGRAPHICS
+ "Ethnicity (1 white, 2 mixed, 3 Asian/British Asian, "
"4 Black/Black British, 5 Chinese, 6 other, 7 prefer not to say)"
),
permitted_value_checker=ONE_TO_SEVEN_CHECKER,
)
married = CamcopsColumn(
FN_MARRIED,
Integer,
comment=(
CMT_DEMOGRAPHICS
+ "Marital status (1 married/living as married, 2 single, "
"3 separated, 4 divorced, 5 widowed, 6 prefer not to say)"
),
permitted_value_checker=ONE_TO_SIX_CHECKER,
)
empstat = CamcopsColumn(
FN_EMPSTAT,
Integer,
comment=(
CMT_DEMOGRAPHICS
+ "Current employment status (1 working full time, "
"2 working part time, 3 student, 4 retired, 5 houseperson, "
"6 unemployed job seeker, 7 unemployed due to ill health,"
"8 prefer not to say)"
),
permitted_value_checker=ONE_TO_EIGHT_CHECKER,
)
emptype = CamcopsColumn(
FN_EMPTYPE,
Integer,
comment=(
CMT_DEMOGRAPHICS + "Current/last paid employment "
"(1 self-employed with paid employees, "
"2 self-employed with no paid employees, 3 employee, "
"4 foreman/supervisor, 5 manager, 6 not applicable,"
"7 prefer not to say)"
),
permitted_value_checker=ONE_TO_SEVEN_CHECKER,
)
home = CamcopsColumn(
FN_HOME,
Integer,
comment=(
CMT_DEMOGRAPHICS
+ "Housing situation (1 home owner, 2 tenant, 3 living with "
"relative/friend, 4 hostel/care home, 5 homeless, 6 other,"
"7 prefer not to say)"
),
permitted_value_checker=ONE_TO_SEVEN_CHECKER,
)
# Appetite/weight
appetite1 = CamcopsColumn(
FN_APPETITE1,
Integer,
comment="Marked appetite loss in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
weight1 = CamcopsColumn(
FN_WEIGHT1,
Integer,
comment="Weight loss in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
weight2 = CamcopsColumn(
FN_WEIGHT2,
Integer,
comment="Weight loss: trying to lose weight?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
weight3 = CamcopsColumn(
FN_WEIGHT3,
Integer,
comment="Weight loss amount (1: ≥0.5 stones; 2: <0.5 stones)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
appetite2 = CamcopsColumn(
FN_APPETITE2,
Integer,
comment="Marked increase in appetite in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
weight4 = CamcopsColumn(
# male/female responses unified (no "weight4a")
FN_WEIGHT4,
Integer,
comment="Weight gain in past month (1 yes, 2 no, 3 yes but pregnant)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
weight5 = CamcopsColumn(
FN_WEIGHT5,
Integer,
comment="Weight gain amount (1: ≥0.5 stones; 2: <0.5 stones)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
# Somatic problems
gp_year = CamcopsColumn(
FN_GP_YEAR,
Integer,
comment="Consultations with GP in past year (0: none, 1: 1–2, 2: 3–4, "
"3: 6–10; 4: >10",
permitted_value_checker=ZERO_TO_FOUR_CHECKER,
)
disable = CamcopsColumn(
FN_DISABLE,
Integer,
comment="Longstanding illness/disability/infirmity" + CMT_1_YES_2_NO,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
illness = CamcopsColumn(
FN_ILLNESS,
Integer,
comment="Conditions (1 diabetes, 2 asthma, 3 arthritis, 4 heart "
"disease, 5 high blood pressure, 6 lung disease, 7 more than "
"one of the above, 8 none of the above)",
permitted_value_checker=ONE_TO_EIGHT_CHECKER,
)
somatic_mand1 = CamcopsColumn(
FN_SOMATIC_MAND1,
Integer,
comment="Any aches/pains in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
somatic_pain1 = CamcopsColumn(
FN_SOMATIC_PAIN1,
Integer,
comment="Pain/ache brought on or made worse because low/anxious/"
"stressed" + CMT_NEVER_SOMETIMES_ALWAYS,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_pain2 = CamcopsColumn(
FN_SOMATIC_PAIN2,
Integer,
comment="Pain: days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_pain3 = CamcopsColumn(
FN_SOMATIC_PAIN3,
Integer,
comment="Pain: lasted >3h on any day in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
somatic_pain4 = CamcopsColumn(
FN_SOMATIC_PAIN4,
Integer,
comment="Pain: unpleasant in past week?" + CMT_UNPLEASANT,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
somatic_pain5 = CamcopsColumn(
FN_SOMATIC_PAIN5,
Integer,
comment="Pain: bothersome whilst doing something interesting in past "
"week?" + CMT_BOTHERSOME_INTERESTING,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_mand2 = CamcopsColumn(
FN_SOMATIC_MAND2,
Integer,
comment="Bodily discomfort in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
somatic_dis1 = CamcopsColumn(
FN_SOMATIC_DIS1,
Integer,
comment="Discomfort brought on or made worse because low/anxious/"
"stressed" + CMT_NEVER_SOMETIMES_ALWAYS,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_dis2 = CamcopsColumn(
FN_SOMATIC_DIS2,
Integer,
comment="Discomfort: days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_dis3 = CamcopsColumn(
FN_SOMATIC_DIS3,
Integer,
comment="Discomfort: lasted >3h on any day in past week"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
somatic_dis4 = CamcopsColumn(
FN_SOMATIC_DIS4,
Integer,
comment="Discomfort: unpleasant in past week?" + CMT_UNPLEASANT,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
somatic_dis5 = CamcopsColumn(
FN_SOMATIC_DIS5,
Integer,
comment="Discomfort: bothersome whilst doing something interesting in "
"past week?" + CMT_BOTHERSOME_INTERESTING,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
somatic_dur = CamcopsColumn(
FN_SOMATIC_DUR,
Integer,
comment="Duration of ache/pain/discomfort" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Fatigue/lacking energy
fatigue_mand1 = CamcopsColumn(
FN_FATIGUE_MAND1,
Integer,
comment="Tired in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_cause1 = CamcopsColumn(
FN_FATIGUE_CAUSE1,
Integer,
comment="Main reason for feeling tired" + CMT_FATIGUE_CAUSE,
permitted_value_checker=ONE_TO_EIGHT_CHECKER,
)
fatigue_tired1 = CamcopsColumn(
FN_FATIGUE_TIRED1,
Integer,
comment="Tired: days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
fatigue_tired2 = CamcopsColumn(
FN_FATIGUE_TIRED2,
Integer,
comment="Tired: >3h on any one day in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_tired3 = CamcopsColumn(
FN_FATIGUE_TIRED3,
Integer,
comment="So tired you've had to push yourself to get things done in "
"past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_tired4 = CamcopsColumn(
FN_FATIGUE_TIRED4,
Integer,
comment="Tired during an enjoyable activity" + CMT_DURING_ENJOYABLE,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
fatigue_mand2 = CamcopsColumn(
FN_FATIGUE_MAND2,
Integer,
comment="Lacking in energy in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_cause2 = CamcopsColumn(
FN_FATIGUE_CAUSE2,
Integer,
comment="Main reason for lacking energy" + CMT_FATIGUE_CAUSE,
permitted_value_checker=ONE_TO_EIGHT_CHECKER,
)
fatigue_energy1 = CamcopsColumn(
FN_FATIGUE_ENERGY1,
Integer,
comment="Lacking energy: days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
fatigue_energy2 = CamcopsColumn(
FN_FATIGUE_ENERGY2,
Integer,
comment="Lacking energy: for >3h on any one day in past week"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_energy3 = CamcopsColumn(
FN_FATIGUE_ENERGY3,
Integer,
comment="So lacking in energy you've had to push yourself to get "
"things done in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
fatigue_energy4 = CamcopsColumn(
FN_FATIGUE_ENERGY4,
Integer,
comment="Lacking energy during an enjoyable activity"
+ CMT_DURING_ENJOYABLE,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
fatigue_dur = CamcopsColumn(
FN_FATIGUE_DUR,
Integer,
comment="Feeling tired/lacking energy for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Concentration/memory
conc_mand1 = CamcopsColumn(
FN_CONC_MAND1,
Integer,
comment="Problems in concentrating during past monnth?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
conc_mand2 = CamcopsColumn(
FN_CONC_MAND2,
Integer,
comment="Problems with forgetting things during past month?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
conc1 = CamcopsColumn(
FN_CONC1,
Integer,
comment="Concentration/memory problems: days in past week"
+ CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
conc2 = CamcopsColumn(
FN_CONC2,
Integer,
comment="In past week, could concentrate on all of: TV, newspaper, "
"conversation" + CMT_1_YES_2_NO,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
conc3 = CamcopsColumn(
FN_CONC3,
Integer,
comment="Problems with concentration have stopped you from getting on "
"with things in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
conc_dur = CamcopsColumn(
FN_CONC_DUR,
Integer,
comment="Problems with concentration: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
conc4 = CamcopsColumn(
FN_CONC4,
Integer,
comment="Forgotten anything important in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
forget_dur = CamcopsColumn(
FN_FORGET_DUR,
Integer,
comment="Problems with memory: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Sleep
sleep_mand1 = CamcopsColumn(
FN_SLEEP_MAND1,
Integer,
comment="Problems with sleep loss in past month" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
sleep_lose1 = CamcopsColumn(
FN_SLEEP_LOSE1,
Integer,
comment="Sleep loss: nights in past week with problems"
+ CMT_NIGHTS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
sleep_lose2 = CamcopsColumn(
FN_SLEEP_LOSE2,
Integer,
comment="On night with least sleep in past week, how long trying to "
"get to sleep?" + CMT_SLEEP_CHANGE,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
sleep_lose3 = CamcopsColumn(
FN_SLEEP_LOSE3,
Integer,
comment="On how many nights in past week did you spend >=3h trying to "
"get to sleep?" + CMT_NIGHTS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
sleep_emw = CamcopsColumn(
FN_SLEEP_EMW,
Integer,
comment="Woken >2h earlier (and couldn't return to sleep) in past "
"week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
sleep_cause = CamcopsColumn(
FN_SLEEP_CAUSE,
Integer,
comment="What are your sleep difficulties caused by? (1 noise, "
"2 shift work, 3 pain/illness, 4 worries, 5 unknown, 6 other",
permitted_value_checker=ONE_TO_SIX_CHECKER,
)
sleep_mand2 = CamcopsColumn(
FN_SLEEP_MAND2,
Integer,
comment="Problems with excess sleep in past month (1 no, 2 slept more "
"than usual but not a problem, 3 yes)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
sleep_gain1 = CamcopsColumn(
FN_SLEEP_GAIN1,
Integer,
comment="Sleep gain: how many nights in past week"
+ CMT_NIGHTS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
sleep_gain2 = CamcopsColumn(
FN_SLEEP_GAIN2,
Integer,
comment="On night with most sleep in past week, how much more than "
"usual?" + CMT_SLEEP_CHANGE,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
sleep_gain3 = CamcopsColumn(
FN_SLEEP_GAIN3,
Integer,
comment="On how many nights in past week did you sleep >3h longer "
"than usual?" + CMT_NIGHTS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
sleep_dur = CamcopsColumn(
FN_SLEEP_DUR,
Integer,
comment="How long have you had these problems with sleep?"
+ CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Irritability
irrit_mand1 = CamcopsColumn(
FN_IRRIT_MAND1,
Integer,
comment="Irritable with those around you in past month?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
irrit_mand2 = CamcopsColumn(
FN_IRRIT_MAND2,
Integer,
comment="Short-tempered/angry over trivial things in past month? "
"(1 no, 2 sometimes, 3 yes)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
irrit1 = CamcopsColumn(
FN_IRRIT1,
Integer,
comment="Irritable/short-tempered/angry: days in past week"
+ CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
irrit2 = CamcopsColumn(
FN_IRRIT2,
Integer,
comment="Irritable/short-tempered/angry: for >1h on any day in past "
"week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
irrit3 = CamcopsColumn(
FN_IRRIT3,
Integer,
comment="Irritable/short-tempered/angry: wanted to shout at someone? "
"(1 no; yes but didn't shout; 3 yes and did shout)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
irrit4 = CamcopsColumn(
FN_IRRIT4,
Integer,
comment="In past week, have you had arguments/rows/lost temper? "
"(1 no; 2 yes but justified; 3 yes)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
irrit_dur = CamcopsColumn(
FN_IRRIT_DUR,
Integer,
comment="Irritable/short-tempered/angry: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Hypochondriasis
hypo_mand1 = CamcopsColumn(
FN_HYPO_MAND1,
Integer,
comment="Worried about physical health in past month?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
hypo_mand2 = CamcopsColumn(
FN_HYPO_MAND2,
Integer,
comment="Do you worry you have a serious illness?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
hypo1 = CamcopsColumn(
FN_HYPO1,
Integer,
comment="Worrying about health/having a serious illness: how many "
"days in past week?" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
hypo2 = CamcopsColumn(
FN_HYPO2,
Integer,
comment="Worrying too much about physical health?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
hypo3 = CamcopsColumn(
FN_HYPO3,
Integer,
comment="Worrying about health: how unpleasant?" + CMT_UNPLEASANT,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
hypo4 = CamcopsColumn(
FN_HYPO4,
Integer,
comment="Able to take mind off health worries in past week?"
+ CMT_1_YES_2_NO,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
hypo_dur = CamcopsColumn(
FN_HYPO_DUR,
Integer,
comment="Worrying about physical health: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Depression
depr_mand1 = CamcopsColumn(
FN_DEPR_MAND1,
Integer,
comment="Sad/miserable/depressed in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depr1 = CamcopsColumn(
FN_DEPR1,
Integer,
comment="Sad/miserable/depressed in past week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depr_mand2 = CamcopsColumn(
FN_DEPR_MAND2,
Integer,
comment="In the past month, able to enjoy/take an interest in things "
"as much as usual?" + CMT_ANHEDONIA,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depr2 = CamcopsColumn(
FN_DEPR2,
Integer,
comment="In the past week, able to enjoy/take an interest in things "
"as much as usual?" + CMT_ANHEDONIA,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depr3 = CamcopsColumn(
FN_DEPR3,
Integer,
comment="[Depressed mood] or [anhedonia] on how many days in past "
"week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depr4 = CamcopsColumn(
FN_DEPR4,
Integer,
comment="[Depressed mood] or [anhedonia] for >3h on any day in past "
"week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depr_content = CamcopsColumn(
FN_DEPR_CONTENT,
Integer,
comment="Main reason for [depressed mood] or [anhedonia]?"
+ CMT_STRESSORS,
permitted_value_checker=ONE_TO_NINE_CHECKER,
)
depr5 = CamcopsColumn(
FN_DEPR5,
Integer,
comment="In past week, during [depressed mood] or [anhedonia], did "
"nice things/company make you happier? "
"(1 always, 2 sometimes, 3 no)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depr_dur = CamcopsColumn(
FN_DEPR_DUR,
Integer,
comment="Depressed mood/anhedonia: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
depth1 = CamcopsColumn(
FN_DEPTH1,
Integer,
comment="Diurnal mood variation in past week (1 worse in the morning, "
"2 worse in the evening, 3 varies, 4 no difference)",
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
depth2 = CamcopsColumn(
FN_DEPTH2,
Integer,
comment="Libido in past month (1 not applicable, 2 no change, "
"3 increased, 4 decreased)",
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
depth3 = CamcopsColumn(
FN_DEPTH3,
Integer,
comment="Restlessness in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depth4 = CamcopsColumn(
FN_DEPTH4,
Integer,
comment="Psychomotor retardation in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depth5 = CamcopsColumn(
FN_DEPTH5,
Integer,
comment="Guilt/blamed self in past week (1 never, 2 only when it was "
"my fault, 3 sometimes, 4 often)",
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
depth6 = CamcopsColumn(
FN_DEPTH6,
Integer,
comment="Feeling not as good as other people in past week"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depth7 = CamcopsColumn(
FN_DEPTH7,
Integer,
comment="Hopeless in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
depth8 = CamcopsColumn(
FN_DEPTH8,
Integer,
comment="Life not worth living in past week (1 no, 2 sometimes, "
"3 always)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depth9 = CamcopsColumn(
FN_DEPTH9,
Integer,
comment="Thoughts of suicide in past week (1 no; 2 yes, but would "
"never commit suicide; 3 yes)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
depth10 = CamcopsColumn(
FN_DEPTH10,
Integer,
comment="Thoughts of way to kill self in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
doctor = CamcopsColumn(
FN_DOCTOR,
Integer,
comment="Have you spoken to your doctor about these thoughts of "
"killing yourself (1 yes; 2 no, but have talked to other "
"people; 3 no)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
# Worry/generalized anxiety
worry_mand1 = CamcopsColumn(
FN_WORRY_MAND1,
Integer,
comment="Excessive worry in past month?" + CMT_NO_SOMETIMES_OFTEN,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
worry_mand2 = CamcopsColumn(
FN_WORRY_MAND2,
Integer,
comment="Any worries at all in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
worry_cont1 = CamcopsColumn(
FN_WORRY_CONT1,
Integer,
comment="Main source of worry in past week?" + CMT_STRESSORS,
permitted_value_checker=ONE_TO_NINE_CHECKER,
)
worry2 = CamcopsColumn(
FN_WORRY2,
Integer,
comment="Worries (about things other than physical health) on how "
"many days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
worry3 = CamcopsColumn(
FN_WORRY3,
Integer,
comment="Worrying too much?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
worry4 = CamcopsColumn(
FN_WORRY4,
Integer,
comment="How unpleasant is worry (about things other than physical "
"health)" + CMT_UNPLEASANT,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
worry5 = CamcopsColumn(
FN_WORRY5,
Integer,
comment="Worry (about things other than physical health) for >3h on "
"any day in past week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
worry_dur = CamcopsColumn(
FN_WORRY_DUR,
Integer,
comment="Worry (about things other than physical health): for how "
"long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
anx_mand1 = CamcopsColumn(
FN_ANX_MAND1,
Integer,
comment="Anxious/nervous in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
anx_mand2 = CamcopsColumn(
FN_ANX_MAND2,
Integer,
comment="Muscle tension/couldn't relax in past month?"
+ CMT_NO_SOMETIMES_OFTEN,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
anx_phobia1 = CamcopsColumn(
FN_ANX_PHOBIA1,
Integer,
comment="Phobic anxiety in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
anx_phobia2 = CamcopsColumn(
FN_ANX_PHOBIA2,
Integer,
comment="Phobic anxiety: always specific? (1 always specific, "
"2 sometimes general)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
anx2 = CamcopsColumn(
FN_ANX2,
Integer,
comment="Anxiety/nervousness/tension: how many days in past week"
+ CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
anx3 = CamcopsColumn(
FN_ANX3,
Integer,
comment="Anxiety/nervousness/tension: how unpleasant in past week"
+ CMT_UNPLEASANT,
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
anx4 = CamcopsColumn(
FN_ANX4,
Integer,
comment="Anxiety/nervousness/tension: physical symptoms in past "
"week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
anx5 = CamcopsColumn(
FN_ANX5,
Integer,
comment="Anxiety/nervousness/tension: for >3h on any day in past "
"week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
anx_dur = CamcopsColumn(
FN_ANX_DUR,
Integer,
comment="Anxiety/nervousness/tension: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Specific phobias
phobias_mand = CamcopsColumn(
FN_PHOBIAS_MAND,
Integer,
comment="Phobic avoidance in past month?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
phobias_type1 = CamcopsColumn(
FN_PHOBIAS_TYPE1,
Integer,
comment="Which phobia? (1 travelling alone by bus/train; 2 being far "
"from home; 3 public eating/speaking; 4 sight of blood; "
"5 crowded shops; 6 insects/spiders/animals; 7 being watched; "
"8 enclosed spaces or heights; 9 something else)",
permitted_value_checker=ONE_TO_NINE_CHECKER,
)
phobias1 = CamcopsColumn(
FN_PHOBIAS1,
Integer,
comment="Phobic anxiety: days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
phobias2 = CamcopsColumn(
FN_PHOBIAS2,
Integer,
comment="Phobic anxiety: physical symptoms in past week?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
phobias3 = CamcopsColumn(
FN_PHOBIAS3,
Integer,
comment="Phobic avoidance in past week?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
phobias4 = CamcopsColumn(
FN_PHOBIAS4,
Integer,
comment="Phobic avoidance: how many times in past week? (1: none, "
"2: 1–3, 3: >=4)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
phobias_dur = CamcopsColumn(
FN_PHOBIAS_DUR,
Integer,
comment="Phobic anxiety: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Panic
panic_mand = CamcopsColumn(
FN_PANIC_MAND,
Integer,
comment="Panic in past month (1: no, my anxiety never got that bad; "
"2: yes, sometimes; 3: yes, often)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
panic1 = CamcopsColumn(
FN_PANIC1,
Integer,
comment="Panic: how often in past week (1 not in past seven days, "
"2 once, 3 more than once)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
panic2 = CamcopsColumn(
FN_PANIC2,
Integer,
comment="Panic: how unpleasant in past week (1 a little "
"uncomfortable; 2 unpleasant; 3 unbearable, or very "
"unpleasant)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
panic3 = CamcopsColumn(
FN_PANIC3,
Integer,
comment="Panic: in the past week, did the worst panic last >10min "
"(1: <10min; 2 >=10min)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
panic4 = CamcopsColumn(
FN_PANIC4,
Integer,
comment="Do panics start suddenly?" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_a = CamcopsColumn(
FN_PANSYM_A,
Integer,
comment=CMT_PANIC_SYMPTOM + "heart racing" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_b = CamcopsColumn(
FN_PANSYM_B,
Integer,
comment=CMT_PANIC_SYMPTOM + "hands sweaty/clammy" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_c = CamcopsColumn(
FN_PANSYM_C,
Integer,
comment=CMT_PANIC_SYMPTOM + "trembling/shaking" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_d = CamcopsColumn(
FN_PANSYM_D,
Integer,
comment=CMT_PANIC_SYMPTOM + "short of breath" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_e = CamcopsColumn(
FN_PANSYM_E,
Integer,
comment=CMT_PANIC_SYMPTOM + "choking sensation" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_f = CamcopsColumn(
FN_PANSYM_F,
Integer,
comment=(
CMT_PANIC_SYMPTOM
+ "chest pain/pressure/discomfort"
+ CMT_1_NO_2_YES
),
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_g = CamcopsColumn(
FN_PANSYM_G,
Integer,
comment=CMT_PANIC_SYMPTOM + "nausea" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_h = CamcopsColumn(
FN_PANSYM_H,
Integer,
comment=(
CMT_PANIC_SYMPTOM
+ "dizzy/unsteady/lightheaded/faint"
+ CMT_1_NO_2_YES
),
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_i = CamcopsColumn(
FN_PANSYM_I,
Integer,
comment=(
CMT_PANIC_SYMPTOM
+ "derealization/depersonalization"
+ CMT_1_NO_2_YES
),
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_j = CamcopsColumn(
FN_PANSYM_J,
Integer,
comment=(
CMT_PANIC_SYMPTOM + "losing control/going crazy" + CMT_1_NO_2_YES
),
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_k = CamcopsColumn(
FN_PANSYM_K,
Integer,
comment=CMT_PANIC_SYMPTOM + "fear were dying" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_l = CamcopsColumn(
FN_PANSYM_L,
Integer,
comment=CMT_PANIC_SYMPTOM + "tingling/numbness" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
pansym_m = CamcopsColumn(
FN_PANSYM_M,
Integer,
comment=CMT_PANIC_SYMPTOM + "hot flushes/chills" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
panic5 = CamcopsColumn(
FN_PANIC5,
Integer,
comment="Is panic always brought on by specific things?"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
panic_dur = CamcopsColumn(
FN_PANIC_DUR,
Integer,
comment="Panic: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Compulsions
comp_mand1 = CamcopsColumn(
FN_COMP_MAND1,
Integer,
comment="Compulsions in past month" + CMT_NO_SOMETIMES_OFTEN,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
comp1 = CamcopsColumn(
FN_COMP1,
Integer,
comment="Compulsions: how many days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
comp2 = CamcopsColumn(
FN_COMP2,
Integer,
comment="Compulsions: tried to stop in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
comp3 = CamcopsColumn(
FN_COMP3,
Integer,
comment="Compulsions: upsetting/annoying in past week"
+ CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
comp4 = CamcopsColumn(
FN_COMP4,
Integer,
comment="Compulsions: greatest number of repeats in past week "
"(1: once, i.e. two times altogether; 2: two repeats; "
"3: three or more repeats)",
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
comp_dur = CamcopsColumn(
FN_COMP_DUR,
Integer,
comment="Compulsions: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Obsessions
obsess_mand1 = CamcopsColumn(
FN_OBSESS_MAND1,
Integer,
comment="Obsessions in past month" + CMT_NO_SOMETIMES_OFTEN,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
obsess_mand2 = CamcopsColumn(
FN_OBSESS_MAND2,
Integer,
comment="Obsessions: same thoughts repeating or general worries (1 "
"same thoughts over and over, 2 worrying about something in "
"general)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
obsess1 = CamcopsColumn(
FN_OBSESS1,
Integer,
comment="Obsessions: how many days in past week" + CMT_DAYS_PER_WEEK,
permitted_value_checker=ONE_TO_THREE_CHECKER,
)
obsess2 = CamcopsColumn(
FN_OBSESS2,
Integer,
comment="Obsessions: tried to stop in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
obsess3 = CamcopsColumn(
FN_OBSESS3,
Integer,
comment="Obsessions: upsetting/annoying in past week" + CMT_1_NO_2_YES,
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
obsess4 = CamcopsColumn(
FN_OBSESS4,
Integer,
comment="Obsessions: longest time spent thinking these thoughts, in "
"past week (1: <15min; 2: >=15min)",
permitted_value_checker=ONE_TO_TWO_CHECKER,
)
obsess_dur = CamcopsColumn(
FN_OBSESS_DUR,
Integer,
comment="Obsessions: for how long?" + CMT_DURATION,
permitted_value_checker=ONE_TO_FIVE_CHECKER,
)
# Overall impact
overall2 = CamcopsColumn(
FN_OVERALL2,
Integer,
comment="Overall impact on normal activities in past week (1 not at "
"all; 2 they have made things more difficult but I get "
"everything done; 3 they have stopped one activity; 4 they "
"have stopped >1 activity)",
permitted_value_checker=ONE_TO_FOUR_CHECKER,
)
# -------------------------------------------------------------------------
# Functions
# -------------------------------------------------------------------------
[docs] @staticmethod
def longname(req: "CamcopsRequest") -> str:
_ = req.gettext
return _("Clinical Interview Schedule, Revised")
# noinspection PyMethodParameters
@classproperty
def minimum_client_version(cls) -> Version:
return Version("2.2.0")
def value_for_question(self, q: CisrQuestion) -> Optional[int]:
fieldname = fieldname_for_q(q)
assert fieldname, f"Blank fieldname for question {q}"
return getattr(self, fieldname)
def int_value_for_question(self, q: CisrQuestion) -> int:
value = self.value_for_question(q)
return int(value) if value is not None else 0
def answer_is_no(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
if value == V_UNKNOWN: # "Please look it up for me"
value = self.int_value_for_question(q)
if q in QUESTIONS_1_NO_2_YES:
return value == 1
elif q in QUESTIONS_1_YES_2_NO:
return value == 2
else:
raise ValueError(
"answer_is_no() called for inappropriate " f"question {q}"
)
def answer_is_yes(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
if value == V_UNKNOWN: # "Please look it up for me"
value = self.int_value_for_question(q)
if q in QUESTIONS_1_NO_2_YES:
return value == 2
elif q in QUESTIONS_1_YES_2_NO:
return value == 1
else:
raise ValueError(
"answer_is_yes() called for inappropriate " f"question {q}"
)
def answered(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
if value == V_UNKNOWN: # "Please look it up for me"
value = self.int_value_for_question(q)
return value != V_MISSING
def get_textual_answer(
self, req: CamcopsRequest, q: CisrQuestion
) -> Optional[str]:
value = self.value_for_question(q)
if value is None or value == V_MISSING:
return None
if q in QUESTIONS_1_NO_2_YES:
return get_yes_no(req, value == 2)
elif q in QUESTIONS_1_YES_2_NO:
return get_yes_no(req, value == 1)
elif q in QUESTIONS_PROMPT_ONLY:
return NOT_APPLICABLE_TEXT
fieldname = fieldname_for_q(q)
if (
q in QUESTIONS_YN_SPECIFIC_TEXT
or q in QUESTIONS_MULTIWAY
or q in QUESTIONS_MULTIWAY_WITH_EXTRA_STEM
):
return self.wxstring(req, fieldname + f"_a{value}")
elif q in QUESTIONS_OVERALL_DURATION:
return self.wxstring(req, f"duration_a{value}")
elif q in QUESTIONS_DAYS_PER_WEEK:
return self.wxstring(req, f"dpw_a{value}")
elif q in QUESTIONS_NIGHTS_PER_WEEK:
return self.wxstring(req, f"npw_a{value}")
elif q in QUESTIONS_HOW_UNPLEASANT_STANDARD:
return self.wxstring(req, f"how_unpleasant_a{value}")
elif q in QUESTIONS_FATIGUE_CAUSES:
return self.wxstring(req, f"fatigue_causes_a{value}")
elif q in QUESTIONS_STRESSORS:
return self.wxstring(req, f"stressors_a{value}")
elif q in QUESTIONS_NO_SOMETIMES_OFTEN:
return self.wxstring(req, f"nso_a{value}")
return f"? [value: {value}]"
def next_q(self, q: CisrQuestion, r: CisrResult) -> CisrQuestion:
# See equivalent in the C++ code.
# ANY CHANGES HERE MUST BE REFLECTED IN THE C++ CODE AND VICE VERSA.
v = V_MISSING # integer value
if DEBUG_SHOW_QUESTIONS_CONSIDERED:
r.decide(f"Considering question {q.value}: {q.name}")
fieldname = fieldname_for_q(q)
if fieldname: # eliminates prompt-only questions
var_q = getattr(self, fieldname) # integer-or-NULL value
if var_q is None:
if q not in QUESTIONS_DEMOGRAPHICS:
# From a diagnostic point of view, OK to have missing
# demographic information. Otherwise:
r.decide("INCOMPLETE INFORMATION. STOPPING.")
r.incomplete = True
else:
v = int(var_q)
next_q = -1
def jump_to(qe: CisrQuestion) -> None:
nonlocal next_q
next_q = enum_to_int(qe)
# If there is no special handling for a question, then after the
# switch() statement we will move to the next question in sequence.
# So only special "skip" situations are handled here.
# FOLLOW THE EXACT SEQUENCE of the CIS-R. Don't agglomerate case
# statements just because it's shorter (except empty ones when they are
# in sequence). Clarity is key.
# ---------------------------------------------------------------------
# Demographics/preamble
# ---------------------------------------------------------------------
if q in QUESTIONS_DEMOGRAPHICS or q in QUESTIONS_PROMPT_ONLY:
# Nothing special
pass
# Note that this makes some of the other prompt-only checks
# below redundant! Still, it's quicker. The C++ version uses
# switch() instead.
# --------------------------------------------------------------------
# Appetite/weight
# --------------------------------------------------------------------
elif q == CQ.APPETITE1_LOSS_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("No loss of appetite in past month.")
jump_to(CQ.APPETITE2_INCREASE_PAST_MONTH)
elif self.answer_is_yes(q, v):
r.decide(
"Loss of appetite in past month. "
"Incrementing depr_crit_3_somatic_synd."
)
r.depr_crit_3_somatic_synd += 1
r.weight_change = WTCHANGE_APPETITE_LOSS
elif q == CQ.WEIGHT1_LOSS_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("No weight loss.")
jump_to(CQ.GP_YEAR)
elif q == CQ.WEIGHT2_TRYING_TO_LOSE:
if v == V_WEIGHT2_WTLOSS_TRYING:
# Trying to lose weight. Move on.
r.decide("Weight loss but it was deliberate.")
elif v == V_WEIGHT2_WTLOSS_NOTTRYING:
r.decide("Non-deliberate weight loss.")
r.weight_change = WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
elif q == CQ.WEIGHT3_LOST_LOTS:
if v == V_WEIGHT3_WTLOSS_GE_HALF_STONE:
r.decide(
"Weight loss ≥0.5st in past month. "
"Incrementing depr_crit_3_somatic_synd."
)
r.weight_change = WTCHANGE_WTLOSS_GE_HALF_STONE
r.depr_crit_3_somatic_synd += 1
r.decide(
"Loss of weight, so skipping appetite/weight gain "
"questions."
)
jump_to(CQ.GP_YEAR)
elif q == CQ.APPETITE2_INCREASE_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("No increase in appetite in past month.")
jump_to(CQ.GP_YEAR)
elif q == CQ.WEIGHT4_INCREASE_PAST_MONTH:
if self.answer_is_yes(q, v):
r.decide("Weight gain.")
r.weight_change = WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
elif self.answered(q, v):
r.decide("No weight gain, or weight gain but pregnant.")
jump_to(CQ.GP_YEAR)
elif q == CQ.WEIGHT5_GAINED_LOTS:
if (
v == V_WEIGHT5_WTGAIN_GE_HALF_STONE
and r.weight_change == WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
):
# ... redundant check on weight_change, I think!
r.decide("Weight gain ≥0.5 st in past month.")
r.weight_change = WTCHANGE_WTGAIN_GE_HALF_STONE
# --------------------------------------------------------------------
# Somatic symptoms
# --------------------------------------------------------------------
elif q == CQ.GP_YEAR:
# Score the preceding block:
if (
r.weight_change == WTCHANGE_WTLOSS_GE_HALF_STONE
and self.answer_is_yes(CQ.APPETITE1_LOSS_PAST_MONTH)
):
r.decide(
"Appetite loss and weight loss ≥0.5st in past month. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
if (
r.weight_change == WTCHANGE_WTGAIN_GE_HALF_STONE
and self.answer_is_yes(CQ.APPETITE2_INCREASE_PAST_MONTH)
):
r.decide(
"Appetite gain and weight gain ≥0.5st in past month. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
elif q == CQ.DISABLE:
if self.answer_is_no(q):
r.decide("No longstanding illness/disability/infirmity.")
jump_to(CQ.SOMATIC_MAND1_PAIN_PAST_MONTH)
elif q == CQ.ILLNESS:
pass
elif q == CQ.SOMATIC_MAND1_PAIN_PAST_MONTH:
if self.answer_is_no(q):
r.decide("No aches/pains in past month.")
jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
elif q == CQ.SOMATIC_PAIN1_PSYCHOL_EXAC:
if v == V_SOMATIC_PAIN1_NEVER:
r.decide("Pains never exacerbated by low mood/anxiety/stress.")
jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
elif q == CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No pain in last 7 days.")
jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Pain on >=4 of last 7 days. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Pain for >3h on any day in past week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_PAIN4_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Pain 'unpleasant' or worse in past week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING:
if self.answer_is_yes(q, v):
r.decide(
"Pain interrupted an interesting activity in past "
"week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
r.decide("There was pain, so skip 'discomfort' section.")
jump_to(CQ.SOMATIC_DUR) # skip SOMATIC_MAND2
elif q == CQ.SOMATIC_MAND2_DISCOMFORT:
if self.answer_is_no(q, v):
r.decide("No discomfort.")
jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
elif q == CQ.SOMATIC_DIS1_PSYCHOL_EXAC:
if v == V_SOMATIC_DIS1_NEVER:
r.decide(
"Discomfort never exacerbated by being "
"low/anxious/stressed."
)
jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
elif q == CQ.SOMATIC_DIS2_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No discomfort in last 7 days.")
jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Discomfort on >=4 days in past week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_DIS3_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Discomfort for >3h on any day in past week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_DIS4_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Discomfort 'unpleasant' or worse in past week. "
"Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
elif q == CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING:
if self.answer_is_yes(q, v):
r.decide(
"Discomfort interrupted an interesting activity in "
"past "
"week. Incrementing somatic_symptoms."
)
r.somatic_symptoms += 1
# --------------------------------------------------------------------
# Fatigue/energy
# --------------------------------------------------------------------
elif q == CQ.FATIGUE_MAND1_TIRED_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("Not tired.")
jump_to(CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH)
elif q == CQ.FATIGUE_CAUSE1_TIRED:
if v == V_FATIGUE_CAUSE_EXERCISE:
r.decide("Tired due to exercise. Move on.")
jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
elif q == CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("Not tired in past week.")
jump_to(CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Tired on >=4 days in past week. " "Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Tired for >3h on any day in past week. "
"Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_TIRED3_HAD_TO_PUSH:
if self.answer_is_yes(q, v):
r.decide(
"Tired enough to have to push self during past week. "
"Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_TIRED4_DURING_ENJOYABLE:
if self.answer_is_yes(q, v):
r.decide(
"Tired during an enjoyable activity during past "
"week. "
"Incrementing fatigue."
)
r.fatigue += 1
r.decide("There was tiredness, so skip 'lack of energy' section.")
jump_to(CQ.FATIGUE_DUR) # skip FATIGUE_MAND2
elif q == CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("Not lacking in energy.")
jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
elif q == CQ.FATIGUE_CAUSE2_LACK_ENERGY:
if v == V_FATIGUE_CAUSE_EXERCISE:
r.decide("Lacking in energy due to exercise. Move on.")
jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
elif q == CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("Not lacking in energy during last week.")
jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Lacking in energy on >=4 days in past week. "
"Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Lacking in energy for >3h on any day in past week. "
"Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_ENERGY3_HAD_TO_PUSH:
if self.answer_is_yes(q, v):
r.decide(
"Lacking in energy enough to have to push self during "
"past week. Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE:
if self.answer_is_yes(q, v):
r.decide(
"Lacking in energy during an enjoyable activity "
"during "
"past week. Incrementing fatigue."
)
r.fatigue += 1
elif q == CQ.FATIGUE_DUR:
# Score preceding:
if r.somatic_symptoms >= 2 and r.fatigue >= 2:
r.decide(
"somatic >= 2 and fatigue >= 2. "
"Incrementing neurasthenia."
)
r.neurasthenia += 1
# --------------------------------------------------------------------
# Concentration/memory
# --------------------------------------------------------------------
elif q == CQ.CONC_MAND1_POOR_CONC_PAST_MONTH:
# Score preceding:
if r.fatigue >= 2:
r.decide(
"fatigue >= 2. "
"Incrementing depr_crit_1_mood_anhedonia_energy."
)
r.depr_crit_1_mood_anhedonia_energy += 1
elif q == CQ.CONC_MAND2_FORGETFUL_PAST_MONTH:
if self.answer_is_no(
CQ.CONC_MAND1_POOR_CONC_PAST_MONTH
) and self.answer_is_no(q, v):
r.decide("No problems with concentration or forgetfulness.")
jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
elif q == CQ.CONC1_CONC_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No concentration/memory problems in past week.")
jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Problems with concentration/memory problems on >=4 "
"days in past week. Incrementing concentration_poor."
)
r.concentration_poor += 1
if self.answer_is_no(
CQ.CONC_MAND1_POOR_CONC_PAST_MONTH
) and self.answer_is_yes(CQ.CONC_MAND2_FORGETFUL_PAST_MONTH):
r.decide(
"Forgetfulness, not concentration, problems; skip "
"over more detailed concentration questions."
)
jump_to(
CQ.CONC4_FORGOTTEN_IMPORTANT
) # skip CONC2, CONC3, CONC_DUR # noqa
elif q == CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION:
if self.answer_is_no(q, v):
r.decide(
"Couldn't concentrate on at least one of {TV, "
"newspaper, "
"conversation}. Incrementing concentration_poor."
)
r.concentration_poor += 1
elif q == CQ.CONC3_CONC_PREVENTED_ACTIVITIES:
if self.answer_is_yes(q, v):
r.decide(
"Problems with concentration stopped usual/desired "
"activity. Incrementing concentration_poor."
)
r.concentration_poor += 1
elif q == CQ.CONC_DUR:
if self.answer_is_no(CQ.CONC_MAND2_FORGETFUL_PAST_MONTH):
jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
elif q == CQ.CONC4_FORGOTTEN_IMPORTANT:
if self.answer_is_yes(q, v):
r.decide(
"Forgotten something important in past week. "
"Incrementing concentration_poor."
)
r.concentration_poor += 1
elif q == CQ.FORGET_DUR:
pass
# --------------------------------------------------------------------
# Sleep
# --------------------------------------------------------------------
elif q == CQ.SLEEP_MAND1_LOSS_PAST_MONTH:
# Score previous block:
if r.concentration_poor >= 2:
r.decide(
"concentration >= 2. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
# This question:
if self.answer_is_no(q, v):
r.decide(
"No problems with sleep loss in past month. " "Moving on."
)
jump_to(CQ.SLEEP_MAND2_GAIN_PAST_MONTH)
elif q == CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK:
if v == V_NIGHTS_IN_PAST_WEEK_0:
r.decide("No problems with sleep in past week. Moving on.")
jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
elif v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Problems with sleep on >=4 nights in past week. "
"Incrementing sleep_problems."
)
r.sleep_problems += 1
elif q == CQ.SLEEP_LOSE2_DIS_WORST_DURATION:
if v == V_SLEEP_CHANGE_LT_15_MIN:
r.decide(
"Less than 15min maximum delayed initiation of sleep "
"in past week. Moving on."
)
jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
elif v == V_SLEEP_CHANGE_15_MIN_TO_1_H:
r.decide(
"15min-1h maximum delayed initiation of sleep in past "
"week. Incrementing sleep_problems."
)
r.sleep_problems += 1
elif v == V_SLEEP_CHANGE_1_TO_3_H or v == V_SLEEP_CHANGE_GT_3_H:
r.decide(
">=1h maximum delayed initiation of sleep in past "
"week. Adding 2 to sleep_problems."
)
r.sleep_problems += 2
elif q == CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK:
if v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
">=4 nights in past week with >=3h delayed "
"initiation of "
"sleep. Incrementing sleep_problems."
)
r.sleep_problems += 1
elif q == CQ.SLEEP_EMW_PAST_WEEK:
if self.answer_is_yes(q, v):
r.decide(
"EMW of >2h in past week. "
"Setting sleep_change to SLEEPCHANGE_EMW. "
"Incrementing depr_crit_3_somatic_synd."
)
# Was: SLEEPCH += answer - 1 (which only does anything for a
# "yes" (2) answer).
# ... but at this point, SLEEPCH is always 0.
r.sleep_change = SLEEPCHANGE_EMW # LIKELY REDUNDANT.
r.depr_crit_3_somatic_synd += 1
if r.sleep_problems >= 1:
r.decide(
"EMW of >2h in past week and sleep_problems >= 1; "
"setting sleep_change to SLEEPCHANGE_EMW."
)
r.sleep_change = SLEEPCHANGE_EMW
elif self.answer_is_no(q, v):
r.decide("No EMW of >2h in past week.")
if r.sleep_problems >= 1:
r.decide(
"No EMW of >2h in past week, and sleep_problems "
">= 1. Setting sleep_change to "
"SLEEPCHANGE_INSOMNIA_NOT_EMW."
)
r.sleep_change = SLEEPCHANGE_INSOMNIA_NOT_EMW
elif q == CQ.SLEEP_CAUSE:
r.decide("Problems with sleep loss; skipping over sleep gain.")
jump_to(CQ.SLEEP_DUR)
elif q == CQ.SLEEP_MAND2_GAIN_PAST_MONTH:
if (
v == V_SLEEP_MAND2_NO
or v == V_SLEEP_MAND2_YES_BUT_NOT_A_PROBLEM
):
r.decide("No problematic sleep gain. Moving on.")
jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
elif q == CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK:
if v == V_NIGHTS_IN_PAST_WEEK_0:
r.decide("No nights with sleep problems [gain] in past week.")
jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
elif v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Problems with sleep [gain] on >=4 nights in past "
"week. Incrementing sleep_problems."
)
r.sleep_problems += 1
elif q == CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT:
if v == V_SLEEP_CHANGE_LT_15_MIN:
r.decide("Sleep gain <15min. Moving on.")
jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
elif v == V_SLEEP_CHANGE_15_MIN_TO_1_H:
r.decide("Sleep gain 15min-1h. Incrementing sleep_problems.")
r.sleep_problems += 1
elif v >= V_SLEEP_CHANGE_1_TO_3_H:
r.decide(
"Sleep gain >=1h. "
"Adding 2 to sleep_problems. "
"Setting sleep_change to SLEEPCHANGE_INCREASE."
)
r.sleep_problems += 2
r.sleep_change = SLEEPCHANGE_INCREASE
# Note that in the original, if the answer was 3
# (V_SLEEP_CHANGE_1_TO_3_H) or greater, first 2 was added to
# sleep, and then if sleep was >=1, sleepch [sleep_change] was set # noqa
# to 3. However, sleep is never decremented/set below 0, so that # noqa
# was a redundant test (always true).
elif q == CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK:
if v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Sleep gain of >3h on >=4 nights in past week. "
"Incrementing sleep_problems."
)
r.sleep_problems += 1
elif q == CQ.SLEEP_DUR:
pass
# --------------------------------------------------------------------
# Irritability
# --------------------------------------------------------------------
elif q == CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH:
# Score previous block:
if r.sleep_problems >= 2:
r.decide(
"sleep_problems >= 2. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
# This bit erroneously lived under IRRIT_DUR in the original; see
# discussion there:
if r.sleep_problems >= 2 and r.fatigue >= 2:
r.decide(
"sleep_problems >=2 and fatigue >=2. "
"Incrementing neurasthenia."
)
r.neurasthenia += 1
# This question:
if self.answer_is_yes(q, v):
r.decide(
"Irritability (people) in past month; exploring "
"further."
)
jump_to(CQ.IRRIT1_DAYS_PER_WEEK)
elif q == CQ.IRRIT_MAND2_THINGS_PAST_MONTH:
if v == V_IRRIT_MAND2_NO:
r.decide("No irritability. Moving on.")
jump_to(CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH)
elif self.answered(q, v):
r.decide(
"Irritability (things) in past month; exploring "
"further."
)
elif q == CQ.IRRIT1_DAYS_PER_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No irritability in past week. Moving on.")
jump_to(CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Irritable on >=4 days in past week. "
"Incrementing irritability."
)
r.irritability += 1
elif q == CQ.IRRIT2_GT_1H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Irritable for >1h on any day in past week. "
"Incrementing irritability."
)
r.irritability += 1
elif q == CQ.IRRIT3_WANTED_TO_SHOUT:
if v >= V_IRRIT3_SHOUTING_WANTED_TO:
r.decide("Wanted to or did shout. Incrementing irritability.")
r.irritability += 1
elif q == CQ.IRRIT4_ARGUMENTS:
if v == V_IRRIT4_ARGUMENTS_YES_UNJUSTIFIED:
r.decide(
"Arguments without justification. "
"Incrementing irritability."
)
r.irritability += 1
elif q == CQ.IRRIT_DUR:
# Score recent things:
if r.irritability >= 2 and r.fatigue >= 2:
r.decide(
"irritability >=2 and fatigue >=2. "
"Incrementing neurasthenia."
)
r.neurasthenia += 1
# In the original, we had the rule "sleep_problems >=2 and
# fatigue >=2 -> incrementing neurasthenia" here, but that would mean # noqa
# we would fail to score sleep if the patient didn't report
# irritability (because if you say no at IRRIT_MAND2, you jump beyond # noqa
# this point to HYPO_MAND1). Checked with Glyn Lewis 2017-12-04, who # noqa
# agreed on 2017-12-05. Therefore, moved to IRRIT_MAND1 as above.
# Note that the only implication would have been potential small
# mis-scoring of the CFS criterion (not any of the diagnoses that
# the CIS-R reports as its primary/secondary diagnoses).
# --------------------------------------------------------------------
# Hypochondriasis
# --------------------------------------------------------------------
elif q == CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH:
if self.answer_is_yes(q, v):
r.decide(
"No worries about physical health in past month. "
"Moving on."
)
jump_to(CQ.HYPO1_DAYS_PAST_WEEK)
elif q == CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS:
if self.answer_is_no(q, v):
r.decide(
"No worries about having a serious illness. " "Moving on."
)
jump_to(CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH)
elif q == CQ.HYPO1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide(
"No days in past week worrying about health. " "Moving on."
)
jump_to(CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Worries about health on >=4 days in past week. "
"Incrementing hypochondria."
)
r.hypochondria += 1
elif q == CQ.HYPO2_WORRY_TOO_MUCH:
if self.answer_is_yes(q, v):
r.decide(
"Worrying too much about health. "
"Incrementing hypochondria."
)
r.hypochondria += 1
elif q == CQ.HYPO3_HOW_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Worrying re health 'unpleasant' or worse in past "
"week. Incrementing hypochondria."
)
r.hypochondria += 1
elif q == CQ.HYPO4_CAN_DISTRACT:
if self.answer_is_no(q, v):
r.decide(
"Cannot take mind off health worries by doing "
"something else. Incrementing hypochondria."
)
r.hypochondria += 1
elif q == CQ.HYPO_DUR:
pass
# --------------------------------------------------------------------
# Depression
# --------------------------------------------------------------------
elif q == CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("Mood not low in past month. Moving to anhedonia.")
jump_to(CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH)
elif q == CQ.DEPR1_LOW_MOOD_PAST_WEEK:
pass
elif q == CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH:
if v == V_ANHEDONIA_ENJOYING_NORMALLY and self.answer_is_no(
CQ.DEPR1_LOW_MOOD_PAST_WEEK
):
r.decide(
"Neither low mood nor anhedonia in past month. "
"Moving on."
)
jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
elif q == CQ.DEPR2_ENJOYMENT_PAST_WEEK:
if v == V_ANHEDONIA_ENJOYING_NORMALLY and self.answer_is_no(
CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH
):
r.decide(
"No anhedonia in past week and no low mood in past "
"month. Moving on."
)
jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
elif v >= V_ANHEDONIA_ENJOYING_LESS:
r.decide(
"Partial or complete anhedonia in past week. "
"Incrementing depression. "
"Incrementing depr_crit_1_mood_anhedonia_energy. "
"Incrementing depr_crit_3_somatic_synd."
)
r.depression += 1
r.depr_crit_1_mood_anhedonia_energy += 1
r.depr_crit_3_somatic_synd += 1
elif q == CQ.DEPR3_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Low mood or anhedonia on >=4 days in past week. "
"Incrementing depression."
)
r.depression += 1
elif q == CQ.DEPR4_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Low mood or anhedonia for >3h/day on at least one "
"day in past week. Incrementing depression."
)
r.depression += 1
if self.int_value_for_question(
CQ.DEPR3_DAYS_PAST_WEEK
) and self.answer_is_yes(CQ.DEPR1_LOW_MOOD_PAST_WEEK):
r.decide(
"(A) Low mood in past week, and "
"(B) low mood or anhedonia for >3h/day on at "
"least one day in past week, and "
"(C) low mood or anhedonia on >=4 days in past "
"week. "
"Incrementing depr_crit_1_mood_anhedonia_energy."
)
r.depr_crit_1_mood_anhedonia_energy += 1
elif q == CQ.DEPR_CONTENT:
pass
elif q == CQ.DEPR5_COULD_CHEER_UP:
if v >= V_DEPR5_COULD_CHEER_UP_SOMETIMES:
r.decide(
"'Sometimes' or 'never' cheered up by nice things. "
"Incrementing depression. "
"Incrementing depr_crit_3_somatic_synd."
)
r.depression += 1
r.depr_crit_3_somatic_synd += 1
elif q == CQ.DEPR_DUR:
if v >= V_DURATION_2W_6M:
r.decide(
"Depressive symptoms for >=2 weeks. "
"Setting depression_at_least_2_weeks."
)
r.depression_at_least_2_weeks = True
# This code was at the start of DEPTH1, but involves skipping over
# DEPTH1; since we never get to DEPTH1 without coming here, we can
# move it here:
if r.depression == 0:
r.decide(
"Score for 'depression' is 0; skipping over "
"depressive thought content questions."
)
jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
elif q == CQ.DEPTH1_DIURNAL_VARIATION:
if (
v == V_DEPTH1_DMV_WORSE_MORNING
or v == V_DEPTH1_DMV_WORSE_EVENING
):
r.decide("Diurnal mood variation present.")
r.diurnal_mood_variation = (
DIURNAL_MOOD_VAR_WORSE_MORNING
if v == V_DEPTH1_DMV_WORSE_MORNING
else DIURNAL_MOOD_VAR_WORSE_EVENING
)
if v == V_DEPTH1_DMV_WORSE_MORNING:
r.decide(
"Diurnal mood variation, worse in the mornings. "
"Incrementing depr_crit_3_somatic_synd."
)
r.depr_crit_3_somatic_synd += 1
elif q == CQ.DEPTH2_LIBIDO:
if v == V_DEPTH2_LIBIDO_DECREASED:
r.decide(
"Libido decreased over past month. "
"Setting libido_decreased. "
"Incrementing depr_crit_3_somatic_synd."
)
r.libido_decreased = True
r.depr_crit_3_somatic_synd += 1
elif q == CQ.DEPTH3_RESTLESS:
if self.answer_is_yes(q):
r.decide("Psychomotor agitation.")
r.psychomotor_changes = PSYCHOMOTOR_AGITATION
elif q == CQ.DEPTH4_SLOWED:
if self.answer_is_yes(q):
r.decide("Psychomotor retardation.")
r.psychomotor_changes = PSYCHOMOTOR_RETARDATION
if r.psychomotor_changes > PSYCHOMOTOR_NONE:
r.decide(
"Psychomotor agitation or retardation. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui. "
"Incrementing depr_crit_3_somatic_synd."
)
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
r.depr_crit_3_somatic_synd += 1
elif q == CQ.DEPTH5_GUILT:
if v >= V_DEPTH5_GUILT_SOMETIMES:
r.decide(
"Feel guilty when not at fault sometimes or often. "
"Incrementing depressive_thoughts. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depressive_thoughts += 1
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
elif q == CQ.DEPTH6_WORSE_THAN_OTHERS:
if self.answer_is_yes(q, v):
r.decide(
"Feeling not as good as other people. "
"Incrementing depressive_thoughts. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depressive_thoughts += 1
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
elif q == CQ.DEPTH7_HOPELESS:
if self.answer_is_yes(q, v):
r.decide(
"Hopelessness. "
"Incrementing depressive_thoughts. "
"Setting suicidality to "
"SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS."
)
r.depressive_thoughts += 1
r.suicidality = SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS
elif q == CQ.DEPTH8_LNWL:
if v == V_DEPTH8_LNWL_NO:
r.decide(
"No thoughts of life not being worth living. "
"Skipping to end of depression section."
)
jump_to(CQ.DEPR_OUTRO)
elif v >= V_DEPTH8_LNWL_SOMETIMES:
r.decide(
"Sometimes or always feeling life isn't worth living. "
"Incrementing depressive_thoughts. "
"Setting suicidality to "
"SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING."
)
r.depressive_thoughts += 1
r.suicidality = SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING
elif q == CQ.DEPTH9_SUICIDE_THOUGHTS:
if v == V_DEPTH9_SUICIDAL_THOUGHTS_NO:
r.decide(
"No thoughts of suicide. Skipping to end of "
"depression section."
)
jump_to(CQ.DEPR_OUTRO)
if v >= V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD:
r.decide(
"Suicidal thoughts present. "
"Setting suicidality to "
"SUICIDE_INTENT_SUICIDAL_THOUGHTS."
)
r.suicidality = SUICIDE_INTENT_SUICIDAL_THOUGHTS
if v == V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD:
r.decide(
"Suicidal thoughts present but denies would ever act. "
"Skipping to talk-to-doctor section."
)
jump_to(CQ.DOCTOR)
if v == V_DEPTH9_SUICIDAL_THOUGHTS_YES:
r.decide(
"Thoughts of suicide in past week. "
"Incrementing depressive_thoughts. "
"Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
)
r.depressive_thoughts += 1
r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
elif q == CQ.DEPTH10_SUICIDE_METHOD:
if self.answer_is_yes(q, v):
r.decide(
"Suicidal thoughts without denying might ever act. "
"Setting suicidality to "
"SUICIDE_INTENT_SUICIDAL_PLANS."
)
r.suicidality = SUICIDE_INTENT_SUICIDAL_PLANS
elif q == CQ.DOCTOR:
if v == V_DOCTOR_YES:
r.decide(
"Has spoken to doctor about suicidality. Skipping "
"exhortation to do so."
)
jump_to(CQ.DEPR_OUTRO)
elif q == CQ.DOCTOR2_PLEASE_TALK_TO:
pass
elif q == CQ.DEPR_OUTRO:
pass
# --------------------------------------------------------------------
# Worry/anxiety
# --------------------------------------------------------------------
elif q == CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH:
if v >= V_NSO_SOMETIMES:
r.decide(
"Worrying excessively 'sometimes' or 'often'. "
"Exploring further."
)
jump_to(CQ.WORRY_CONT1)
elif q == CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("No worries at all in the past month. Moving on.")
jump_to(CQ.ANX_MAND1_ANXIETY_PAST_MONTH)
elif q == CQ.WORRY_CONT1:
pass
elif q == CQ.WORRY1_INFO_ONLY:
pass
elif q == CQ.WORRY2_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide(
"Worry [other than re physical health] on 0 days in "
"past week. Moving on."
)
jump_to(CQ.ANX_MAND1_ANXIETY_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Worry [other than re physical health] on >=4 days in "
"past week. Incrementing worry."
)
r.worry += 1
elif q == CQ.WORRY3_TOO_MUCH:
if self.answer_is_yes(q, v):
r.decide("Worrying too much. Incrementing worry.")
r.worry += 1
elif q == CQ.WORRY4_HOW_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Worry [other than re physical health] 'unpleasant' "
"or worse in past week. Incrementing worry."
)
r.worry += 1
elif q == CQ.WORRY5_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Worry [other than re physical health] for >3h on any "
"day in past week. Incrementing worry."
)
r.worry += 1
elif q == CQ.WORRY_DUR:
pass
elif q == CQ.ANX_MAND1_ANXIETY_PAST_MONTH:
if self.answer_is_yes(q, v):
r.decide(
"Anxious/nervous in past month. "
"Skipping tension question."
)
jump_to(CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH)
elif q == CQ.ANX_MAND2_TENSION_PAST_MONTH:
if v == V_NSO_NO:
r.decide(
"No tension in past month (and no anxiety, from "
"previous question). Moving on."
)
jump_to(CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH)
elif q == CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH:
if self.answer_is_no(q, v):
r.decide("No phobias. Moving on to general anxiety.")
jump_to(CQ.ANX2_GENERAL_DAYS_PAST_WEEK)
elif self.answer_is_yes(q, v):
# This was in ANX_PHOBIA2; PHOBIAS_FLAG was set by arriving
# there (but that only happens when we get a 'yes' answer
# here).
r.decide("Phobias. Exploring further. Setting phobias flag.")
r.phobias_flag = True
elif q == CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL:
if v == V_ANX_PHOBIA2_ALWAYS_SPECIFIC:
r.decide(
"Anxiety always specific. " "Skipping generalized anxiety."
)
jump_to(CQ.PHOBIAS_TYPE1)
elif q == CQ.ANX1_INFO_ONLY:
pass
elif q == CQ.ANX2_GENERAL_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
if r.phobias_flag:
r.decide(
"No generalized anxiety in past week. "
"Skipping further generalized anxiety questions."
)
jump_to(CQ.PHOBIAS1_DAYS_PAST_WEEK)
else:
r.decide("No generalized anxiety in past week. Moving on.")
jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Generalized anxiety on >=4 days in past week. "
"Incrementing anxiety."
)
r.anxiety += 1
elif q == CQ.ANX3_GENERAL_HOW_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Anxiety 'unpleasant' or worse in past week. "
"Incrementing anxiety."
)
r.anxiety += 1
elif q == CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS:
if self.answer_is_yes(q, v):
r.decide(
"Physical symptoms of anxiety. "
"Setting anxiety_physical_symptoms. "
"Incrementing anxiety."
)
r.anxiety_physical_symptoms = True
r.anxiety += 1
elif q == CQ.ANX5_GENERAL_GT_3H_ANY_DAY:
if self.answer_is_yes(q, v):
r.decide(
"Anxiety for >3h on any day in past week. "
"Incrementing anxiety."
)
r.anxiety += 1
elif q == CQ.ANX_DUR_GENERAL:
if v >= V_DURATION_2W_6M:
r.decide(
"Anxiety for >=2 weeks. "
"Setting anxiety_at_least_2_weeks."
)
r.anxiety_at_least_2_weeks = True
if r.phobias_flag:
r.decide("Phobias flag set. Exploring further.")
jump_to(CQ.PHOBIAS_TYPE1)
else:
if r.anxiety <= 1:
r.decide("Anxiety score <=1. Moving on to compulsions.")
jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
else:
r.decide("Anxiety score >=2. Exploring panic.")
jump_to(CQ.PANIC_MAND_PAST_MONTH)
elif q == CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH:
if self.answer_is_no(q, v):
if r.anxiety <= 1:
r.decide("Anxiety score <=1. Moving on to compulsions.")
jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
else:
r.decide("Anxiety score >=2. Exploring panic.")
jump_to(CQ.PANIC_MAND_PAST_MONTH)
elif q == CQ.PHOBIAS_TYPE1:
if v in (
V_PHOBIAS_TYPE1_ALONE_PUBLIC_TRANSPORT,
V_PHOBIAS_TYPE1_FAR_FROM_HOME,
V_PHOBIAS_TYPE1_CROWDED_SHOPS,
):
r.decide("Phobia type category: agoraphobia.")
r.phobias_type = PHOBIATYPES_AGORAPHOBIA
elif v in (
V_PHOBIAS_TYPE1_PUBLIC_SPEAKING_EATING,
V_PHOBIAS_TYPE1_BEING_WATCHED,
):
r.decide("Phobia type category: social.")
r.phobias_type = PHOBIATYPES_SOCIAL
elif v == V_PHOBIAS_TYPE1_BLOOD:
r.decide("Phobia type category: blood/injury.")
r.phobias_type = PHOBIATYPES_BLOOD_INJURY
elif v in (
V_PHOBIAS_TYPE1_ANIMALS,
V_PHOBIAS_TYPE1_ENCLOSED_SPACES_HEIGHTS,
):
r.decide(
"Phobia type category: animals/enclosed spaces/" "heights."
)
r.phobias_type = PHOBIATYPES_ANIMALS_ENCLOSED_HEIGHTS
elif v == V_PHOBIAS_TYPE1_OTHER:
r.decide("Phobia type category: other.")
r.phobias_type = PHOBIATYPES_OTHER
else:
pass
elif q == CQ.PHOBIAS1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Phobic anxiety on >=4 days in past week. "
"Incrementing phobias_score."
)
r.phobias_score += 1
elif q == CQ.PHOBIAS2_PHYSICAL_SYMPTOMS:
if self.answer_is_yes(q, v):
r.decide(
"Physical symptoms during phobic anxiety in past "
"week. Incrementing phobias_score."
)
r.phobias_score += 1
elif q == CQ.PHOBIAS3_AVOIDANCE:
if self.answer_is_no(q, v): # no avoidance in past week
if r.anxiety <= 1 and r.phobias_score == 0:
r.decide(
"No avoidance in past week; "
"anxiety <= 1 and phobias_score == 0. "
"Finishing anxiety section."
)
jump_to(CQ.ANX_OUTRO)
else:
r.decide(
"No avoidance in past week; "
"anxiety >= 2 or phobias_score >= 1. "
"Moving to panic section."
)
jump_to(CQ.PANIC_MAND_PAST_MONTH)
elif self.answer_is_yes(q, v):
r.decide("Setting phobic_avoidance.")
r.phobic_avoidance = True
elif q == CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_1_TO_3:
r.decide(
"Phobic avoidance on 1-3 days in past week. "
"Incrementing phobias_score."
)
r.phobias_score += 1
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Phobic avoidance on >=4 days in past week. "
"Adding 2 to phobias_score."
)
r.phobias_score += 2
if (
r.anxiety <= 1
and self.int_value_for_question(CQ.PHOBIAS1_DAYS_PAST_WEEK)
== V_DAYS_IN_PAST_WEEK_0
):
r.decide(
"anxiety <= 1 and no phobic anxiety in past week. "
"Finishing anxiety section."
)
jump_to(CQ.ANX_OUTRO)
elif q == CQ.PHOBIAS_DUR:
pass
elif q == CQ.PANIC_MAND_PAST_MONTH:
if v == V_NSO_NO:
r.decide(
"No panic in the past month. Finishing anxiety " "section."
)
jump_to(CQ.ANX_OUTRO)
elif q == CQ.PANIC1_NUM_PAST_WEEK:
if v == V_PANIC1_N_PANICS_PAST_WEEK_0:
r.decide("No panic in past week. Finishing anxiety section.")
jump_to(CQ.ANX_OUTRO)
elif v == V_PANIC1_N_PANICS_PAST_WEEK_1:
r.decide("One panic in past week. Incrementing panic.")
r.panic += 1
elif v == V_PANIC1_N_PANICS_PAST_WEEK_GT_1:
r.decide(
"More than one panic in past week. Adding 2 to panic."
)
r.panic += 2
elif q == CQ.PANIC2_HOW_UNPLEASANT:
if v >= V_HOW_UNPLEASANT_UNPLEASANT:
r.decide(
"Panic 'unpleasant' or worse in past week. "
"Incrementing panic."
)
r.panic += 1
elif q == CQ.PANIC3_PANIC_GE_10_MIN:
if v == V_PANIC3_WORST_GE_10_MIN:
r.decide(
"Worst panic in past week lasted >=10 min. "
"Incrementing panic."
)
r.panic += 1
elif q == CQ.PANIC4_RAPID_ONSET:
if self.answer_is_yes(q, v):
r.decide(
"Rapid onset of panic symptoms. "
"Setting panic_rapid_onset."
)
r.panic_rapid_onset = True
elif q == CQ.PANSYM:
# Multi-way answer. All are scored 1=no, 2=yes.
n_panic_symptoms = 0
for panic_fn in PANIC_SYMPTOM_FIELDNAMES:
panic_symptom = getattr(self, panic_fn) or 0 # force to int
yes_present = panic_symptom == 2
if yes_present:
n_panic_symptoms += 1
r.decide(
f"{n_panic_symptoms} out of "
f"{NUM_PANIC_SYMPTOMS} specific panic symptoms endorsed."
)
# The next bit was coded in PANIC5, but lives more naturally here:
if self.answer_is_no(CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH):
jump_to(CQ.PANIC_DUR)
elif q == CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER:
pass
elif q == CQ.PANIC_DUR:
pass
elif q == CQ.ANX_OUTRO:
pass
# --------------------------------------------------------------------
# Compulsions and obsessions
# --------------------------------------------------------------------
elif q == CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH:
if v == V_NSO_NO:
r.decide("No compulsions in past month. Moving to obsessions.")
jump_to(CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH)
elif q == CQ.COMP1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No compulsions in past week. Moving to obesssions.")
jump_to(CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH)
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Obsessions on >=4 days in past week. "
"Incrementing compulsions."
)
r.compulsions += 1
elif q == CQ.COMP2_TRIED_TO_STOP:
if self.answer_is_yes(q, v):
r.decide(
"Attempts to stop compulsions in past week. "
"Setting compulsions_tried_to_stop. "
"Incrementing compulsions."
)
r.compulsions_tried_to_stop = True
r.compulsions += 1
elif q == CQ.COMP3_UPSETTING:
if self.answer_is_yes(q, v):
r.decide(
"Compulsions upsetting/annoying. "
"Incrementing compulsions."
)
r.compulsions += 1
elif q == CQ.COMP4_MAX_N_REPETITIONS:
if v == V_COMP4_MAX_N_REPEATS_GE_3:
r.decide("At worst, >=3 repeats. Incrementing compulsions.")
r.compulsions += 1
elif q == CQ.COMP_DUR:
if v >= V_DURATION_2W_6M:
r.decide(
"Compulsions for >=2 weeks. "
"Setting compulsions_at_least_2_weeks."
)
r.compulsions_at_least_2_weeks = True
elif q == CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH:
if v == V_NSO_NO:
r.decide("No obsessions in past month. Moving on.")
jump_to(r.get_final_page())
elif q == CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL:
if v == V_OBSESS_MAND1_GENERAL_WORRIES:
r.decide(
"Worrying about something in general, not the same "
"thoughts over and over again. Moving on."
)
jump_to(r.get_final_page())
elif q == CQ.OBSESS1_DAYS_PAST_WEEK:
if v == V_DAYS_IN_PAST_WEEK_0:
r.decide("No obsessions in past week. Moving on.")
jump_to(r.get_final_page())
elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
r.decide(
"Obsessions on >=4 days in past week. "
"Incrementing obsessions."
)
r.obsessions += 1
elif q == CQ.OBSESS2_TRIED_TO_STOP:
if self.answer_is_yes(q, v):
r.decide(
"Tried to stop obsessional thoughts in past week. "
"Setting obsessions_tried_to_stop. "
"Incrementing obsessions."
)
r.obsessions_tried_to_stop = True
r.obsessions += 1
elif q == CQ.OBSESS3_UPSETTING:
if self.answer_is_yes(q, v):
r.decide(
"Obsessions upsetting/annoying in past week. "
"Incrementing obsessions."
)
r.obsessions += 1
elif q == CQ.OBSESS4_MAX_DURATION:
if v == V_OBSESS4_GE_15_MIN:
r.decide(
"Obsessions lasting >=15 min in past week. "
"Incrementing obsessions."
)
r.obsessions += 1
elif q == CQ.OBSESS_DUR:
if v >= V_DURATION_2W_6M:
r.decide(
"Obsessions for >=2 weeks. "
"Setting obsessions_at_least_2_weeks."
)
r.obsessions_at_least_2_weeks = True
# --------------------------------------------------------------------
# End
# --------------------------------------------------------------------
elif q == CQ.OVERALL1_INFO_ONLY:
pass
elif q == CQ.OVERALL2_IMPACT_PAST_WEEK:
if self.answered(q, v):
r.functional_impairment = v - 1
r.decide(
f"Setting functional_impairment to "
f"{r.functional_impairment}"
)
elif q == CQ.THANKS_FINISHED:
pass
elif q == CQ.END_MARKER: # this is not a page
# we've reached the end; no point thinking further
return CQ.END_MARKER
else:
pass
if next_q == -1:
# Nothing has expressed an overriding preference, so increment...
next_q = enum_to_int(q) + 1
return int_to_enum(next_q)
def get_result(self, record_decisions: bool = False) -> CisrResult:
# internal_q = CQ.START_MARKER
internal_q = CQ.APPETITE1_LOSS_PAST_MONTH # skip the preamble etc.
result = CisrResult(record_decisions)
while (not result.incomplete) and internal_q != CQ.END_MARKER:
internal_q = self.next_q(internal_q, result)
# loop until we reach the end or have incomplete data
result.finalize()
return result
[docs] def get_clinical_text(self, req: CamcopsRequest) -> List[CtvInfo]:
res = self.get_result()
if res.incomplete:
return CTV_INCOMPLETE
return [
CtvInfo(
content=(
f"Probable primary diagnosis: "
f"{bold(res.diagnosis_1_name())} "
f"({res.diagnosis_1_icd10_code()})"
)
),
CtvInfo(
content=(
f"Probable secondary diagnosis: "
f"{bold(res.diagnosis_2_name())} "
f"({res.diagnosis_2_icd10_code()})"
)
),
CtvInfo(
content=(
f"CIS-R suicide intent: "
f"{self.get_suicide_intent(req, res, with_warning=False)}"
)
),
]
[docs] def get_summaries(self, req: CamcopsRequest) -> List[SummaryElement]:
result = self.get_result()
return self.standard_task_summary_fields() + [
# Diagnoses
SummaryElement(
name="diagnosis_1_code",
coltype=Integer(),
value=result.diagnosis_1,
comment="Probable primary diagnosis (CIS-R code)",
),
SummaryElement(
name="diagnosis_1_text",
coltype=UnicodeText(),
value=result.diagnosis_1_name(),
comment="Probable primary diagnosis (text)",
),
SummaryElement(
name="diagnosis_1_icd10",
coltype=UnicodeText(),
value=result.diagnosis_1_icd10_code(),
comment="Probable primary diagnosis (ICD-10 code/codes)",
),
SummaryElement(
name="diagnosis_2_code",
coltype=Integer(),
value=result.diagnosis_2,
comment="Probable secondary diagnosis (CIS-R code)",
),
SummaryElement(
name="diagnosis_2_text",
coltype=UnicodeText(),
value=result.diagnosis_2_icd10_code(),
comment="Probable secondary diagnosis (text)",
),
SummaryElement(
name="diagnosis_2_icd10",
coltype=UnicodeText(),
value=result.diagnosis_2_icd10_code(),
comment="Probable secondary diagnosis (ICD-10 code/codes)",
),
# Suicidality/doctell: directly encoded in data
# Total score
SummaryElement(
name="score_total",
coltype=Integer(),
value=result.get_score(),
comment=f"CIS-R total score (max. {MAX_TOTAL})",
),
# Functional impairment: directly encoded in data
# Subscores
SummaryElement(
name="score_somatic_symptoms",
coltype=Integer(),
value=result.somatic_symptoms,
comment="Score: somatic symptoms (max. 4)",
),
SummaryElement(
name="score_hypochondria",
coltype=Integer(),
value=result.hypochondria,
comment="Score: worry over physical health (max. 4)",
),
SummaryElement(
name="score_irritability",
coltype=Integer(),
value=result.irritability,
comment="Score: irritability (max. 4)",
),
SummaryElement(
name="score_concentration_poor",
coltype=Integer(),
value=result.concentration_poor,
comment="Score: poor concentration (max. 4)",
),
SummaryElement(
name="score_fatigue",
coltype=Integer(),
value=result.fatigue,
comment="Score: fatigue (max. 4)",
),
SummaryElement(
name="score_sleep_problems",
coltype=Integer(),
value=result.sleep_problems,
comment="Score: sleep problems (max. 4)",
),
SummaryElement(
name="score_depression",
coltype=Integer(),
value=result.depression,
comment="Score: depression (max. 4)",
),
SummaryElement(
name="score_depressive_thoughts",
coltype=Integer(),
value=result.depressive_thoughts,
comment="Score: depressive ideas (max. 5)",
),
SummaryElement(
name="score_phobias",
coltype=Integer(),
value=result.phobias_score,
comment="Score: phobias (max. 4)",
),
SummaryElement(
name="score_worry",
coltype=Integer(),
value=result.worry,
comment="Score: worry (max. 4)",
),
SummaryElement(
name="score_anxiety",
coltype=Integer(),
value=result.anxiety,
comment="Score: anxiety (max. 4)",
),
SummaryElement(
name="score_panic",
coltype=Integer(),
value=result.panic,
comment="Score: panic (max. 4)",
),
SummaryElement(
name="score_compulsions",
coltype=Integer(),
value=result.compulsions,
comment="Score: compulsions (max. 4)",
),
SummaryElement(
name="score_obsessions",
coltype=Integer(),
value=result.obsessions,
comment="Score: obsessions (max. 4)",
),
# Other
SummaryElement(
name="sleep_change",
coltype=Integer(),
value=result.sleep_change,
comment=DESC_SLEEP_CHANGE,
),
SummaryElement(
name="weight_change",
coltype=Integer(),
value=result.weight_change,
comment=DESC_WEIGHT_CHANGE,
),
SummaryElement(
name="depcrit1_score",
coltype=Integer(),
value=result.depr_crit_1_mood_anhedonia_energy,
comment=DESC_DEPCRIT1,
),
SummaryElement(
name="depcrit2_score",
coltype=Integer(),
value=result.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui,
comment=DESC_DEPCRIT2,
),
SummaryElement(
name="depcrit3_score",
coltype=Integer(),
value=result.depr_crit_3_somatic_synd,
comment=DESC_DEPCRIT3,
),
SummaryElement(
name="depcrit3_met_somatic_syndrome",
coltype=Boolean(),
value=result.has_somatic_syndrome(),
comment=DESC_DEPCRIT3_MET,
),
SummaryElement(
name="neurasthenia_score",
coltype=Integer(),
value=result.neurasthenia,
comment=DESC_NEURASTHENIA_SCORE,
),
# Disorder flags
SummaryElement(
name="disorder_ocd",
coltype=Boolean(),
value=result.obsessive_compulsive_disorder,
comment=DISORDER_OCD,
),
SummaryElement(
name="disorder_depression_mild",
coltype=Boolean(),
value=result.depression_mild,
comment=DISORDER_DEPR_MILD,
),
SummaryElement(
name="disorder_depression_moderate",
coltype=Boolean(),
value=result.depression_moderate,
comment=DISORDER_DEPR_MOD,
),
SummaryElement(
name="disorder_depression_severe",
coltype=Boolean(),
value=result.depression_severe,
comment=DISORDER_DEPR_SEV,
),
SummaryElement(
name="disorder_cfs",
coltype=Boolean(),
value=result.chronic_fatigue_syndrome,
comment=DISORDER_CFS,
),
SummaryElement(
name="disorder_gad",
coltype=Boolean(),
value=result.generalized_anxiety_disorder,
comment=DISORDER_GAD,
),
SummaryElement(
name="disorder_agoraphobia",
coltype=Boolean(),
value=result.phobia_agoraphobia,
comment=DISORDER_AGORAPHOBIA,
),
SummaryElement(
name="disorder_social_phobia",
coltype=Boolean(),
value=result.phobia_social,
comment=DISORDER_SOCIAL_PHOBIA,
),
SummaryElement(
name="disorder_specific_phobia",
coltype=Boolean(),
value=result.phobia_specific,
comment=DISORDER_SPECIFIC_PHOBIA,
),
SummaryElement(
name="disorder_panic_disorder",
coltype=Boolean(),
value=result.panic_disorder,
comment=DISORDER_PANIC,
),
]
[docs] def is_complete(self) -> bool:
result = self.get_result()
return not result.incomplete
def diagnosis_name(self, req: CamcopsRequest, diagnosis_code: int) -> str:
xstring_name = f"diag_{diagnosis_code}_desc"
return self.wxstring(req, xstring_name)
def diagnosis_reason(
self, req: CamcopsRequest, diagnosis_code: int
) -> str:
xstring_name = f"diag_{diagnosis_code}_explan"
return self.wxstring(req, xstring_name)
def get_suicide_intent(
self,
req: CamcopsRequest,
result: CisrResult,
with_warning: bool = True,
) -> str:
if result.incomplete:
html = "TASK INCOMPLETE. SO FAR: "
else:
html = ""
html += self.wxstring(req, f"suicid_{result.suicidality}")
if (
with_warning
and result.suicidality >= SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING
):
html += f" <i>{self.wxstring(req, 'suicid_instruction')}</i>"
if result.suicidality != SUICIDE_INTENT_NONE:
html = bold(html)
return html
def get_doctell(self, req: CamcopsRequest) -> str:
if self.doctor is None:
return ""
return self.xstring(req, f"doctell_{self.doctor}")
# ... xstring() as may use HTML
def get_sleep_change(self, req: CamcopsRequest, result: CisrResult) -> str:
if result.sleep_change == SLEEPCHANGE_NONE:
return ""
return self.wxstring(req, f"sleepch_{result.sleep_change}")
def get_weight_change(
self, req: CamcopsRequest, result: CisrResult
) -> str:
if result.weight_change in (
WTCHANGE_NONE_OR_APPETITE_INCREASE,
WTCHANGE_APPETITE_LOSS,
):
return ""
return self.wxstring(req, f"wtchange_{result.weight_change}")
def get_impairment(self, req: CamcopsRequest, result: CisrResult) -> str:
return self.wxstring(req, f"impair_{result.functional_impairment}")
[docs] def get_task_html(self, req: CamcopsRequest) -> str:
# Iterate only once, for efficiency, so don't use get_result().
def qa_row(q_: CisrQuestion, qtext: str, a_: Optional[str]) -> str:
return tr(
f"{q_.value}. {qtext}", answer(a_, formatter_answer=bold)
)
def max_text(maxval: int) -> str:
return f" (max. {maxval})"
demographics_html_list = [] # type: List[str]
question_html_list = [] # type: List[str]
q = CQ.ETHNIC # type: CisrQuestion
result = CisrResult(record_decisions=True)
while (not result.incomplete) and q != CQ.END_MARKER:
# Iterate until we get to the end or the result declares itself
# incomplete.
# noinspection PyTypeChecker
target_list = (
demographics_html_list
if q.value < CQ.HEALTH_WELLBEING.value
else question_html_list
)
if q in QUESTIONS_PROMPT_ONLY:
question = self.wxstring(req, QUESTIONS_PROMPT_ONLY[q])
target_list.append(qa_row(q, question, NOT_APPLICABLE_TEXT))
elif q == CQ.PANSYM: # special!
target_list.append(
qa_row(
q,
self.wxstring(req, "pansym_q_prefix"),
NOT_APPLICABLE_TEXT,
)
)
for fieldname in PANIC_SYMPTOM_FIELDNAMES:
question = self.wxstring(req, fieldname + "_q")
value = getattr(self, fieldname)
a = get_yes_no_none(
req, value == 2 if value is not None else None
)
target_list.append(qa_row(q, question, a))
else:
fieldname = fieldname_for_q(q)
assert fieldname, f"No fieldname for question {q}"
question = self.wxstring(req, fieldname + "_q")
a = self.get_textual_answer(req, q)
target_list.append(qa_row(q, question, a))
q = self.next_q(q, result)
# loop until we reach the end or have incomplete data
result.finalize()
is_complete = not result.incomplete
is_complete_html_td = """{}<b>{}</b></td>""".format(
"<td>"
if is_complete
else f"""<td class="{CssClass.INCOMPLETE}">""",
get_yes_no(req, is_complete),
)
summary_rows = [
subheading_spanning_two_columns("Diagnoses"),
tr(
"Probable primary diagnosis",
(
bold(self.diagnosis_name(req, result.diagnosis_1))
+ (
f" ({result.diagnosis_1_icd10_code()})"
if result.has_diagnosis_1()
else ""
)
),
),
tr(
italic("... summary of reasons/description"),
italic(self.diagnosis_reason(req, result.diagnosis_1)),
),
tr(
"Probable secondary diagnosis",
(
bold(self.diagnosis_name(req, result.diagnosis_2))
+ (
f" ({result.diagnosis_2_icd10_code()})"
if result.has_diagnosis_2()
else ""
)
),
),
tr(
italic("... summary of reasons/description"),
italic(self.diagnosis_reason(req, result.diagnosis_2)),
),
subheading_spanning_two_columns("Suicidality"),
tr(
td(self.wxstring(req, "suicid_heading")),
td(self.get_suicide_intent(req, result)),
literal=True,
),
tr("... spoken to doctor?", self.get_doctell(req)),
subheading_spanning_two_columns("Total score/overall impairment"),
tr(
f"CIS-R total score (max. {MAX_TOTAL}) <sup>[1]</sup>",
result.get_score(),
),
tr(
self.wxstring(req, "impair_label"),
self.get_impairment(req, result),
),
subheading_spanning_two_columns(
"Subscores contributing to total " "<sup>[2]</sup>"
),
tr(
self.wxstring(req, "somatic_label") + max_text(MAX_SOMATIC),
result.somatic_symptoms,
),
tr(
self.wxstring(req, "hypo_label") + max_text(MAX_HYPO),
result.hypochondria,
),
tr(
self.wxstring(req, "irrit_label") + max_text(MAX_IRRIT),
result.irritability,
),
tr(
self.wxstring(req, "conc_label") + max_text(MAX_CONC),
result.concentration_poor,
),
tr(
self.wxstring(req, "fatigue_label") + max_text(MAX_FATIGUE),
result.fatigue,
),
tr(
self.wxstring(req, "sleep_label") + max_text(MAX_SLEEP),
result.sleep_problems,
),
tr(
self.wxstring(req, "depr_label") + max_text(MAX_DEPR),
result.depression,
),
tr(
self.wxstring(req, "depthts_label") + max_text(MAX_DEPTHTS),
result.depressive_thoughts,
),
tr(
self.wxstring(req, "phobias_label") + max_text(MAX_PHOBIAS),
result.phobias_score,
),
tr(
self.wxstring(req, "worry_label") + max_text(MAX_WORRY),
result.worry,
),
tr(
self.wxstring(req, "anx_label") + max_text(MAX_ANX),
result.anxiety,
),
tr(
self.wxstring(req, "panic_label") + max_text(MAX_PANIC),
result.panic,
),
tr(
self.wxstring(req, "comp_label") + max_text(MAX_COMP),
result.compulsions,
),
tr(
self.wxstring(req, "obsess_label") + max_text(MAX_OBSESS),
result.obsessions,
),
subheading_spanning_two_columns("Other"),
tr("Sleep change", self.get_sleep_change(req, result)),
tr("Weight change", self.get_weight_change(req, result)),
tr(DESC_DEPCRIT1, result.depr_crit_1_mood_anhedonia_energy),
tr(DESC_DEPCRIT2, result.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui),
tr(DESC_DEPCRIT3, result.depr_crit_3_somatic_synd),
tr(DESC_DEPCRIT3_MET, result.has_somatic_syndrome()), # RNC
tr(DESC_NEURASTHENIA_SCORE, result.neurasthenia),
subheading_spanning_two_columns("Disorder flags"),
tr(DISORDER_OCD, result.obsessive_compulsive_disorder),
tr(DISORDER_DEPR_MILD, result.depression_mild),
tr(DISORDER_DEPR_MOD, result.depression_moderate),
tr(DISORDER_DEPR_SEV, result.depression_severe),
tr(DISORDER_CFS, result.chronic_fatigue_syndrome),
tr(DISORDER_GAD, result.generalized_anxiety_disorder),
tr(DISORDER_AGORAPHOBIA, result.phobia_agoraphobia),
tr(DISORDER_SOCIAL_PHOBIA, result.phobia_social),
tr(DISORDER_SPECIFIC_PHOBIA, result.phobia_specific),
tr(DISORDER_PANIC, result.panic_disorder),
]
return f"""
<div class="{CssClass.HEADING}">{self.wxstring(req, "results_1")}</div>
<div>{self.wxstring(req, "results_2")}</div>
<div class="{CssClass.SUMMARY}">
<table class="{CssClass.SUMMARY}">
<tr>
<td width="50%">Completed?</td>
{is_complete_html_td}
</tr>
{"".join(summary_rows)}
</table>
</div>
<div class="{CssClass.FOOTNOTES}">
[1] {self.wxstring(req, "score_note")}
[2] {self.wxstring(req, "symptom_score_note")}
</div>
<div class="{CssClass.HEADING}">
Preamble/demographics (not contributing to diagnosis)
</div>
<table class="{CssClass.TASKDETAIL}">
<tr>
<th width="75%">Page</th>
<th width="25%">Answer</td>
</tr>
{"".join(demographics_html_list)}
</table>
<div class="{CssClass.HEADING}">
Data considered by algorithm (may be a subset of all data if
subject revised answers)
</div>
<table class="{CssClass.TASKDETAIL}">
<tr>
<th width="75%">Page</th>
<th width="25%">Answer</td>
</tr>
{"".join(question_html_list)}
</table>
<div class="{CssClass.HEADING}">Decisions</div>
<pre>{"<br>".join(ws.webify("‣ " + x) for x in result.decisions)}</pre>
<div class="{CssClass.COPYRIGHT}">
• Original papers:
▶ Lewis G, Pelosi AJ, Aray R, Dunn G (1992).
Measuring psychiatric disorder in the community: a standardized
assessment for use by lay interviewers.
Psychological Medicine 22: 465-486. {pmid(1615114)}.
▶ Lewis G (1994).
Assessing psychiatric disorder with a human interviewer or a
computer.
J Epidemiol Community Health 48: 207-210. {pmid(8189180)}.
• Source/copyright: Glyn Lewis.
▶ The task itself is not in the reference publications, so
copyright presumed to rest with the authors (not the journals).
▶ “There are no copyright issues with the CISR so please adapt
it for use.” — Prof. Glyn Lewis, personal communication to
Rudolf Cardinal, 27 Oct 2017.
</div>
""" # noqa