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SECTION EE: MAJOR DEPRESSIVE DISORDER

INTERVIEWER INSTRUCTIONS — STOP AND READ

1. COMPLETE THE ENTIRE FIRST COLUMN FOR EE1 THRU EE24

2. COMPLETE INTERVIEWER CHECKPOINT R (RIGHT AFTER EE24)

IF THE NUMBER OF SYMPTOMS IS LESS THAN 4 GO TO INTERVIEWER CHECKPOINT S

IF THE NUMBER OF SYMPTOMS IS 4 OR GREATER CONTINUE TO EE25

3. EE40

IF THE RESPONDENT’S RESPONSES LEAD TO EE40, FILL IN AND GO TO FF1

IF NOT, CONTINUE AS DIRECTED

4. AFTER EE52a, RETURN TO EE1

ASK COLUMN a FOR EACH "YES" (1) RESPONSE FROM EE1 THRU EE27

THE PORTION OF EACH QUESTION IN THE FIRST COLUMN THAT IS IN BRACKETS GETS INSERTED AT THE END OF THE QUESTION IN COLUMN a

5. AFTER FINISHING THE SECOND COLUMN, GO TO INTERVIEWER CHECKPOINT S

Earlier you said that you have had a period of two weeks or longer when (nearly everyday) you felt sad, empty or depressed most of the day (and/or) you lost interest in most things like work, hobbies and other things you usually enjoy.

PROBE: Ever in lifetime?

a.

Thinking of the time when you were depressed for at least 2 weeks or more and had the largest number of problems, did you [ ]?

EE1. During a period lasting 2 weeks or longer when you felt sad, empty or depressed (and/or) lost interest in things, [did you lack energy or feel tired all the time nearly every day, even when you had not been working very hard?]

YES 1

NO 2

YES 1

NO 2

EE2. What about other problems you had during a period when you (felt depressed/lost interest in things/felt tired all the time) for two weeks or longer, [did you have less appetite than usual almost every day?]

YES 1

NO 2

YES 1

NO 2

EE3. During one of those periods, [did you lose weight without trying to, as much as two pounds a week for several weeks?] This does not include a physical cause like illness. IF FEMALE: or childbirth

YES 1

NO 2

YES 1

NO 2

EE4. During one of those periods, [did you have a much larger appetite than is usual for you almost every day for two weeks or more?] This does not include growing fast due to puberty. IF FEMALE: or pregnancy

YES 1

NO 2

YES 1

NO 2

EE5. During one of those periods, [did your eating increase so much that you gained weight, as much as two pounds a week for several weeks?] This does not include growing fast due to puberty. IF FEMALE: or pregnancy

YES 1

NO 2

YES 1

NO 2

EE6. When you (were feeling depressed/had lost interest/lacked energy), [did you have trouble sleeping almost every night for two weeks or more--either trouble falling asleep, walking in the middle of the night, or waking up too early]?

YES 1

NO (GO TO EE8) 2

YES 1

NO 2

EE7. [Did you wake up at least two hours before you wanted to every day for at least two weeks?]

YES 1

NO 2

YES 1

NO 2

EE8. During a period when you (felt depressed/lost interest/lacked energy) [were you sleeping too much almost every day?]

YES 1

NO 2

YES 1

NO 2

EE9. During one of those periods, [did you talk or move more slowly than is normal for you almost every day for at least two weeks?]

YES 1

NO (GO TO EE11) 2

YES 1

NO 2

EE10. [Did anyone else notice that you were talking or moving slowly?]

YES 1

NO 2

YES 1

NO 2

EE11. During one of those periods, [did you have to be moving all the time--that is, you couldn’t sit still and paced up and down or couldn’t keep your hands still when sitting?]

YES 1

NO (GO TO EE13) 2

YES 1

NO 2

EE12. [Did anyone notice that you were moving all the time?]

YES 1

NO 2

YES 1

NO 2

EE13. During one of those periods, [did you feel worthless nearly every day?]

YES 1

NO 2

YES 1

NO 2

EE14. During one of those periods [did you feel guilty?]

YES 1

NO 2

YES 1

NO 2

EE15. During one of those periods, [did you feel that you were not as good as other people?]

YES 1

NO 2

YES 1

NO 2

EE16. [Did you have so little self-confidence that you wouldn’t try to have your say about anything?]

YES 1

NO 2

YES 1

NO 2

EE17. During one of those periods, [did you have a lot more trouble concentrating than is normal for you?]

YES 1

NO 2

YES 1

NO 2

EE18. [Were you unable to read things that usually interest you or watch television or movies you usually liked because you couldn’t pay attention to them?]

YES 1

NO 2

YES 1

NO 2

EE19. [Did your thoughts come much slower than usual or seem mixed up?]

YES 1

NO 2

YES 1

NO 2

EE20. [Were you unable to make up your mind about things you ordinarily had no trouble deciding about?]

YES 1

NO 2

YES 1

NO 2

EE21. During one of these periods, [did you think a lot about death?]

YES 1

NO 2

YES 1

NO 2

EE22. [Did you feel so low you thought a lot about committing suicide?]

YES 1

NO (GO TO INTERVIEWER

CHECKPOINT R) 2

YES 1

NO 2

EE23. [Did you make a plan as to how you might do it?]

YES 1

NO 2

YES 1

NO 2

EE24. [Did you attempt suicide?]

YES 1

NO 2

YES 1

NO 2

INTERVIEWER CHECKPOINT R

ADD THE NUMBER OF YESES IN CC3, CC4, PLUS THE NUMBER OF BOXES ABOVE WITH AT LEAST ONE YES. IS THE TOTAL FOUR OR MORE? IF NO, GO TO INTERVIEWER CHECKPOINT S.

CONTINUE TO EE25a

EE25. During a two week period of (feeling depressed/ having lost interest/lacking energy) most days, [did you feel particularly bad when you first got up, but felt better later in the day?]

YES 1

NO 2

YES 1

NO 2

EE26. During one of these periods, [was your interest in sex a lot less than usual?]

YES 1

NO 2

YES 1

NO 2

EE27. [Did you lose the ability to enjoy having good things happen to you, like winning something or being praised or complimented?]

YES 1

NO 2

YES 1

NO 2

CONTINUE TO EE28

GO TO INTERVIEWER CHECKPOINT S

EE28. Did you tell a doctor about feeling (sad empty or depressed/losing interest in most things)?

YES 1

NO (GO TO EE32) 2

EE29. When you told the doctor, what was the diagnosis?

IF NECESSARY: What did the doctor say was causing these situations?

RECORD VERBATIM

________________________________

________________________________

________________________________

EE30. Did the doctor find anything abnormal during an examination, or from tests or x-rays?

YES 1

NO (GO TO EE31a) 2

EE31. What did the doctor find?

RECORD VERBATIM

________________________________

________________________________

________________________________

QUESTIONS EE31a - EE31c ARE INTERVIEWER QUERIES.

DO NOT READ ALOUD

EE31a. DID THE DOCTOR MENTION ANY OF THE FOLLOWING AS A POSSIBLE CONTRIBUTING CAUSE?

NERVES

STRESS

TENSION

EXHAUSTION

OVERWORK

DEPRESSION

HYPERVENTILATION

REACTION TO UPSETTING EVENT OR SITUATION

MANIA

PANIC ATTACKS

ANXIETY

ANY OTHER EMOTIONAL/MENTAL PROBLEM

YES (GO TO EE41) 1

NO (GO TO EE41b) 2

EE31b. DID DOCTOR MENTION ALCOHOL OR DRUGS OR ADVERSE EFFECTS OF MEDICATIONS AS POSSIBLE CONTRIBUTING CAUSES?

YES 1

NO 2

EE31c. DID DOCTOR MENTION A PHYSICAL ILLNESS OR INJURY AS A POSSIBLE CONTRIBUTING CAUSE?

YES (GO TO EE35) 1

NO (GO TO EE41) 2

EE32. Did you tell any other professional about feeling (sad, empty or depressed/losing interest in most things)?

PROBE: READ IF NECESSARY: By "other professional" we mean psychologists, social workers, counselors, nurses, clergy, dentists, chiropractors, healers and podiatrists.

YES 1

NO 2

EE33. Did you take medication more than once for feeling (sad, empty or depressed/losing interest in most things)?

PROBE: READ IF NECESSARY: By "more than once," we mean one or more pills on at least two occasions where an "occasion" could occur more than once in the same day, e.g., taking a pill once in the morning and then a second pill in the afternoon on the same day would qualify as "more than once" while taking two pills in the morning would not qualify as "more than once."

YES 1

NO 2

EE33a. Did feeling (sad, empty or depressed/losing interest in most things) interfere with your life or activities a lot?

YES 1

NO 2

EE34. Was feeling (sad, empty or depressed/losing interest in most things) ever the result of a physical illness or injury?

YES 1

NO (GO TO EE38) 2

EE35. Was feeling (sad, empty or depressed/losing interest in most things) always the result of a physical illness or injury?

YES 1

NO (GO TO EE37) 2

EE36. What was your illness or injury

RECORD VERBATIM AND GO TO INTERVIEWER CHECKPOINT S

________________________________

________________________________

________________________________

EE37. When feeling (sad, empty or depressed/losing interest in most things) was not due to physical illness or injury, was it always the result of taking medication, drugs, or alcohol?

YES (GO TO EE40) 1

NO (GO TO EE41) 2

EE38. Was feeling (sad, empty or depressed/losing interest in most things) ever the result of taking medication, drugs or alcohol?

YES 1

NO (GO TO EE41) 2

EE39. Was feeling (sad, empty or depressed/losing interest in most things) always the result of taking medication, drugs or alcohol?

YES 1

NO (GO TO EE41) 2

EE40. What were the drugs or medicines and the physical illness or injury that caused these situations?

RECORD VERBATIM AND GO TO INTERVIEWER CHECKPOINT S

________________________________

________________________________

________________________________

EE41. Did any period lasting two weeks or longer seriously interfere with your ability to do your job, take care of your house or family, or take care of yourself?

YES 1

NO (GO TO EE43) 2

EE42. What is the longest period like that you have ever had?

|___|___|___|

# OF WEEKS

(GO TO EE43)

IF DON’T KNOW, GO TO EE42a

EE42a. What is your best estimate?

|___|___|___|

# OF WEEKS

EE42b. Would you say it lasted 14 days or longer?

YES 1

NO 2

EE43. Can you remember your exact age the first time you felt (sad, empty or depressed/losing interest in most things)?

YES 1

NO (GO TO EE44) 2

EE43a. About how old were you?

|___|___|

AGE

(GO TO EE45)

EE44. What is the earliest age you can clearly remember feeling (sad, empty or depressed/losing interest in most things?)

|___|___|

AGE

EE45. How long did this period last?

|___|___|

# OF MONTHS

EE46. When was the last time you had a period of this sort? Was it...

Right now, (GO TO EE47) 1

In the past 2 weeks, (GO TO EE47) 2

Past month, (GO TO EE47) 3

Past 6 months, (GO TO EE47) 4

Past year, or (GO TO EE47) 5

More than a year ago 6

EE46a. How old were you the last time you had a period of this sort?

PROBE IF NECESSARY: What is your best estimate?

|___|___|

YEARS OLD

EE47. In your lifetime, how many different periods have you had that lasted two weeks or more when you (felt depressed/lost interest in things/lacked energy) and had some of the problems we’ve talked about?

|___|___|___|

# OF EPISODES

(IF ONLY 1 GO TO EE49)

EE48a. In between (any of) these periods (of feeling depressed/having no interest in things/lacking energy) were you feeling OK for some months?

YES 1

NO (GO TO EE49) 2

EE48b. Between your periods of depression, were you as able to work and enjoy being with other people as you were before they began?

YES 1

NO (GO TO EE49) 2

EE48c. Did that time when you felt OK and enjoyed being with other people last at least two months?

YES 1

NO (GO TO EE49) 2

EE48d. Earlier you said you have had (FILL FROM EE47) period(s) of feeling depressed/losing interest in things/lacking energy. How many separate periods of (being depressed/losing interest in things/lacking energy) did you have if you count only periods where you felt OK for at least two months in between them?

|___|___|___|

# OF EPISODES

WITH TWO MONTH

INTERVALS

EE49. Did (this period/any of these periods) of (depression/loss of interest) occur just after someone close to you died?

YES 1

NO 2

IF RESPONDENT VOLUNTEERS THAT IT BEGAN MORE THAN TWO MONTHS AFTER DEATH, CODE 02 AND GOTO EE49d

EE49a. Have you had any period of (feeling depressed/having lost interest) along with these other problems (LIST 3 SYMPTOMS CODED 1 FROM EE1 THRU EE27) at times when it wasn’t just after the death of someone close to you?

READ CATEGORIES IF NECESSARY

YES, OTHER TIMES 1

NO, ONLY AFTER DEATH

(GO TO EE49d) 2

EE49b. How many were not just after a death?

|___|___|___|

# OF EPISODES

NOT AFTER A DEATH

EE49c. IF RESPONDENT HAD DEPRESSED PERIOD IN LAST YEAR, ASK: What about the period(s) you had in the last year? (Was that/Were they all) shortly after the death of someone close to you?

READ CATEGORIES IF NECESSARY

YES, ONLY AFTER DEATH 1

NO, NOT ONLY AFTER DEATH 2

EE49d. IF MALE OR NO CHILDREN, SKIP TO EE50. Did (this/any of these) period(s) start within a month of having a baby?

YES 1

NO 2

N/A 3

EE50. DID RESPONDENT HAVE TWO OR MORE SEPARATE DEPRESSED PERIODS (EE48D CODED TWO OR MORE)?

YES 1

NO (GO TO INTERVIEWER

CHECKPOINT S) 2

You mentioned that there (was a time/were times) you had a period of (feeling depressed/having lost interest) that did not occur after a death. This next set of questions is about (that period/those periods.)

EE51. Now I’d like to know about the time when you (were feeling depressed/lost interest/lacked energy) for at least two weeks and had the largest number of other problems we’ve talked about at the same time. In other words the time when you had experienced the most symptoms. How old were you at that time?

IF R CAN’T CHOOSE: Then pick one bad two-week period.

|___|___|

AGE

EE52. I’ll be asking which of these problems you had during the two weeks when you were (FILL FROM EE51) years old and had the largest number of these problems at the same time. At that time, were you feeling sad or depressed?

YES 1

NO 2

EE52a. Had you lost interest in almost everything?

YES 1

NO 2

RETURN TO EE1. READ COLUMN a FOR EACH QUESTION CODED "YES" (1) THRU EE27.

INTERVIEWER CHECKPOINT S

SEE REFERENCE CARD, "SCREENERS" CC5-CC7

|___| 1. ONE OR MORE "YES" RESPONSES IN CC5-CC7

INTERVIEWER QUERY: FIRST "YES" RESPONSE IN CC5-CC7 SERIES IS (CARD C2):

|___| 3. CC5 ® TURN TO FF1

|___| 4. CC6 ® TURN TO GG1

|___| 5. CC7 ® TURN TO GG16

|___| 2. ALL OTHERS ® TURN TO SECTION HH

 

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