Coverage for tasks/cisr.py: 42%
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1"""
2camcops_server/tasks/cisr.py
4===============================================================================
6 Copyright (C) 2012, University of Cambridge, Department of Psychiatry.
7 Created by Rudolf Cardinal (rnc1001@cam.ac.uk).
9 This file is part of CamCOPS.
11 CamCOPS is free software: you can redistribute it and/or modify
12 it under the terms of the GNU General Public License as published by
13 the Free Software Foundation, either version 3 of the License, or
14 (at your option) any later version.
16 CamCOPS is distributed in the hope that it will be useful,
17 but WITHOUT ANY WARRANTY; without even the implied warranty of
18 MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
19 GNU General Public License for more details.
21 You should have received a copy of the GNU General Public License
22 along with CamCOPS. If not, see <https://www.gnu.org/licenses/>.
24===============================================================================
26"""
28from enum import Enum
29import logging
30from typing import List, Optional
32from cardinal_pythonlib.classes import classproperty
33from cardinal_pythonlib.logs import BraceStyleAdapter
34import cardinal_pythonlib.rnc_web as ws
35from semantic_version import Version
36from sqlalchemy.orm import Mapped
37from sqlalchemy.sql.sqltypes import Boolean, Integer, UnicodeText
39from camcops_server.cc_modules.cc_constants import CssClass
40from camcops_server.cc_modules.cc_ctvinfo import CTV_INCOMPLETE, CtvInfo
41from camcops_server.cc_modules.cc_html import (
42 answer,
43 bold,
44 get_yes_no,
45 get_yes_no_none,
46 italic,
47 pmid,
48 subheading_spanning_two_columns,
49 td,
50 tr,
51)
52from camcops_server.cc_modules.cc_request import CamcopsRequest
53from camcops_server.cc_modules.cc_sqla_coltypes import (
54 mapped_camcops_column,
55 ZERO_TO_FOUR_CHECKER,
56 ONE_TO_TWO_CHECKER,
57 ONE_TO_THREE_CHECKER,
58 ONE_TO_FOUR_CHECKER,
59 ONE_TO_FIVE_CHECKER,
60 ONE_TO_SIX_CHECKER,
61 ONE_TO_SEVEN_CHECKER,
62 ONE_TO_EIGHT_CHECKER,
63 ONE_TO_NINE_CHECKER,
64)
65from camcops_server.cc_modules.cc_summaryelement import SummaryElement
66from camcops_server.cc_modules.cc_task import Task, TaskHasPatientMixin
68log = BraceStyleAdapter(logging.getLogger(__name__))
71# =============================================================================
72# Constants
73# =============================================================================
75DEBUG_SHOW_QUESTIONS_CONSIDERED = True
77NOT_APPLICABLE_TEXT = "—"
79# -----------------------------------------------------------------------------
80# Comments for fields
81# -----------------------------------------------------------------------------
83CMT_DEMOGRAPHICS = "(Demographics) "
84CMT_1_NO_2_YES = " (1 no, 2 yes)"
85CMT_1_YES_2_NO = " (1 yes, 2 no)"
86CMT_DURATION = (
87 " (1: <2 weeks; 2: 2 weeks–6 months; 3: 6 months–1 year; "
88 "4: 1–2 years; 5: >2 years)"
89)
90CMT_NEVER_SOMETIMES_ALWAYS = " (1 never, 2 sometimes, 3 always)"
91CMT_DAYS_PER_WEEK = " (1: none, 2: one to three, 3: four or more)"
92CMT_NIGHTS_PER_WEEK = CMT_DAYS_PER_WEEK
93CMT_UNPLEASANT = (
94 " (1 not at all, 2 a little unpleasant, 3 unpleasant, "
95 "4 very unpleasant)"
96)
97CMT_NO_SOMETIMES_OFTEN = " (1 no, 2 sometimes, 3 often)"
98CMT_BOTHERSOME_INTERESTING = (
99 " (1 no, 2 yes, 3 haven't done anything " "interesting)"
100)
101CMT_DURING_ENJOYABLE = " (1 no, 2 yes, 3 haven't done anything enjoyable)"
102CMT_FATIGUE_CAUSE = (
103 " (1 problems with sleep; 2 medication; 3 physical illness; 4 working too "
104 "hard inc. childcare; 5 stress/worry/other psychological; 6 physical "
105 "exercise; 7 other; 8 don't know)"
106)
107CMT_STRESSORS = (
108 " (1 family members; 2 relationships with friends/colleagues; 3 housing; "
109 "4 money/bills; 5 own physical health; 6 own mental health; 7 work/lack "
110 "of work; 8 legal; 9 political/news)"
111)
112CMT_SLEEP_CHANGE = " (1: <15min, 2: 15–60min, 3: 1–3h, 4: >=3h)"
113CMT_ANHEDONIA = (
114 " (1 yes; 2 no, less enjoyment than usual; " "3 no, don't enjoy anything)"
115)
116CMT_PANIC_SYMPTOM = "Panic symptom in past week: "
118# ... and results:
119DESC_DEPCRIT1 = "Depressive criterion 1 (mood, anhedonia, energy; max. 3)"
120DESC_DEPCRIT2 = (
121 "Depressive criterion 2 (appetite/weight, concentration, "
122 "sleep, motor, guilt, self-worth, suicidality; max. 7)"
123)
124DESC_DEPCRIT3 = (
125 "Depressive criterion 3: somatic syndrome (anhedonia, lack of emotional "
126 "reactivity, early-morning waking, depression worse in the morning, "
127 "psychomotor retardation/agitation, loss of appetite, weight loss, loss "
128 "of libido; max. 8)"
129)
130DESC_DEPCRIT3_MET = "Somatic syndrome criterion met (≥4)?"
131DESC_NEURASTHENIA_SCORE = "Neurasthenia score (max. 3)"
133DISORDER_OCD = "Obsessive–compulsive disorder"
134DISORDER_DEPR_MILD = "Depressive episode: at least mild"
135DISORDER_DEPR_MOD = "Depressive episode: at least moderate"
136DISORDER_DEPR_SEV = "Depressive episode: severe"
137DISORDER_CFS = "Chronic fatigue syndrome"
138DISORDER_GAD = "Generalized anxiety disorder"
139DISORDER_AGORAPHOBIA = "Agoraphobia"
140DISORDER_SOCIAL_PHOBIA = "Social phobia"
141DISORDER_SPECIFIC_PHOBIA = "Specific phobia"
142DISORDER_PANIC = "Panic disorder"
144# -----------------------------------------------------------------------------
145# Number of response values (numbered from 1 to N)
146# -----------------------------------------------------------------------------
148N_DURATIONS = 5
149N_OPTIONS_DAYS_PER_WEEK = 3
150N_OPTIONS_NIGHTS_PER_WEEK = 3
151N_OPTIONS_HOW_UNPLEASANT = 4
152N_OPTIONS_FATIGUE_CAUSES = 8
153N_OPTIONS_STRESSORS = 9
154N_OPTIONS_NO_SOMETIMES_OFTEN = 3
155NUM_PANIC_SYMPTOMS = 13 # from a to m
157# -----------------------------------------------------------------------------
158# Actual response values
159# -----------------------------------------------------------------------------
161# For e.g. SOMATIC_DUR, etc.: "How long have you..."
162V_DURATION_LT_2W = 1
163V_DURATION_2W_6M = 2
164V_DURATION_6M_1Y = 3
165V_DURATION_1Y_2Y = 4
166V_DURATION_GE_2Y = 5
168# For quite a few: "on how many days in the past week...?"
169V_DAYS_IN_PAST_WEEK_0 = 1
170V_DAYS_IN_PAST_WEEK_1_TO_3 = 2
171V_DAYS_IN_PAST_WEEK_4_OR_MORE = 3
173V_NIGHTS_IN_PAST_WEEK_0 = 1
174V_NIGHTS_IN_PAST_WEEK_1_TO_3 = 2
175V_NIGHTS_IN_PAST_WEEK_4_OR_MORE = 3
177V_HOW_UNPLEASANT_NOT_AT_ALL = 1
178V_HOW_UNPLEASANT_A_LITTLE = 2
179V_HOW_UNPLEASANT_UNPLEASANT = 3
180V_HOW_UNPLEASANT_VERY = 4
182V_FATIGUE_CAUSE_SLEEP = 1
183V_FATIGUE_CAUSE_MEDICATION = 2
184V_FATIGUE_CAUSE_PHYSICAL_ILLNESS = 3
185V_FATIGUE_CAUSE_OVERWORK = 4
186V_FATIGUE_CAUSE_PSYCHOLOGICAL = 5
187V_FATIGUE_CAUSE_EXERCISE = 6
188V_FATIGUE_CAUSE_OTHER = 7
189V_FATIGUE_CAUSE_DONT_KNOW = 8
191V_STRESSOR_FAMILY = 1
192V_STRESSOR_FRIENDS_COLLEAGUES = 2
193V_STRESSOR_HOUSING = 3
194V_STRESSOR_MONEY = 4
195V_STRESSOR_PHYSICAL_HEALTH = 5
196V_STRESSOR_MENTAL_HEALTH = 6
197V_STRESSOR_WORK = 7
198V_STRESSOR_LEGAL = 8
199V_STRESSOR_POLITICAL_NEWS = 9
201V_NSO_NO = 1
202V_NSO_SOMETIMES = 2
203V_NSO_OFTEN = 3
205V_SLEEP_CHANGE_LT_15_MIN = 1
206V_SLEEP_CHANGE_15_MIN_TO_1_H = 2
207V_SLEEP_CHANGE_1_TO_3_H = 3
208V_SLEEP_CHANGE_GT_3_H = 4
210V_ANHEDONIA_ENJOYING_NORMALLY = 1
211V_ANHEDONIA_ENJOYING_LESS = 2
212V_ANHEDONIA_NOT_ENJOYING = 3
214# Specific other question values:
216V_EMPSTAT_FT = 1 # unused
217V_EMPSTAT_PT = 2 # unused
218V_EMPSTAT_STUDENT = 3 # unused
219V_EMPSTAT_RETIRED = 4 # unused
220V_EMPSTAT_HOUSEPERSON = 5 # unused
221V_EMPSTAT_UNEMPJOBSEEKER = 6 # unused
222V_EMPSTAT_UNEMPILLHEALTH = 7 # unused
224V_EMPTYPE_SELFEMPWITHEMPLOYEES = 1 # unused
225V_EMPTYPE_SELFEMPNOEMPLOYEES = 2 # unused
226V_EMPTYPE_EMPLOYEE = 3 # unused
227V_EMPTYPE_SUPERVISOR = 4 # unused
228V_EMPTYPE_MANAGER = 5 # unused
229V_EMPTYPE_NOT_APPLICABLE = 6 # unused
230# ... the last one: added by RNC, in case pt never employed. (Mentioned to
231# Glyn Lewis 2017-12-04. Not, in any case, part of the important bits of the
232# CIS-R.)
234V_HOME_OWNER = 1 # unused
235V_HOME_TENANT = 2 # unused
236V_HOME_RELATIVEFRIEND = 3 # unused
237V_HOME_HOSTELCAREHOME = 4 # unused
238V_HOME_HOMELESS = 5 # unused
239V_HOME_OTHER = 6 # unused
241V_WEIGHT2_WTLOSS_NOTTRYING = 1
242V_WEIGHT2_WTLOSS_TRYING = 2
244V_WEIGHT3_WTLOSS_GE_HALF_STONE = 1
245V_WEIGHT3_WTLOSS_LT_HALF_STONE = 2
247V_WEIGHT4_WTGAIN_YES_PREGNANT = 3
249V_WEIGHT5_WTGAIN_GE_HALF_STONE = 1
250V_WEIGHT5_WTGAIN_LT_HALF_STONE = 2
252V_GPYEAR_NONE = 0
253V_GPYEAR_1_2 = 1
254V_GPYEAR_3_5 = 2
255V_GPYEAR_6_10 = 3
256V_GPYEAR_GT_10 = 4
258V_ILLNESS_DIABETES = 1
259V_ILLNESS_ASTHMA = 2
260V_ILLNESS_ARTHRITIS = 3
261V_ILLNESS_HEART_DISEASE = 4
262V_ILLNESS_HYPERTENSION = 5
263V_ILLNESS_LUNG_DISEASE = 6
264V_ILLNESS_MORE_THAN_ONE = 7
265V_ILLNESS_NONE = 8
267V_SOMATIC_PAIN1_NEVER = 1
268V_SOMATIC_PAIN1_SOMETIMES = 2
269V_SOMATIC_PAIN1_ALWAYS = 3
271V_SOMATIC_PAIN3_LT_3H = 1
272V_SOMATIC_PAIN3_GT_3H = 2
274V_SOMATIC_PAIN4_NOT_AT_ALL = 1
275V_SOMATIC_PAIN4_LITTLE_UNPLEASANT = 2
276V_SOMATIC_PAIN4_UNPLEASANT = 3
277V_SOMATIC_PAIN4_VERY_UNPLEASANT = 4
279V_SOMATIC_PAIN5_NO = 1
280V_SOMATIC_PAIN5_YES = 2
281V_SOMATIC_PAIN5_NOT_DONE_ANYTHING_INTERESTING = 3
283V_SOMATIC_MAND2_NO = 1
284V_SOMATIC_MAND2_YES = 2
286V_SOMATIC_DIS1_NEVER = 1
287V_SOMATIC_DIS1_SOMETIMES = 2
288V_SOMATIC_DIS1_ALWAYS = 3
290V_SOMATIC_DIS2_NONE = 1
291V_SOMATIC_DIS2_1_TO_3_DAYS = 2
292V_SOMATIC_DIS2_4_OR_MORE_DAYS = 3
294V_SOMATIC_DIS3_LT_3H = 1
295V_SOMATIC_DIS3_GT_3H = 2
297V_SOMATIC_DIS4_NOT_AT_ALL = 1
298V_SOMATIC_DIS4_LITTLE_UNPLEASANT = 2
299V_SOMATIC_DIS4_UNPLEASANT = 3
300V_SOMATIC_DIS4_VERY_UNPLEASANT = 4
302V_SOMATIC_DIS5_NO = 1
303V_SOMATIC_DIS5_YES = 2
304V_SOMATIC_DIS5_NOT_DONE_ANYTHING_INTERESTING = 3
306V_SLEEP_MAND2_NO = 1
307V_SLEEP_MAND2_YES_BUT_NOT_A_PROBLEM = 2
308V_SLEEP_MAND2_YES = 3
310V_IRRIT_MAND2_NO = 1
311V_IRRIT_MAND2_SOMETIMES = 2
312V_IRRIT_MAND2_YES = 3
314V_IRRIT3_SHOUTING_NO = 1
315V_IRRIT3_SHOUTING_WANTED_TO = 2
316V_IRRIT3_SHOUTING_DID = 3
318V_IRRIT4_ARGUMENTS_NO = 1
319V_IRRIT4_ARGUMENTS_YES_JUSTIFIED = 2
320V_IRRIT4_ARGUMENTS_YES_UNJUSTIFIED = 3
322V_DEPR5_COULD_CHEER_UP_YES = 1
323V_DEPR5_COULD_CHEER_UP_SOMETIMES = 2
324V_DEPR5_COULD_CHEER_UP_NO = 3
326V_DEPTH1_DMV_WORSE_MORNING = 1
327V_DEPTH1_DMV_WORSE_EVENING = 2
328V_DEPTH1_DMV_VARIES = 3
329V_DEPTH1_DMV_NONE = 4
331V_DEPTH2_LIBIDO_NA = 1
332V_DEPTH2_LIBIDO_NO_CHANGE = 2
333V_DEPTH2_LIBIDO_INCREASED = 3
334V_DEPTH2_LIBIDO_DECREASED = 4
336V_DEPTH5_GUILT_NEVER = 1
337V_DEPTH5_GUILT_WHEN_AT_FAULT = 2
338V_DEPTH5_GUILT_SOMETIMES = 3
339V_DEPTH5_GUILT_OFTEN = 4
341V_DEPTH8_LNWL_NO = 1
342V_DEPTH8_LNWL_SOMETIMES = 2
343V_DEPTH8_LNWL_ALWAYS = 3
345V_DEPTH9_SUICIDAL_THOUGHTS_NO = 1
346V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD = 2
347V_DEPTH9_SUICIDAL_THOUGHTS_YES = 3
349V_DOCTOR_YES = 1
350V_DOCTOR_NO_BUT_OTHERS = 2
351V_DOCTOR_NO = 3
353V_ANX_PHOBIA2_ALWAYS_SPECIFIC = 1
354V_ANX_PHOBIA2_SOMETIMES_GENERAL = 2
356V_PHOBIAS_TYPE1_ALONE_PUBLIC_TRANSPORT = 1
357V_PHOBIAS_TYPE1_FAR_FROM_HOME = 2
358V_PHOBIAS_TYPE1_PUBLIC_SPEAKING_EATING = 3
359V_PHOBIAS_TYPE1_BLOOD = 4
360V_PHOBIAS_TYPE1_CROWDED_SHOPS = 5
361V_PHOBIAS_TYPE1_ANIMALS = 6
362V_PHOBIAS_TYPE1_BEING_WATCHED = 7
363V_PHOBIAS_TYPE1_ENCLOSED_SPACES_HEIGHTS = 8
364V_PHOBIAS_TYPE1_OTHER = 9
366V_PANIC1_N_PANICS_PAST_WEEK_0 = 1
367V_PANIC1_N_PANICS_PAST_WEEK_1 = 2
368V_PANIC1_N_PANICS_PAST_WEEK_GT_1 = 3
370V_PANIC3_WORST_LT_10_MIN = 1
371V_PANIC3_WORST_GE_10_MIN = 2
373V_COMP4_MAX_N_REPEATS_1 = 1
374V_COMP4_MAX_N_REPEATS_2 = 2
375V_COMP4_MAX_N_REPEATS_GE_3 = 3
377V_OBSESS_MAND1_SAME_THOUGHTS_REPEATED = 1
378V_OBSESS_MAND1_GENERAL_WORRIES = 2
380V_OBSESS4_LT_15_MIN = 1
381V_OBSESS4_GE_15_MIN = 2
383V_OVERALL_IMPAIRMENT_NONE = 1
384V_OVERALL_IMPAIRMENT_DIFFICULT = 2
385V_OVERALL_IMPAIRMENT_STOP_1_ACTIVITY = 3
386V_OVERALL_IMPAIRMENT_STOP_GT_1_ACTIVITY = 4
388# -----------------------------------------------------------------------------
389# Internal coding, NOT answer values:
390# -----------------------------------------------------------------------------
392# Magic numbers from the original:
393WTCHANGE_NONE_OR_APPETITE_INCREASE = 0
394WTCHANGE_APPETITE_LOSS = 1
395WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN = 2
396WTCHANGE_WTLOSS_GE_HALF_STONE = 3
397WTCHANGE_WTGAIN_GE_HALF_STONE = 4
398# ... I'm not entirely sure why this labelling system is used!
400DESC_WEIGHT_CHANGE = (
401 "Weight change "
402 f"({WTCHANGE_NONE_OR_APPETITE_INCREASE}: none or appetite increase; "
403 f"{WTCHANGE_APPETITE_LOSS}: appetite loss without weight loss; "
404 f"{WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN}: "
405 "non-deliberate weight loss or gain <0.5 st; "
406 f"{WTCHANGE_WTLOSS_GE_HALF_STONE}: weight loss ≥0.5 st; "
407 f"{WTCHANGE_WTGAIN_GE_HALF_STONE}: weight gain ≥0.5 st)"
408)
410PHOBIATYPES_OTHER = 0
411PHOBIATYPES_AGORAPHOBIA = 1
412PHOBIATYPES_SOCIAL = 2
413PHOBIATYPES_BLOOD_INJURY = 3
414PHOBIATYPES_ANIMALS_ENCLOSED_HEIGHTS = 4
415# ... some of these are not really used, but I've followed the original CIS-R
416# for clarity
418# One smaller than the answer codes:
419OVERALL_IMPAIRMENT_NONE = 0
420OVERALL_IMPAIRMENT_DIFFICULT = 1
421OVERALL_IMPAIRMENT_STOP_1_ACTIVITY = 2
422OVERALL_IMPAIRMENT_STOP_GT_1_ACTIVITY = 3
424# Again, we're following this coding structure primarily for compatibility:
425DIAG_0_NO_DIAGNOSIS = 0
426DIAG_1_MIXED_ANX_DEPR_DIS_MILD = 1
427DIAG_2_GENERALIZED_ANX_DIS_MILD = 2
428DIAG_3_OBSESSIVE_COMPULSIVE_DIS = 3
429DIAG_4_MIXED_ANX_DEPR_DIS = 4
430DIAG_5_SPECIFIC_PHOBIA = 5
431DIAG_6_SOCIAL_PHOBIA = 6
432DIAG_7_AGORAPHOBIA = 7
433DIAG_8_GENERALIZED_ANX_DIS = 8
434DIAG_9_PANIC_DIS = 9
435DIAG_10_MILD_DEPR_EPISODE = 10
436DIAG_11_MOD_DEPR_EPISODE = 11
437DIAG_12_SEVERE_DEPR_EPISODE = 12
439SUICIDE_INTENT_NONE = 0
440SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS = 1
441SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING = 2
442SUICIDE_INTENT_SUICIDAL_THOUGHTS = 3
443SUICIDE_INTENT_SUICIDAL_PLANS = 4
445SLEEPCHANGE_NONE = 0 # added
446SLEEPCHANGE_EMW = 1
447SLEEPCHANGE_INSOMNIA_NOT_EMW = 2
448SLEEPCHANGE_INCREASE = 3
450DESC_SLEEP_CHANGE = (
451 f"Sleep change ({SLEEPCHANGE_NONE}: none; "
452 f"{SLEEPCHANGE_EMW}: early-morning waking; "
453 f"{SLEEPCHANGE_INSOMNIA_NOT_EMW}: insomnia without early-morning waking; "
454 f"{SLEEPCHANGE_INCREASE}: sleep increase)"
455)
457DIURNAL_MOOD_VAR_NONE = 0
458DIURNAL_MOOD_VAR_WORSE_MORNING = 1
459DIURNAL_MOOD_VAR_WORSE_EVENING = 2
461PSYCHOMOTOR_NONE = 0
462PSYCHOMOTOR_RETARDATION = 1
463PSYCHOMOTOR_AGITATION = 2
465# Answer values or pseudo-values:
467V_MISSING = 0 # Integer value of a missing answer
468V_UNKNOWN = -1 # Dummy value, never used for answers
470SCORE_PREFIX = "... "
472# -----------------------------------------------------------------------------
473# Scoring constants:
474# -----------------------------------------------------------------------------
476MAX_TOTAL = 57
478MAX_SOMATIC = 4
479MAX_HYPO = 4
480MAX_IRRIT = 4
481MAX_CONC = 4
482MAX_FATIGUE = 4
483MAX_SLEEP = 4
484MAX_DEPR = 4
485MAX_DEPTHTS = 5
486MAX_PHOBIAS = 4
487MAX_WORRY = 4
488MAX_ANX = 4
489MAX_PANIC = 4
490MAX_COMP = 4
491MAX_OBSESS = 4
492MAX_DEPCRIT1 = 3
493MAX_DEPCRIT2 = 7
494MAX_DEPCRIT3 = 8
496SOMATIC_SYNDROME_CRITERION = 4 # number of symptoms
498# -----------------------------------------------------------------------------
499# Question numbers
500# -----------------------------------------------------------------------------
502# Not quite sure to do an autonumbering enum that also can have synonyms, like
503# C++. The AutoNumberEnum (q.v.) is close, but won't do the synonyms. So:
505_nasty_hack_next_enum = 1 # start with 1
508def next_enum() -> int:
509 global _nasty_hack_next_enum
510 v = _nasty_hack_next_enum
511 _nasty_hack_next_enum += 1
512 return v
515class CisrQuestion(Enum):
516 # The values below look like integers, but they aren't; they are of type
517 # CisrQuestion, and have attributes like ".value".
518 START_MARKER = next_enum()
520 INTRO_1 = START_MARKER
521 INTRO_2 = next_enum()
522 INTRO_DEMOGRAPHICS = next_enum()
524 ETHNIC = next_enum()
525 MARRIED = next_enum()
526 EMPSTAT = next_enum()
527 EMPTYPE = next_enum()
528 HOME = next_enum()
529 HEALTH_WELLBEING = next_enum()
531 APPETITE1_LOSS_PAST_MONTH = next_enum()
533 WEIGHT1_LOSS_PAST_MONTH = next_enum()
534 WEIGHT2_TRYING_TO_LOSE = next_enum()
535 WEIGHT3_LOST_LOTS = next_enum()
536 APPETITE2_INCREASE_PAST_MONTH = next_enum()
537 WEIGHT4_INCREASE_PAST_MONTH = next_enum()
538 # WEIGHT4A = WEIGHT4 with pregnancy question; blended
539 WEIGHT5_GAINED_LOTS = next_enum()
540 GP_YEAR = next_enum()
541 DISABLE = next_enum()
542 ILLNESS = next_enum()
544 SOMATIC_MAND1_PAIN_PAST_MONTH = next_enum()
545 SOMATIC_PAIN1_PSYCHOL_EXAC = next_enum()
546 SOMATIC_PAIN2_DAYS_PAST_WEEK = next_enum()
547 SOMATIC_PAIN3_GT_3H_ANY_DAY = next_enum()
548 SOMATIC_PAIN4_UNPLEASANT = next_enum()
549 SOMATIC_PAIN5_INTERRUPTED_INTERESTING = next_enum()
550 SOMATIC_MAND2_DISCOMFORT = next_enum()
551 SOMATIC_DIS1_PSYCHOL_EXAC = next_enum()
552 SOMATIC_DIS2_DAYS_PAST_WEEK = next_enum()
553 SOMATIC_DIS3_GT_3H_ANY_DAY = next_enum()
554 SOMATIC_DIS4_UNPLEASANT = next_enum()
555 SOMATIC_DIS5_INTERRUPTED_INTERESTING = next_enum()
556 SOMATIC_DUR = next_enum()
558 FATIGUE_MAND1_TIRED_PAST_MONTH = next_enum()
559 FATIGUE_CAUSE1_TIRED = next_enum()
560 FATIGUE_TIRED1_DAYS_PAST_WEEK = next_enum()
561 FATIGUE_TIRED2_GT_3H_ANY_DAY = next_enum()
562 FATIGUE_TIRED3_HAD_TO_PUSH = next_enum()
563 FATIGUE_TIRED4_DURING_ENJOYABLE = next_enum()
564 FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH = next_enum()
565 FATIGUE_CAUSE2_LACK_ENERGY = next_enum()
566 FATIGUE_ENERGY1_DAYS_PAST_WEEK = next_enum()
567 FATIGUE_ENERGY2_GT_3H_ANY_DAY = next_enum()
568 FATIGUE_ENERGY3_HAD_TO_PUSH = next_enum()
569 FATIGUE_ENERGY4_DURING_ENJOYABLE = next_enum()
570 FATIGUE_DUR = next_enum()
572 CONC_MAND1_POOR_CONC_PAST_MONTH = next_enum()
573 CONC_MAND2_FORGETFUL_PAST_MONTH = next_enum()
574 CONC1_CONC_DAYS_PAST_WEEK = next_enum()
575 CONC2_CONC_FOR_TV_READING_CONVERSATION = next_enum()
576 CONC3_CONC_PREVENTED_ACTIVITIES = next_enum()
577 CONC_DUR = next_enum()
578 CONC4_FORGOTTEN_IMPORTANT = next_enum()
579 FORGET_DUR = next_enum()
581 SLEEP_MAND1_LOSS_PAST_MONTH = next_enum()
582 SLEEP_LOSE1_NIGHTS_PAST_WEEK = next_enum()
583 SLEEP_LOSE2_DIS_WORST_DURATION = (
584 next_enum()
585 ) # DIS = delayed initiation of sleep
586 SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK = next_enum()
587 SLEEP_EMW_PAST_WEEK = next_enum() # EMW = early-morning waking
588 SLEEP_CAUSE = next_enum()
589 SLEEP_MAND2_GAIN_PAST_MONTH = next_enum()
590 SLEEP_GAIN1_NIGHTS_PAST_WEEK = next_enum()
591 SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT = next_enum()
592 SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK = next_enum()
593 SLEEP_DUR = next_enum()
595 IRRIT_MAND1_PEOPLE_PAST_MONTH = next_enum()
596 IRRIT_MAND2_THINGS_PAST_MONTH = next_enum()
597 IRRIT1_DAYS_PER_WEEK = next_enum()
598 IRRIT2_GT_1H_ANY_DAY = next_enum()
599 IRRIT3_WANTED_TO_SHOUT = next_enum()
600 IRRIT4_ARGUMENTS = next_enum()
601 IRRIT_DUR = next_enum()
603 HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH = next_enum()
604 HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS = next_enum()
605 HYPO1_DAYS_PAST_WEEK = next_enum()
606 HYPO2_WORRY_TOO_MUCH = next_enum()
607 HYPO3_HOW_UNPLEASANT = next_enum()
608 HYPO4_CAN_DISTRACT = next_enum()
609 HYPO_DUR = next_enum()
611 DEPR_MAND1_LOW_MOOD_PAST_MONTH = next_enum()
612 DEPR1_LOW_MOOD_PAST_WEEK = next_enum()
613 DEPR_MAND2_ENJOYMENT_PAST_MONTH = next_enum()
614 DEPR2_ENJOYMENT_PAST_WEEK = next_enum()
615 DEPR3_DAYS_PAST_WEEK = next_enum()
616 DEPR4_GT_3H_ANY_DAY = next_enum()
617 DEPR_CONTENT = next_enum()
618 DEPR5_COULD_CHEER_UP = next_enum()
619 DEPR_DUR = next_enum()
620 DEPTH1_DIURNAL_VARIATION = next_enum() # "depth" = depressive thoughts?
621 DEPTH2_LIBIDO = next_enum()
622 DEPTH3_RESTLESS = next_enum()
623 DEPTH4_SLOWED = next_enum()
624 DEPTH5_GUILT = next_enum()
625 DEPTH6_WORSE_THAN_OTHERS = next_enum()
626 DEPTH7_HOPELESS = next_enum()
627 DEPTH8_LNWL = next_enum() # life not worth living
628 DEPTH9_SUICIDE_THOUGHTS = next_enum()
629 DEPTH10_SUICIDE_METHOD = next_enum()
630 DOCTOR = next_enum()
631 DOCTOR2_PLEASE_TALK_TO = next_enum()
632 DEPR_OUTRO = next_enum()
634 WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH = next_enum()
635 WORRY_MAND2_ANY_WORRIES_PAST_MONTH = next_enum()
636 WORRY_CONT1 = next_enum()
637 WORRY1_INFO_ONLY = next_enum()
638 WORRY2_DAYS_PAST_WEEK = next_enum()
639 WORRY3_TOO_MUCH = next_enum()
640 WORRY4_HOW_UNPLEASANT = next_enum()
641 WORRY5_GT_3H_ANY_DAY = next_enum()
642 WORRY_DUR = next_enum()
644 ANX_MAND1_ANXIETY_PAST_MONTH = next_enum()
645 ANX_MAND2_TENSION_PAST_MONTH = next_enum()
646 ANX_PHOBIA1_SPECIFIC_PAST_MONTH = next_enum()
647 ANX_PHOBIA2_SPECIFIC_OR_GENERAL = next_enum()
648 ANX1_INFO_ONLY = next_enum()
649 ANX2_GENERAL_DAYS_PAST_WEEK = next_enum()
650 ANX3_GENERAL_HOW_UNPLEASANT = next_enum()
651 ANX4_GENERAL_PHYSICAL_SYMPTOMS = next_enum()
652 ANX5_GENERAL_GT_3H_ANY_DAY = next_enum()
653 ANX_DUR_GENERAL = next_enum()
655 PHOBIAS_MAND_AVOIDANCE_PAST_MONTH = next_enum()
656 PHOBIAS_TYPE1 = next_enum()
657 PHOBIAS1_DAYS_PAST_WEEK = next_enum()
658 PHOBIAS2_PHYSICAL_SYMPTOMS = next_enum()
659 PHOBIAS3_AVOIDANCE = next_enum()
660 PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK = next_enum()
661 PHOBIAS_DUR = next_enum()
663 PANIC_MAND_PAST_MONTH = next_enum()
664 PANIC1_NUM_PAST_WEEK = next_enum()
665 PANIC2_HOW_UNPLEASANT = next_enum()
666 PANIC3_PANIC_GE_10_MIN = next_enum()
667 PANIC4_RAPID_ONSET = next_enum()
668 PANSYM = next_enum() # questions about each of several symptoms
669 PANIC5_ALWAYS_SPECIFIC_TRIGGER = next_enum()
670 PANIC_DUR = next_enum()
672 ANX_OUTRO = next_enum()
674 COMP_MAND1_COMPULSIONS_PAST_MONTH = next_enum()
675 COMP1_DAYS_PAST_WEEK = next_enum()
676 COMP2_TRIED_TO_STOP = next_enum()
677 COMP3_UPSETTING = next_enum()
678 COMP4_MAX_N_REPETITIONS = next_enum()
679 COMP_DUR = next_enum()
681 OBSESS_MAND1_OBSESSIONS_PAST_MONTH = next_enum()
682 OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL = next_enum()
683 OBSESS1_DAYS_PAST_WEEK = next_enum()
684 OBSESS2_TRIED_TO_STOP = next_enum()
685 OBSESS3_UPSETTING = next_enum()
686 OBSESS4_MAX_DURATION = next_enum()
687 OBSESS_DUR = next_enum()
689 OVERALL1_INFO_ONLY = next_enum()
690 OVERALL2_IMPACT_PAST_WEEK = next_enum()
691 THANKS_FINISHED = next_enum()
692 END_MARKER = next_enum() # not a real page
695CQ = CisrQuestion # shorthand
697# Demographics section
698FN_ETHNIC = "ethnic"
699FN_MARRIED = "married"
700FN_EMPSTAT = "empstat"
701FN_EMPTYPE = "emptype"
702FN_HOME = "home"
704FN_APPETITE1 = "appetite1"
705FN_WEIGHT1 = "weight1"
706FN_WEIGHT2 = "weight2"
707FN_WEIGHT3 = "weight3"
708FN_APPETITE2 = "appetite2"
709FN_WEIGHT4 = "weight4" # male/female responses unified (no "weight4a"
710FN_WEIGHT5 = "weight5"
712FN_GP_YEAR = "gp_year"
713FN_DISABLE = "disable"
714FN_ILLNESS = "illness"
716FN_SOMATIC_MAND1 = "somatic_mand1"
717FN_SOMATIC_PAIN1 = "somatic_pain1"
718FN_SOMATIC_PAIN2 = "somatic_pain2"
719FN_SOMATIC_PAIN3 = "somatic_pain3"
720FN_SOMATIC_PAIN4 = "somatic_pain4"
721FN_SOMATIC_PAIN5 = "somatic_pain5"
722FN_SOMATIC_MAND2 = "somatic_mand2"
723FN_SOMATIC_DIS1 = "somatic_dis1"
724FN_SOMATIC_DIS2 = "somatic_dis2"
725FN_SOMATIC_DIS3 = "somatic_dis3"
726FN_SOMATIC_DIS4 = "somatic_dis4"
727FN_SOMATIC_DIS5 = "somatic_dis5"
728FN_SOMATIC_DUR = "somatic_dur"
730FN_FATIGUE_MAND1 = "fatigue_mand1"
731FN_FATIGUE_CAUSE1 = "fatigue_cause1"
732FN_FATIGUE_TIRED1 = "fatigue_tired1"
733FN_FATIGUE_TIRED2 = "fatigue_tired2"
734FN_FATIGUE_TIRED3 = "fatigue_tired3"
735FN_FATIGUE_TIRED4 = "fatigue_tired4"
736FN_FATIGUE_MAND2 = "fatigue_mand2"
737FN_FATIGUE_CAUSE2 = "fatigue_cause2"
738FN_FATIGUE_ENERGY1 = "fatigue_energy1"
739FN_FATIGUE_ENERGY2 = "fatigue_energy2"
740FN_FATIGUE_ENERGY3 = "fatigue_energy3"
741FN_FATIGUE_ENERGY4 = "fatigue_energy4"
742FN_FATIGUE_DUR = "fatigue_dur"
744FN_CONC_MAND1 = "conc_mand1"
745FN_CONC_MAND2 = "conc_mand2"
746FN_CONC1 = "conc1"
747FN_CONC2 = "conc2"
748FN_CONC3 = "conc3"
749FN_CONC_DUR = "conc_dur"
750FN_CONC4 = "conc4"
751FN_FORGET_DUR = "forget_dur"
753FN_SLEEP_MAND1 = "sleep_mand1"
754FN_SLEEP_LOSE1 = "sleep_lose1"
755FN_SLEEP_LOSE2 = "sleep_lose2"
756FN_SLEEP_LOSE3 = "sleep_lose3"
757FN_SLEEP_EMW = "sleep_emw"
758FN_SLEEP_CAUSE = "sleep_cause"
759FN_SLEEP_MAND2 = "sleep_mand2"
760FN_SLEEP_GAIN1 = "sleep_gain1"
761FN_SLEEP_GAIN2 = "sleep_gain2"
762FN_SLEEP_GAIN3 = "sleep_gain3"
763FN_SLEEP_DUR = "sleep_dur"
765FN_IRRIT_MAND1 = "irrit_mand1"
766FN_IRRIT_MAND2 = "irrit_mand2"
767FN_IRRIT1 = "irrit1"
768FN_IRRIT2 = "irrit2"
769FN_IRRIT3 = "irrit3"
770FN_IRRIT4 = "irrit4"
771FN_IRRIT_DUR = "irrit_dur"
773FN_HYPO_MAND1 = "hypo_mand1"
774FN_HYPO_MAND2 = "hypo_mand2"
775FN_HYPO1 = "hypo1"
776FN_HYPO2 = "hypo2"
777FN_HYPO3 = "hypo3"
778FN_HYPO4 = "hypo4"
779FN_HYPO_DUR = "hypo_dur"
781FN_DEPR_MAND1 = "depr_mand1"
782FN_DEPR1 = "depr1"
783FN_DEPR_MAND2 = "depr_mand2"
784FN_DEPR2 = "depr2"
785FN_DEPR3 = "depr3"
786FN_DEPR4 = "depr4"
787FN_DEPR_CONTENT = "depr_content"
788FN_DEPR5 = "depr5"
789FN_DEPR_DUR = "depr_dur"
790FN_DEPTH1 = "depth1"
791FN_DEPTH2 = "depth2"
792FN_DEPTH3 = "depth3"
793FN_DEPTH4 = "depth4"
794FN_DEPTH5 = "depth5"
795FN_DEPTH6 = "depth6"
796FN_DEPTH7 = "depth7"
797FN_DEPTH8 = "depth8"
798FN_DEPTH9 = "depth9"
799FN_DEPTH10 = "depth10"
800FN_DOCTOR = "doctor"
802FN_WORRY_MAND1 = "worry_mand1"
803FN_WORRY_MAND2 = "worry_mand2"
804FN_WORRY_CONT1 = "worry_cont1"
805FN_WORRY2 = "worry2"
806FN_WORRY3 = "worry3"
807FN_WORRY4 = "worry4"
808FN_WORRY5 = "worry5"
809FN_WORRY_DUR = "worry_dur"
811FN_ANX_MAND1 = "anx_mand1"
812FN_ANX_MAND2 = "anx_mand2"
813FN_ANX_PHOBIA1 = "anx_phobia1"
814FN_ANX_PHOBIA2 = "anx_phobia2"
815FN_ANX2 = "anx2"
816FN_ANX3 = "anx3"
817FN_ANX4 = "anx4"
818FN_ANX5 = "anx5"
819FN_ANX_DUR = "anx_dur"
821FN_PHOBIAS_MAND = "phobias_mand"
822FN_PHOBIAS_TYPE1 = "phobias_type1"
823FN_PHOBIAS1 = "phobias1"
824FN_PHOBIAS2 = "phobias2"
825FN_PHOBIAS3 = "phobias3"
826FN_PHOBIAS4 = "phobias4"
827FN_PHOBIAS_DUR = "phobias_dur"
829FN_PANIC_MAND = "panic_mand"
830FN_PANIC1 = "panic1"
831FN_PANIC2 = "panic2"
832FN_PANIC3 = "panic3"
833FN_PANIC4 = "panic4"
834FN_PANSYM_A = "pansym_a"
835FN_PANSYM_B = "pansym_b"
836FN_PANSYM_C = "pansym_c"
837FN_PANSYM_D = "pansym_d"
838FN_PANSYM_E = "pansym_e"
839FN_PANSYM_F = "pansym_f"
840FN_PANSYM_G = "pansym_g"
841FN_PANSYM_H = "pansym_h"
842FN_PANSYM_I = "pansym_i"
843FN_PANSYM_J = "pansym_j"
844FN_PANSYM_K = "pansym_k"
845FN_PANSYM_L = "pansym_l"
846FN_PANSYM_M = "pansym_m"
847FN_PANIC5 = "panic5"
848FN_PANIC_DUR = "panic_dur"
850FN_COMP_MAND1 = "comp_mand1"
851FN_COMP1 = "comp1"
852FN_COMP2 = "comp2"
853FN_COMP3 = "comp3"
854FN_COMP4 = "comp4"
855FN_COMP_DUR = "comp_dur"
857FN_OBSESS_MAND1 = "obsess_mand1"
858FN_OBSESS_MAND2 = "obsess_mand2"
859FN_OBSESS1 = "obsess1"
860FN_OBSESS2 = "obsess2"
861FN_OBSESS3 = "obsess3"
862FN_OBSESS4 = "obsess4"
863FN_OBSESS_DUR = "obsess_dur"
865FN_OVERALL2 = "overall2"
867PANIC_SYMPTOM_FIELDNAMES = [
868 FN_PANSYM_A,
869 FN_PANSYM_B,
870 FN_PANSYM_C,
871 FN_PANSYM_D,
872 FN_PANSYM_E,
873 FN_PANSYM_F,
874 FN_PANSYM_G,
875 FN_PANSYM_H,
876 FN_PANSYM_I,
877 FN_PANSYM_J,
878 FN_PANSYM_K,
879 FN_PANSYM_L,
880 FN_PANSYM_M,
881]
883FIELDNAME_FOR_QUESTION = {
884 # CQ.INTRO_1: # information only
885 # CQ.INTRO_2: # information only
886 # CQ.INTRO_DEMOGRAPHICS: # information only
887 CQ.ETHNIC: FN_ETHNIC,
888 CQ.MARRIED: FN_MARRIED,
889 CQ.EMPSTAT: FN_EMPSTAT,
890 CQ.EMPTYPE: FN_EMPTYPE,
891 CQ.HOME: FN_HOME,
892 # CQ.HEALTH_WELLBEING: # information only
893 CQ.APPETITE1_LOSS_PAST_MONTH: FN_APPETITE1,
894 CQ.WEIGHT1_LOSS_PAST_MONTH: FN_WEIGHT1,
895 CQ.WEIGHT2_TRYING_TO_LOSE: FN_WEIGHT2,
896 CQ.WEIGHT3_LOST_LOTS: FN_WEIGHT3,
897 CQ.APPETITE2_INCREASE_PAST_MONTH: FN_APPETITE2,
898 CQ.WEIGHT4_INCREASE_PAST_MONTH: FN_WEIGHT4,
899 # CQ.WEIGHT4A: not used (= WEIGHT4 + pregnancy option)
900 CQ.WEIGHT5_GAINED_LOTS: FN_WEIGHT5,
901 CQ.GP_YEAR: FN_GP_YEAR,
902 CQ.DISABLE: FN_DISABLE,
903 CQ.ILLNESS: FN_ILLNESS,
904 CQ.SOMATIC_MAND1_PAIN_PAST_MONTH: FN_SOMATIC_MAND1,
905 CQ.SOMATIC_PAIN1_PSYCHOL_EXAC: FN_SOMATIC_PAIN1,
906 CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK: FN_SOMATIC_PAIN2,
907 CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY: FN_SOMATIC_PAIN3,
908 CQ.SOMATIC_PAIN4_UNPLEASANT: FN_SOMATIC_PAIN4,
909 CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING: FN_SOMATIC_PAIN5,
910 CQ.SOMATIC_MAND2_DISCOMFORT: FN_SOMATIC_MAND2,
911 CQ.SOMATIC_DIS1_PSYCHOL_EXAC: FN_SOMATIC_DIS1,
912 CQ.SOMATIC_DIS2_DAYS_PAST_WEEK: FN_SOMATIC_DIS2,
913 CQ.SOMATIC_DIS3_GT_3H_ANY_DAY: FN_SOMATIC_DIS3,
914 CQ.SOMATIC_DIS4_UNPLEASANT: FN_SOMATIC_DIS4,
915 CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING: FN_SOMATIC_DIS5,
916 CQ.SOMATIC_DUR: FN_SOMATIC_DUR,
917 CQ.FATIGUE_MAND1_TIRED_PAST_MONTH: FN_FATIGUE_MAND1,
918 CQ.FATIGUE_CAUSE1_TIRED: FN_FATIGUE_CAUSE1,
919 CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK: FN_FATIGUE_TIRED1,
920 CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY: FN_FATIGUE_TIRED2,
921 CQ.FATIGUE_TIRED3_HAD_TO_PUSH: FN_FATIGUE_TIRED3,
922 CQ.FATIGUE_TIRED4_DURING_ENJOYABLE: FN_FATIGUE_TIRED4,
923 CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH: FN_FATIGUE_MAND2,
924 CQ.FATIGUE_CAUSE2_LACK_ENERGY: FN_FATIGUE_CAUSE2,
925 CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK: FN_FATIGUE_ENERGY1,
926 CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY: FN_FATIGUE_ENERGY2,
927 CQ.FATIGUE_ENERGY3_HAD_TO_PUSH: FN_FATIGUE_ENERGY3,
928 CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE: FN_FATIGUE_ENERGY4,
929 CQ.FATIGUE_DUR: FN_FATIGUE_DUR,
930 CQ.CONC_MAND1_POOR_CONC_PAST_MONTH: FN_CONC_MAND1,
931 CQ.CONC_MAND2_FORGETFUL_PAST_MONTH: FN_CONC_MAND2,
932 CQ.CONC1_CONC_DAYS_PAST_WEEK: FN_CONC1,
933 CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION: FN_CONC2,
934 CQ.CONC3_CONC_PREVENTED_ACTIVITIES: FN_CONC3,
935 CQ.CONC_DUR: FN_CONC_DUR,
936 CQ.CONC4_FORGOTTEN_IMPORTANT: FN_CONC4,
937 CQ.FORGET_DUR: FN_FORGET_DUR,
938 CQ.SLEEP_MAND1_LOSS_PAST_MONTH: FN_SLEEP_MAND1,
939 CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK: FN_SLEEP_LOSE1,
940 CQ.SLEEP_LOSE2_DIS_WORST_DURATION: FN_SLEEP_LOSE2,
941 CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK: FN_SLEEP_LOSE3,
942 CQ.SLEEP_EMW_PAST_WEEK: FN_SLEEP_EMW,
943 CQ.SLEEP_CAUSE: FN_SLEEP_CAUSE,
944 CQ.SLEEP_MAND2_GAIN_PAST_MONTH: FN_SLEEP_MAND2,
945 CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK: FN_SLEEP_GAIN1,
946 CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT: FN_SLEEP_GAIN2,
947 CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK: FN_SLEEP_GAIN3,
948 CQ.SLEEP_DUR: FN_SLEEP_DUR,
949 CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH: FN_IRRIT_MAND1,
950 CQ.IRRIT_MAND2_THINGS_PAST_MONTH: FN_IRRIT_MAND2,
951 CQ.IRRIT1_DAYS_PER_WEEK: FN_IRRIT1,
952 CQ.IRRIT2_GT_1H_ANY_DAY: FN_IRRIT2,
953 CQ.IRRIT3_WANTED_TO_SHOUT: FN_IRRIT3,
954 CQ.IRRIT4_ARGUMENTS: FN_IRRIT4,
955 CQ.IRRIT_DUR: FN_IRRIT_DUR,
956 CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH: FN_HYPO_MAND1,
957 CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS: FN_HYPO_MAND2,
958 CQ.HYPO1_DAYS_PAST_WEEK: FN_HYPO1,
959 CQ.HYPO2_WORRY_TOO_MUCH: FN_HYPO2,
960 CQ.HYPO3_HOW_UNPLEASANT: FN_HYPO3,
961 CQ.HYPO4_CAN_DISTRACT: FN_HYPO4,
962 CQ.HYPO_DUR: FN_HYPO_DUR,
963 CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH: FN_DEPR_MAND1,
964 CQ.DEPR1_LOW_MOOD_PAST_WEEK: FN_DEPR1,
965 CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH: FN_DEPR_MAND2,
966 CQ.DEPR2_ENJOYMENT_PAST_WEEK: FN_DEPR2,
967 CQ.DEPR3_DAYS_PAST_WEEK: FN_DEPR3,
968 CQ.DEPR4_GT_3H_ANY_DAY: FN_DEPR4,
969 CQ.DEPR_CONTENT: FN_DEPR_CONTENT,
970 CQ.DEPR5_COULD_CHEER_UP: FN_DEPR5,
971 CQ.DEPR_DUR: FN_DEPR_DUR,
972 CQ.DEPTH1_DIURNAL_VARIATION: FN_DEPTH1,
973 CQ.DEPTH2_LIBIDO: FN_DEPTH2,
974 CQ.DEPTH3_RESTLESS: FN_DEPTH3,
975 CQ.DEPTH4_SLOWED: FN_DEPTH4,
976 CQ.DEPTH5_GUILT: FN_DEPTH5,
977 CQ.DEPTH6_WORSE_THAN_OTHERS: FN_DEPTH6,
978 CQ.DEPTH7_HOPELESS: FN_DEPTH7,
979 CQ.DEPTH8_LNWL: FN_DEPTH8,
980 CQ.DEPTH9_SUICIDE_THOUGHTS: FN_DEPTH9,
981 CQ.DEPTH10_SUICIDE_METHOD: FN_DEPTH10,
982 CQ.DOCTOR: FN_DOCTOR,
983 # CQ.DOCTOR2_PLEASE_TALK_TO: # info only
984 # CQ.DEPR_OUTRO: # info only
985 CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH: FN_WORRY_MAND1,
986 CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH: FN_WORRY_MAND2,
987 CQ.WORRY_CONT1: FN_WORRY_CONT1,
988 # CQ.WORRY1_INFO_ONLY: # info only
989 CQ.WORRY2_DAYS_PAST_WEEK: FN_WORRY2,
990 CQ.WORRY3_TOO_MUCH: FN_WORRY3,
991 CQ.WORRY4_HOW_UNPLEASANT: FN_WORRY4,
992 CQ.WORRY5_GT_3H_ANY_DAY: FN_WORRY5,
993 CQ.WORRY_DUR: FN_WORRY_DUR,
994 CQ.ANX_MAND1_ANXIETY_PAST_MONTH: FN_ANX_MAND1,
995 CQ.ANX_MAND2_TENSION_PAST_MONTH: FN_ANX_MAND2,
996 CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH: FN_ANX_PHOBIA1,
997 CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL: FN_ANX_PHOBIA2,
998 # CQ.ANX1_INFO_ONLY: # info only
999 CQ.ANX2_GENERAL_DAYS_PAST_WEEK: FN_ANX2,
1000 CQ.ANX3_GENERAL_HOW_UNPLEASANT: FN_ANX3,
1001 CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS: FN_ANX4,
1002 CQ.ANX5_GENERAL_GT_3H_ANY_DAY: FN_ANX5,
1003 CQ.ANX_DUR_GENERAL: FN_ANX_DUR,
1004 CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH: FN_PHOBIAS_MAND,
1005 CQ.PHOBIAS_TYPE1: FN_PHOBIAS_TYPE1,
1006 CQ.PHOBIAS1_DAYS_PAST_WEEK: FN_PHOBIAS1,
1007 CQ.PHOBIAS2_PHYSICAL_SYMPTOMS: FN_PHOBIAS2,
1008 CQ.PHOBIAS3_AVOIDANCE: FN_PHOBIAS3,
1009 CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK: FN_PHOBIAS4,
1010 CQ.PHOBIAS_DUR: FN_PHOBIAS_DUR,
1011 CQ.PANIC_MAND_PAST_MONTH: FN_PANIC_MAND,
1012 CQ.PANIC1_NUM_PAST_WEEK: FN_PANIC1,
1013 CQ.PANIC2_HOW_UNPLEASANT: FN_PANIC2,
1014 CQ.PANIC3_PANIC_GE_10_MIN: FN_PANIC3,
1015 CQ.PANIC4_RAPID_ONSET: FN_PANIC4,
1016 # CQ.PANSYM: # multiple stems
1017 CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER: FN_PANIC5,
1018 CQ.PANIC_DUR: FN_PANIC_DUR,
1019 # CQ.ANX_OUTRO: # info only
1020 CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH: FN_COMP_MAND1,
1021 CQ.COMP1_DAYS_PAST_WEEK: FN_COMP1,
1022 CQ.COMP2_TRIED_TO_STOP: FN_COMP2,
1023 CQ.COMP3_UPSETTING: FN_COMP3,
1024 CQ.COMP4_MAX_N_REPETITIONS: FN_COMP4,
1025 CQ.COMP_DUR: FN_COMP_DUR,
1026 CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH: FN_OBSESS_MAND1,
1027 CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL: FN_OBSESS_MAND2,
1028 CQ.OBSESS1_DAYS_PAST_WEEK: FN_OBSESS1,
1029 CQ.OBSESS2_TRIED_TO_STOP: FN_OBSESS2,
1030 CQ.OBSESS3_UPSETTING: FN_OBSESS3,
1031 CQ.OBSESS4_MAX_DURATION: FN_OBSESS4,
1032 CQ.OBSESS_DUR: FN_OBSESS_DUR,
1033 # CQ.OVERALL1: # info only
1034 CQ.OVERALL2_IMPACT_PAST_WEEK: FN_OVERALL2,
1035}
1037# Questions for which 1 = no, 2 = yes (+/- other options)
1038QUESTIONS_1_NO_2_YES = [
1039 CQ.APPETITE1_LOSS_PAST_MONTH,
1040 CQ.WEIGHT1_LOSS_PAST_MONTH,
1041 CQ.WEIGHT2_TRYING_TO_LOSE,
1042 CQ.APPETITE2_INCREASE_PAST_MONTH,
1043 CQ.WEIGHT4_INCREASE_PAST_MONTH, # may also offer "yes but pregnant" # noqa
1044 CQ.SOMATIC_MAND1_PAIN_PAST_MONTH,
1045 CQ.SOMATIC_MAND2_DISCOMFORT,
1046 CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY,
1047 CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING, # also has other options
1048 CQ.SOMATIC_DIS3_GT_3H_ANY_DAY,
1049 CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING, # also has other options
1050 CQ.FATIGUE_MAND1_TIRED_PAST_MONTH,
1051 CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY,
1052 CQ.FATIGUE_TIRED3_HAD_TO_PUSH,
1053 CQ.FATIGUE_TIRED4_DURING_ENJOYABLE, # also has other options
1054 CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH,
1055 CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY,
1056 CQ.FATIGUE_ENERGY3_HAD_TO_PUSH,
1057 CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE, # also has other options
1058 CQ.CONC_MAND1_POOR_CONC_PAST_MONTH,
1059 CQ.CONC_MAND2_FORGETFUL_PAST_MONTH,
1060 CQ.CONC3_CONC_PREVENTED_ACTIVITIES,
1061 CQ.CONC4_FORGOTTEN_IMPORTANT,
1062 CQ.SLEEP_MAND1_LOSS_PAST_MONTH,
1063 CQ.SLEEP_EMW_PAST_WEEK,
1064 CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH,
1065 CQ.IRRIT2_GT_1H_ANY_DAY,
1066 CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH,
1067 CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS,
1068 CQ.HYPO2_WORRY_TOO_MUCH,
1069 CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH,
1070 CQ.DEPR1_LOW_MOOD_PAST_WEEK,
1071 CQ.DEPR4_GT_3H_ANY_DAY,
1072 CQ.DEPTH3_RESTLESS,
1073 CQ.DEPTH4_SLOWED,
1074 CQ.DEPTH6_WORSE_THAN_OTHERS,
1075 CQ.DEPTH7_HOPELESS,
1076 CQ.DEPTH10_SUICIDE_METHOD,
1077 CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH,
1078 CQ.WORRY3_TOO_MUCH,
1079 CQ.WORRY5_GT_3H_ANY_DAY,
1080 CQ.ANX_MAND1_ANXIETY_PAST_MONTH,
1081 CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH,
1082 CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS,
1083 CQ.ANX5_GENERAL_GT_3H_ANY_DAY,
1084 CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH,
1085 CQ.PHOBIAS2_PHYSICAL_SYMPTOMS,
1086 CQ.PHOBIAS3_AVOIDANCE,
1087 CQ.PANIC4_RAPID_ONSET,
1088 CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER,
1089 CQ.COMP2_TRIED_TO_STOP,
1090 CQ.COMP3_UPSETTING,
1091 CQ.OBSESS2_TRIED_TO_STOP,
1092 CQ.OBSESS3_UPSETTING,
1093]
1094# Questions for which 1 = yes, 2 = no (+/- other options)
1095QUESTIONS_1_YES_2_NO = [
1096 CQ.DISABLE,
1097 CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION,
1098 CQ.HYPO4_CAN_DISTRACT,
1099]
1100# Yes-no (or no-yes) questions but with specific text
1101QUESTIONS_YN_SPECIFIC_TEXT = [
1102 CQ.WEIGHT2_TRYING_TO_LOSE,
1103 CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY,
1104 CQ.SOMATIC_DIS3_GT_3H_ANY_DAY,
1105 CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY,
1106 CQ.FATIGUE_TIRED3_HAD_TO_PUSH,
1107 CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY,
1108 CQ.FATIGUE_ENERGY3_HAD_TO_PUSH,
1109 CQ.CONC_MAND1_POOR_CONC_PAST_MONTH,
1110 CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION,
1111 CQ.CONC4_FORGOTTEN_IMPORTANT,
1112 CQ.SLEEP_EMW_PAST_WEEK,
1113 CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH,
1114 CQ.IRRIT2_GT_1H_ANY_DAY,
1115 CQ.HYPO2_WORRY_TOO_MUCH,
1116 CQ.HYPO4_CAN_DISTRACT,
1117 CQ.DEPR1_LOW_MOOD_PAST_WEEK,
1118 CQ.DEPR4_GT_3H_ANY_DAY,
1119 CQ.DEPTH6_WORSE_THAN_OTHERS,
1120 CQ.DEPTH7_HOPELESS,
1121 CQ.WORRY3_TOO_MUCH,
1122 CQ.WORRY5_GT_3H_ANY_DAY,
1123 CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS,
1124 CQ.ANX5_GENERAL_GT_3H_ANY_DAY,
1125 CQ.PHOBIAS2_PHYSICAL_SYMPTOMS,
1126 CQ.PHOBIAS3_AVOIDANCE,
1127 CQ.COMP2_TRIED_TO_STOP,
1128 CQ.COMP3_UPSETTING,
1129 CQ.OBSESS2_TRIED_TO_STOP,
1130 CQ.OBSESS3_UPSETTING,
1131]
1132# Demographics questions (not used by algorithm)
1133QUESTIONS_DEMOGRAPHICS = [
1134 CQ.ETHNIC,
1135 CQ.MARRIED,
1136 CQ.EMPSTAT,
1137 CQ.EMPTYPE,
1138 CQ.HOME,
1139]
1140# "Questions" that are just a prompt screen
1141QUESTIONS_PROMPT_ONLY = {
1142 # Maps questions to their prompt's xstring name
1143 CQ.INTRO_1: "intro_1",
1144 CQ.INTRO_2: "intro_2",
1145 CQ.INTRO_DEMOGRAPHICS: "intro_demographics_statement",
1146 CQ.HEALTH_WELLBEING: "health_wellbeing_statement",
1147 CQ.DOCTOR2_PLEASE_TALK_TO: "doctor2",
1148 CQ.DEPR_OUTRO: "depr_outro",
1149 CQ.WORRY1_INFO_ONLY: "worry1",
1150 CQ.ANX1_INFO_ONLY: "anx1",
1151 CQ.ANX_OUTRO: "anx_outro",
1152 CQ.OVERALL1_INFO_ONLY: "overall1",
1153 CQ.THANKS_FINISHED: "end",
1154}
1155# "How many days per week" questions
1156# "Overall duration" questions
1157QUESTIONS_OVERALL_DURATION = [
1158 CQ.SOMATIC_DUR,
1159 CQ.FATIGUE_DUR,
1160 CQ.CONC_DUR,
1161 CQ.FORGET_DUR,
1162 CQ.SLEEP_DUR,
1163 CQ.IRRIT_DUR,
1164 CQ.HYPO_DUR,
1165 CQ.DEPR_DUR,
1166 CQ.WORRY_DUR,
1167 CQ.ANX_DUR_GENERAL,
1168 CQ.PHOBIAS_DUR,
1169 CQ.PANIC_DUR,
1170 CQ.COMP_DUR,
1171 CQ.OBSESS_DUR,
1172]
1173# Multi-way questions, other than yes/no ones.
1174QUESTIONS_MULTIWAY = {
1175 # Maps questions to first and last number of answers.
1176 CQ.WEIGHT3_LOST_LOTS: (1, 2),
1177 CQ.WEIGHT4_INCREASE_PAST_MONTH: (1, 2), # may be modified to 3 if female
1178 CQ.WEIGHT5_GAINED_LOTS: (1, 2),
1179 CQ.GP_YEAR: (0, 4), # unusual; starts at 0
1180 CQ.ILLNESS: (1, 8),
1181 CQ.SOMATIC_PAIN1_PSYCHOL_EXAC: (1, 3),
1182 CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING: (1, 3),
1183 CQ.SOMATIC_DIS1_PSYCHOL_EXAC: (1, 3),
1184 CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING: (1, 3),
1185 CQ.FATIGUE_TIRED4_DURING_ENJOYABLE: (1, 3),
1186 CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE: (1, 3),
1187 CQ.SLEEP_LOSE2_DIS_WORST_DURATION: (1, 4),
1188 CQ.SLEEP_CAUSE: (1, 6),
1189 CQ.SLEEP_MAND2_GAIN_PAST_MONTH: (1, 3),
1190 CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT: (1, 4),
1191 CQ.IRRIT_MAND2_THINGS_PAST_MONTH: (1, 3),
1192 CQ.IRRIT3_WANTED_TO_SHOUT: (1, 3),
1193 CQ.IRRIT4_ARGUMENTS: (1, 3),
1194 CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH: (1, 3),
1195 CQ.DEPR2_ENJOYMENT_PAST_WEEK: (1, 3),
1196 CQ.DEPR5_COULD_CHEER_UP: (1, 3),
1197 CQ.DEPTH1_DIURNAL_VARIATION: (1, 4),
1198 CQ.DEPTH2_LIBIDO: (1, 4),
1199 CQ.DEPTH5_GUILT: (1, 4),
1200 CQ.DEPTH8_LNWL: (1, 3),
1201 CQ.DEPTH9_SUICIDE_THOUGHTS: (1, 3),
1202 CQ.DOCTOR: (1, 3),
1203 CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL: (1, 2),
1204 CQ.PHOBIAS_TYPE1: (1, 9),
1205 CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK: (1, 3),
1206 CQ.PANIC_MAND_PAST_MONTH: (1, 3),
1207 CQ.PANIC1_NUM_PAST_WEEK: (1, 3),
1208 CQ.PANIC2_HOW_UNPLEASANT: (1, 3),
1209 CQ.PANIC3_PANIC_GE_10_MIN: (1, 2),
1210 CQ.COMP4_MAX_N_REPETITIONS: (1, 3),
1211 CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL: (1, 2),
1212 CQ.OBSESS4_MAX_DURATION: (1, 2),
1213 CQ.OVERALL2_IMPACT_PAST_WEEK: (1, 4),
1214}
1215QUESTIONS_MULTIWAY_WITH_EXTRA_STEM = {
1216 # Maps questions to first and last number of answers.
1217 CQ.ETHNIC: (1, 7), # 7 includes our additional "prefer not to say"
1218 CQ.MARRIED: (1, 6), # 6 includes our additional "prefer not to say"
1219 CQ.EMPSTAT: (1, 8), # 8 includes our additional "prefer not to say"
1220 CQ.EMPTYPE: (
1221 1,
1222 7,
1223 ), # 7 includes our additional "not applicable" + "prefer not to say" # noqa
1224 CQ.HOME: (1, 7), # 7 includes our additional "prefer not to say"
1225}
1226QUESTIONS_DAYS_PER_WEEK = [
1227 CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK,
1228 CQ.SOMATIC_DIS2_DAYS_PAST_WEEK,
1229 CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK,
1230 CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK,
1231 CQ.CONC1_CONC_DAYS_PAST_WEEK,
1232 CQ.IRRIT1_DAYS_PER_WEEK,
1233 CQ.HYPO1_DAYS_PAST_WEEK,
1234 CQ.DEPR3_DAYS_PAST_WEEK,
1235 CQ.WORRY2_DAYS_PAST_WEEK,
1236 CQ.ANX2_GENERAL_DAYS_PAST_WEEK,
1237 CQ.PHOBIAS1_DAYS_PAST_WEEK,
1238 # not this: CQ.PHOBIAS4_AVOIDANCE_FREQUENCY -- different phrasing
1239 # not this: CQ.PANIC1_FREQUENCY
1240 CQ.COMP1_DAYS_PAST_WEEK,
1241 CQ.OBSESS1_DAYS_PAST_WEEK,
1242]
1243QUESTIONS_NIGHTS_PER_WEEK = [
1244 CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK,
1245 CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK,
1246 CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK, # (*) see below
1247 # (*) Probably an error in the original:
1248 # "On how many nights in the PAST SEVEN NIGHTS did you have problems
1249 # with your sleep? (1) None. (2) Between one and three days. (3) Four
1250 # days or more." Note day/night confusion. Altered to "nights".
1251 CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK,
1252]
1253QUESTIONS_HOW_UNPLEASANT_STANDARD = [
1254 CQ.SOMATIC_PAIN4_UNPLEASANT,
1255 CQ.SOMATIC_DIS4_UNPLEASANT,
1256 CQ.HYPO3_HOW_UNPLEASANT,
1257 CQ.WORRY4_HOW_UNPLEASANT,
1258 CQ.ANX3_GENERAL_HOW_UNPLEASANT,
1259]
1260QUESTIONS_FATIGUE_CAUSES = [
1261 CQ.FATIGUE_CAUSE1_TIRED,
1262 CQ.FATIGUE_CAUSE2_LACK_ENERGY,
1263]
1264QUESTIONS_STRESSORS = [CQ.DEPR_CONTENT, CQ.WORRY_CONT1]
1265QUESTIONS_NO_SOMETIMES_OFTEN = [
1266 CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH,
1267 CQ.ANX_MAND2_TENSION_PAST_MONTH,
1268 CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH,
1269 CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH,
1270 # and no-sometimes-often values also used by:
1271 # CQ.PANIC_MAND_PAST_MONTH
1272 # ... but with variations on the text.
1273]
1276# =============================================================================
1277# Ancillary functions
1278# =============================================================================
1281def fieldname_for_q(q: CisrQuestion) -> str:
1282 return FIELDNAME_FOR_QUESTION.get(q, "")
1285def enum_to_int(qe: CisrQuestion) -> int:
1286 return qe.value
1289def int_to_enum(qi: int) -> CisrQuestion:
1290 # https://stackoverflow.com/questions/23951641/how-to-convert-int-to-enum-in-python # noqa
1291 return CisrQuestion(qi)
1294def get_caveat(req: Optional[CamcopsRequest]) -> str:
1295 if req is None:
1296 return ""
1297 _ = req.gettext
1298 return _("CIS-R suggestion ONLY")
1301# =============================================================================
1302# CisrResult
1303# =============================================================================
1306class CisrResult(object):
1307 def __init__(
1308 self, req: Optional[CamcopsRequest], record_decisions: bool = False
1309 ) -> None:
1310 caveat = get_caveat(req)
1311 self.caveat_prefix = f"[{caveat}:] " if caveat else ""
1312 self.caveat_suffix = f" [{caveat}]" if caveat else ""
1313 self.incomplete = False
1314 self.record_decisions = record_decisions
1315 self.decisions = [] # type: List[str]
1317 # Symptom scoring
1318 self.depression = 0 # DEPR in original
1319 self.depr_crit_1_mood_anhedonia_energy = 0 # DEPCRIT1
1320 self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui = 0 # DEPCRIT2
1321 self.depr_crit_3_somatic_synd = 0 # DEPCRIT3
1322 # ... looks to me like the ICD-10 criteria for somatic syndrome
1323 # (e.g. F32.01, F32.11, F33.01, F33.11), with the "do you cheer up
1324 # when..." question (DEPR5) being the one for "lack of emotional
1325 # reactions to events or activities that normally produce an
1326 # emotional response".
1327 self.weight_change = (
1328 WTCHANGE_NONE_OR_APPETITE_INCREASE # WTCHANGE IN original
1329 )
1330 self.somatic_symptoms = 0 # SOMATIC in original
1331 self.fatigue = 0 # FATIGUE in original
1332 self.neurasthenia = 0 # NEURAS in original
1333 self.concentration_poor = 0 # CONC in original
1334 self.sleep_problems = 0 # SLEEP in original
1335 self.sleep_change = SLEEPCHANGE_NONE # SLEEPCH in original
1336 self.depressive_thoughts = 0 # DEPTHTS in original
1337 self.irritability = 0 # IRRIT in original
1338 self.diurnal_mood_variation = DIURNAL_MOOD_VAR_NONE # DVM in original
1339 self.libido_decreased = False # LIBID in original
1340 self.psychomotor_changes = PSYCHOMOTOR_NONE # PSYCHMOT in original
1341 self.suicidality = (
1342 SUICIDE_INTENT_NONE
1343 ) # type: int # SUICID in original
1344 self.depression_at_least_2_weeks = False # DEPR_DUR >= 2 in original
1346 self.hypochondria = 0 # HYPO in original
1347 self.worry = 0 # WORRY in original
1348 self.anxiety = 0 # ANX in original
1349 self.anxiety_physical_symptoms = False # AN4 == 2 in original
1350 self.anxiety_at_least_2_weeks = False # ANX_DUR >= 2 in original
1351 self.phobias_flag = False # PHOBIAS_FLAG in original
1352 self.phobias_score = 0 # PHOBIAS in original
1353 self.phobias_type = 0 # PHOBIAS_TYPE in original
1354 self.phobic_avoidance = False # PHOBIAS3 == 2 in original
1355 self.panic = 0 # PANIC in original
1356 self.panic_rapid_onset = False # PANIC4 == 2 in original
1357 self.panic_symptoms_total = 0 # PANSYTOT in original
1359 self.compulsions = 0 # COMP in original
1360 self.compulsions_tried_to_stop = False # COMP2 == 2 in original
1361 self.compulsions_at_least_2_weeks = False # COMP_DUR >= 2 in original
1362 self.obsessions = 0 # OBSESS in original
1363 self.obsessions_tried_to_stop = False # OBSESS2 == 2 in original
1364 self.obsessions_at_least_2_weeks = False # OBSESS_DUR >= 2 in original
1366 self.functional_impairment = 0 # IMPAIR in original
1368 # Disorder flags
1369 self.obsessive_compulsive_disorder = False # OBCOMP in original
1370 self.depression_mild = False # DEPRMILD in original
1371 self.depression_moderate = False # DEPRMOD in original
1372 self.depression_severe = False # DEPRSEV in original
1373 self.chronic_fatigue_syndrome = False # CFS in original
1374 self.generalized_anxiety_disorder = False # GAD in original
1375 self.phobia_agoraphobia = False # PHOBAG in original
1376 self.phobia_social = False # PHOBSOC in original
1377 self.phobia_specific = False # PHOBSPEC in original
1378 self.panic_disorder = False # PANICD in original
1380 # Final "diagnoses" (suggestions)
1381 self.diagnosis_1 = DIAG_0_NO_DIAGNOSIS # DIAG1 in original
1382 self.diagnosis_2 = DIAG_0_NO_DIAGNOSIS # DIAG2 in original
1384 # -------------------------------------------------------------------------
1385 # Overall scoring
1386 # -------------------------------------------------------------------------
1388 def get_score(self) -> int: # SCORE in original
1389 return (
1390 self.somatic_symptoms
1391 + self.fatigue
1392 + self.concentration_poor
1393 + self.sleep_problems
1394 + self.irritability
1395 + self.hypochondria
1396 + self.depression
1397 + self.depressive_thoughts
1398 + self.worry
1399 + self.anxiety
1400 + self.phobias_score
1401 + self.panic
1402 + self.compulsions
1403 + self.obsessions
1404 )
1406 def needs_impairment_question(self) -> bool:
1407 # code in OVERALL1 in original
1408 threshold = 2 # for all symptoms
1409 return (
1410 self.somatic_symptoms >= threshold
1411 or self.hypochondria >= threshold
1412 or self.fatigue >= threshold
1413 or self.sleep_problems >= threshold
1414 or self.irritability >= threshold
1415 or self.concentration_poor >= threshold
1416 or self.depression >= threshold
1417 or self.depressive_thoughts >= threshold
1418 or self.phobias_score >= threshold
1419 or self.worry >= threshold
1420 or self.anxiety >= threshold
1421 or self.panic >= threshold
1422 or self.compulsions >= threshold
1423 or self.obsessions >= threshold
1424 )
1426 def has_somatic_syndrome(self) -> bool:
1427 return self.depr_crit_3_somatic_synd >= SOMATIC_SYNDROME_CRITERION
1429 def get_final_page(self) -> CisrQuestion:
1430 # see chooseFinalPage() in the C++ version
1431 return (
1432 CQ.OVERALL1_INFO_ONLY
1433 if self.needs_impairment_question()
1434 else CQ.THANKS_FINISHED
1435 )
1437 def decide(self, decision: str) -> None:
1438 if self.record_decisions:
1439 self.decisions.append(decision)
1441 def _showint(self, name: str, value: int) -> None:
1442 self.decide(f"{SCORE_PREFIX}{name}: {value}")
1444 def _showbool(self, name: str, value: bool) -> None:
1445 self.decide(f"{SCORE_PREFIX}{name}: {'true' if value else 'false'}")
1447 def diagnosis_name(self, diagnosis_code: int) -> str:
1448 if self.incomplete:
1449 # Do NOT offer diagnostic information based on partial data.
1450 # Might be dangerous (e.g. say "mild depressive episode" when it's
1451 # severe + incomplete information).
1452 return "INFORMATION INCOMPLETE"
1454 if diagnosis_code == DIAG_0_NO_DIAGNOSIS:
1455 return "No diagnosis identified"
1456 elif diagnosis_code == DIAG_1_MIXED_ANX_DEPR_DIS_MILD:
1457 return "Mixed anxiety and depressive disorder (mild)"
1458 elif diagnosis_code == DIAG_2_GENERALIZED_ANX_DIS_MILD:
1459 return "Generalized anxiety disorder (mild)"
1460 elif diagnosis_code == DIAG_3_OBSESSIVE_COMPULSIVE_DIS:
1461 return "Obsessive–compulsive disorder"
1462 elif diagnosis_code == DIAG_4_MIXED_ANX_DEPR_DIS:
1463 return "Mixed anxiety and depressive disorder"
1464 elif diagnosis_code == DIAG_5_SPECIFIC_PHOBIA:
1465 return "Specific (isolated) phobia"
1466 elif diagnosis_code == DIAG_6_SOCIAL_PHOBIA:
1467 return "Social phobia"
1468 elif diagnosis_code == DIAG_7_AGORAPHOBIA:
1469 return "Agoraphobia"
1470 elif diagnosis_code == DIAG_8_GENERALIZED_ANX_DIS:
1471 return "Generalized anxiety disorder"
1472 elif diagnosis_code == DIAG_9_PANIC_DIS:
1473 return "Panic disorder"
1474 elif diagnosis_code == DIAG_10_MILD_DEPR_EPISODE:
1475 return "Mild depressive episode"
1476 elif diagnosis_code == DIAG_11_MOD_DEPR_EPISODE:
1477 return "Moderate depressive episode"
1478 elif diagnosis_code == DIAG_12_SEVERE_DEPR_EPISODE:
1479 return "Severe depressive episode"
1480 else:
1481 return "[INTERNAL ERROR: BAD DIAGNOSIS CODE]"
1483 def diagnosis_icd10_code(self, diagnosis_code: int) -> str:
1484 if self.incomplete:
1485 return ""
1487 if diagnosis_code == DIAG_0_NO_DIAGNOSIS:
1488 return ""
1489 elif diagnosis_code == DIAG_1_MIXED_ANX_DEPR_DIS_MILD:
1490 return "F41.2" # no sub-code for "mild"
1491 elif diagnosis_code == DIAG_2_GENERALIZED_ANX_DIS_MILD:
1492 return "F41.1" # no sub-code for "mild"
1493 elif diagnosis_code == DIAG_3_OBSESSIVE_COMPULSIVE_DIS:
1494 return "Obsessive–compulsive disorder"
1495 elif diagnosis_code == DIAG_4_MIXED_ANX_DEPR_DIS:
1496 return "F41.2"
1497 elif diagnosis_code == DIAG_5_SPECIFIC_PHOBIA:
1498 return "F40.2"
1499 elif diagnosis_code == DIAG_6_SOCIAL_PHOBIA:
1500 return "F40.1"
1501 elif diagnosis_code == DIAG_7_AGORAPHOBIA:
1502 return "F40.0" # not clear whether F40.00/F40.01 are distinguished
1503 elif diagnosis_code == DIAG_8_GENERALIZED_ANX_DIS:
1504 return "F41.1"
1505 elif diagnosis_code == DIAG_9_PANIC_DIS:
1506 return "F41.0"
1507 elif diagnosis_code == DIAG_10_MILD_DEPR_EPISODE:
1508 if self.has_somatic_syndrome():
1509 return "F32.01"
1510 else:
1511 return "F32.00"
1512 elif diagnosis_code == DIAG_11_MOD_DEPR_EPISODE:
1513 if self.has_somatic_syndrome():
1514 return "F32.11"
1515 else:
1516 return "F32.10"
1517 elif diagnosis_code == DIAG_12_SEVERE_DEPR_EPISODE:
1518 return "F32.2 or F32.3"
1519 else:
1520 return "[INTERNAL ERROR: BAD DIAGNOSIS CODE]"
1522 def has_diagnosis(self, diagnosis_code: int) -> bool:
1523 return not self.incomplete and diagnosis_code != DIAG_0_NO_DIAGNOSIS
1525 def has_diagnosis_1(self) -> bool:
1526 return self.has_diagnosis(self.diagnosis_1)
1528 def has_diagnosis_2(self) -> bool:
1529 return self.has_diagnosis(self.diagnosis_1)
1531 def diagnosis_1_name(self) -> str:
1532 return self.diagnosis_name(self.diagnosis_1)
1534 def diagnosis_1_icd10_code(self) -> str:
1535 return self.diagnosis_icd10_code(self.diagnosis_1)
1537 def diagnosis_2_name(self) -> str:
1538 return self.diagnosis_name(self.diagnosis_2)
1540 def diagnosis_2_icd10_code(self) -> str:
1541 return self.diagnosis_icd10_code(self.diagnosis_2)
1543 def finalize(self) -> None:
1544 at_least_1_activity_impaired = (
1545 self.functional_impairment >= OVERALL_IMPAIRMENT_STOP_1_ACTIVITY
1546 )
1547 score = self.get_score()
1549 # GAD
1550 if (
1551 self.anxiety >= 2
1552 and self.anxiety_physical_symptoms
1553 and self.anxiety_at_least_2_weeks
1554 ):
1555 self.decide(
1556 "Anxiety score >= 2 AND physical symptoms of anxiety AND "
1557 "anxiety for at least 2 weeks. "
1558 "Setting generalized_anxiety_disorder."
1559 )
1560 self.generalized_anxiety_disorder = True
1562 # Panic
1563 if self.panic >= 3 and self.panic_rapid_onset:
1564 self.decide(
1565 "Panic score >= 3 AND panic_rapid_onset. "
1566 "Setting panic_disorder."
1567 )
1568 self.panic_disorder = True
1570 # Phobias
1571 if (
1572 self.phobias_type == PHOBIATYPES_AGORAPHOBIA
1573 and self.phobic_avoidance
1574 and self.phobias_score >= 2
1575 ):
1576 self.decide(
1577 "Phobia type is agoraphobia AND phobic avoidance AND"
1578 "phobia score >= 2. Setting phobia_agoraphobia."
1579 )
1580 self.phobia_agoraphobia = True
1581 if (
1582 self.phobias_type == PHOBIATYPES_SOCIAL
1583 and self.phobic_avoidance
1584 and self.phobias_score >= 2
1585 ):
1586 self.decide(
1587 "Phobia type is social AND phobic avoidance AND"
1588 "phobia score >= 2. Setting phobia_social."
1589 )
1590 self.phobia_social = True
1591 if (
1592 self.phobias_type == PHOBIATYPES_SOCIAL
1593 and self.phobic_avoidance
1594 and self.phobias_score >= 2
1595 ):
1596 self.decide(
1597 "Phobia type is (animals/enclosed/heights OR other) AND "
1598 "phobic avoidance AND phobia score >= 2. "
1599 "Setting phobia_specific."
1600 )
1601 self.phobia_specific = True
1603 # OCD
1604 if (
1605 self.obsessions + self.compulsions >= 6
1606 and self.obsessions_tried_to_stop
1607 and self.obsessions_at_least_2_weeks
1608 and at_least_1_activity_impaired
1609 ):
1610 self.decide(
1611 "obsessions + compulsions >= 6 AND "
1612 "tried to stop obsessions AND "
1613 "obsessions for at least 2 weeks AND "
1614 "at least 1 activity impaired. "
1615 "Setting obsessive_compulsive_disorder."
1616 )
1617 self.obsessive_compulsive_disorder = True
1618 if (
1619 self.obsessions + self.compulsions >= 6
1620 and self.compulsions_tried_to_stop
1621 and self.compulsions_at_least_2_weeks
1622 and at_least_1_activity_impaired
1623 ):
1624 self.decide(
1625 "obsessions + compulsions >= 6 AND "
1626 "tried to stop compulsions AND "
1627 "compulsions for at least 2 weeks AND "
1628 "at least 1 activity impaired. "
1629 "Setting obsessive_compulsive_disorder."
1630 )
1631 self.obsessive_compulsive_disorder = True
1632 if (
1633 self.obsessions == 4
1634 and self.obsessions_tried_to_stop
1635 and self.obsessions_at_least_2_weeks
1636 and at_least_1_activity_impaired
1637 ):
1638 # NOTE: 4 is the maximum for obsessions
1639 self.decide(
1640 "obsessions == 4 AND "
1641 "tried to stop obsessions AND "
1642 "obsessions for at least 2 weeks AND "
1643 "at least 1 activity impaired. "
1644 "Setting obsessive_compulsive_disorder."
1645 )
1646 self.obsessive_compulsive_disorder = True
1647 if (
1648 self.compulsions == 4
1649 and self.compulsions_tried_to_stop
1650 and self.compulsions_at_least_2_weeks
1651 and at_least_1_activity_impaired
1652 ):
1653 # NOTE: 4 is the maximum for compulsions
1654 self.decide(
1655 "compulsions == 4 AND "
1656 "tried to stop compulsions AND "
1657 "compulsions for at least 2 weeks AND "
1658 "at least 1 activity impaired. "
1659 "Setting obsessive_compulsive_disorder."
1660 )
1661 self.obsessive_compulsive_disorder = True
1663 # Depression
1664 if (
1665 self.depression_at_least_2_weeks
1666 and self.depr_crit_1_mood_anhedonia_energy > 1
1667 and self.depr_crit_1_mood_anhedonia_energy
1668 + self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui
1669 > 3
1670 ):
1671 self.decide(
1672 "Depressive symptoms >=2 weeks AND "
1673 "depr_crit_1_mood_anhedonia_energy > 1 AND "
1674 "depr_crit_1_mood_anhedonia_energy + "
1675 "depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 3. "
1676 "Setting depression_mild."
1677 )
1678 self.depression_mild = True
1679 if (
1680 self.depression_at_least_2_weeks
1681 and self.depr_crit_1_mood_anhedonia_energy > 1
1682 and (
1683 self.depr_crit_1_mood_anhedonia_energy
1684 + self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui
1685 )
1686 > 5
1687 ):
1688 self.decide(
1689 "Depressive symptoms >=2 weeks AND "
1690 "depr_crit_1_mood_anhedonia_energy > 1 AND "
1691 "depr_crit_1_mood_anhedonia_energy + "
1692 "depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 5. "
1693 "Setting depression_moderate."
1694 )
1695 self.depression_moderate = True
1696 if (
1697 self.depression_at_least_2_weeks
1698 and self.depr_crit_1_mood_anhedonia_energy == 3
1699 and self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 4
1700 ):
1701 self.decide(
1702 "Depressive symptoms >=2 weeks AND "
1703 "depr_crit_1_mood_anhedonia_energy == 3 AND "
1704 "depr_crit_2_app_cnc_slp_mtr_glt_wth_sui > 4. "
1705 "Setting depression_severe."
1706 )
1707 self.depression_severe = True
1709 # CFS
1710 if self.neurasthenia >= 2:
1711 # The original had a pointless check for "DIAG1 == 0" too, but that
1712 # was always true.
1713 self.decide("neurasthenia >= 2. Setting chronic_fatigue_syndrome.")
1714 self.chronic_fatigue_syndrome = True
1716 # Final diagnostic hierarchy
1718 # ... primary diagnosis
1719 if score >= 12:
1720 self.decide(
1721 "Total score >= 12. Setting diagnosis_1 to "
1722 "DIAG_1_MIXED_ANX_DEPR_DIS_MILD."
1723 )
1724 self.diagnosis_1 = DIAG_1_MIXED_ANX_DEPR_DIS_MILD
1725 if self.generalized_anxiety_disorder:
1726 self.decide(
1727 "generalized_anxiety_disorder is true. Setting "
1728 "diagnosis_1 to DIAG_2_GENERALIZED_ANX_DIS_MILD."
1729 )
1730 self.diagnosis_1 = DIAG_2_GENERALIZED_ANX_DIS_MILD
1731 if self.obsessive_compulsive_disorder:
1732 self.decide(
1733 "obsessive_compulsive_disorder is true. Setting "
1734 "diagnosis_1 to DIAG_3_OBSESSIVE_COMPULSIVE_DIS."
1735 )
1736 self.diagnosis_1 = DIAG_3_OBSESSIVE_COMPULSIVE_DIS
1737 if score >= 20:
1738 self.decide(
1739 "Total score >= 20. Setting diagnosis_1 to "
1740 "DIAG_4_MIXED_ANX_DEPR_DIS."
1741 )
1742 self.diagnosis_1 = DIAG_4_MIXED_ANX_DEPR_DIS
1743 if self.phobia_specific:
1744 self.decide(
1745 "phobia_specific is true. Setting diagnosis_1 to "
1746 "DIAG_5_SPECIFIC_PHOBIA."
1747 )
1748 self.diagnosis_1 = DIAG_5_SPECIFIC_PHOBIA
1749 if self.phobia_social:
1750 self.decide(
1751 "phobia_social is true. Setting diagnosis_1 to "
1752 "DIAG_6_SOCIAL_PHOBIA."
1753 )
1754 self.diagnosis_1 = DIAG_6_SOCIAL_PHOBIA
1755 if self.phobia_agoraphobia:
1756 self.decide(
1757 "phobia_agoraphobia is true. Setting diagnosis_1 to "
1758 "DIAG_7_AGORAPHOBIA."
1759 )
1760 self.diagnosis_1 = DIAG_7_AGORAPHOBIA
1761 if self.generalized_anxiety_disorder and score >= 20:
1762 self.decide(
1763 "generalized_anxiety_disorder is true AND "
1764 "score >= 20. Setting diagnosis_1 to "
1765 "DIAG_8_GENERALIZED_ANX_DIS."
1766 )
1767 self.diagnosis_1 = DIAG_8_GENERALIZED_ANX_DIS
1768 if self.panic_disorder:
1769 self.decide(
1770 "panic_disorder is true. Setting diagnosis_1 to "
1771 "DIAG_9_PANIC_DIS."
1772 )
1773 self.diagnosis_1 = DIAG_9_PANIC_DIS
1774 if self.depression_mild:
1775 self.decide(
1776 "depression_mild is true. Setting diagnosis_1 to "
1777 "DIAG_10_MILD_DEPR_EPISODE."
1778 )
1779 self.diagnosis_1 = DIAG_10_MILD_DEPR_EPISODE
1780 if self.depression_moderate:
1781 self.decide(
1782 "depression_moderate is true. Setting diagnosis_1 to "
1783 "DIAG_11_MOD_DEPR_EPISODE."
1784 )
1785 self.diagnosis_1 = DIAG_11_MOD_DEPR_EPISODE
1786 if self.depression_severe:
1787 self.decide(
1788 "depression_severe is true. Setting diagnosis_1 to "
1789 "DIAG_12_SEVERE_DEPR_EPISODE."
1790 )
1791 self.diagnosis_1 = DIAG_12_SEVERE_DEPR_EPISODE
1793 # ... secondary diagnosis
1794 if score >= 12 and self.diagnosis_1 >= 2:
1795 self.decide(
1796 "score >= 12 AND diagnosis_1 >= 2. "
1797 "Setting diagnosis_2 to DIAG_1_MIXED_ANX_DEPR_DIS_MILD."
1798 )
1799 self.diagnosis_2 = DIAG_1_MIXED_ANX_DEPR_DIS_MILD
1800 if self.generalized_anxiety_disorder and self.diagnosis_1 >= 3:
1801 self.decide(
1802 "generalized_anxiety_disorder is true AND "
1803 "diagnosis_1 >= 3. "
1804 "Setting diagnosis_2 to DIAG_2_GENERALIZED_ANX_DIS_MILD."
1805 )
1806 self.diagnosis_2 = DIAG_2_GENERALIZED_ANX_DIS_MILD
1807 if self.obsessive_compulsive_disorder and self.diagnosis_1 >= 4:
1808 self.decide(
1809 "obsessive_compulsive_disorder is true AND "
1810 "diagnosis_1 >= 4. "
1811 "Setting diagnosis_2 to DIAG_3_OBSESSIVE_COMPULSIVE_DIS."
1812 )
1813 self.diagnosis_2 = DIAG_3_OBSESSIVE_COMPULSIVE_DIS
1814 if score >= 20 and self.diagnosis_1 >= 5:
1815 self.decide(
1816 "score >= 20 AND diagnosis_1 >= 5. "
1817 "Setting diagnosis_2 to DIAG_4_MIXED_ANX_DEPR_DIS."
1818 )
1819 self.diagnosis_2 = DIAG_4_MIXED_ANX_DEPR_DIS
1820 if self.phobia_specific and self.diagnosis_1 >= 6:
1821 self.decide(
1822 "phobia_specific is true AND diagnosis_1 >= 6. "
1823 "Setting diagnosis_2 to DIAG_5_SPECIFIC_PHOBIA."
1824 )
1825 self.diagnosis_2 = DIAG_5_SPECIFIC_PHOBIA
1826 if self.phobia_social and self.diagnosis_1 >= 7:
1827 self.decide(
1828 "phobia_social is true AND diagnosis_1 >= 7. "
1829 "Setting diagnosis_2 to DIAG_6_SOCIAL_PHOBIA."
1830 )
1831 self.diagnosis_2 = DIAG_6_SOCIAL_PHOBIA
1832 if self.phobia_agoraphobia and self.diagnosis_1 >= 8:
1833 self.decide(
1834 "phobia_agoraphobia is true AND diagnosis_1 >= 8. "
1835 "Setting diagnosis_2 to DIAG_7_AGORAPHOBIA."
1836 )
1837 self.diagnosis_2 = DIAG_7_AGORAPHOBIA
1838 if (
1839 self.generalized_anxiety_disorder
1840 and score >= 20
1841 and self.diagnosis_1 >= 9
1842 ):
1843 self.decide(
1844 "generalized_anxiety_disorder is true AND "
1845 "score >= 20 AND "
1846 "diagnosis_1 >= 9. "
1847 "Setting diagnosis_2 to DIAG_8_GENERALIZED_ANX_DIS."
1848 )
1849 self.diagnosis_2 = DIAG_8_GENERALIZED_ANX_DIS
1850 if self.panic_disorder and self.diagnosis_1 >= 9:
1851 self.decide(
1852 "panic_disorder is true AND diagnosis_1 >= 9. "
1853 "Setting diagnosis_2 to DIAG_9_PANIC_DIS."
1854 )
1855 self.diagnosis_2 = DIAG_9_PANIC_DIS
1857 # In summary:
1858 self.decide("FINISHED.")
1859 self.decide("--- Final scores:")
1860 self._showint("depression", self.depression)
1861 self._showint(
1862 "depr_crit_1_mood_anhedonia_energy",
1863 self.depr_crit_1_mood_anhedonia_energy,
1864 )
1865 self._showint(
1866 "depr_crit_2_app_cnc_slp_mtr_glt_wth_sui",
1867 self.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui,
1868 )
1869 self._showint(
1870 "depr_crit_3_somatic_synd", self.depr_crit_3_somatic_synd
1871 )
1872 self._showint("weight_change", self.weight_change)
1873 self._showint("somatic_symptoms", self.somatic_symptoms)
1874 self._showint("fatigue", self.fatigue)
1875 self._showint("neurasthenia", self.neurasthenia)
1876 self._showint("concentration_poor", self.concentration_poor)
1877 self._showint("sleep_problems", self.sleep_problems)
1878 self._showint("sleep_change", self.sleep_change)
1879 self._showint("depressive_thoughts", self.depressive_thoughts)
1880 self._showint("irritability", self.irritability)
1881 self._showint("diurnal_mood_variation", self.diurnal_mood_variation)
1882 self._showbool("libido_decreased", self.libido_decreased)
1883 self._showint("psychomotor_changes", self.psychomotor_changes)
1884 self._showint("suicidality", self.suicidality)
1885 self._showbool(
1886 "depression_at_least_2_weeks", self.depression_at_least_2_weeks
1887 )
1889 self._showint("hypochondria", self.hypochondria)
1890 self._showint("worry", self.worry)
1891 self._showint("anxiety", self.anxiety)
1892 self._showbool(
1893 "anxiety_physical_symptoms", self.anxiety_physical_symptoms
1894 )
1895 self._showbool(
1896 "anxiety_at_least_2_weeks", self.anxiety_at_least_2_weeks
1897 )
1898 self._showbool("phobias_flag", self.phobias_flag)
1899 self._showint("phobias_score", self.phobias_score)
1900 self._showint("phobias_type", self.phobias_type)
1901 self._showbool("phobic_avoidance", self.phobic_avoidance)
1902 self._showint("panic", self.panic)
1903 self._showbool("panic_rapid_onset", self.panic_rapid_onset)
1904 self._showint("panic_symptoms_total", self.panic_symptoms_total)
1906 self._showint("compulsions", self.compulsions)
1907 self._showbool(
1908 "compulsions_tried_to_stop", self.compulsions_tried_to_stop
1909 )
1910 self._showbool(
1911 "compulsions_at_least_2_weeks", self.compulsions_at_least_2_weeks
1912 )
1913 self._showint("obsessions", self.obsessions)
1914 self._showbool(
1915 "obsessions_tried_to_stop", self.obsessions_tried_to_stop
1916 )
1917 self._showbool(
1918 "obsessions_at_least_2_weeks", self.obsessions_at_least_2_weeks
1919 )
1921 self._showint("functional_impairment", self.functional_impairment)
1923 # Disorder flags
1924 self._showbool(
1925 "obsessive_compulsive_disorder", self.obsessive_compulsive_disorder
1926 )
1927 self._showbool("depression_mild", self.depression_mild)
1928 self._showbool("depression_moderate", self.depression_moderate)
1929 self._showbool("depression_severe", self.depression_severe)
1930 self._showbool(
1931 "chronic_fatigue_syndrome", self.chronic_fatigue_syndrome
1932 )
1933 self._showbool(
1934 "generalized_anxiety_disorder", self.generalized_anxiety_disorder
1935 )
1936 self._showbool("phobia_agoraphobia", self.phobia_agoraphobia)
1937 self._showbool("phobia_social", self.phobia_social)
1938 self._showbool("phobia_specific", self.phobia_specific)
1939 self._showbool("panic_disorder", self.panic_disorder)
1941 caveat_prefix = self.caveat_prefix
1942 self.decide(f"--- {caveat_prefix}Final possible diagnoses:")
1943 self.decide(
1944 f"{caveat_prefix}Possible primary diagnosis: "
1945 + self.diagnosis_name(self.diagnosis_1)
1946 )
1947 self.decide(
1948 f"{caveat_prefix}Possible secondary diagnosis: "
1949 + self.diagnosis_name(self.diagnosis_2)
1950 )
1953# =============================================================================
1954# CISR
1955# =============================================================================
1958class Cisr(TaskHasPatientMixin, Task): # type: ignore[misc]
1959 """
1960 Server implementation of the CIS-R task.
1961 """
1963 __tablename__ = "cisr"
1964 shortname = "CIS-R"
1965 provides_trackers = False
1967 # Demographics
1969 ethnic: Mapped[Optional[int]] = mapped_camcops_column(
1970 comment=(
1971 CMT_DEMOGRAPHICS
1972 + "Ethnicity (1 white, 2 mixed, 3 Asian/British Asian, "
1973 "4 Black/Black British, 5 Chinese, 6 other, 7 prefer not to say)"
1974 ),
1975 permitted_value_checker=ONE_TO_SEVEN_CHECKER,
1976 )
1977 married: Mapped[Optional[int]] = mapped_camcops_column(
1978 comment=(
1979 CMT_DEMOGRAPHICS
1980 + "Marital status (1 married/living as married, 2 single, "
1981 "3 separated, 4 divorced, 5 widowed, 6 prefer not to say)"
1982 ),
1983 permitted_value_checker=ONE_TO_SIX_CHECKER,
1984 )
1985 empstat: Mapped[Optional[int]] = mapped_camcops_column(
1986 comment=(
1987 CMT_DEMOGRAPHICS
1988 + "Current employment status (1 working full time, "
1989 "2 working part time, 3 student, 4 retired, 5 houseperson, "
1990 "6 unemployed job seeker, 7 unemployed due to ill health,"
1991 "8 prefer not to say)"
1992 ),
1993 permitted_value_checker=ONE_TO_EIGHT_CHECKER,
1994 )
1995 emptype: Mapped[Optional[int]] = mapped_camcops_column(
1996 comment=(
1997 CMT_DEMOGRAPHICS + "Current/last paid employment "
1998 "(1 self-employed with paid employees, "
1999 "2 self-employed with no paid employees, 3 employee, "
2000 "4 foreman/supervisor, 5 manager, 6 not applicable,"
2001 "7 prefer not to say)"
2002 ),
2003 permitted_value_checker=ONE_TO_SEVEN_CHECKER,
2004 )
2005 home: Mapped[Optional[int]] = mapped_camcops_column(
2006 comment=(
2007 CMT_DEMOGRAPHICS
2008 + "Housing situation (1 home owner, 2 tenant, 3 living with "
2009 "relative/friend, 4 hostel/care home, 5 homeless, 6 other,"
2010 "7 prefer not to say)"
2011 ),
2012 permitted_value_checker=ONE_TO_SEVEN_CHECKER,
2013 )
2015 # Appetite/weight
2017 appetite1: Mapped[Optional[int]] = mapped_camcops_column(
2018 comment="Marked appetite loss in past month" + CMT_1_NO_2_YES,
2019 permitted_value_checker=ONE_TO_TWO_CHECKER,
2020 )
2021 weight1: Mapped[Optional[int]] = mapped_camcops_column(
2022 comment="Weight loss in past month" + CMT_1_NO_2_YES,
2023 permitted_value_checker=ONE_TO_TWO_CHECKER,
2024 )
2025 weight2: Mapped[Optional[int]] = mapped_camcops_column(
2026 comment="Weight loss: trying to lose weight?" + CMT_1_NO_2_YES,
2027 permitted_value_checker=ONE_TO_TWO_CHECKER,
2028 )
2029 weight3: Mapped[Optional[int]] = mapped_camcops_column(
2030 comment="Weight loss amount (1: ≥0.5 stones; 2: <0.5 stones)",
2031 permitted_value_checker=ONE_TO_TWO_CHECKER,
2032 )
2033 appetite2: Mapped[Optional[int]] = mapped_camcops_column(
2034 comment="Marked increase in appetite in past month" + CMT_1_NO_2_YES,
2035 permitted_value_checker=ONE_TO_TWO_CHECKER,
2036 )
2037 weight4: Mapped[Optional[int]] = mapped_camcops_column(
2038 # male/female responses unified (no "weight4a")
2039 comment="Weight gain in past month (1 yes, 2 no, 3 yes but pregnant)",
2040 permitted_value_checker=ONE_TO_THREE_CHECKER,
2041 )
2042 weight5: Mapped[Optional[int]] = mapped_camcops_column(
2043 comment="Weight gain amount (1: ≥0.5 stones; 2: <0.5 stones)",
2044 permitted_value_checker=ONE_TO_TWO_CHECKER,
2045 )
2047 # Somatic problems
2049 gp_year: Mapped[Optional[int]] = mapped_camcops_column(
2050 comment="Consultations with GP in past year (0: none, 1: 1–2, 2: 3–4, "
2051 "3: 6–10; 4: >10",
2052 permitted_value_checker=ZERO_TO_FOUR_CHECKER,
2053 )
2054 disable: Mapped[Optional[int]] = mapped_camcops_column(
2055 comment="Longstanding illness/disability/infirmity" + CMT_1_YES_2_NO,
2056 permitted_value_checker=ONE_TO_TWO_CHECKER,
2057 )
2058 illness: Mapped[Optional[int]] = mapped_camcops_column(
2059 comment="Conditions (1 diabetes, 2 asthma, 3 arthritis, 4 heart "
2060 "disease, 5 high blood pressure, 6 lung disease, 7 more than "
2061 "one of the above, 8 none of the above)",
2062 permitted_value_checker=ONE_TO_EIGHT_CHECKER,
2063 )
2065 somatic_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2066 comment="Any aches/pains in past month?" + CMT_1_NO_2_YES,
2067 permitted_value_checker=ONE_TO_TWO_CHECKER,
2068 )
2069 somatic_pain1: Mapped[Optional[int]] = mapped_camcops_column(
2070 comment="Pain/ache brought on or made worse because low/anxious/"
2071 "stressed" + CMT_NEVER_SOMETIMES_ALWAYS,
2072 permitted_value_checker=ONE_TO_THREE_CHECKER,
2073 )
2074 somatic_pain2: Mapped[Optional[int]] = mapped_camcops_column(
2075 comment="Pain: days in past week" + CMT_DAYS_PER_WEEK,
2076 permitted_value_checker=ONE_TO_THREE_CHECKER,
2077 )
2078 somatic_pain3: Mapped[Optional[int]] = mapped_camcops_column(
2079 comment="Pain: lasted >3h on any day in past week" + CMT_1_NO_2_YES,
2080 permitted_value_checker=ONE_TO_TWO_CHECKER,
2081 )
2082 somatic_pain4: Mapped[Optional[int]] = mapped_camcops_column(
2083 comment="Pain: unpleasant in past week?" + CMT_UNPLEASANT,
2084 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2085 )
2086 somatic_pain5: Mapped[Optional[int]] = mapped_camcops_column(
2087 comment="Pain: bothersome whilst doing something interesting in past "
2088 "week?" + CMT_BOTHERSOME_INTERESTING,
2089 permitted_value_checker=ONE_TO_THREE_CHECKER,
2090 )
2091 somatic_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2092 comment="Bodily discomfort in past month?" + CMT_1_NO_2_YES,
2093 permitted_value_checker=ONE_TO_TWO_CHECKER,
2094 )
2095 somatic_dis1: Mapped[Optional[int]] = mapped_camcops_column(
2096 comment="Discomfort brought on or made worse because low/anxious/"
2097 "stressed" + CMT_NEVER_SOMETIMES_ALWAYS,
2098 permitted_value_checker=ONE_TO_THREE_CHECKER,
2099 )
2100 somatic_dis2: Mapped[Optional[int]] = mapped_camcops_column(
2101 comment="Discomfort: days in past week" + CMT_DAYS_PER_WEEK,
2102 permitted_value_checker=ONE_TO_THREE_CHECKER,
2103 )
2104 somatic_dis3: Mapped[Optional[int]] = mapped_camcops_column(
2105 comment="Discomfort: lasted >3h on any day in past week"
2106 + CMT_1_NO_2_YES,
2107 permitted_value_checker=ONE_TO_TWO_CHECKER,
2108 )
2109 somatic_dis4: Mapped[Optional[int]] = mapped_camcops_column(
2110 comment="Discomfort: unpleasant in past week?" + CMT_UNPLEASANT,
2111 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2112 )
2113 somatic_dis5: Mapped[Optional[int]] = mapped_camcops_column(
2114 comment="Discomfort: bothersome whilst doing something interesting in "
2115 "past week?" + CMT_BOTHERSOME_INTERESTING,
2116 permitted_value_checker=ONE_TO_THREE_CHECKER,
2117 )
2118 somatic_dur: Mapped[Optional[int]] = mapped_camcops_column(
2119 comment="Duration of ache/pain/discomfort" + CMT_DURATION,
2120 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2121 )
2123 # Fatigue/lacking energy
2125 fatigue_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2126 comment="Tired in past month" + CMT_1_NO_2_YES,
2127 permitted_value_checker=ONE_TO_TWO_CHECKER,
2128 )
2129 fatigue_cause1: Mapped[Optional[int]] = mapped_camcops_column(
2130 comment="Main reason for feeling tired" + CMT_FATIGUE_CAUSE,
2131 permitted_value_checker=ONE_TO_EIGHT_CHECKER,
2132 )
2133 fatigue_tired1: Mapped[Optional[int]] = mapped_camcops_column(
2134 comment="Tired: days in past week" + CMT_DAYS_PER_WEEK,
2135 permitted_value_checker=ONE_TO_THREE_CHECKER,
2136 )
2137 fatigue_tired2: Mapped[Optional[int]] = mapped_camcops_column(
2138 comment="Tired: >3h on any one day in past week" + CMT_1_NO_2_YES,
2139 permitted_value_checker=ONE_TO_TWO_CHECKER,
2140 )
2141 fatigue_tired3: Mapped[Optional[int]] = mapped_camcops_column(
2142 comment="So tired you've had to push yourself to get things done in "
2143 "past week" + CMT_1_NO_2_YES,
2144 permitted_value_checker=ONE_TO_TWO_CHECKER,
2145 )
2146 fatigue_tired4: Mapped[Optional[int]] = mapped_camcops_column(
2147 comment="Tired during an enjoyable activity" + CMT_DURING_ENJOYABLE,
2148 permitted_value_checker=ONE_TO_THREE_CHECKER,
2149 )
2150 fatigue_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2151 comment="Lacking in energy in past month" + CMT_1_NO_2_YES,
2152 permitted_value_checker=ONE_TO_TWO_CHECKER,
2153 )
2154 fatigue_cause2: Mapped[Optional[int]] = mapped_camcops_column(
2155 comment="Main reason for lacking energy" + CMT_FATIGUE_CAUSE,
2156 permitted_value_checker=ONE_TO_EIGHT_CHECKER,
2157 )
2158 fatigue_energy1: Mapped[Optional[int]] = mapped_camcops_column(
2159 comment="Lacking energy: days in past week" + CMT_DAYS_PER_WEEK,
2160 permitted_value_checker=ONE_TO_THREE_CHECKER,
2161 )
2162 fatigue_energy2: Mapped[Optional[int]] = mapped_camcops_column(
2163 comment="Lacking energy: for >3h on any one day in past week"
2164 + CMT_1_NO_2_YES,
2165 permitted_value_checker=ONE_TO_TWO_CHECKER,
2166 )
2167 fatigue_energy3: Mapped[Optional[int]] = mapped_camcops_column(
2168 comment="So lacking in energy you've had to push yourself to get "
2169 "things done in past week" + CMT_1_NO_2_YES,
2170 permitted_value_checker=ONE_TO_TWO_CHECKER,
2171 )
2172 fatigue_energy4: Mapped[Optional[int]] = mapped_camcops_column(
2173 comment="Lacking energy during an enjoyable activity"
2174 + CMT_DURING_ENJOYABLE,
2175 permitted_value_checker=ONE_TO_THREE_CHECKER,
2176 )
2177 fatigue_dur: Mapped[Optional[int]] = mapped_camcops_column(
2178 comment="Feeling tired/lacking energy for how long?" + CMT_DURATION,
2179 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2180 )
2182 # Concentration/memory
2184 conc_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2185 comment="Problems in concentrating during past monnth?"
2186 + CMT_1_NO_2_YES,
2187 permitted_value_checker=ONE_TO_TWO_CHECKER,
2188 )
2189 conc_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2190 comment="Problems with forgetting things during past month?"
2191 + CMT_1_NO_2_YES,
2192 permitted_value_checker=ONE_TO_TWO_CHECKER,
2193 )
2194 conc1: Mapped[Optional[int]] = mapped_camcops_column(
2195 comment="Concentration/memory problems: days in past week"
2196 + CMT_DAYS_PER_WEEK,
2197 permitted_value_checker=ONE_TO_THREE_CHECKER,
2198 )
2199 conc2: Mapped[Optional[int]] = mapped_camcops_column(
2200 comment="In past week, could concentrate on all of: TV, newspaper, "
2201 "conversation" + CMT_1_YES_2_NO,
2202 permitted_value_checker=ONE_TO_TWO_CHECKER,
2203 )
2204 conc3: Mapped[Optional[int]] = mapped_camcops_column(
2205 comment="Problems with concentration have stopped you from getting on "
2206 "with things in past week" + CMT_1_NO_2_YES,
2207 permitted_value_checker=ONE_TO_TWO_CHECKER,
2208 )
2209 conc_dur: Mapped[Optional[int]] = mapped_camcops_column(
2210 comment="Problems with concentration: for how long?" + CMT_DURATION,
2211 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2212 )
2213 conc4: Mapped[Optional[int]] = mapped_camcops_column(
2214 comment="Forgotten anything important in past week" + CMT_1_NO_2_YES,
2215 permitted_value_checker=ONE_TO_TWO_CHECKER,
2216 )
2217 forget_dur: Mapped[Optional[int]] = mapped_camcops_column(
2218 comment="Problems with memory: for how long?" + CMT_DURATION,
2219 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2220 )
2222 # Sleep
2224 sleep_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2225 comment="Problems with sleep loss in past month" + CMT_1_NO_2_YES,
2226 permitted_value_checker=ONE_TO_TWO_CHECKER,
2227 )
2228 sleep_lose1: Mapped[Optional[int]] = mapped_camcops_column(
2229 comment="Sleep loss: nights in past week with problems"
2230 + CMT_NIGHTS_PER_WEEK,
2231 permitted_value_checker=ONE_TO_THREE_CHECKER,
2232 )
2233 sleep_lose2: Mapped[Optional[int]] = mapped_camcops_column(
2234 comment="On night with least sleep in past week, how long trying to "
2235 "get to sleep?" + CMT_SLEEP_CHANGE,
2236 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2237 )
2238 sleep_lose3: Mapped[Optional[int]] = mapped_camcops_column(
2239 comment="On how many nights in past week did you spend >=3h trying to "
2240 "get to sleep?" + CMT_NIGHTS_PER_WEEK,
2241 permitted_value_checker=ONE_TO_THREE_CHECKER,
2242 )
2243 sleep_emw: Mapped[Optional[int]] = mapped_camcops_column(
2244 comment="Woken >2h earlier (and couldn't return to sleep) in past "
2245 "week?" + CMT_1_NO_2_YES,
2246 permitted_value_checker=ONE_TO_TWO_CHECKER,
2247 )
2248 sleep_cause: Mapped[Optional[int]] = mapped_camcops_column(
2249 comment="What are your sleep difficulties caused by? (1 noise, "
2250 "2 shift work, 3 pain/illness, 4 worries, 5 unknown, 6 other",
2251 permitted_value_checker=ONE_TO_SIX_CHECKER,
2252 )
2253 sleep_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2254 comment="Problems with excess sleep in past month (1 no, 2 slept more "
2255 "than usual but not a problem, 3 yes)",
2256 permitted_value_checker=ONE_TO_THREE_CHECKER,
2257 )
2258 sleep_gain1: Mapped[Optional[int]] = mapped_camcops_column(
2259 comment="Sleep gain: how many nights in past week"
2260 + CMT_NIGHTS_PER_WEEK,
2261 permitted_value_checker=ONE_TO_THREE_CHECKER,
2262 )
2263 sleep_gain2: Mapped[Optional[int]] = mapped_camcops_column(
2264 comment="On night with most sleep in past week, how much more than "
2265 "usual?" + CMT_SLEEP_CHANGE,
2266 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2267 )
2268 sleep_gain3: Mapped[Optional[int]] = mapped_camcops_column(
2269 comment="On how many nights in past week did you sleep >3h longer "
2270 "than usual?" + CMT_NIGHTS_PER_WEEK,
2271 permitted_value_checker=ONE_TO_THREE_CHECKER,
2272 )
2273 sleep_dur: Mapped[Optional[int]] = mapped_camcops_column(
2274 comment="How long have you had these problems with sleep?"
2275 + CMT_DURATION,
2276 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2277 )
2279 # Irritability
2281 irrit_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2282 comment="Irritable with those around you in past month?"
2283 + CMT_1_NO_2_YES,
2284 permitted_value_checker=ONE_TO_TWO_CHECKER,
2285 )
2286 irrit_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2287 comment="Short-tempered/angry over trivial things in past month? "
2288 "(1 no, 2 sometimes, 3 yes)",
2289 permitted_value_checker=ONE_TO_THREE_CHECKER,
2290 )
2291 irrit1: Mapped[Optional[int]] = mapped_camcops_column(
2292 comment="Irritable/short-tempered/angry: days in past week"
2293 + CMT_DAYS_PER_WEEK,
2294 permitted_value_checker=ONE_TO_THREE_CHECKER,
2295 )
2296 irrit2: Mapped[Optional[int]] = mapped_camcops_column(
2297 comment="Irritable/short-tempered/angry: for >1h on any day in past "
2298 "week?" + CMT_1_NO_2_YES,
2299 permitted_value_checker=ONE_TO_TWO_CHECKER,
2300 )
2301 irrit3: Mapped[Optional[int]] = mapped_camcops_column(
2302 comment="Irritable/short-tempered/angry: wanted to shout at someone? "
2303 "(1 no; yes but didn't shout; 3 yes and did shout)",
2304 permitted_value_checker=ONE_TO_THREE_CHECKER,
2305 )
2306 irrit4: Mapped[Optional[int]] = mapped_camcops_column(
2307 comment="In past week, have you had arguments/rows/lost temper? "
2308 "(1 no; 2 yes but justified; 3 yes)",
2309 permitted_value_checker=ONE_TO_THREE_CHECKER,
2310 )
2311 irrit_dur: Mapped[Optional[int]] = mapped_camcops_column(
2312 comment="Irritable/short-tempered/angry: for how long?" + CMT_DURATION,
2313 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2314 )
2316 # Hypochondriasis
2318 hypo_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2319 comment="Worried about physical health in past month?"
2320 + CMT_1_NO_2_YES,
2321 permitted_value_checker=ONE_TO_TWO_CHECKER,
2322 )
2323 hypo_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2324 comment="Do you worry you have a serious illness?" + CMT_1_NO_2_YES,
2325 permitted_value_checker=ONE_TO_TWO_CHECKER,
2326 )
2327 hypo1: Mapped[Optional[int]] = mapped_camcops_column(
2328 comment="Worrying about health/having a serious illness: how many "
2329 "days in past week?" + CMT_DAYS_PER_WEEK,
2330 permitted_value_checker=ONE_TO_THREE_CHECKER,
2331 )
2332 hypo2: Mapped[Optional[int]] = mapped_camcops_column(
2333 comment="Worrying too much about physical health?" + CMT_1_NO_2_YES,
2334 permitted_value_checker=ONE_TO_TWO_CHECKER,
2335 )
2336 hypo3: Mapped[Optional[int]] = mapped_camcops_column(
2337 comment="Worrying about health: how unpleasant?" + CMT_UNPLEASANT,
2338 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2339 )
2340 hypo4: Mapped[Optional[int]] = mapped_camcops_column(
2341 comment="Able to take mind off health worries in past week?"
2342 + CMT_1_YES_2_NO,
2343 permitted_value_checker=ONE_TO_TWO_CHECKER,
2344 )
2345 hypo_dur: Mapped[Optional[int]] = mapped_camcops_column(
2346 comment="Worrying about physical health: for how long?" + CMT_DURATION,
2347 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2348 )
2350 # Depression
2352 depr_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2353 comment="Sad/miserable/depressed in past month?" + CMT_1_NO_2_YES,
2354 permitted_value_checker=ONE_TO_TWO_CHECKER,
2355 )
2356 depr1: Mapped[Optional[int]] = mapped_camcops_column(
2357 comment="Sad/miserable/depressed in past week?" + CMT_1_NO_2_YES,
2358 permitted_value_checker=ONE_TO_TWO_CHECKER,
2359 )
2360 depr_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2361 comment="In the past month, able to enjoy/take an interest in things "
2362 "as much as usual?" + CMT_ANHEDONIA,
2363 permitted_value_checker=ONE_TO_THREE_CHECKER,
2364 )
2365 depr2: Mapped[Optional[int]] = mapped_camcops_column(
2366 comment="In the past week, able to enjoy/take an interest in things "
2367 "as much as usual?" + CMT_ANHEDONIA,
2368 permitted_value_checker=ONE_TO_THREE_CHECKER,
2369 )
2370 depr3: Mapped[Optional[int]] = mapped_camcops_column(
2371 comment="[Depressed mood] or [anhedonia] on how many days in past "
2372 "week" + CMT_DAYS_PER_WEEK,
2373 permitted_value_checker=ONE_TO_THREE_CHECKER,
2374 )
2375 depr4: Mapped[Optional[int]] = mapped_camcops_column(
2376 comment="[Depressed mood] or [anhedonia] for >3h on any day in past "
2377 "week?" + CMT_1_NO_2_YES,
2378 permitted_value_checker=ONE_TO_TWO_CHECKER,
2379 )
2380 depr_content: Mapped[Optional[int]] = mapped_camcops_column(
2381 comment="Main reason for [depressed mood] or [anhedonia]?"
2382 + CMT_STRESSORS,
2383 permitted_value_checker=ONE_TO_NINE_CHECKER,
2384 )
2385 depr5: Mapped[Optional[int]] = mapped_camcops_column(
2386 comment="In past week, during [depressed mood] or [anhedonia], did "
2387 "nice things/company make you happier? "
2388 "(1 always, 2 sometimes, 3 no)",
2389 permitted_value_checker=ONE_TO_THREE_CHECKER,
2390 )
2391 depr_dur: Mapped[Optional[int]] = mapped_camcops_column(
2392 comment="Depressed mood/anhedonia: for how long?" + CMT_DURATION,
2393 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2394 )
2395 depth1: Mapped[Optional[int]] = mapped_camcops_column(
2396 comment="Diurnal mood variation in past week (1 worse in the morning, "
2397 "2 worse in the evening, 3 varies, 4 no difference)",
2398 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2399 )
2400 depth2: Mapped[Optional[int]] = mapped_camcops_column(
2401 comment="Libido in past month (1 not applicable, 2 no change, "
2402 "3 increased, 4 decreased)",
2403 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2404 )
2405 depth3: Mapped[Optional[int]] = mapped_camcops_column(
2406 comment="Restlessness in past week" + CMT_1_NO_2_YES,
2407 permitted_value_checker=ONE_TO_TWO_CHECKER,
2408 )
2409 depth4: Mapped[Optional[int]] = mapped_camcops_column(
2410 comment="Psychomotor retardation in past week" + CMT_1_NO_2_YES,
2411 permitted_value_checker=ONE_TO_TWO_CHECKER,
2412 )
2413 depth5: Mapped[Optional[int]] = mapped_camcops_column(
2414 comment="Guilt/blamed self in past week (1 never, 2 only when it was "
2415 "my fault, 3 sometimes, 4 often)",
2416 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2417 )
2418 depth6: Mapped[Optional[int]] = mapped_camcops_column(
2419 comment="Feeling not as good as other people in past week"
2420 + CMT_1_NO_2_YES,
2421 permitted_value_checker=ONE_TO_TWO_CHECKER,
2422 )
2423 depth7: Mapped[Optional[int]] = mapped_camcops_column(
2424 comment="Hopeless in past week" + CMT_1_NO_2_YES,
2425 permitted_value_checker=ONE_TO_TWO_CHECKER,
2426 )
2427 depth8: Mapped[Optional[int]] = mapped_camcops_column(
2428 comment="Life not worth living in past week (1 no, 2 sometimes, "
2429 "3 always)",
2430 permitted_value_checker=ONE_TO_THREE_CHECKER,
2431 )
2432 depth9: Mapped[Optional[int]] = mapped_camcops_column(
2433 comment="Thoughts of suicide in past week (1 no; 2 yes, but would "
2434 "never commit suicide; 3 yes)",
2435 permitted_value_checker=ONE_TO_THREE_CHECKER,
2436 )
2437 depth10: Mapped[Optional[int]] = mapped_camcops_column(
2438 comment="Thoughts of way to kill self in past week" + CMT_1_NO_2_YES,
2439 permitted_value_checker=ONE_TO_TWO_CHECKER,
2440 )
2441 doctor: Mapped[Optional[int]] = mapped_camcops_column(
2442 comment="Have you spoken to your doctor about these thoughts of "
2443 "killing yourself (1 yes; 2 no, but have talked to other "
2444 "people; 3 no)",
2445 permitted_value_checker=ONE_TO_THREE_CHECKER,
2446 )
2448 # Worry/generalized anxiety
2450 worry_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2451 comment="Excessive worry in past month?" + CMT_NO_SOMETIMES_OFTEN,
2452 permitted_value_checker=ONE_TO_THREE_CHECKER,
2453 )
2454 worry_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2455 comment="Any worries at all in past month?" + CMT_1_NO_2_YES,
2456 permitted_value_checker=ONE_TO_TWO_CHECKER,
2457 )
2458 worry_cont1: Mapped[Optional[int]] = mapped_camcops_column(
2459 comment="Main source of worry in past week?" + CMT_STRESSORS,
2460 permitted_value_checker=ONE_TO_NINE_CHECKER,
2461 )
2462 worry2: Mapped[Optional[int]] = mapped_camcops_column(
2463 comment="Worries (about things other than physical health) on how "
2464 "many days in past week" + CMT_DAYS_PER_WEEK,
2465 permitted_value_checker=ONE_TO_THREE_CHECKER,
2466 )
2467 worry3: Mapped[Optional[int]] = mapped_camcops_column(
2468 comment="Worrying too much?" + CMT_1_NO_2_YES,
2469 permitted_value_checker=ONE_TO_TWO_CHECKER,
2470 )
2471 worry4: Mapped[Optional[int]] = mapped_camcops_column(
2472 comment="How unpleasant is worry (about things other than physical "
2473 "health)" + CMT_UNPLEASANT,
2474 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2475 )
2476 worry5: Mapped[Optional[int]] = mapped_camcops_column(
2477 comment="Worry (about things other than physical health) for >3h on "
2478 "any day in past week?" + CMT_1_NO_2_YES,
2479 permitted_value_checker=ONE_TO_TWO_CHECKER,
2480 )
2481 worry_dur: Mapped[Optional[int]] = mapped_camcops_column(
2482 comment="Worry (about things other than physical health): for how "
2483 "long?" + CMT_DURATION,
2484 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2485 )
2487 anx_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2488 comment="Anxious/nervous in past month?" + CMT_1_NO_2_YES,
2489 permitted_value_checker=ONE_TO_TWO_CHECKER,
2490 )
2491 anx_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2492 comment="Muscle tension/couldn't relax in past month?"
2493 + CMT_NO_SOMETIMES_OFTEN,
2494 permitted_value_checker=ONE_TO_THREE_CHECKER,
2495 )
2496 anx_phobia1: Mapped[Optional[int]] = mapped_camcops_column(
2497 comment="Phobic anxiety in past month?" + CMT_1_NO_2_YES,
2498 permitted_value_checker=ONE_TO_TWO_CHECKER,
2499 )
2500 anx_phobia2: Mapped[Optional[int]] = mapped_camcops_column(
2501 comment="Phobic anxiety: always specific? (1 always specific, "
2502 "2 sometimes general)",
2503 permitted_value_checker=ONE_TO_TWO_CHECKER,
2504 )
2505 anx2: Mapped[Optional[int]] = mapped_camcops_column(
2506 comment="Anxiety/nervousness/tension: how many days in past week"
2507 + CMT_DAYS_PER_WEEK,
2508 permitted_value_checker=ONE_TO_THREE_CHECKER,
2509 )
2510 anx3: Mapped[Optional[int]] = mapped_camcops_column(
2511 comment="Anxiety/nervousness/tension: how unpleasant in past week"
2512 + CMT_UNPLEASANT,
2513 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2514 )
2515 anx4: Mapped[Optional[int]] = mapped_camcops_column(
2516 comment="Anxiety/nervousness/tension: physical symptoms in past "
2517 "week?" + CMT_1_NO_2_YES,
2518 permitted_value_checker=ONE_TO_TWO_CHECKER,
2519 )
2520 anx5: Mapped[Optional[int]] = mapped_camcops_column(
2521 comment="Anxiety/nervousness/tension: for >3h on any day in past "
2522 "week?" + CMT_1_NO_2_YES,
2523 permitted_value_checker=ONE_TO_TWO_CHECKER,
2524 )
2525 anx_dur: Mapped[Optional[int]] = mapped_camcops_column(
2526 comment="Anxiety/nervousness/tension: for how long?" + CMT_DURATION,
2527 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2528 )
2530 # Specific phobias
2532 phobias_mand: Mapped[Optional[int]] = mapped_camcops_column(
2533 comment="Phobic avoidance in past month?" + CMT_1_NO_2_YES,
2534 permitted_value_checker=ONE_TO_TWO_CHECKER,
2535 )
2536 phobias_type1: Mapped[Optional[int]] = mapped_camcops_column(
2537 comment="Which phobia? (1 travelling alone by bus/train; 2 being far "
2538 "from home; 3 public eating/speaking; 4 sight of blood; "
2539 "5 crowded shops; 6 insects/spiders/animals; 7 being watched; "
2540 "8 enclosed spaces or heights; 9 something else)",
2541 permitted_value_checker=ONE_TO_NINE_CHECKER,
2542 )
2543 phobias1: Mapped[Optional[int]] = mapped_camcops_column(
2544 comment="Phobic anxiety: days in past week" + CMT_DAYS_PER_WEEK,
2545 permitted_value_checker=ONE_TO_THREE_CHECKER,
2546 )
2547 phobias2: Mapped[Optional[int]] = mapped_camcops_column(
2548 comment="Phobic anxiety: physical symptoms in past week?"
2549 + CMT_1_NO_2_YES,
2550 permitted_value_checker=ONE_TO_TWO_CHECKER,
2551 )
2552 phobias3: Mapped[Optional[int]] = mapped_camcops_column(
2553 comment="Phobic avoidance in past week?" + CMT_1_NO_2_YES,
2554 permitted_value_checker=ONE_TO_TWO_CHECKER,
2555 )
2556 phobias4: Mapped[Optional[int]] = mapped_camcops_column(
2557 comment="Phobic avoidance: how many times in past week? (1: none, "
2558 "2: 1–3, 3: >=4)",
2559 permitted_value_checker=ONE_TO_THREE_CHECKER,
2560 )
2561 phobias_dur: Mapped[Optional[int]] = mapped_camcops_column(
2562 comment="Phobic anxiety: for how long?" + CMT_DURATION,
2563 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2564 )
2566 # Panic
2568 panic_mand: Mapped[Optional[int]] = mapped_camcops_column(
2569 comment="Panic in past month (1: no, my anxiety never got that bad; "
2570 "2: yes, sometimes; 3: yes, often)",
2571 permitted_value_checker=ONE_TO_THREE_CHECKER,
2572 )
2573 panic1: Mapped[Optional[int]] = mapped_camcops_column(
2574 comment="Panic: how often in past week (1 not in past seven days, "
2575 "2 once, 3 more than once)",
2576 permitted_value_checker=ONE_TO_THREE_CHECKER,
2577 )
2578 panic2: Mapped[Optional[int]] = mapped_camcops_column(
2579 comment="Panic: how unpleasant in past week (1 a little "
2580 "uncomfortable; 2 unpleasant; 3 unbearable, or very "
2581 "unpleasant)",
2582 permitted_value_checker=ONE_TO_THREE_CHECKER,
2583 )
2584 panic3: Mapped[Optional[int]] = mapped_camcops_column(
2585 comment="Panic: in the past week, did the worst panic last >10min "
2586 "(1: <10min; 2 >=10min)",
2587 permitted_value_checker=ONE_TO_TWO_CHECKER,
2588 )
2589 panic4: Mapped[Optional[int]] = mapped_camcops_column(
2590 comment="Do panics start suddenly?" + CMT_1_NO_2_YES,
2591 permitted_value_checker=ONE_TO_TWO_CHECKER,
2592 )
2593 pansym_a: Mapped[Optional[int]] = mapped_camcops_column(
2594 comment=CMT_PANIC_SYMPTOM + "heart racing" + CMT_1_NO_2_YES,
2595 permitted_value_checker=ONE_TO_TWO_CHECKER,
2596 )
2597 pansym_b: Mapped[Optional[int]] = mapped_camcops_column(
2598 comment=CMT_PANIC_SYMPTOM + "hands sweaty/clammy" + CMT_1_NO_2_YES,
2599 permitted_value_checker=ONE_TO_TWO_CHECKER,
2600 )
2601 pansym_c: Mapped[Optional[int]] = mapped_camcops_column(
2602 comment=CMT_PANIC_SYMPTOM + "trembling/shaking" + CMT_1_NO_2_YES,
2603 permitted_value_checker=ONE_TO_TWO_CHECKER,
2604 )
2605 pansym_d: Mapped[Optional[int]] = mapped_camcops_column(
2606 comment=CMT_PANIC_SYMPTOM + "short of breath" + CMT_1_NO_2_YES,
2607 permitted_value_checker=ONE_TO_TWO_CHECKER,
2608 )
2609 pansym_e: Mapped[Optional[int]] = mapped_camcops_column(
2610 comment=CMT_PANIC_SYMPTOM + "choking sensation" + CMT_1_NO_2_YES,
2611 permitted_value_checker=ONE_TO_TWO_CHECKER,
2612 )
2613 pansym_f: Mapped[Optional[int]] = mapped_camcops_column(
2614 comment=(
2615 CMT_PANIC_SYMPTOM
2616 + "chest pain/pressure/discomfort"
2617 + CMT_1_NO_2_YES
2618 ),
2619 permitted_value_checker=ONE_TO_TWO_CHECKER,
2620 )
2621 pansym_g: Mapped[Optional[int]] = mapped_camcops_column(
2622 comment=CMT_PANIC_SYMPTOM + "nausea" + CMT_1_NO_2_YES,
2623 permitted_value_checker=ONE_TO_TWO_CHECKER,
2624 )
2625 pansym_h: Mapped[Optional[int]] = mapped_camcops_column(
2626 comment=(
2627 CMT_PANIC_SYMPTOM
2628 + "dizzy/unsteady/lightheaded/faint"
2629 + CMT_1_NO_2_YES
2630 ),
2631 permitted_value_checker=ONE_TO_TWO_CHECKER,
2632 )
2633 pansym_i: Mapped[Optional[int]] = mapped_camcops_column(
2634 comment=(
2635 CMT_PANIC_SYMPTOM
2636 + "derealization/depersonalization"
2637 + CMT_1_NO_2_YES
2638 ),
2639 permitted_value_checker=ONE_TO_TWO_CHECKER,
2640 )
2641 pansym_j: Mapped[Optional[int]] = mapped_camcops_column(
2642 comment=(
2643 CMT_PANIC_SYMPTOM + "losing control/going crazy" + CMT_1_NO_2_YES
2644 ),
2645 permitted_value_checker=ONE_TO_TWO_CHECKER,
2646 )
2647 pansym_k: Mapped[Optional[int]] = mapped_camcops_column(
2648 comment=CMT_PANIC_SYMPTOM + "fear were dying" + CMT_1_NO_2_YES,
2649 permitted_value_checker=ONE_TO_TWO_CHECKER,
2650 )
2651 pansym_l: Mapped[Optional[int]] = mapped_camcops_column(
2652 comment=CMT_PANIC_SYMPTOM + "tingling/numbness" + CMT_1_NO_2_YES,
2653 permitted_value_checker=ONE_TO_TWO_CHECKER,
2654 )
2655 pansym_m: Mapped[Optional[int]] = mapped_camcops_column(
2656 comment=CMT_PANIC_SYMPTOM + "hot flushes/chills" + CMT_1_NO_2_YES,
2657 permitted_value_checker=ONE_TO_TWO_CHECKER,
2658 )
2659 panic5: Mapped[Optional[int]] = mapped_camcops_column(
2660 comment="Is panic always brought on by specific things?"
2661 + CMT_1_NO_2_YES,
2662 permitted_value_checker=ONE_TO_TWO_CHECKER,
2663 )
2664 panic_dur: Mapped[Optional[int]] = mapped_camcops_column(
2665 comment="Panic: for how long?" + CMT_DURATION,
2666 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2667 )
2669 # Compulsions
2671 comp_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2672 comment="Compulsions in past month" + CMT_NO_SOMETIMES_OFTEN,
2673 permitted_value_checker=ONE_TO_THREE_CHECKER,
2674 )
2675 comp1: Mapped[Optional[int]] = mapped_camcops_column(
2676 comment="Compulsions: how many days in past week" + CMT_DAYS_PER_WEEK,
2677 permitted_value_checker=ONE_TO_THREE_CHECKER,
2678 )
2679 comp2: Mapped[Optional[int]] = mapped_camcops_column(
2680 comment="Compulsions: tried to stop in past week" + CMT_1_NO_2_YES,
2681 permitted_value_checker=ONE_TO_TWO_CHECKER,
2682 )
2683 comp3: Mapped[Optional[int]] = mapped_camcops_column(
2684 comment="Compulsions: upsetting/annoying in past week"
2685 + CMT_1_NO_2_YES,
2686 permitted_value_checker=ONE_TO_TWO_CHECKER,
2687 )
2688 comp4: Mapped[Optional[int]] = mapped_camcops_column(
2689 comment="Compulsions: greatest number of repeats in past week "
2690 "(1: once, i.e. two times altogether; 2: two repeats; "
2691 "3: three or more repeats)",
2692 permitted_value_checker=ONE_TO_THREE_CHECKER,
2693 )
2694 comp_dur: Mapped[Optional[int]] = mapped_camcops_column(
2695 comment="Compulsions: for how long?" + CMT_DURATION,
2696 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2697 )
2699 # Obsessions
2701 obsess_mand1: Mapped[Optional[int]] = mapped_camcops_column(
2702 comment="Obsessions in past month" + CMT_NO_SOMETIMES_OFTEN,
2703 permitted_value_checker=ONE_TO_THREE_CHECKER,
2704 )
2705 obsess_mand2: Mapped[Optional[int]] = mapped_camcops_column(
2706 comment="Obsessions: same thoughts repeating or general worries (1 "
2707 "same thoughts over and over, 2 worrying about something in "
2708 "general)",
2709 permitted_value_checker=ONE_TO_TWO_CHECKER,
2710 )
2711 obsess1: Mapped[Optional[int]] = mapped_camcops_column(
2712 comment="Obsessions: how many days in past week" + CMT_DAYS_PER_WEEK,
2713 permitted_value_checker=ONE_TO_THREE_CHECKER,
2714 )
2715 obsess2: Mapped[Optional[int]] = mapped_camcops_column(
2716 comment="Obsessions: tried to stop in past week" + CMT_1_NO_2_YES,
2717 permitted_value_checker=ONE_TO_TWO_CHECKER,
2718 )
2719 obsess3: Mapped[Optional[int]] = mapped_camcops_column(
2720 comment="Obsessions: upsetting/annoying in past week" + CMT_1_NO_2_YES,
2721 permitted_value_checker=ONE_TO_TWO_CHECKER,
2722 )
2723 obsess4: Mapped[Optional[int]] = mapped_camcops_column(
2724 comment="Obsessions: longest time spent thinking these thoughts, in "
2725 "past week (1: <15min; 2: >=15min)",
2726 permitted_value_checker=ONE_TO_TWO_CHECKER,
2727 )
2728 obsess_dur: Mapped[Optional[int]] = mapped_camcops_column(
2729 comment="Obsessions: for how long?" + CMT_DURATION,
2730 permitted_value_checker=ONE_TO_FIVE_CHECKER,
2731 )
2733 # Overall impact
2735 overall2: Mapped[Optional[int]] = mapped_camcops_column(
2736 comment="Overall impact on normal activities in past week (1 not at "
2737 "all; 2 they have made things more difficult but I get "
2738 "everything done; 3 they have stopped one activity; 4 they "
2739 "have stopped >1 activity)",
2740 permitted_value_checker=ONE_TO_FOUR_CHECKER,
2741 )
2743 # -------------------------------------------------------------------------
2744 # Functions
2745 # -------------------------------------------------------------------------
2747 @staticmethod
2748 def longname(req: "CamcopsRequest") -> str:
2749 _ = req.gettext
2750 return _("Clinical Interview Schedule, Revised")
2752 # noinspection PyMethodParameters
2753 @classproperty
2754 def minimum_client_version(cls) -> Version:
2755 return Version("2.2.0")
2757 def value_for_question(self, q: CisrQuestion) -> Optional[int]:
2758 fieldname = fieldname_for_q(q)
2759 assert fieldname, f"Blank fieldname for question {q}"
2760 return getattr(self, fieldname)
2762 def int_value_for_question(self, q: CisrQuestion) -> int:
2763 value = self.value_for_question(q)
2764 return int(value) if value is not None else 0
2766 def answer_is_no(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
2767 if value == V_UNKNOWN: # "Please look it up for me"
2768 value = self.int_value_for_question(q)
2769 if q in QUESTIONS_1_NO_2_YES:
2770 return value == 1
2771 elif q in QUESTIONS_1_YES_2_NO:
2772 return value == 2
2773 else:
2774 raise ValueError(
2775 "answer_is_no() called for inappropriate " f"question {q}"
2776 )
2778 def answer_is_yes(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
2779 if value == V_UNKNOWN: # "Please look it up for me"
2780 value = self.int_value_for_question(q)
2781 if q in QUESTIONS_1_NO_2_YES:
2782 return value == 2
2783 elif q in QUESTIONS_1_YES_2_NO:
2784 return value == 1
2785 else:
2786 raise ValueError(
2787 "answer_is_yes() called for inappropriate " f"question {q}"
2788 )
2790 def answered(self, q: CisrQuestion, value: int = V_UNKNOWN) -> bool:
2791 if value == V_UNKNOWN: # "Please look it up for me"
2792 value = self.int_value_for_question(q)
2793 return value != V_MISSING
2795 def get_textual_answer(
2796 self, req: CamcopsRequest, q: CisrQuestion
2797 ) -> Optional[str]:
2798 value = self.value_for_question(q)
2799 if value is None:
2800 return None
2801 if value == V_MISSING and q != CisrQuestion.GP_YEAR:
2802 # Note that 0 is a legitimate answer value for GP_YEAR.
2803 return None
2804 if q in QUESTIONS_1_NO_2_YES:
2805 return get_yes_no(req, value == 2)
2806 elif q in QUESTIONS_1_YES_2_NO:
2807 return get_yes_no(req, value == 1)
2808 elif q in QUESTIONS_PROMPT_ONLY:
2809 return NOT_APPLICABLE_TEXT
2810 fieldname = fieldname_for_q(q)
2811 if (
2812 q in QUESTIONS_YN_SPECIFIC_TEXT
2813 or q in QUESTIONS_MULTIWAY
2814 or q in QUESTIONS_MULTIWAY_WITH_EXTRA_STEM
2815 ):
2816 return self.wxstring(req, fieldname + f"_a{value}")
2817 elif q in QUESTIONS_OVERALL_DURATION:
2818 return self.wxstring(req, f"duration_a{value}")
2819 elif q in QUESTIONS_DAYS_PER_WEEK:
2820 return self.wxstring(req, f"dpw_a{value}")
2821 elif q in QUESTIONS_NIGHTS_PER_WEEK:
2822 return self.wxstring(req, f"npw_a{value}")
2823 elif q in QUESTIONS_HOW_UNPLEASANT_STANDARD:
2824 return self.wxstring(req, f"how_unpleasant_a{value}")
2825 elif q in QUESTIONS_FATIGUE_CAUSES:
2826 return self.wxstring(req, f"fatigue_causes_a{value}")
2827 elif q in QUESTIONS_STRESSORS:
2828 return self.wxstring(req, f"stressors_a{value}")
2829 elif q in QUESTIONS_NO_SOMETIMES_OFTEN:
2830 return self.wxstring(req, f"nso_a{value}")
2831 return f"? [value: {value}]"
2833 def next_q(self, q: CisrQuestion, r: CisrResult) -> CisrQuestion:
2834 # See equivalent in the C++ code.
2835 # ANY CHANGES HERE MUST BE REFLECTED IN THE C++ CODE AND VICE VERSA.
2837 v = V_MISSING # integer value
2838 if DEBUG_SHOW_QUESTIONS_CONSIDERED:
2839 r.decide(f"Considering question {q.value}: {q.name}")
2840 fieldname = fieldname_for_q(q)
2841 if fieldname: # eliminates prompt-only questions
2842 var_q = getattr(self, fieldname) # integer-or-NULL value
2843 if var_q is None:
2844 if q not in QUESTIONS_DEMOGRAPHICS:
2845 # From a diagnostic point of view, OK to have missing
2846 # demographic information. Otherwise:
2847 r.decide("INCOMPLETE INFORMATION. STOPPING.")
2848 r.incomplete = True
2849 else:
2850 v = int(var_q)
2852 next_q = -1
2854 def jump_to(qe: CisrQuestion) -> None:
2855 nonlocal next_q
2856 next_q = enum_to_int(qe)
2858 # If there is no special handling for a question, then after the
2859 # switch() statement we will move to the next question in sequence.
2860 # So only special "skip" situations are handled here.
2862 # FOLLOW THE EXACT SEQUENCE of the CIS-R. Don't agglomerate case
2863 # statements just because it's shorter (except empty ones when they are
2864 # in sequence). Clarity is key.
2866 # ---------------------------------------------------------------------
2867 # Demographics/preamble
2868 # ---------------------------------------------------------------------
2870 if q in QUESTIONS_DEMOGRAPHICS or q in QUESTIONS_PROMPT_ONLY:
2871 # Nothing special
2872 pass
2873 # Note that this makes some of the other prompt-only checks
2874 # below redundant! Still, it's quicker. The C++ version uses
2875 # switch() instead.
2877 # --------------------------------------------------------------------
2878 # Appetite/weight
2879 # --------------------------------------------------------------------
2881 elif q == CQ.APPETITE1_LOSS_PAST_MONTH:
2882 if self.answer_is_no(q, v):
2883 r.decide("No loss of appetite in past month.")
2884 jump_to(CQ.APPETITE2_INCREASE_PAST_MONTH)
2885 elif self.answer_is_yes(q, v):
2886 r.decide(
2887 "Loss of appetite in past month. "
2888 "Incrementing depr_crit_3_somatic_synd."
2889 )
2890 r.depr_crit_3_somatic_synd += 1
2891 r.weight_change = WTCHANGE_APPETITE_LOSS
2893 elif q == CQ.WEIGHT1_LOSS_PAST_MONTH:
2894 if self.answer_is_no(q, v):
2895 r.decide("No weight loss.")
2896 jump_to(CQ.GP_YEAR)
2898 elif q == CQ.WEIGHT2_TRYING_TO_LOSE:
2899 if v == V_WEIGHT2_WTLOSS_TRYING:
2900 # Trying to lose weight. Move on.
2901 r.decide("Weight loss but it was deliberate.")
2902 elif v == V_WEIGHT2_WTLOSS_NOTTRYING:
2903 r.decide("Non-deliberate weight loss.")
2904 r.weight_change = WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
2906 elif q == CQ.WEIGHT3_LOST_LOTS:
2907 if v == V_WEIGHT3_WTLOSS_GE_HALF_STONE:
2908 r.decide(
2909 "Weight loss ≥0.5st in past month. "
2910 "Incrementing depr_crit_3_somatic_synd."
2911 )
2912 r.weight_change = WTCHANGE_WTLOSS_GE_HALF_STONE
2913 r.depr_crit_3_somatic_synd += 1
2914 r.decide(
2915 "Loss of weight, so skipping appetite/weight gain "
2916 "questions."
2917 )
2918 jump_to(CQ.GP_YEAR)
2920 elif q == CQ.APPETITE2_INCREASE_PAST_MONTH:
2921 if self.answer_is_no(q, v):
2922 r.decide("No increase in appetite in past month.")
2923 jump_to(CQ.GP_YEAR)
2925 elif q == CQ.WEIGHT4_INCREASE_PAST_MONTH:
2926 if self.answer_is_yes(q, v):
2927 r.decide("Weight gain.")
2928 r.weight_change = WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
2929 elif self.answered(q, v):
2930 r.decide("No weight gain, or weight gain but pregnant.")
2931 jump_to(CQ.GP_YEAR)
2933 elif q == CQ.WEIGHT5_GAINED_LOTS:
2934 if (
2935 v == V_WEIGHT5_WTGAIN_GE_HALF_STONE
2936 and r.weight_change == WTCHANGE_NONDELIBERATE_WTLOSS_OR_WTGAIN
2937 ):
2938 # ... redundant check on weight_change, I think!
2939 r.decide("Weight gain ≥0.5 st in past month.")
2940 r.weight_change = WTCHANGE_WTGAIN_GE_HALF_STONE
2942 # --------------------------------------------------------------------
2943 # Somatic symptoms
2944 # --------------------------------------------------------------------
2946 elif q == CQ.GP_YEAR:
2947 # Score the preceding block:
2948 if (
2949 r.weight_change == WTCHANGE_WTLOSS_GE_HALF_STONE
2950 and self.answer_is_yes(CQ.APPETITE1_LOSS_PAST_MONTH)
2951 ):
2952 r.decide(
2953 "Appetite loss and weight loss ≥0.5st in past month. "
2954 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
2955 )
2956 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
2957 if (
2958 r.weight_change == WTCHANGE_WTGAIN_GE_HALF_STONE
2959 and self.answer_is_yes(CQ.APPETITE2_INCREASE_PAST_MONTH)
2960 ):
2961 r.decide(
2962 "Appetite gain and weight gain ≥0.5st in past month. "
2963 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
2964 )
2965 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
2967 elif q == CQ.DISABLE:
2968 if self.answer_is_no(q):
2969 r.decide("No longstanding illness/disability/infirmity.")
2970 jump_to(CQ.SOMATIC_MAND1_PAIN_PAST_MONTH)
2972 elif q == CQ.ILLNESS:
2973 pass
2975 elif q == CQ.SOMATIC_MAND1_PAIN_PAST_MONTH:
2976 if self.answer_is_no(q):
2977 r.decide("No aches/pains in past month.")
2978 jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
2980 elif q == CQ.SOMATIC_PAIN1_PSYCHOL_EXAC:
2981 if v == V_SOMATIC_PAIN1_NEVER:
2982 r.decide("Pains never exacerbated by low mood/anxiety/stress.")
2983 jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
2985 elif q == CQ.SOMATIC_PAIN2_DAYS_PAST_WEEK:
2986 if v == V_DAYS_IN_PAST_WEEK_0:
2987 r.decide("No pain in last 7 days.")
2988 jump_to(CQ.SOMATIC_MAND2_DISCOMFORT)
2989 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
2990 r.decide(
2991 "Pain on >=4 of last 7 days. "
2992 "Incrementing somatic_symptoms."
2993 )
2994 r.somatic_symptoms += 1
2996 elif q == CQ.SOMATIC_PAIN3_GT_3H_ANY_DAY:
2997 if self.answer_is_yes(q, v):
2998 r.decide(
2999 "Pain for >3h on any day in past week. "
3000 "Incrementing somatic_symptoms."
3001 )
3002 r.somatic_symptoms += 1
3004 elif q == CQ.SOMATIC_PAIN4_UNPLEASANT:
3005 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
3006 r.decide(
3007 "Pain 'unpleasant' or worse in past week. "
3008 "Incrementing somatic_symptoms."
3009 )
3010 r.somatic_symptoms += 1
3012 elif q == CQ.SOMATIC_PAIN5_INTERRUPTED_INTERESTING:
3013 if self.answer_is_yes(q, v):
3014 r.decide(
3015 "Pain interrupted an interesting activity in past "
3016 "week. "
3017 "Incrementing somatic_symptoms."
3018 )
3019 r.somatic_symptoms += 1
3020 r.decide("There was pain, so skip 'discomfort' section.")
3021 jump_to(CQ.SOMATIC_DUR) # skip SOMATIC_MAND2
3023 elif q == CQ.SOMATIC_MAND2_DISCOMFORT:
3024 if self.answer_is_no(q, v):
3025 r.decide("No discomfort.")
3026 jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
3028 elif q == CQ.SOMATIC_DIS1_PSYCHOL_EXAC:
3029 if v == V_SOMATIC_DIS1_NEVER:
3030 r.decide(
3031 "Discomfort never exacerbated by being "
3032 "low/anxious/stressed."
3033 )
3034 jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
3036 elif q == CQ.SOMATIC_DIS2_DAYS_PAST_WEEK:
3037 if v == V_DAYS_IN_PAST_WEEK_0:
3038 r.decide("No discomfort in last 7 days.")
3039 jump_to(CQ.FATIGUE_MAND1_TIRED_PAST_MONTH)
3040 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3041 r.decide(
3042 "Discomfort on >=4 days in past week. "
3043 "Incrementing somatic_symptoms."
3044 )
3045 r.somatic_symptoms += 1
3047 elif q == CQ.SOMATIC_DIS3_GT_3H_ANY_DAY:
3048 if self.answer_is_yes(q, v):
3049 r.decide(
3050 "Discomfort for >3h on any day in past week. "
3051 "Incrementing somatic_symptoms."
3052 )
3053 r.somatic_symptoms += 1
3055 elif q == CQ.SOMATIC_DIS4_UNPLEASANT:
3056 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
3057 r.decide(
3058 "Discomfort 'unpleasant' or worse in past week. "
3059 "Incrementing somatic_symptoms."
3060 )
3061 r.somatic_symptoms += 1
3063 elif q == CQ.SOMATIC_DIS5_INTERRUPTED_INTERESTING:
3064 if self.answer_is_yes(q, v):
3065 r.decide(
3066 "Discomfort interrupted an interesting activity in "
3067 "past "
3068 "week. Incrementing somatic_symptoms."
3069 )
3070 r.somatic_symptoms += 1
3072 # --------------------------------------------------------------------
3073 # Fatigue/energy
3074 # --------------------------------------------------------------------
3076 elif q == CQ.FATIGUE_MAND1_TIRED_PAST_MONTH:
3077 if self.answer_is_no(q, v):
3078 r.decide("Not tired.")
3079 jump_to(CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH)
3081 elif q == CQ.FATIGUE_CAUSE1_TIRED:
3082 if v == V_FATIGUE_CAUSE_EXERCISE:
3083 r.decide("Tired due to exercise. Move on.")
3084 jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
3086 elif q == CQ.FATIGUE_TIRED1_DAYS_PAST_WEEK:
3087 if v == V_DAYS_IN_PAST_WEEK_0:
3088 r.decide("Not tired in past week.")
3089 jump_to(CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH)
3090 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3091 r.decide(
3092 "Tired on >=4 days in past week. " "Incrementing fatigue."
3093 )
3094 r.fatigue += 1
3096 elif q == CQ.FATIGUE_TIRED2_GT_3H_ANY_DAY:
3097 if self.answer_is_yes(q, v):
3098 r.decide(
3099 "Tired for >3h on any day in past week. "
3100 "Incrementing fatigue."
3101 )
3102 r.fatigue += 1
3104 elif q == CQ.FATIGUE_TIRED3_HAD_TO_PUSH:
3105 if self.answer_is_yes(q, v):
3106 r.decide(
3107 "Tired enough to have to push self during past week. "
3108 "Incrementing fatigue."
3109 )
3110 r.fatigue += 1
3112 elif q == CQ.FATIGUE_TIRED4_DURING_ENJOYABLE:
3113 if self.answer_is_yes(q, v):
3114 r.decide(
3115 "Tired during an enjoyable activity during past "
3116 "week. "
3117 "Incrementing fatigue."
3118 )
3119 r.fatigue += 1
3120 r.decide("There was tiredness, so skip 'lack of energy' section.")
3121 jump_to(CQ.FATIGUE_DUR) # skip FATIGUE_MAND2
3123 elif q == CQ.FATIGUE_MAND2_LACK_ENERGY_PAST_MONTH:
3124 if self.answer_is_no(q, v):
3125 r.decide("Not lacking in energy.")
3126 jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
3128 elif q == CQ.FATIGUE_CAUSE2_LACK_ENERGY:
3129 if v == V_FATIGUE_CAUSE_EXERCISE:
3130 r.decide("Lacking in energy due to exercise. Move on.")
3131 jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
3133 elif q == CQ.FATIGUE_ENERGY1_DAYS_PAST_WEEK:
3134 if v == V_DAYS_IN_PAST_WEEK_0:
3135 r.decide("Not lacking in energy during last week.")
3136 jump_to(CQ.CONC_MAND1_POOR_CONC_PAST_MONTH)
3137 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3138 r.decide(
3139 "Lacking in energy on >=4 days in past week. "
3140 "Incrementing fatigue."
3141 )
3142 r.fatigue += 1
3144 elif q == CQ.FATIGUE_ENERGY2_GT_3H_ANY_DAY:
3145 if self.answer_is_yes(q, v):
3146 r.decide(
3147 "Lacking in energy for >3h on any day in past week. "
3148 "Incrementing fatigue."
3149 )
3150 r.fatigue += 1
3152 elif q == CQ.FATIGUE_ENERGY3_HAD_TO_PUSH:
3153 if self.answer_is_yes(q, v):
3154 r.decide(
3155 "Lacking in energy enough to have to push self during "
3156 "past week. Incrementing fatigue."
3157 )
3158 r.fatigue += 1
3160 elif q == CQ.FATIGUE_ENERGY4_DURING_ENJOYABLE:
3161 if self.answer_is_yes(q, v):
3162 r.decide(
3163 "Lacking in energy during an enjoyable activity "
3164 "during "
3165 "past week. Incrementing fatigue."
3166 )
3167 r.fatigue += 1
3169 elif q == CQ.FATIGUE_DUR:
3170 # Score preceding:
3171 if r.somatic_symptoms >= 2 and r.fatigue >= 2:
3172 r.decide(
3173 "somatic >= 2 and fatigue >= 2. "
3174 "Incrementing neurasthenia."
3175 )
3176 r.neurasthenia += 1
3178 # --------------------------------------------------------------------
3179 # Concentration/memory
3180 # --------------------------------------------------------------------
3182 elif q == CQ.CONC_MAND1_POOR_CONC_PAST_MONTH:
3183 # Score preceding:
3184 if r.fatigue >= 2:
3185 r.decide(
3186 "fatigue >= 2. "
3187 "Incrementing depr_crit_1_mood_anhedonia_energy."
3188 )
3189 r.depr_crit_1_mood_anhedonia_energy += 1
3191 elif q == CQ.CONC_MAND2_FORGETFUL_PAST_MONTH:
3192 if self.answer_is_no(
3193 CQ.CONC_MAND1_POOR_CONC_PAST_MONTH
3194 ) and self.answer_is_no(q, v):
3195 r.decide("No problems with concentration or forgetfulness.")
3196 jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
3198 elif q == CQ.CONC1_CONC_DAYS_PAST_WEEK:
3199 if v == V_DAYS_IN_PAST_WEEK_0:
3200 r.decide("No concentration/memory problems in past week.")
3201 jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
3202 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3203 r.decide(
3204 "Problems with concentration/memory problems on >=4 "
3205 "days in past week. Incrementing concentration_poor."
3206 )
3207 r.concentration_poor += 1
3208 if self.answer_is_no(
3209 CQ.CONC_MAND1_POOR_CONC_PAST_MONTH
3210 ) and self.answer_is_yes(CQ.CONC_MAND2_FORGETFUL_PAST_MONTH):
3211 r.decide(
3212 "Forgetfulness, not concentration, problems; skip "
3213 "over more detailed concentration questions."
3214 )
3215 jump_to(
3216 CQ.CONC4_FORGOTTEN_IMPORTANT
3217 ) # skip CONC2, CONC3, CONC_DUR
3219 elif q == CQ.CONC2_CONC_FOR_TV_READING_CONVERSATION:
3220 if self.answer_is_no(q, v):
3221 r.decide(
3222 "Couldn't concentrate on at least one of {TV, "
3223 "newspaper, "
3224 "conversation}. Incrementing concentration_poor."
3225 )
3226 r.concentration_poor += 1
3228 elif q == CQ.CONC3_CONC_PREVENTED_ACTIVITIES:
3229 if self.answer_is_yes(q, v):
3230 r.decide(
3231 "Problems with concentration stopped usual/desired "
3232 "activity. Incrementing concentration_poor."
3233 )
3234 r.concentration_poor += 1
3236 elif q == CQ.CONC_DUR:
3237 if self.answer_is_no(CQ.CONC_MAND2_FORGETFUL_PAST_MONTH):
3238 jump_to(CQ.SLEEP_MAND1_LOSS_PAST_MONTH)
3240 elif q == CQ.CONC4_FORGOTTEN_IMPORTANT:
3241 if self.answer_is_yes(q, v):
3242 r.decide(
3243 "Forgotten something important in past week. "
3244 "Incrementing concentration_poor."
3245 )
3246 r.concentration_poor += 1
3248 elif q == CQ.FORGET_DUR:
3249 pass
3251 # --------------------------------------------------------------------
3252 # Sleep
3253 # --------------------------------------------------------------------
3255 elif q == CQ.SLEEP_MAND1_LOSS_PAST_MONTH:
3256 # Score previous block:
3257 if r.concentration_poor >= 2:
3258 r.decide(
3259 "concentration >= 2. "
3260 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
3261 )
3262 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3263 # This question:
3264 if self.answer_is_no(q, v):
3265 r.decide(
3266 "No problems with sleep loss in past month. " "Moving on."
3267 )
3268 jump_to(CQ.SLEEP_MAND2_GAIN_PAST_MONTH)
3270 elif q == CQ.SLEEP_LOSE1_NIGHTS_PAST_WEEK:
3271 if v == V_NIGHTS_IN_PAST_WEEK_0:
3272 r.decide("No problems with sleep in past week. Moving on.")
3273 jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
3274 elif v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
3275 r.decide(
3276 "Problems with sleep on >=4 nights in past week. "
3277 "Incrementing sleep_problems."
3278 )
3279 r.sleep_problems += 1
3281 elif q == CQ.SLEEP_LOSE2_DIS_WORST_DURATION:
3282 if v == V_SLEEP_CHANGE_LT_15_MIN:
3283 r.decide(
3284 "Less than 15min maximum delayed initiation of sleep "
3285 "in past week. Moving on."
3286 )
3287 jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
3288 elif v == V_SLEEP_CHANGE_15_MIN_TO_1_H:
3289 r.decide(
3290 "15min-1h maximum delayed initiation of sleep in past "
3291 "week. Incrementing sleep_problems."
3292 )
3293 r.sleep_problems += 1
3294 elif v == V_SLEEP_CHANGE_1_TO_3_H or v == V_SLEEP_CHANGE_GT_3_H:
3295 r.decide(
3296 ">=1h maximum delayed initiation of sleep in past "
3297 "week. Adding 2 to sleep_problems."
3298 )
3299 r.sleep_problems += 2
3301 elif q == CQ.SLEEP_LOSE3_NIGHTS_GT_3H_DIS_PAST_WEEK:
3302 if v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
3303 r.decide(
3304 ">=4 nights in past week with >=3h delayed "
3305 "initiation of "
3306 "sleep. Incrementing sleep_problems."
3307 )
3308 r.sleep_problems += 1
3310 elif q == CQ.SLEEP_EMW_PAST_WEEK:
3311 if self.answer_is_yes(q, v):
3312 r.decide(
3313 "EMW of >2h in past week. "
3314 "Setting sleep_change to SLEEPCHANGE_EMW. "
3315 "Incrementing depr_crit_3_somatic_synd."
3316 )
3317 # Was: SLEEPCH += answer - 1 (which only does anything for a
3318 # "yes" (2) answer).
3319 # ... but at this point, SLEEPCH is always 0.
3320 r.sleep_change = SLEEPCHANGE_EMW # LIKELY REDUNDANT.
3321 r.depr_crit_3_somatic_synd += 1
3322 if r.sleep_problems >= 1:
3323 r.decide(
3324 "EMW of >2h in past week and sleep_problems >= 1; "
3325 "setting sleep_change to SLEEPCHANGE_EMW."
3326 )
3327 r.sleep_change = SLEEPCHANGE_EMW
3328 elif self.answer_is_no(q, v):
3329 r.decide("No EMW of >2h in past week.")
3330 if r.sleep_problems >= 1:
3331 r.decide(
3332 "No EMW of >2h in past week, and sleep_problems "
3333 ">= 1. Setting sleep_change to "
3334 "SLEEPCHANGE_INSOMNIA_NOT_EMW."
3335 )
3336 r.sleep_change = SLEEPCHANGE_INSOMNIA_NOT_EMW
3338 elif q == CQ.SLEEP_CAUSE:
3339 r.decide("Problems with sleep loss; skipping over sleep gain.")
3340 jump_to(CQ.SLEEP_DUR)
3342 elif q == CQ.SLEEP_MAND2_GAIN_PAST_MONTH:
3343 if (
3344 v == V_SLEEP_MAND2_NO
3345 or v == V_SLEEP_MAND2_YES_BUT_NOT_A_PROBLEM
3346 ):
3347 r.decide("No problematic sleep gain. Moving on.")
3348 jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
3350 elif q == CQ.SLEEP_GAIN1_NIGHTS_PAST_WEEK:
3351 if v == V_NIGHTS_IN_PAST_WEEK_0:
3352 r.decide("No nights with sleep problems [gain] in past week.")
3353 jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
3354 elif v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
3355 r.decide(
3356 "Problems with sleep [gain] on >=4 nights in past "
3357 "week. Incrementing sleep_problems."
3358 )
3359 r.sleep_problems += 1
3361 elif q == CQ.SLEEP_GAIN2_EXTRA_ON_LONGEST_NIGHT:
3362 if v == V_SLEEP_CHANGE_LT_15_MIN:
3363 r.decide("Sleep gain <15min. Moving on.")
3364 jump_to(CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH)
3365 elif v == V_SLEEP_CHANGE_15_MIN_TO_1_H:
3366 r.decide("Sleep gain 15min-1h. Incrementing sleep_problems.")
3367 r.sleep_problems += 1
3368 elif v >= V_SLEEP_CHANGE_1_TO_3_H:
3369 r.decide(
3370 "Sleep gain >=1h. "
3371 "Adding 2 to sleep_problems. "
3372 "Setting sleep_change to SLEEPCHANGE_INCREASE."
3373 )
3374 r.sleep_problems += 2
3375 r.sleep_change = SLEEPCHANGE_INCREASE
3376 # Note that in the original, if the answer was 3
3377 # (V_SLEEP_CHANGE_1_TO_3_H) or greater, first 2 was added to
3378 # sleep, and then if sleep was >=1, sleepch [sleep_change] was set # noqa
3379 # to 3. However, sleep is never decremented/set below 0, so that # noqa
3380 # was a redundant test (always true).
3382 elif q == CQ.SLEEP_GAIN3_NIGHTS_GT_3H_EXTRA_PAST_WEEK:
3383 if v == V_NIGHTS_IN_PAST_WEEK_4_OR_MORE:
3384 r.decide(
3385 "Sleep gain of >3h on >=4 nights in past week. "
3386 "Incrementing sleep_problems."
3387 )
3388 r.sleep_problems += 1
3390 elif q == CQ.SLEEP_DUR:
3391 pass
3393 # --------------------------------------------------------------------
3394 # Irritability
3395 # --------------------------------------------------------------------
3397 elif q == CQ.IRRIT_MAND1_PEOPLE_PAST_MONTH:
3398 # Score previous block:
3399 if r.sleep_problems >= 2:
3400 r.decide(
3401 "sleep_problems >= 2. "
3402 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
3403 )
3404 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3405 # This bit erroneously lived under IRRIT_DUR in the original; see
3406 # discussion there:
3407 if r.sleep_problems >= 2 and r.fatigue >= 2:
3408 r.decide(
3409 "sleep_problems >=2 and fatigue >=2. "
3410 "Incrementing neurasthenia."
3411 )
3412 r.neurasthenia += 1
3413 # This question:
3414 if self.answer_is_yes(q, v):
3415 r.decide(
3416 "Irritability (people) in past month; exploring "
3417 "further."
3418 )
3419 jump_to(CQ.IRRIT1_DAYS_PER_WEEK)
3421 elif q == CQ.IRRIT_MAND2_THINGS_PAST_MONTH:
3422 if v == V_IRRIT_MAND2_NO:
3423 r.decide("No irritability. Moving on.")
3424 jump_to(CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH)
3425 elif self.answered(q, v):
3426 r.decide(
3427 "Irritability (things) in past month; exploring "
3428 "further."
3429 )
3431 elif q == CQ.IRRIT1_DAYS_PER_WEEK:
3432 if v == V_DAYS_IN_PAST_WEEK_0:
3433 r.decide("No irritability in past week. Moving on.")
3434 jump_to(CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH)
3435 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3436 r.decide(
3437 "Irritable on >=4 days in past week. "
3438 "Incrementing irritability."
3439 )
3440 r.irritability += 1
3442 elif q == CQ.IRRIT2_GT_1H_ANY_DAY:
3443 if self.answer_is_yes(q, v):
3444 r.decide(
3445 "Irritable for >1h on any day in past week. "
3446 "Incrementing irritability."
3447 )
3448 r.irritability += 1
3450 elif q == CQ.IRRIT3_WANTED_TO_SHOUT:
3451 if v >= V_IRRIT3_SHOUTING_WANTED_TO:
3452 r.decide("Wanted to or did shout. Incrementing irritability.")
3453 r.irritability += 1
3455 elif q == CQ.IRRIT4_ARGUMENTS:
3456 if v == V_IRRIT4_ARGUMENTS_YES_UNJUSTIFIED:
3457 r.decide(
3458 "Arguments without justification. "
3459 "Incrementing irritability."
3460 )
3461 r.irritability += 1
3463 elif q == CQ.IRRIT_DUR:
3464 # Score recent things:
3465 if r.irritability >= 2 and r.fatigue >= 2:
3466 r.decide(
3467 "irritability >=2 and fatigue >=2. "
3468 "Incrementing neurasthenia."
3469 )
3470 r.neurasthenia += 1
3471 # In the original, we had the rule "sleep_problems >=2 and
3472 # fatigue >=2 -> incrementing neurasthenia" here, but that would mean # noqa
3473 # we would fail to score sleep if the patient didn't report
3474 # irritability (because if you say no at IRRIT_MAND2, you jump beyond # noqa
3475 # this point to HYPO_MAND1). Checked with Glyn Lewis 2017-12-04, who # noqa
3476 # agreed on 2017-12-05. Therefore, moved to IRRIT_MAND1 as above.
3477 # Note that the only implication would have been potential small
3478 # mis-scoring of the CFS criterion (not any of the diagnoses that
3479 # the CIS-R reports as its primary/secondary diagnoses).
3481 # --------------------------------------------------------------------
3482 # Hypochondriasis
3483 # --------------------------------------------------------------------
3485 elif q == CQ.HYPO_MAND1_WORRIED_RE_HEALTH_PAST_MONTH:
3486 if self.answer_is_yes(q, v):
3487 r.decide(
3488 "No worries about physical health in past month. "
3489 "Moving on."
3490 )
3491 jump_to(CQ.HYPO1_DAYS_PAST_WEEK)
3493 elif q == CQ.HYPO_MAND2_WORRIED_RE_SERIOUS_ILLNESS:
3494 if self.answer_is_no(q, v):
3495 r.decide(
3496 "No worries about having a serious illness. " "Moving on."
3497 )
3498 jump_to(CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH)
3500 elif q == CQ.HYPO1_DAYS_PAST_WEEK:
3501 if v == V_DAYS_IN_PAST_WEEK_0:
3502 r.decide(
3503 "No days in past week worrying about health. " "Moving on."
3504 )
3505 jump_to(CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH)
3506 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3507 r.decide(
3508 "Worries about health on >=4 days in past week. "
3509 "Incrementing hypochondria."
3510 )
3511 r.hypochondria += 1
3513 elif q == CQ.HYPO2_WORRY_TOO_MUCH:
3514 if self.answer_is_yes(q, v):
3515 r.decide(
3516 "Worrying too much about health. "
3517 "Incrementing hypochondria."
3518 )
3519 r.hypochondria += 1
3521 elif q == CQ.HYPO3_HOW_UNPLEASANT:
3522 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
3523 r.decide(
3524 "Worrying re health 'unpleasant' or worse in past "
3525 "week. Incrementing hypochondria."
3526 )
3527 r.hypochondria += 1
3529 elif q == CQ.HYPO4_CAN_DISTRACT:
3530 if self.answer_is_no(q, v):
3531 r.decide(
3532 "Cannot take mind off health worries by doing "
3533 "something else. Incrementing hypochondria."
3534 )
3535 r.hypochondria += 1
3537 elif q == CQ.HYPO_DUR:
3538 pass
3540 # --------------------------------------------------------------------
3541 # Depression
3542 # --------------------------------------------------------------------
3544 elif q == CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH:
3545 if self.answer_is_no(q, v):
3546 r.decide("Mood not low in past month. Moving to anhedonia.")
3547 jump_to(CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH)
3549 elif q == CQ.DEPR1_LOW_MOOD_PAST_WEEK:
3550 pass
3552 elif q == CQ.DEPR_MAND2_ENJOYMENT_PAST_MONTH:
3553 if v == V_ANHEDONIA_ENJOYING_NORMALLY and self.answer_is_no(
3554 CQ.DEPR1_LOW_MOOD_PAST_WEEK
3555 ):
3556 r.decide(
3557 "Neither low mood nor anhedonia in past month. "
3558 "Moving on."
3559 )
3560 jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
3562 elif q == CQ.DEPR2_ENJOYMENT_PAST_WEEK:
3563 if v == V_ANHEDONIA_ENJOYING_NORMALLY and self.answer_is_no(
3564 CQ.DEPR_MAND1_LOW_MOOD_PAST_MONTH
3565 ):
3566 r.decide(
3567 "No anhedonia in past week and no low mood in past "
3568 "month. Moving on."
3569 )
3570 jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
3571 elif v >= V_ANHEDONIA_ENJOYING_LESS:
3572 r.decide(
3573 "Partial or complete anhedonia in past week. "
3574 "Incrementing depression. "
3575 "Incrementing depr_crit_1_mood_anhedonia_energy. "
3576 "Incrementing depr_crit_3_somatic_synd."
3577 )
3578 r.depression += 1
3579 r.depr_crit_1_mood_anhedonia_energy += 1
3580 r.depr_crit_3_somatic_synd += 1
3582 elif q == CQ.DEPR3_DAYS_PAST_WEEK:
3583 if v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3584 r.decide(
3585 "Low mood or anhedonia on >=4 days in past week. "
3586 "Incrementing depression."
3587 )
3588 r.depression += 1
3590 elif q == CQ.DEPR4_GT_3H_ANY_DAY:
3591 if self.answer_is_yes(q, v):
3592 r.decide(
3593 "Low mood or anhedonia for >3h/day on at least one "
3594 "day in past week. Incrementing depression."
3595 )
3596 r.depression += 1
3597 if self.int_value_for_question(
3598 CQ.DEPR3_DAYS_PAST_WEEK
3599 ) and self.answer_is_yes(CQ.DEPR1_LOW_MOOD_PAST_WEEK):
3600 r.decide(
3601 "(A) Low mood in past week, and "
3602 "(B) low mood or anhedonia for >3h/day on at "
3603 "least one day in past week, and "
3604 "(C) low mood or anhedonia on >=4 days in past "
3605 "week. "
3606 "Incrementing depr_crit_1_mood_anhedonia_energy."
3607 )
3608 r.depr_crit_1_mood_anhedonia_energy += 1
3610 elif q == CQ.DEPR_CONTENT:
3611 pass
3613 elif q == CQ.DEPR5_COULD_CHEER_UP:
3614 if v >= V_DEPR5_COULD_CHEER_UP_SOMETIMES:
3615 r.decide(
3616 "'Sometimes' or 'never' cheered up by nice things. "
3617 "Incrementing depression. "
3618 "Incrementing depr_crit_3_somatic_synd."
3619 )
3620 r.depression += 1
3621 r.depr_crit_3_somatic_synd += 1
3623 elif q == CQ.DEPR_DUR:
3624 if v >= V_DURATION_2W_6M:
3625 r.decide(
3626 "Depressive symptoms for >=2 weeks. "
3627 "Setting depression_at_least_2_weeks."
3628 )
3629 r.depression_at_least_2_weeks = True
3630 # This code was at the start of DEPTH1, but involves skipping over
3631 # DEPTH1; since we never get to DEPTH1 without coming here, we can
3632 # move it here:
3633 if r.depression == 0:
3634 r.decide(
3635 "Score for 'depression' is 0; skipping over "
3636 "depressive thought content questions."
3637 )
3638 jump_to(CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH)
3640 elif q == CQ.DEPTH1_DIURNAL_VARIATION:
3641 if (
3642 v == V_DEPTH1_DMV_WORSE_MORNING
3643 or v == V_DEPTH1_DMV_WORSE_EVENING
3644 ):
3645 r.decide("Diurnal mood variation present.")
3646 r.diurnal_mood_variation = (
3647 DIURNAL_MOOD_VAR_WORSE_MORNING
3648 if v == V_DEPTH1_DMV_WORSE_MORNING
3649 else DIURNAL_MOOD_VAR_WORSE_EVENING
3650 )
3651 if v == V_DEPTH1_DMV_WORSE_MORNING:
3652 r.decide(
3653 "Diurnal mood variation, worse in the mornings. "
3654 "Incrementing depr_crit_3_somatic_synd."
3655 )
3656 r.depr_crit_3_somatic_synd += 1
3658 elif q == CQ.DEPTH2_LIBIDO:
3659 if v == V_DEPTH2_LIBIDO_DECREASED:
3660 r.decide(
3661 "Libido decreased over past month. "
3662 "Setting libido_decreased. "
3663 "Incrementing depr_crit_3_somatic_synd."
3664 )
3665 r.libido_decreased = True
3666 r.depr_crit_3_somatic_synd += 1
3668 elif q == CQ.DEPTH3_RESTLESS:
3669 if self.answer_is_yes(q):
3670 r.decide("Psychomotor agitation.")
3671 r.psychomotor_changes = PSYCHOMOTOR_AGITATION
3673 elif q == CQ.DEPTH4_SLOWED:
3674 if self.answer_is_yes(q):
3675 r.decide("Psychomotor retardation.")
3676 r.psychomotor_changes = PSYCHOMOTOR_RETARDATION
3677 if r.psychomotor_changes > PSYCHOMOTOR_NONE:
3678 r.decide(
3679 "Psychomotor agitation or retardation. "
3680 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui. "
3681 "Incrementing depr_crit_3_somatic_synd."
3682 )
3683 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3684 r.depr_crit_3_somatic_synd += 1
3686 elif q == CQ.DEPTH5_GUILT:
3687 if v >= V_DEPTH5_GUILT_SOMETIMES:
3688 r.decide(
3689 "Feel guilty when not at fault sometimes or often. "
3690 "Incrementing depressive_thoughts. "
3691 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
3692 )
3693 r.depressive_thoughts += 1
3694 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3696 elif q == CQ.DEPTH6_WORSE_THAN_OTHERS:
3697 if self.answer_is_yes(q, v):
3698 r.decide(
3699 "Feeling not as good as other people. "
3700 "Incrementing depressive_thoughts. "
3701 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
3702 )
3703 r.depressive_thoughts += 1
3704 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3706 elif q == CQ.DEPTH7_HOPELESS:
3707 if self.answer_is_yes(q, v):
3708 r.decide(
3709 "Hopelessness. "
3710 "Incrementing depressive_thoughts. "
3711 "Setting suicidality to "
3712 "SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS."
3713 )
3714 r.depressive_thoughts += 1
3715 r.suicidality = SUICIDE_INTENT_HOPELESS_NO_SUICIDAL_THOUGHTS
3717 elif q == CQ.DEPTH8_LNWL:
3718 if v == V_DEPTH8_LNWL_NO:
3719 r.decide(
3720 "No thoughts of life not being worth living. "
3721 "Skipping to end of depression section."
3722 )
3723 jump_to(CQ.DEPR_OUTRO)
3724 elif v >= V_DEPTH8_LNWL_SOMETIMES:
3725 r.decide(
3726 "Sometimes or always feeling life isn't worth living. "
3727 "Incrementing depressive_thoughts. "
3728 "Setting suicidality to "
3729 "SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING."
3730 )
3731 r.depressive_thoughts += 1
3732 r.suicidality = SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING
3734 elif q == CQ.DEPTH9_SUICIDE_THOUGHTS:
3735 if v == V_DEPTH9_SUICIDAL_THOUGHTS_NO:
3736 r.decide(
3737 "No thoughts of suicide. Skipping to end of "
3738 "depression section."
3739 )
3740 jump_to(CQ.DEPR_OUTRO)
3741 if v >= V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD:
3742 r.decide(
3743 "Suicidal thoughts present. "
3744 "Setting suicidality to "
3745 "SUICIDE_INTENT_SUICIDAL_THOUGHTS."
3746 )
3747 r.suicidality = SUICIDE_INTENT_SUICIDAL_THOUGHTS
3748 if v == V_DEPTH9_SUICIDAL_THOUGHTS_YES_BUT_NEVER_WOULD:
3749 r.decide(
3750 "Suicidal thoughts present but denies would ever act. "
3751 "Skipping to talk-to-doctor section."
3752 )
3753 jump_to(CQ.DOCTOR)
3754 if v == V_DEPTH9_SUICIDAL_THOUGHTS_YES:
3755 r.decide(
3756 "Thoughts of suicide in past week. "
3757 "Incrementing depressive_thoughts. "
3758 "Incrementing depr_crit_2_app_cnc_slp_mtr_glt_wth_sui."
3759 )
3760 r.depressive_thoughts += 1
3761 r.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui += 1
3763 elif q == CQ.DEPTH10_SUICIDE_METHOD:
3764 if self.answer_is_yes(q, v):
3765 r.decide(
3766 "Suicidal thoughts without denying might ever act. "
3767 "Setting suicidality to "
3768 "SUICIDE_INTENT_SUICIDAL_PLANS."
3769 )
3770 r.suicidality = SUICIDE_INTENT_SUICIDAL_PLANS
3772 elif q == CQ.DOCTOR:
3773 if v == V_DOCTOR_YES:
3774 r.decide(
3775 "Has spoken to doctor about suicidality. Skipping "
3776 "exhortation to do so."
3777 )
3778 jump_to(CQ.DEPR_OUTRO)
3780 elif q == CQ.DOCTOR2_PLEASE_TALK_TO:
3781 pass
3783 elif q == CQ.DEPR_OUTRO:
3784 pass
3786 # --------------------------------------------------------------------
3787 # Worry/anxiety
3788 # --------------------------------------------------------------------
3790 elif q == CQ.WORRY_MAND1_MORE_THAN_NEEDED_PAST_MONTH:
3791 if v >= V_NSO_SOMETIMES:
3792 r.decide(
3793 "Worrying excessively 'sometimes' or 'often'. "
3794 "Exploring further."
3795 )
3796 jump_to(CQ.WORRY_CONT1)
3798 elif q == CQ.WORRY_MAND2_ANY_WORRIES_PAST_MONTH:
3799 if self.answer_is_no(q, v):
3800 r.decide("No worries at all in the past month. Moving on.")
3801 jump_to(CQ.ANX_MAND1_ANXIETY_PAST_MONTH)
3803 elif q == CQ.WORRY_CONT1:
3804 pass
3806 elif q == CQ.WORRY1_INFO_ONLY:
3807 pass
3809 elif q == CQ.WORRY2_DAYS_PAST_WEEK:
3810 if v == V_DAYS_IN_PAST_WEEK_0:
3811 r.decide(
3812 "Worry [other than re physical health] on 0 days in "
3813 "past week. Moving on."
3814 )
3815 jump_to(CQ.ANX_MAND1_ANXIETY_PAST_MONTH)
3816 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3817 r.decide(
3818 "Worry [other than re physical health] on >=4 days in "
3819 "past week. Incrementing worry."
3820 )
3821 r.worry += 1
3823 elif q == CQ.WORRY3_TOO_MUCH:
3824 if self.answer_is_yes(q, v):
3825 r.decide("Worrying too much. Incrementing worry.")
3826 r.worry += 1
3828 elif q == CQ.WORRY4_HOW_UNPLEASANT:
3829 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
3830 r.decide(
3831 "Worry [other than re physical health] 'unpleasant' "
3832 "or worse in past week. Incrementing worry."
3833 )
3834 r.worry += 1
3836 elif q == CQ.WORRY5_GT_3H_ANY_DAY:
3837 if self.answer_is_yes(q, v):
3838 r.decide(
3839 "Worry [other than re physical health] for >3h on any "
3840 "day in past week. Incrementing worry."
3841 )
3842 r.worry += 1
3844 elif q == CQ.WORRY_DUR:
3845 pass
3847 elif q == CQ.ANX_MAND1_ANXIETY_PAST_MONTH:
3848 if self.answer_is_yes(q, v):
3849 r.decide(
3850 "Anxious/nervous in past month. "
3851 "Skipping tension question."
3852 )
3853 jump_to(CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH)
3855 elif q == CQ.ANX_MAND2_TENSION_PAST_MONTH:
3856 if v == V_NSO_NO:
3857 r.decide(
3858 "No tension in past month (and no anxiety, from "
3859 "previous question). Moving on."
3860 )
3861 jump_to(CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH)
3863 elif q == CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH:
3864 if self.answer_is_no(q, v):
3865 r.decide("No phobias. Moving on to general anxiety.")
3866 jump_to(CQ.ANX2_GENERAL_DAYS_PAST_WEEK)
3867 elif self.answer_is_yes(q, v):
3868 # This was in ANX_PHOBIA2; PHOBIAS_FLAG was set by arriving
3869 # there (but that only happens when we get a 'yes' answer
3870 # here).
3871 r.decide("Phobias. Exploring further. Setting phobias flag.")
3872 r.phobias_flag = True
3874 elif q == CQ.ANX_PHOBIA2_SPECIFIC_OR_GENERAL:
3875 if v == V_ANX_PHOBIA2_ALWAYS_SPECIFIC:
3876 r.decide(
3877 "Anxiety always specific. " "Skipping generalized anxiety."
3878 )
3879 jump_to(CQ.PHOBIAS_TYPE1)
3881 elif q == CQ.ANX1_INFO_ONLY:
3882 pass
3884 elif q == CQ.ANX2_GENERAL_DAYS_PAST_WEEK:
3885 if v == V_DAYS_IN_PAST_WEEK_0:
3886 if r.phobias_flag:
3887 r.decide(
3888 "No generalized anxiety in past week. "
3889 "Skipping further generalized anxiety questions."
3890 )
3891 jump_to(CQ.PHOBIAS1_DAYS_PAST_WEEK)
3892 else:
3893 r.decide("No generalized anxiety in past week. Moving on.")
3894 jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
3895 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3896 r.decide(
3897 "Generalized anxiety on >=4 days in past week. "
3898 "Incrementing anxiety."
3899 )
3900 r.anxiety += 1
3902 elif q == CQ.ANX3_GENERAL_HOW_UNPLEASANT:
3903 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
3904 r.decide(
3905 "Anxiety 'unpleasant' or worse in past week. "
3906 "Incrementing anxiety."
3907 )
3908 r.anxiety += 1
3910 elif q == CQ.ANX4_GENERAL_PHYSICAL_SYMPTOMS:
3911 if self.answer_is_yes(q, v):
3912 r.decide(
3913 "Physical symptoms of anxiety. "
3914 "Setting anxiety_physical_symptoms. "
3915 "Incrementing anxiety."
3916 )
3917 r.anxiety_physical_symptoms = True
3918 r.anxiety += 1
3920 elif q == CQ.ANX5_GENERAL_GT_3H_ANY_DAY:
3921 if self.answer_is_yes(q, v):
3922 r.decide(
3923 "Anxiety for >3h on any day in past week. "
3924 "Incrementing anxiety."
3925 )
3926 r.anxiety += 1
3928 elif q == CQ.ANX_DUR_GENERAL:
3929 if v >= V_DURATION_2W_6M:
3930 r.decide(
3931 "Anxiety for >=2 weeks. "
3932 "Setting anxiety_at_least_2_weeks."
3933 )
3934 r.anxiety_at_least_2_weeks = True
3935 if r.phobias_flag:
3936 r.decide("Phobias flag set. Exploring further.")
3937 jump_to(CQ.PHOBIAS_TYPE1)
3938 else:
3939 if r.anxiety <= 1:
3940 r.decide("Anxiety score <=1. Moving on to compulsions.")
3941 jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
3942 else:
3943 r.decide("Anxiety score >=2. Exploring panic.")
3944 jump_to(CQ.PANIC_MAND_PAST_MONTH)
3946 elif q == CQ.PHOBIAS_MAND_AVOIDANCE_PAST_MONTH:
3947 if self.answer_is_no(q, v):
3948 if r.anxiety <= 1:
3949 r.decide("Anxiety score <=1. Moving on to compulsions.")
3950 jump_to(CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH)
3951 else:
3952 r.decide("Anxiety score >=2. Exploring panic.")
3953 jump_to(CQ.PANIC_MAND_PAST_MONTH)
3955 elif q == CQ.PHOBIAS_TYPE1:
3956 if v in (
3957 V_PHOBIAS_TYPE1_ALONE_PUBLIC_TRANSPORT,
3958 V_PHOBIAS_TYPE1_FAR_FROM_HOME,
3959 V_PHOBIAS_TYPE1_CROWDED_SHOPS,
3960 ):
3961 r.decide("Phobia type category: agoraphobia.")
3962 r.phobias_type = PHOBIATYPES_AGORAPHOBIA
3964 elif v in (
3965 V_PHOBIAS_TYPE1_PUBLIC_SPEAKING_EATING,
3966 V_PHOBIAS_TYPE1_BEING_WATCHED,
3967 ):
3968 r.decide("Phobia type category: social.")
3969 r.phobias_type = PHOBIATYPES_SOCIAL
3971 elif v == V_PHOBIAS_TYPE1_BLOOD:
3972 r.decide("Phobia type category: blood/injury.")
3973 r.phobias_type = PHOBIATYPES_BLOOD_INJURY
3975 elif v in (
3976 V_PHOBIAS_TYPE1_ANIMALS,
3977 V_PHOBIAS_TYPE1_ENCLOSED_SPACES_HEIGHTS,
3978 ):
3979 r.decide(
3980 "Phobia type category: animals/enclosed spaces/" "heights."
3981 )
3982 r.phobias_type = PHOBIATYPES_ANIMALS_ENCLOSED_HEIGHTS
3984 elif v == V_PHOBIAS_TYPE1_OTHER:
3985 r.decide("Phobia type category: other.")
3986 r.phobias_type = PHOBIATYPES_OTHER
3988 else:
3989 pass
3991 elif q == CQ.PHOBIAS1_DAYS_PAST_WEEK:
3992 if v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
3993 r.decide(
3994 "Phobic anxiety on >=4 days in past week. "
3995 "Incrementing phobias_score."
3996 )
3997 r.phobias_score += 1
3999 elif q == CQ.PHOBIAS2_PHYSICAL_SYMPTOMS:
4000 if self.answer_is_yes(q, v):
4001 r.decide(
4002 "Physical symptoms during phobic anxiety in past "
4003 "week. Incrementing phobias_score."
4004 )
4005 r.phobias_score += 1
4007 elif q == CQ.PHOBIAS3_AVOIDANCE:
4008 if self.answer_is_no(q, v): # no avoidance in past week
4009 if r.anxiety <= 1 and r.phobias_score == 0:
4010 r.decide(
4011 "No avoidance in past week; "
4012 "anxiety <= 1 and phobias_score == 0. "
4013 "Finishing anxiety section."
4014 )
4015 jump_to(CQ.ANX_OUTRO)
4016 else:
4017 r.decide(
4018 "No avoidance in past week; "
4019 "anxiety >= 2 or phobias_score >= 1. "
4020 "Moving to panic section."
4021 )
4022 jump_to(CQ.PANIC_MAND_PAST_MONTH)
4023 elif self.answer_is_yes(q, v):
4024 r.decide("Setting phobic_avoidance.")
4025 r.phobic_avoidance = True
4027 elif q == CQ.PHOBIAS4_AVOIDANCE_DAYS_PAST_WEEK:
4028 if v == V_DAYS_IN_PAST_WEEK_1_TO_3:
4029 r.decide(
4030 "Phobic avoidance on 1-3 days in past week. "
4031 "Incrementing phobias_score."
4032 )
4033 r.phobias_score += 1
4034 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
4035 r.decide(
4036 "Phobic avoidance on >=4 days in past week. "
4037 "Adding 2 to phobias_score."
4038 )
4039 r.phobias_score += 2
4040 if (
4041 r.anxiety <= 1
4042 and self.int_value_for_question(CQ.PHOBIAS1_DAYS_PAST_WEEK)
4043 == V_DAYS_IN_PAST_WEEK_0
4044 ):
4045 r.decide(
4046 "anxiety <= 1 and no phobic anxiety in past week. "
4047 "Finishing anxiety section."
4048 )
4049 jump_to(CQ.ANX_OUTRO)
4051 elif q == CQ.PHOBIAS_DUR:
4052 pass
4054 elif q == CQ.PANIC_MAND_PAST_MONTH:
4055 if v == V_NSO_NO:
4056 r.decide(
4057 "No panic in the past month. Finishing anxiety " "section."
4058 )
4059 jump_to(CQ.ANX_OUTRO)
4061 elif q == CQ.PANIC1_NUM_PAST_WEEK:
4062 if v == V_PANIC1_N_PANICS_PAST_WEEK_0:
4063 r.decide("No panic in past week. Finishing anxiety section.")
4064 jump_to(CQ.ANX_OUTRO)
4065 elif v == V_PANIC1_N_PANICS_PAST_WEEK_1:
4066 r.decide("One panic in past week. Incrementing panic.")
4067 r.panic += 1
4068 elif v == V_PANIC1_N_PANICS_PAST_WEEK_GT_1:
4069 r.decide(
4070 "More than one panic in past week. Adding 2 to panic."
4071 )
4072 r.panic += 2
4074 elif q == CQ.PANIC2_HOW_UNPLEASANT:
4075 if v >= V_HOW_UNPLEASANT_UNPLEASANT:
4076 r.decide(
4077 "Panic 'unpleasant' or worse in past week. "
4078 "Incrementing panic."
4079 )
4080 r.panic += 1
4082 elif q == CQ.PANIC3_PANIC_GE_10_MIN:
4083 if v == V_PANIC3_WORST_GE_10_MIN:
4084 r.decide(
4085 "Worst panic in past week lasted >=10 min. "
4086 "Incrementing panic."
4087 )
4088 r.panic += 1
4090 elif q == CQ.PANIC4_RAPID_ONSET:
4091 if self.answer_is_yes(q, v):
4092 r.decide(
4093 "Rapid onset of panic symptoms. "
4094 "Setting panic_rapid_onset."
4095 )
4096 r.panic_rapid_onset = True
4098 elif q == CQ.PANSYM:
4099 # Multi-way answer. All are scored 1=no, 2=yes.
4100 n_panic_symptoms = 0
4101 for panic_fn in PANIC_SYMPTOM_FIELDNAMES:
4102 panic_symptom = getattr(self, panic_fn) or 0 # force to int
4103 yes_present = panic_symptom == 2
4104 if yes_present:
4105 n_panic_symptoms += 1
4106 r.decide(
4107 f"{n_panic_symptoms} out of "
4108 f"{NUM_PANIC_SYMPTOMS} specific panic symptoms endorsed."
4109 )
4110 # The next bit was coded in PANIC5, but lives more naturally here:
4111 if self.answer_is_no(CQ.ANX_PHOBIA1_SPECIFIC_PAST_MONTH):
4112 jump_to(CQ.PANIC_DUR)
4114 elif q == CQ.PANIC5_ALWAYS_SPECIFIC_TRIGGER:
4115 pass
4117 elif q == CQ.PANIC_DUR:
4118 pass
4120 elif q == CQ.ANX_OUTRO:
4121 pass
4123 # --------------------------------------------------------------------
4124 # Compulsions and obsessions
4125 # --------------------------------------------------------------------
4127 elif q == CQ.COMP_MAND1_COMPULSIONS_PAST_MONTH:
4128 if v == V_NSO_NO:
4129 r.decide("No compulsions in past month. Moving to obsessions.")
4130 jump_to(CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH)
4132 elif q == CQ.COMP1_DAYS_PAST_WEEK:
4133 if v == V_DAYS_IN_PAST_WEEK_0:
4134 r.decide("No compulsions in past week. Moving to obesssions.")
4135 jump_to(CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH)
4136 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
4137 r.decide(
4138 "Obsessions on >=4 days in past week. "
4139 "Incrementing compulsions."
4140 )
4141 r.compulsions += 1
4143 elif q == CQ.COMP2_TRIED_TO_STOP:
4144 if self.answer_is_yes(q, v):
4145 r.decide(
4146 "Attempts to stop compulsions in past week. "
4147 "Setting compulsions_tried_to_stop. "
4148 "Incrementing compulsions."
4149 )
4150 r.compulsions_tried_to_stop = True
4151 r.compulsions += 1
4153 elif q == CQ.COMP3_UPSETTING:
4154 if self.answer_is_yes(q, v):
4155 r.decide(
4156 "Compulsions upsetting/annoying. "
4157 "Incrementing compulsions."
4158 )
4159 r.compulsions += 1
4161 elif q == CQ.COMP4_MAX_N_REPETITIONS:
4162 if v == V_COMP4_MAX_N_REPEATS_GE_3:
4163 r.decide("At worst, >=3 repeats. Incrementing compulsions.")
4164 r.compulsions += 1
4166 elif q == CQ.COMP_DUR:
4167 if v >= V_DURATION_2W_6M:
4168 r.decide(
4169 "Compulsions for >=2 weeks. "
4170 "Setting compulsions_at_least_2_weeks."
4171 )
4172 r.compulsions_at_least_2_weeks = True
4174 elif q == CQ.OBSESS_MAND1_OBSESSIONS_PAST_MONTH:
4175 if v == V_NSO_NO:
4176 r.decide("No obsessions in past month. Moving on.")
4177 jump_to(r.get_final_page())
4179 elif q == CQ.OBSESS_MAND2_SAME_THOUGHTS_OR_GENERAL:
4180 if v == V_OBSESS_MAND1_GENERAL_WORRIES:
4181 r.decide(
4182 "Worrying about something in general, not the same "
4183 "thoughts over and over again. Moving on."
4184 )
4185 jump_to(r.get_final_page())
4187 elif q == CQ.OBSESS1_DAYS_PAST_WEEK:
4188 if v == V_DAYS_IN_PAST_WEEK_0:
4189 r.decide("No obsessions in past week. Moving on.")
4190 jump_to(r.get_final_page())
4191 elif v == V_DAYS_IN_PAST_WEEK_4_OR_MORE:
4192 r.decide(
4193 "Obsessions on >=4 days in past week. "
4194 "Incrementing obsessions."
4195 )
4196 r.obsessions += 1
4198 elif q == CQ.OBSESS2_TRIED_TO_STOP:
4199 if self.answer_is_yes(q, v):
4200 r.decide(
4201 "Tried to stop obsessional thoughts in past week. "
4202 "Setting obsessions_tried_to_stop. "
4203 "Incrementing obsessions."
4204 )
4205 r.obsessions_tried_to_stop = True
4206 r.obsessions += 1
4208 elif q == CQ.OBSESS3_UPSETTING:
4209 if self.answer_is_yes(q, v):
4210 r.decide(
4211 "Obsessions upsetting/annoying in past week. "
4212 "Incrementing obsessions."
4213 )
4214 r.obsessions += 1
4216 elif q == CQ.OBSESS4_MAX_DURATION:
4217 if v == V_OBSESS4_GE_15_MIN:
4218 r.decide(
4219 "Obsessions lasting >=15 min in past week. "
4220 "Incrementing obsessions."
4221 )
4222 r.obsessions += 1
4224 elif q == CQ.OBSESS_DUR:
4225 if v >= V_DURATION_2W_6M:
4226 r.decide(
4227 "Obsessions for >=2 weeks. "
4228 "Setting obsessions_at_least_2_weeks."
4229 )
4230 r.obsessions_at_least_2_weeks = True
4232 # --------------------------------------------------------------------
4233 # End
4234 # --------------------------------------------------------------------
4236 elif q == CQ.OVERALL1_INFO_ONLY:
4237 pass
4239 elif q == CQ.OVERALL2_IMPACT_PAST_WEEK:
4240 if self.answered(q, v):
4241 r.functional_impairment = v - 1
4242 r.decide(
4243 f"Setting functional_impairment to "
4244 f"{r.functional_impairment}"
4245 )
4247 elif q == CQ.THANKS_FINISHED:
4248 pass
4250 elif q == CQ.END_MARKER: # this is not a page
4251 # we've reached the end; no point thinking further
4252 return CQ.END_MARKER
4254 else:
4255 pass
4257 if next_q == -1:
4258 # Nothing has expressed an overriding preference, so increment...
4259 next_q = enum_to_int(q) + 1
4261 return int_to_enum(next_q)
4263 def get_result(
4264 self,
4265 req: Optional[CamcopsRequest] = None,
4266 record_decisions: bool = False,
4267 ) -> CisrResult:
4268 # internal_q = CQ.START_MARKER
4269 internal_q = CQ.APPETITE1_LOSS_PAST_MONTH # skip the preamble etc.
4270 result = CisrResult(req, record_decisions)
4271 while (not result.incomplete) and internal_q != CQ.END_MARKER:
4272 internal_q = self.next_q(internal_q, result)
4273 # loop until we reach the end or have incomplete data
4274 result.finalize()
4275 return result
4277 def get_clinical_text(self, req: CamcopsRequest) -> List[CtvInfo]:
4278 res = self.get_result(req)
4279 if res.incomplete:
4280 return CTV_INCOMPLETE
4281 return [
4282 CtvInfo(
4283 content=(
4284 f"{res.caveat_prefix}Possible primary diagnosis: "
4285 f"{bold(res.diagnosis_1_name())} "
4286 f"({res.diagnosis_1_icd10_code()})"
4287 )
4288 ),
4289 CtvInfo(
4290 content=(
4291 f"{res.caveat_prefix}Possible secondary diagnosis: "
4292 f"{bold(res.diagnosis_2_name())} "
4293 f"({res.diagnosis_2_icd10_code()})"
4294 )
4295 ),
4296 CtvInfo(
4297 content=(
4298 f"CIS-R suicide intent: "
4299 f"{self.get_suicide_intent(req, res, with_warning=False)}"
4300 )
4301 ),
4302 ]
4304 def get_summaries(self, req: CamcopsRequest) -> List[SummaryElement]:
4305 result = self.get_result(req)
4306 return self.standard_task_summary_fields() + [
4307 # Diagnoses
4308 SummaryElement(
4309 name="diagnosis_1_code",
4310 coltype=Integer(),
4311 value=result.diagnosis_1,
4312 comment="Possible primary diagnosis (CIS-R code)",
4313 ),
4314 SummaryElement(
4315 name="diagnosis_1_text",
4316 coltype=UnicodeText(),
4317 value=result.diagnosis_1_name(),
4318 comment="Possible primary diagnosis (text)",
4319 ),
4320 SummaryElement(
4321 name="diagnosis_1_icd10",
4322 coltype=UnicodeText(),
4323 value=result.diagnosis_1_icd10_code(),
4324 comment="Possible primary diagnosis (ICD-10 code/codes)",
4325 ),
4326 SummaryElement(
4327 name="diagnosis_2_code",
4328 coltype=Integer(),
4329 value=result.diagnosis_2,
4330 comment="Possible secondary diagnosis (CIS-R code)",
4331 ),
4332 SummaryElement(
4333 name="diagnosis_2_text",
4334 coltype=UnicodeText(),
4335 value=result.diagnosis_2_icd10_code(),
4336 comment="Possible secondary diagnosis (text)",
4337 ),
4338 SummaryElement(
4339 name="diagnosis_2_icd10",
4340 coltype=UnicodeText(),
4341 value=result.diagnosis_2_icd10_code(),
4342 comment="Possible secondary diagnosis (ICD-10 code/codes)",
4343 ),
4344 # Suicidality/doctell: directly encoded in data
4345 # Total score
4346 SummaryElement(
4347 name="score_total",
4348 coltype=Integer(),
4349 value=result.get_score(),
4350 comment=f"CIS-R total score (max. {MAX_TOTAL})",
4351 ),
4352 # Functional impairment: directly encoded in data
4353 # Subscores
4354 SummaryElement(
4355 name="score_somatic_symptoms",
4356 coltype=Integer(),
4357 value=result.somatic_symptoms,
4358 comment="Score: somatic symptoms (max. 4)",
4359 ),
4360 SummaryElement(
4361 name="score_hypochondria",
4362 coltype=Integer(),
4363 value=result.hypochondria,
4364 comment="Score: worry over physical health (max. 4)",
4365 ),
4366 SummaryElement(
4367 name="score_irritability",
4368 coltype=Integer(),
4369 value=result.irritability,
4370 comment="Score: irritability (max. 4)",
4371 ),
4372 SummaryElement(
4373 name="score_concentration_poor",
4374 coltype=Integer(),
4375 value=result.concentration_poor,
4376 comment="Score: poor concentration (max. 4)",
4377 ),
4378 SummaryElement(
4379 name="score_fatigue",
4380 coltype=Integer(),
4381 value=result.fatigue,
4382 comment="Score: fatigue (max. 4)",
4383 ),
4384 SummaryElement(
4385 name="score_sleep_problems",
4386 coltype=Integer(),
4387 value=result.sleep_problems,
4388 comment="Score: sleep problems (max. 4)",
4389 ),
4390 SummaryElement(
4391 name="score_depression",
4392 coltype=Integer(),
4393 value=result.depression,
4394 comment="Score: depression (max. 4)",
4395 ),
4396 SummaryElement(
4397 name="score_depressive_thoughts",
4398 coltype=Integer(),
4399 value=result.depressive_thoughts,
4400 comment="Score: depressive ideas (max. 5)",
4401 ),
4402 SummaryElement(
4403 name="score_phobias",
4404 coltype=Integer(),
4405 value=result.phobias_score,
4406 comment="Score: phobias (max. 4)",
4407 ),
4408 SummaryElement(
4409 name="score_worry",
4410 coltype=Integer(),
4411 value=result.worry,
4412 comment="Score: worry (max. 4)",
4413 ),
4414 SummaryElement(
4415 name="score_anxiety",
4416 coltype=Integer(),
4417 value=result.anxiety,
4418 comment="Score: anxiety (max. 4)",
4419 ),
4420 SummaryElement(
4421 name="score_panic",
4422 coltype=Integer(),
4423 value=result.panic,
4424 comment="Score: panic (max. 4)",
4425 ),
4426 SummaryElement(
4427 name="score_compulsions",
4428 coltype=Integer(),
4429 value=result.compulsions,
4430 comment="Score: compulsions (max. 4)",
4431 ),
4432 SummaryElement(
4433 name="score_obsessions",
4434 coltype=Integer(),
4435 value=result.obsessions,
4436 comment="Score: obsessions (max. 4)",
4437 ),
4438 # Other
4439 SummaryElement(
4440 name="sleep_change",
4441 coltype=Integer(),
4442 value=result.sleep_change,
4443 comment=DESC_SLEEP_CHANGE,
4444 ),
4445 SummaryElement(
4446 name="weight_change",
4447 coltype=Integer(),
4448 value=result.weight_change,
4449 comment=DESC_WEIGHT_CHANGE,
4450 ),
4451 SummaryElement(
4452 name="depcrit1_score",
4453 coltype=Integer(),
4454 value=result.depr_crit_1_mood_anhedonia_energy,
4455 comment=DESC_DEPCRIT1,
4456 ),
4457 SummaryElement(
4458 name="depcrit2_score",
4459 coltype=Integer(),
4460 value=result.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui,
4461 comment=DESC_DEPCRIT2,
4462 ),
4463 SummaryElement(
4464 name="depcrit3_score",
4465 coltype=Integer(),
4466 value=result.depr_crit_3_somatic_synd,
4467 comment=DESC_DEPCRIT3,
4468 ),
4469 SummaryElement(
4470 name="depcrit3_met_somatic_syndrome",
4471 coltype=Boolean(),
4472 value=result.has_somatic_syndrome(),
4473 comment=DESC_DEPCRIT3_MET,
4474 ),
4475 SummaryElement(
4476 name="neurasthenia_score",
4477 coltype=Integer(),
4478 value=result.neurasthenia,
4479 comment=DESC_NEURASTHENIA_SCORE,
4480 ),
4481 # Disorder flags
4482 SummaryElement(
4483 name="disorder_ocd",
4484 coltype=Boolean(),
4485 value=result.obsessive_compulsive_disorder,
4486 comment=DISORDER_OCD,
4487 ),
4488 SummaryElement(
4489 name="disorder_depression_mild",
4490 coltype=Boolean(),
4491 value=result.depression_mild,
4492 comment=DISORDER_DEPR_MILD,
4493 ),
4494 SummaryElement(
4495 name="disorder_depression_moderate",
4496 coltype=Boolean(),
4497 value=result.depression_moderate,
4498 comment=DISORDER_DEPR_MOD,
4499 ),
4500 SummaryElement(
4501 name="disorder_depression_severe",
4502 coltype=Boolean(),
4503 value=result.depression_severe,
4504 comment=DISORDER_DEPR_SEV,
4505 ),
4506 SummaryElement(
4507 name="disorder_cfs",
4508 coltype=Boolean(),
4509 value=result.chronic_fatigue_syndrome,
4510 comment=DISORDER_CFS,
4511 ),
4512 SummaryElement(
4513 name="disorder_gad",
4514 coltype=Boolean(),
4515 value=result.generalized_anxiety_disorder,
4516 comment=DISORDER_GAD,
4517 ),
4518 SummaryElement(
4519 name="disorder_agoraphobia",
4520 coltype=Boolean(),
4521 value=result.phobia_agoraphobia,
4522 comment=DISORDER_AGORAPHOBIA,
4523 ),
4524 SummaryElement(
4525 name="disorder_social_phobia",
4526 coltype=Boolean(),
4527 value=result.phobia_social,
4528 comment=DISORDER_SOCIAL_PHOBIA,
4529 ),
4530 SummaryElement(
4531 name="disorder_specific_phobia",
4532 coltype=Boolean(),
4533 value=result.phobia_specific,
4534 comment=DISORDER_SPECIFIC_PHOBIA,
4535 ),
4536 SummaryElement(
4537 name="disorder_panic_disorder",
4538 coltype=Boolean(),
4539 value=result.panic_disorder,
4540 comment=DISORDER_PANIC,
4541 ),
4542 ]
4544 def is_complete(self) -> bool:
4545 result = self.get_result()
4546 return not result.incomplete
4548 def diagnosis_name(self, req: CamcopsRequest, diagnosis_code: int) -> str:
4549 xstring_name = f"diag_{diagnosis_code}_desc"
4550 return self.wxstring(req, xstring_name)
4552 def diagnosis_reason(
4553 self, req: CamcopsRequest, diagnosis_code: int
4554 ) -> str:
4555 xstring_name = f"diag_{diagnosis_code}_explan"
4556 return self.wxstring(req, xstring_name)
4558 def get_suicide_intent(
4559 self,
4560 req: CamcopsRequest,
4561 result: CisrResult,
4562 with_warning: bool = True,
4563 ) -> str:
4564 if result.incomplete:
4565 html = "TASK INCOMPLETE. SO FAR: "
4566 else:
4567 html = ""
4568 html += self.wxstring(req, f"suicid_{result.suicidality}")
4569 if (
4570 with_warning
4571 and result.suicidality >= SUICIDE_INTENT_LIFE_NOT_WORTH_LIVING
4572 ):
4573 html += f" <i>{self.wxstring(req, 'suicid_instruction')}</i>"
4574 if result.suicidality != SUICIDE_INTENT_NONE:
4575 html = bold(html)
4576 return html
4578 def get_doctell(self, req: CamcopsRequest) -> str:
4579 if self.doctor is None:
4580 return ""
4581 return self.xstring(req, f"doctell_{self.doctor}")
4582 # ... xstring() as may use HTML
4584 def get_sleep_change(self, req: CamcopsRequest, result: CisrResult) -> str:
4585 if result.sleep_change == SLEEPCHANGE_NONE:
4586 return ""
4587 return self.wxstring(req, f"sleepch_{result.sleep_change}")
4589 def get_weight_change(
4590 self, req: CamcopsRequest, result: CisrResult
4591 ) -> str:
4592 if result.weight_change in (
4593 WTCHANGE_NONE_OR_APPETITE_INCREASE,
4594 WTCHANGE_APPETITE_LOSS,
4595 ):
4596 return ""
4597 return self.wxstring(req, f"wtchange_{result.weight_change}")
4599 def get_impairment(self, req: CamcopsRequest, result: CisrResult) -> str:
4600 return self.wxstring(req, f"impair_{result.functional_impairment}")
4602 def get_task_html(self, req: CamcopsRequest) -> str:
4603 # Iterate only once, for efficiency, so don't use get_result().
4605 def qa_row(q_: CisrQuestion, qtext: str, a_: Optional[str]) -> str:
4606 return tr(
4607 f"{q_.value}. {qtext}", answer(a_, formatter_answer=bold)
4608 )
4610 def max_text(maxval: int) -> str:
4611 return f" (max. {maxval})"
4613 demographics_html_list = [] # type: List[str]
4614 question_html_list = [] # type: List[str]
4615 q = CQ.ETHNIC # type: CisrQuestion
4616 result = CisrResult(req, record_decisions=True)
4617 while (not result.incomplete) and q != CQ.END_MARKER:
4618 # Iterate until we get to the end or the result declares itself
4619 # incomplete.
4620 # noinspection PyTypeChecker
4621 target_list = (
4622 demographics_html_list
4623 if q.value < CQ.HEALTH_WELLBEING.value
4624 else question_html_list
4625 )
4626 if q in QUESTIONS_PROMPT_ONLY:
4627 question = self.wxstring(req, QUESTIONS_PROMPT_ONLY[q])
4628 target_list.append(qa_row(q, question, NOT_APPLICABLE_TEXT))
4629 elif q == CQ.PANSYM: # special!
4630 target_list.append(
4631 qa_row(
4632 q,
4633 self.wxstring(req, "pansym_q_prefix"),
4634 NOT_APPLICABLE_TEXT,
4635 )
4636 )
4637 for fieldname in PANIC_SYMPTOM_FIELDNAMES:
4638 question = self.wxstring(req, fieldname + "_q")
4639 value = getattr(self, fieldname)
4640 a = get_yes_no_none(
4641 req, value == 2 if value is not None else None
4642 )
4643 target_list.append(qa_row(q, question, a))
4644 else:
4645 fieldname = fieldname_for_q(q)
4646 assert fieldname, f"No fieldname for question {q}"
4647 question = self.wxstring(req, fieldname + "_q")
4648 a = self.get_textual_answer(req, q)
4649 target_list.append(qa_row(q, question, a))
4651 q = self.next_q(q, result)
4652 # loop until we reach the end or have incomplete data
4653 result.finalize()
4654 caveat_p = result.caveat_prefix
4655 caveat_s = result.caveat_suffix
4657 is_complete = not result.incomplete
4658 is_complete_html_td = """{}<b>{}</b></td>""".format(
4659 (
4660 "<td>"
4661 if is_complete
4662 else f"""<td class="{CssClass.INCOMPLETE}">"""
4663 ),
4664 get_yes_no(req, is_complete),
4665 )
4667 summary_rows = [
4668 subheading_spanning_two_columns(f"Possible diagnoses{caveat_s}"),
4669 tr(
4670 f"{caveat_p}Possible primary diagnosis",
4671 (
4672 bold(self.diagnosis_name(req, result.diagnosis_1))
4673 + (
4674 f" ({result.diagnosis_1_icd10_code()})"
4675 if result.has_diagnosis_1()
4676 else ""
4677 )
4678 ),
4679 ),
4680 tr(
4681 italic(f"... {caveat_p}summary of reasons/description"),
4682 italic(
4683 caveat_p + self.diagnosis_reason(req, result.diagnosis_1)
4684 ),
4685 ),
4686 tr(
4687 f"{caveat_p}Possible secondary diagnosis",
4688 (
4689 bold(self.diagnosis_name(req, result.diagnosis_2))
4690 + (
4691 f" ({result.diagnosis_2_icd10_code()})"
4692 if result.has_diagnosis_2()
4693 else ""
4694 )
4695 ),
4696 ),
4697 tr(
4698 italic(f"... {caveat_p}summary of reasons/description"),
4699 italic(
4700 caveat_p + self.diagnosis_reason(req, result.diagnosis_2)
4701 ),
4702 ),
4703 subheading_spanning_two_columns("Suicidality"),
4704 tr(
4705 td(self.wxstring(req, "suicid_heading")),
4706 td(self.get_suicide_intent(req, result)),
4707 literal=True,
4708 ),
4709 tr("... spoken to doctor?", self.get_doctell(req)),
4710 subheading_spanning_two_columns("Total score/overall impairment"),
4711 tr(
4712 f"CIS-R total score (max. {MAX_TOTAL}) <sup>[1]</sup>",
4713 result.get_score(),
4714 ),
4715 tr(
4716 self.wxstring(req, "impair_label"),
4717 self.get_impairment(req, result),
4718 ),
4719 subheading_spanning_two_columns(
4720 "Subscores contributing to total " "<sup>[2]</sup>"
4721 ),
4722 tr(
4723 self.wxstring(req, "somatic_label") + max_text(MAX_SOMATIC),
4724 result.somatic_symptoms,
4725 ),
4726 tr(
4727 self.wxstring(req, "hypo_label") + max_text(MAX_HYPO),
4728 result.hypochondria,
4729 ),
4730 tr(
4731 self.wxstring(req, "irrit_label") + max_text(MAX_IRRIT),
4732 result.irritability,
4733 ),
4734 tr(
4735 self.wxstring(req, "conc_label") + max_text(MAX_CONC),
4736 result.concentration_poor,
4737 ),
4738 tr(
4739 self.wxstring(req, "fatigue_label") + max_text(MAX_FATIGUE),
4740 result.fatigue,
4741 ),
4742 tr(
4743 self.wxstring(req, "sleep_label") + max_text(MAX_SLEEP),
4744 result.sleep_problems,
4745 ),
4746 tr(
4747 self.wxstring(req, "depr_label") + max_text(MAX_DEPR),
4748 result.depression,
4749 ),
4750 tr(
4751 self.wxstring(req, "depthts_label") + max_text(MAX_DEPTHTS),
4752 result.depressive_thoughts,
4753 ),
4754 tr(
4755 self.wxstring(req, "phobias_label") + max_text(MAX_PHOBIAS),
4756 result.phobias_score,
4757 ),
4758 tr(
4759 self.wxstring(req, "worry_label") + max_text(MAX_WORRY),
4760 result.worry,
4761 ),
4762 tr(
4763 self.wxstring(req, "anx_label") + max_text(MAX_ANX),
4764 result.anxiety,
4765 ),
4766 tr(
4767 self.wxstring(req, "panic_label") + max_text(MAX_PANIC),
4768 result.panic,
4769 ),
4770 tr(
4771 self.wxstring(req, "comp_label") + max_text(MAX_COMP),
4772 result.compulsions,
4773 ),
4774 tr(
4775 self.wxstring(req, "obsess_label") + max_text(MAX_OBSESS),
4776 result.obsessions,
4777 ),
4778 subheading_spanning_two_columns("Other"),
4779 tr("Sleep change", self.get_sleep_change(req, result)),
4780 tr("Weight change", self.get_weight_change(req, result)),
4781 tr(DESC_DEPCRIT1, result.depr_crit_1_mood_anhedonia_energy),
4782 tr(DESC_DEPCRIT2, result.depr_crit_2_app_cnc_slp_mtr_glt_wth_sui),
4783 tr(DESC_DEPCRIT3, result.depr_crit_3_somatic_synd),
4784 tr(DESC_DEPCRIT3_MET, result.has_somatic_syndrome()), # RNC
4785 tr(DESC_NEURASTHENIA_SCORE, result.neurasthenia),
4786 subheading_spanning_two_columns(f"Disorder flags{caveat_s}"),
4787 tr(DISORDER_OCD, result.obsessive_compulsive_disorder),
4788 tr(DISORDER_DEPR_MILD, result.depression_mild),
4789 tr(DISORDER_DEPR_MOD, result.depression_moderate),
4790 tr(DISORDER_DEPR_SEV, result.depression_severe),
4791 tr(DISORDER_CFS, result.chronic_fatigue_syndrome),
4792 tr(DISORDER_GAD, result.generalized_anxiety_disorder),
4793 tr(DISORDER_AGORAPHOBIA, result.phobia_agoraphobia),
4794 tr(DISORDER_SOCIAL_PHOBIA, result.phobia_social),
4795 tr(DISORDER_SPECIFIC_PHOBIA, result.phobia_specific),
4796 tr(DISORDER_PANIC, result.panic_disorder),
4797 ]
4799 return f"""
4800 <div class="{CssClass.HEADING}">{self.wxstring(req, "results_1")}</div>
4801 <div>
4802 <b>Important note:</b> The CIS-R is a structured automated
4803 interview, yielding suggested possible ICD-10 diagnoses for
4804 depressive and anxiety disorders. These suggestions may be
4805 wrong; for example, the algorithm fails to consider many
4806 exclusion criteria (e.g. relating to psychoactive substance use
4807 or organic mental disorder). The suggestions are not a
4808 substitute for diagnosis by a qualified clinician. Original
4809 CIS-R warning:
4810 </div>
4811 <div>{self.wxstring(req, "results_2")}</div>
4812 <div class="{CssClass.SUMMARY}">
4813 <table class="{CssClass.SUMMARY}">
4814 <tr>
4815 <td width="50%">Completed?</td>
4816 {is_complete_html_td}
4817 </tr>
4818 {"".join(summary_rows)}
4819 </table>
4820 </div>
4822 <div class="{CssClass.FOOTNOTES}">
4823 [1] {self.wxstring(req, "score_note")}
4824 [2] {self.wxstring(req, "symptom_score_note")}
4825 </div>
4827 <div class="{CssClass.HEADING}">
4828 Preamble/demographics (not contributing to algorithm)
4829 </div>
4830 <table class="{CssClass.TASKDETAIL}">
4831 <tr>
4832 <th width="75%">Page</th>
4833 <th width="25%">Answer</td>
4834 </tr>
4835 {"".join(demographics_html_list)}
4836 </table>
4838 <div class="{CssClass.HEADING}">
4839 Data considered by algorithm (may be a subset of all data if
4840 subject revised answers)
4841 </div>
4842 <table class="{CssClass.TASKDETAIL}">
4843 <tr>
4844 <th width="75%">Page</th>
4845 <th width="25%">Answer</td>
4846 </tr>
4847 {"".join(question_html_list)}
4848 </table>
4850 <div class="{CssClass.HEADING}">Decisions</div>
4851 <pre>{"<br>".join(ws.webify("‣ " + x) for x in result.decisions)}</pre>
4853 <div class="{CssClass.COPYRIGHT}">
4854 • Original papers:
4856 ▶ Lewis G, Pelosi AJ, Aray R, Dunn G (1992).
4857 Measuring psychiatric disorder in the community: a standardized
4858 assessment for use by lay interviewers.
4859 Psychological Medicine 22: 465-486. {pmid(1615114)}.
4861 ▶ Lewis G (1994).
4862 Assessing psychiatric disorder with a human interviewer or a
4863 computer.
4864 J Epidemiol Community Health 48: 207-210. {pmid(8189180)}.
4866 • Source/copyright: Glyn Lewis.
4868 ▶ The task itself is not in the reference publications, so
4869 copyright presumed to rest with the authors (not the journals).
4871 ▶ “There are no copyright issues with the CISR so please adapt
4872 it for use.” — Prof. Glyn Lewis, personal communication to
4873 Rudolf Cardinal, 27 Oct 2017.
4874 </div>
4875 """ # noqa