HL40
LensesHL40anxious
HL40· lens dictionary-V +A · anxious

Health Lens

Health, symptoms, treatment experience, distress, and somatic functioning.

350
dimensions
110
clusters
412
sources
0.71
PROMIS kappa
Atlas350 dimensions
Dimension atlas

350 proxy dimensions

All 350 dimensions
D0001drug usedrug use measures whether expressions indicate use of non-prescribed or illegal substances and, when specified, the extent or frequency of that use. It encompasses references to trying, taking, smoking, injecting, sniffing, or repeatedly using drugs, including marijuana and hashish.
D0002depressed mooddepressed mood measures the presence and persistence of low, depressed, down, hopeless, or uncheerable feeling states. It encompasses expressions ranging from weak or ambiguous activation to clear depressive feelings and sustained day-by-day depressed mood.
D0003child functional developmentchild functional development measures the extent to which expressions describe a young child's everyday functional abilities across communication, self-care, motor skills, following directions, and early cognitive skills. It encompasses parent- or observer-reported developmental milestones, from first sounds, grasping, and feeding through forming complete sentences, using utensils, stacking blocks, drawing, and recognizing one's own name.
D0004physical assault exposurephysical assault exposure measures whether expressions describe being threatened with bodily harm or being subjected to physical violence, including direct attacks and physically aggressive acts by another person. It encompasses both threatened harm and enacted assault in interpersonal contexts.
D0005healthcare accesshealthcare access measures whether expressions concern obtaining needed medical care, reaching providers, and receiving services despite financial, logistical, or coverage-related barriers. It encompasses both unmet need for care and active use of healthcare services and visits.
D0006pregnancy and birth experiencepregnancy and birth experience measures how strongly an expression centers on pregnancy, prenatal care, and childbirth-related events or timing. It encompasses references ranging from general pregnancy-related content to specific prenatal care engagement and detailed delivery timing or birth circumstances.
D0007debt burdendebt burden measures the extent of financial strain and indebtedness reflected in an expression, including difficulty paying bills, credit consequences, and the amount of money currently owed. It encompasses both trouble meeting routine payments and more entrenched debt obligations.
D0008food consumption reportingfood consumption reporting measures whether expressions describe eating, being given food, or counting how often food was consumed. It encompasses references to specific foods, prepared foods, and frequency-based reports of recent consumption.
D0009smoking involvementsmoking involvement measures the extent to which expressions indicate engagement with smoking, from simple use or history of use to regular use and personally salient identification with smoking. It encompasses smoking behavior, habituality, and the degree to which smoking is experienced as part of one's life or self-concept.
D0010sibling presencesibling presence measures whether and how strongly an expression refers to having siblings, especially brothers and sisters, including counts and distinctions such as living, older, biological, half, step, or adopted siblings. It encompasses both broad family-reference expressions and explicit enumeration of siblings.
D0011bereavement exposurebereavement exposure measures whether expressions describe having experienced the death of someone close, including family members, partners, friends, or other close relations. It encompasses both general acknowledgment of such losses and more explicitly recent or repeated experiences of death among close others.
D0012criminal involvementcriminal involvement measures the extent to which expressions indicate participation in illegal acts and related justice-system contact. It encompasses direct engagement in crime, especially theft-related offenses, as well as arrests, court involvement, and incarceration tied to those acts.
D0013HIV stigmaHIV stigma measures the presence of HIV-related social judgment, exclusion, discomfort, shame, blame, or barriers in an expression. It encompasses both concrete experiences and needs linked to HIV status and broader attitudes toward people with HIV.
D0014life satisfactionlife satisfaction measures expressed satisfaction with one's life, from satisfaction with helpful actions in one's social world to explicit satisfaction with life overall. It encompasses positive evaluation of life and, at some levels, satisfaction framed in broad overall or whole-life terms.
D0015vaccination extentvaccination extent measures how much an expression is concerned with receiving vaccines or immunizations, including whether vaccination occurred and how many doses, shots, or specific vaccines were received. It encompasses both basic vaccination receipt and more detailed enumeration of vaccination history.
D0016discrimination exposurediscrimination exposure measures the extent to which expressions describe being subjected to unfair, disrespectful, exclusionary, or prejudicial treatment. It encompasses both general interpersonal mistreatment and more explicit identity-based discrimination.
D0017peer deviance exposurepeer deviance exposure measures how much an expression reflects involvement with friends or close peers who engage in or approve of substance use, rule breaking, or anti-school behavior. It encompasses both general peer connectedness references and more specific indications that close friends participate in or normalize problematic behavior.
D0018psychological distress: dysphoric turmoilpsychological distress: dysphoric turmoil measures the presence and intensity of troubled, dysphoric, or destabilized inner experience in an expression. It encompasses hardship-linked distress, anxious tension, negative life evaluation, and acute states such as feeling lost, miserable, hollow, sick, or in despair.
D0019alcohol consumptionalcohol consumption measures the presence and extent of drinking behavior, from any lifetime use to typical quantity and heavier drinking occasions. It encompasses whether alcohol has been consumed at all, how many drinks are usually consumed, and whether drinking reaches larger single-occasion amounts.
D0020emotional distressemotional distress measures the presence and intensity of unsettled, troubled, or dysphoric emotional experience, including tension, anxiety, upset, and related impairment in ease or enjoyment. It also encompasses broader signs of being troubled or needing help when those expressions reflect this same distressed state.
D0021developmental disability identificationdevelopmental disability identification measures whether an expression indicates recognized long-term developmental, learning, or related disability conditions, typically through diagnosis, professional identification, or service receipt. It encompasses both broad references to long-term illness or disability and more specific identification of learning, intellectual, or developmental conditions.
D0022panic attack experiencepanic attack experience measures the presence and specificity of expressions about having attacks or spells, including their occurrence, timing, recurrence, help-seeking, and situational patterning. It encompasses both general references to attacks and more clearly characterized episodes that are sudden, unexpected, or linked to particular situations.
D0023asthma statusasthma status measures whether an expression indicates the presence, recognition, or management of asthma. It encompasses references to having asthma, receiving an asthma diagnosis, experiencing asthma-related symptoms, and engaging with treatment or professional guidance about asthma.
D0024physical self-care independencephysical self-care independence measures the ability to move the body and carry out everyday self-care activities without assistance. It encompasses mobility, transfers, dressing, eating, and related daily actions, especially whether they can be done independently rather than with hands-on help.
D0025ambulatory activityambulatory activity measures the extent and frequency of getting around by walking or bicycling. It encompasses general walking, outdoor walking, and routine travel or errands done on foot or by bike.
D0026provider discussion engagementprovider discussion engagement measures the extent to which expressions describe active, substantive conversation with a provider or similar helping professional about health, personal concerns, barriers, or priorities. It encompasses opportunities to ask questions, discussion of problems and life issues, and collaborative talk about goals or important concerns.
D0027second-hand smoke exposuresecond-hand smoke exposure measures the extent to which an expression indicates being around other people's tobacco smoke in shared environments. It encompasses household smoking presence as well as direct exposure to smoke in homes, workplaces, public places, and nearby indoor or outdoor settings.
D0028tranquilizer usetranquilizer use measures whether expressions indicate use of tranquilizers and the extent to which that use includes prescribed, repeated, or nonmedical use. It encompasses general mention or absence of clear evidence, use of tranquilizers as medication, and use that is self-directed, excessive, or for nonmedical reasons.
D0029recent-week framing[Method artifact] recent-week framing measures how strongly an expression is framed around experiences or evaluations tied to the past week or past few weeks. It encompasses explicit short-term time anchoring and week-based self-report wording, regardless of whether the content is positive or negative.
D0030social ease: cheerful sociabilitysocial ease: cheerful sociability measures how comfortably and positively an expression portrays being with other people, especially getting along, having friends, enjoying company, and showing a happy or easygoing interpersonal manner.
D0031compassionate responsivenesscompassionate responsiveness measures the tendency to notice others' distress or needs and respond with care, comfort, help, or supportive follow-through. It encompasses both prosocial helping behavior and a sympathetic, tender-hearted orientation toward other people.
D0032substance treatment involvementsubstance treatment involvement measures the extent of engagement with treatment, counseling, recovery groups, and treatment programs related to alcohol or drug use. It encompasses whether treatment has been received as well as broader participation across treatment settings, program types, and self-help meetings.
D0033emotional interferenceemotional interference measures how much emotions, nerves, low mood, or mental health problems disrupt everyday functioning and create difficulty carrying out daily activities. It encompasses interference with self-management, social and cognitive functioning, relaxation, learning, and role responsibilities.
D0034recent two-week framing[Method artifact] recent two-week framing measures how strongly an expression is organized around a recent two-week reference period. It encompasses explicit mention of the past or last two weeks across content involving mood, illness, injury, and functioning.
D0035HIV caregiving acceptanceHIV caregiving acceptance measures willingness to personally care for and live closely with a person or family member who has HIV or AIDS. It encompasses acceptance of intimate household contact, including welcoming, living with, and providing care during illness.
D0036worry severityworry severity measures the extent and intensity of worry and anxiety, including how often it occurs, how strongly it is felt, and how much it becomes hard to manage. It encompasses expressions of anxious distress, physical or sleep-related effects of worry, and worry that is excessive, wide-ranging, or difficult to control.
D0037symbolic language abilitysymbolic language ability measures the ability expressed through using words and sentences to represent, describe, and organize experience beyond the immediate moment. It encompasses early symbolic labeling and noticing of meaningful events as well as more advanced expression involving absent referents and combined sentences.
D0038developmental impairmentdevelopmental impairment measures the presence and severity of difficulties in a child's functioning, including problems with participation, learning, social engagement, emotional regulation, and basic behavioral or motor organization. It encompasses expressions describing mild barriers to normal participation as well as more pervasive and clinically salient disturbance.
D0039pandemic impactpandemic impact measures how strongly an expression is centered on the coronavirus pandemic and its consequences in personal, household, or daily life. It encompasses references to pandemic-related information, timing, exposure, disruption, illness, testing, quarantine, and effects on care or functioning.
D0040fearfulnessfearfulness measures the presence and frequency of feeling afraid, scared, frightened, or fearful. It encompasses both situational fear tied to particular episodes or social situations and more generalized fear that can arise easily or without a clear reason.
D0041food insecurityfood insecurity measures difficulty obtaining enough food because of limited money or resources. It encompasses unmet food needs, reliance on low-cost or restricted food options, reduced meal size or intake, and hunger linked to inadequate access to food.
D0042concealment of condition statusconcealment of condition status measures the extent to which expressions involve managing, restricting, or hiding disclosure of a stigmatized health condition. It encompasses secrecy, selective telling, concern about others spreading the information, and active efforts to keep the condition unknown.
D0043mental health problem involvementmental health problem involvement measures the extent to which expressions indicate the presence, recognition, impact, or treatment-related engagement of mental health problems. It encompasses references to mental illness or conditions, help-seeking or treatment, barriers to receiving care, and functional disruption linked to mental health.
D0044household event reportinghousehold event reporting measures the extent to which an expression is framed as reporting or querying concrete events, occurrences, or conditions involving the person, family, child, or household. It encompasses references to whether something happened, how often it happened, and situational details about recent experiences or household circumstances.
D0045physical punishment endorsementphysical punishment endorsement measures the extent to which expressions support, justify, or report the use of physical force as a way to discipline children. It encompasses both references to actual spanking or hitting practices and beliefs that such punishment is necessary, effective, or desirable.
D0046perceived substance harmperceived substance harm measures how strongly an expression frames smoking or drug use as dangerous, harmful, or likely to cause physical or other self-harm. It encompasses judgments about risk, danger, and harmfulness across occasional and regular use.
D0047MDMA salienceMDMA salience measures how strongly an expression is centered on MDMA or ecstasy as a topic, including use history, frequency or timing of use, and perceived risk of trying it. It encompasses both direct reports of MDMA use and judgments about the harms of MDMA use.
D0048patient clinical documentationpatient clinical documentation measures the extent to which an expression is framed as formal patient-focused clinical record content. It encompasses references to the patient, care use, prescriptions, admission-related status, behavioral presentation, and medical history.
D0049pesticide exposurepesticide exposure measures whether an expression concerns contact with pesticides, including being around them, applying them, mixing or loading them, or reporting bodily effects after use. It encompasses general mention of pesticide contact as well as more direct and specific forms of handling or exposure.
D0050deliberative self-controldeliberative self-control measures the tendency to pause, think carefully, and consider consequences before acting or deciding. It encompasses prudence, careful reasoning, and reflective regulation of behavior.
D0051psychological distress: helpless agitationpsychological distress: helpless agitation measures the presence and intensity of troubled emotional and mental experience in an expression, especially hopelessness, negative self-view, worry, restlessness, helplessness, concentration problems, sleep disturbance, and feeling disliked or unwanted. It captures both general emotional difficulty and more pervasive recurrent distress marked by agitated helplessness and social devaluation.
D0052substance use saliencesubstance use salience measures how strongly an expression centers on psychoactive substance use, especially recognition of use, its frequency, dependence, and its perceived personal or social consequences. It encompasses references ranging from general substance-related mention to explicit judgments about harm and life impact.
D0053frustration experiencefrustration experience measures the presence and salience of feeling frustrated, including expressions of being unable to do or control something and broader references to psychological frustration. It encompasses both straightforward reports of frustration and more explicitly internalized or psychologically framed frustration.
D0054political process engagementpolitical process engagement measures how strongly an expression is framed around formal politics, public policy, elections, legislative activity, and official decision procedures. It encompasses both general references to political issues and more specific references to campaigning, voting, and legislative actions.
D0055perceived likelihoodperceived likelihood measures whether an expression is framed as judging the chance, probability, or percent chance of an event or outcome. It encompasses general probability questions as well as more specific judgments about health, infection, side effects, pregnancy, and related future outcomes.
D0056healthy eating orientationhealthy eating orientation measures the extent to which expressions focus on eating in health-related terms, including attention to fruits, vegetables, servings, and judgments about what counts as healthy eating. It encompasses both general references to food intake and more explicit framing of nutritious eating practices and norms.
D0057school-based stigmaschool-based stigma measures stigmatizing judgment, exclusion, or social discomfort directed at people in school roles or school settings, especially around perceived contamination, moral disapproval, or social acceptability. It encompasses expressions about respect, comfort, appropriateness, and whether someone should be allowed to remain in a school-related role.
D0058hospitalization extenthospitalization extent measures the amount and intensity of hospital-based care reflected in an expression, including whether hospitalization or hospital visits occurred and how much inpatient time was involved. It encompasses both general hospital use and more specific indicators such as repeated stays, outpatient visits, and length of stay.
D0059smoking-related social easesmoking-related social ease measures the extent to which expressions portray smoking as improving comfort, confidence, relaxation, or interpersonal ease, especially around other people. It encompasses both general emotional relief from smoking and more specific beliefs that smoking makes social interaction easier or more self-assured.
D0060early motor developmentearly motor development measures the presence and complexity of age-typical body movement, posture, reaching, grasping, and coordinated limb actions in expressions about a young child. It encompasses gross and fine motor behaviors from basic movement and head control to more coordinated reaching, grasping, and mobility.
D0061separation distressseparation distress measures anxious distress, fear, and upset tied to being apart from a specific attachment figure or anticipating that separation. It encompasses emotional, cognitive, behavioral, and physical reactions centered on needing proximity and fearing loss of contact.
D0062emergency care useemergency care use measures the presence and extent of emergency department utilization, from little or no clear emergency-care content to expressions describing emergency visits and their accumulated volume. It also encompasses more elaborated descriptions that classify or sum types of emergency visits.
D0063child emotional functioningchild emotional functioning measures the quality and stability of a child's emotional and psychosocial experience as described in expressions about mood, worry, self-regard, ease of thinking, enjoyment, activity, and social or family engagement. It encompasses both positive and negative emotional states as well as signs of distress or disruption in everyday functioning.
D0064marijuana-related impairmentmarijuana-related impairment measures the extent to which marijuana use is linked to diminished functioning, reduced motivation, and accumulating negative consequences. It encompasses expressions ranging from little or no clear impairment to broad, consequential disruption associated with marijuana use.
D0065family drug communicationfamily drug communication measures the extent to which expressions involve communication, monitoring, or guidance within families about drug use and its risks. It encompasses perceived parental awareness and disapproval, willingness to discuss drug-related concerns, and active teaching or conversation about drugs.
D0066goal pursuitgoal pursuit measures the extent to which an expression reflects setting personal goals, working toward them, and seeing oneself as making progress or achieving them. It encompasses both current goal attainment and an active orientation toward challenging, sustained goals.
D0067perceived change over timeperceived change over time measures whether an expression frames experience as a comparison between the present and an earlier period, especially in terms of improvement, worsening, stability, or progress. It encompasses self-judgments of change across life, health, well-being, functioning, and related conditions.
D0068perceived helpfulness of careperceived helpfulness of care measures how much an expression evaluates treatment, services, professional contact, or assistance as useful, effective, or helpful in addressing a problem, condition, or need. It encompasses judgments about whether received care or support made a meaningful positive difference.
D0069back pain burdenback pain burden measures the presence and impact of back pain problems, including back trouble, related pain conditions, and the extent to which symptoms interfere with daily activities or work.
D0070birth outcome complicationsbirth outcome complications measures whether an expression concerns problematic or clinically consequential birth outcomes, including prematurity, congenital abnormalities, special newborn care, survival at birth, and neonatal death-related outcomes.
D0071social drug-use contextsocial drug-use context measures the extent to which an expression concerns the situational and interpersonal circumstances surrounding substance use, including where use occurs, who is present, and whether use happens in social settings. It encompasses references to locations, companions, and specific use situations rather than substance use in the abstract.
D0072marijuana disapprovalmarijuana disapproval measures the extent to which expressions convey opposition to marijuana use, availability, or legal acceptance. It encompasses views about relaxing marijuana laws, medical legalization, adult use, and explicit moral or social disapproval of trying or using marijuana.
D0073caregiving timecaregiving time measures the extent of time and activity devoted to providing unpaid care or assistance to other people, especially family members, friends, or household and non-household members with illness, disability, symptoms, or daily living needs. It encompasses both general caregiving involvement and more time-intensive, day-specific care.
D0074peer approval of risky behaviorpeer approval of risky behavior measures how much expressions focus on whether friends or age peers see risky, rule-breaking, or health-compromising behavior as socially desirable or undesirable. It encompasses perceived social image and peer judgments attached to behaviors such as unsafe conduct, smoking, sexual risk, and substance use.
D0075unpredictabilityunpredictability measures the extent to which expressions describe people, routines, life circumstances, or material conditions as variable, uncertain, or hard to foresee. It encompasses both perceived instability in situations and inconsistency in how people behave.
D0076neurological health problemsneurological health problems measures the presence and salience of health-related expressions, especially those involving neurological symptoms, episodes, or related clinical concerns. It encompasses a shift from little clearly identifiable content to general illness and injury references, and then to more specific signs of neurological disturbance.
D0077physical assaultphysical assault measures the presence and severity of expressions describing intentional physical force used against another person. It encompasses acts ranging from forceful grabbing or throwing objects to hitting, kicking, choking, or other violent bodily attacks.
D0078salt usesalt use measures the extent to which expressions focus on using, adding, preferring, restricting, or otherwise managing salt in food. It encompasses both behavioral use of salt and explicit attention to salt in eating practices and diet.
D0079job-relatednessjob-relatedness measures the extent to which an expression is centered on employment and work activity. It encompasses references to having jobs, working hours and schedules, and evaluations of job conditions such as pay, satisfaction, and future prospects.
D0080count reportingcount reporting measures the extent to which an expression is framed as a quantified tally, score, total, or number of events, visits, durations, or assessments. It encompasses simple references with little explicit quantification as well as strongly count-based expressions centered on enumerated totals and frequencies.
D0081spiritualityspirituality measures the extent to which expressions reflect spiritual or religious beliefs, experiences, practices, values, and self-identification. It encompasses both specific supernatural or ritual content and broader views of spirituality as a meaningful part of life and well-being.
D0082coercive takingcoercive taking measures the use of force, threats, or intimidation to obtain money or other valued things from other people. It encompasses expressions ranging from little or no clear indication of such behavior to direct forceful taking and weapon-involved incidents.
D0083oppositional aggressionoppositional aggression measures the extent to which expressions describe defiant, noncompliant, and combative behavior, including difficulty stopping behavior when told no, fighting, and openly challenging adults. It encompasses both general disruptive resistance and more forceful hostile or destructive acting out.
D0084pet exposurepet exposure measures the presence and extent of contact with pets or other household animals in everyday life. It encompasses whether animals are present, how much they are integrated into the home, and whether they affect daily routines such as sleep.
D0085age of onset recallage of onset recall measures whether an expression asks for the age or timing of a first occurrence, start, or onset of an event or experience. It encompasses recall of when something began, first happened, or was first identified or acted on.
D0086center staffing enumerationcenter staffing enumeration measures the extent to which an expression focuses on counting or classifying people, roles, and organizational features within a center or classroom setting. It encompasses general center composition, staffing counts, classroom structure, and the employment of participating parents within the center.
D0087cardiovascular condition historycardiovascular condition history measures whether expressions indicate a history of diagnosed or experienced cardiovascular-related conditions and events. It encompasses hypertension, chest pain suggestive of cardiac problems, heart attack, stroke, and elevated blood lipids or cholesterol.
D0088valued child qualitiesvalued child qualities measures the kinds of personal and social qualities that expressions present as important or desirable for a child to have or learn. It encompasses preferences for interpersonal harmony, self-regulation, judgment, manners, obedience, and effortful conduct.
D0089transportation accesstransportation access measures the availability, convenience, usability, and practical adequacy of transportation options for everyday travel. It encompasses whether a person can get where they need to go, how usable public transportation feels, and how transportation supports or limits daily activities and connections.
D0090care provider identificationcare provider identification measures whether an expression is about identifying a person who gives care, help, treatment, or oversight. It encompasses references to naming or locating who provided assistance, from weak or incidental person-identification prompts to explicit identification of caregivers and health providers.
D0091headache burdenheadache burden measures the presence and extent of headache-related symptoms and their impact. It encompasses expressions about having headaches or migraines, their frequency or severity, and the degree to which they involve impairment, triggers, or clinical attention.
D0092maternal relationship qualitymaternal relationship quality measures the perceived quality of a person's relationship with their mother or mother figure, including care, warmth, comfort, communication, and problematic or adverse maternal behavior. It encompasses both supportive maternal responsiveness and more troubled or strained maternal interactions and circumstances.
D0093exercise valuationexercise valuation measures the extent to which expressions portray exercise and physical activity as important, sufficient, enjoyable, meaningful, and personally rewarding. It encompasses simple reference to exercise at weaker levels and increasingly positive emotional, motivational, and fulfillment-related appraisals at stronger levels.
D0094infectious disease risk perceptioninfectious disease risk perception measures how strongly an expression focuses on the likelihood or health threat of catching or being harmed by an infectious disease. It encompasses perceived chances of infection as well as perceived danger of activities or situations during an outbreak.
D0095illness care seekingillness care seeking measures whether an expression concerns seeking care for a recent illness episode, especially care obtained outside the home. It encompasses references to recent illness episodes, decisions to seek care, and related details about where care was sought and what was spent.
D0096postpartum health check contactpostpartum health check contact measures whether an expression concerns health checks or examinations occurring after childbirth, including checks on the mother, baby, or both and the timing of those checks. It encompasses post-delivery follow-up contact as well as immediate in-facility checking after birth.
D0097mental illness stigmamental illness stigma measures the extent to which expressions concern stigmatizing beliefs, social distance, exclusion, disgust, sympathy denial, or perceived normality and recoverability regarding people with mental illness and closely related conditions. It encompasses both overt rejection and more general judgments about whether affected people can live normal, productive, socially accepted lives.
D0098marine fish engagementmarine fish engagement measures the extent to which an expression concerns interaction with marine fish and coastal waters, including eating seafood, visiting beaches or coastal areas, and actively fishing in saltwater. It encompasses both general marine-related exposure and more specific participation in saltwater fishing.
D0099outpatient substance abuse treatment reportingoutpatient substance abuse treatment reporting measures the extent to which an expression focuses on administrative counting, percentages, service use, referral, and treatment outcome reporting for outpatient substance abuse clients. It encompasses expressions about client volumes, service delivery, waiting lists, treatment status, and recorded outcomes within treatment programs.
D0100depressive distressdepressive distress measures the presence and intensity of depressed mood and related impairment, including discouragement, hopelessness, social withdrawal, poor concentration, and negative self-worth. It encompasses expressions ranging from little clear depressive content to pronounced depressive suffering.
D0101peer victimizationpeer victimization measures the extent to which expressions describe being targeted by other children or schoolmates through bullying, teasing, rejection, harassment, or related mistreatment. It encompasses both general interpersonal targeting and repeated school-based ridicule or exclusion.
D0102personal exposure to serious illnesspersonal exposure to serious illness measures how much an expression indicates direct knowledge of, contact with, or social proximity to people affected by severe health or behavioral problems. It encompasses awareness of diagnosed illness, substance problems, AIDS-related illness, death, and related mistreatment within one's personal network.
D0103tetanus immunization timingtetanus immunization timing measures whether an expression concerns tetanus vaccination in relation to pregnancy and how specifically it focuses on the timing or recency of that vaccination. It encompasses general receipt of tetanus injections during pregnancy as well as explicit reference to the last tetanus shot before pregnancy.
D0104felt love and carefelt love and care measures the extent to which an expression conveys being loved, cared for, and shown affection by others. It encompasses both perceived emotional regard and affectionate behaviors that communicate warmth and closeness.
D0105perceived intellectual capabilityperceived intellectual capability measures how strongly an expression conveys a sense of being smart, intelligent, clever, wise, or generally capable in thinking and performance. It encompasses both broad self-perceived capability and explicitly intellectual self-appraisal.
D0106causal attributioncausal attribution measures the extent to which an expression focuses on explaining why something happened by identifying causes, influences, responsibility, or blame. It encompasses neutral cause-seeking, judgments about intentionality or contributing factors, and explicit assignment of personal responsibility or fault.
D0107probabilistic forecastingprobabilistic forecasting measures the extent to which an expression frames outcomes in terms of estimated chances, expected values, uncertainty, or predicted future results. It encompasses judgments about likelihood, numerical probability, and anticipated change across everyday, financial, and chance-based outcomes.
D0108fever severityfever severity measures the presence and clinical intensity of fever-related illness expressions. It encompasses whether fever occurred as well as indications of its treatment, duration, persistence, and degree.
D0109upper digestive symptomsupper digestive symptoms measures the presence and salience of symptoms involving swallowing difficulty, food sticking, throat or esophageal discomfort, heartburn, and acid reflux. It encompasses both general upper digestive complaints and more specifically described reflux-related experiences.
D0110environmental health threat perceptionenvironmental health threat perception measures how strongly an expression frames environmental hazards as harmful or threatening to personal or family health and safety. It encompasses concern about contamination, smoke, pollution, and related exposures, especially when they are described as serious risks.
D0111memory difficultymemory difficulty measures the presence and extent of problems with remembering, recalling, and mentally tracking everyday information and activities. It encompasses subjective memory decline, forgetting recent events or locations of objects, confusion, and related cognitive slips in daily life.
D0112family health history detailfamily health history detail measures how specifically an expression identifies health or mental health conditions within a person's biological relatives. It encompasses whether expressions refer only broadly to family problems or treatment, or instead specify particular relatives, lineages, conditions, counts, and illness characteristics.
D0113shame pronenessshame proneness measures the tendency for expressions to center on shame, embarrassment, and a sense of having let oneself or others down. It encompasses both actual feelings of personal defect or failure and anticipated shame in response to others finding out about one's actions or circumstances.
D0114crop loss and damagecrop loss and damage measures the extent to which expressions concern harm, threats, or losses affecting crops and plots. It encompasses production problems such as pests, salinity, chemical use, theft, and especially losses occurring after harvest.
D0115child sex identificationchild sex identification measures whether an expression is asking for or specifying a child's sex or gender category. It encompasses references to a child being male, female, a boy, or a girl, including direct gender questions and equivalent boy-or-girl formulations.
D0116research participation proceduresresearch participation procedures measures the extent to which an expression concerns formal processes of joining, conducting, or governing participation in a study. It encompasses consent, eligibility, recruitment, interviewing, ethics, randomization, withdrawal, and handling of study data.
D0117healthcare mistreatmenthealthcare mistreatment measures the extent to which expressions describe negative, disrespectful, unsafe, or error-prone experiences in receiving medical care. It encompasses perceived unfair treatment, inadequate attention, lack of respect, provider unawareness, and suspected mistakes or failures in care.
D0118consumer debt extentconsumer debt extent measures the presence and amount of personal credit, loans, balances, and related repayment obligations described in an expression. It encompasses both general references to having credit or loan accounts and more specific statements about amounts owed, outstanding balances, and credit limits.
D0119social support availabilitysocial support availability measures the extent to which expressions indicate having people who are available, dependable, and responsive for practical or emotional help. It encompasses both general access to supportive relationships and confidence that close others will listen, encourage, and provide help when problems arise.
D0120prenatal HIV information and testingprenatal HIV information and testing measures the extent to which expressions describe receiving information, offers, or testing related to HIV during pregnancy care. It encompasses parental or general HIV information at lower activation and increasingly specific prenatal counseling, test offers, and testing experiences at higher activation.
D0121perspective-taking empathyperspective-taking empathy measures the tendency to understand and imagine how other people feel, think, or see a situation from their own point of view. It encompasses both general understanding of others' feelings and active efforts to put oneself in another person's place before judging or acting.
D0122expressive vocabularyexpressive vocabulary measures whether an expression concerns a child's spoken word production, especially prompts asking whether the child or a sibling says particular words or verbal forms. It encompasses both general references to saying words and specific examples of named words being said.
D0123sexual partner extentsexual partner extent measures the breadth and risk context of a person's sexual partnering as expressed through number of partners, variety of partners, and involvement in higher-risk sexual situations. It encompasses both general partner count and sexual activity linked to exposure, intoxication, exchange, or partners associated with infection or drug use.
D0124weapon involvementweapon involvement measures the extent to which expressions concern the presence, carrying, possession, use, or exposure to weapons and firearms in violent or criminal situations. It encompasses both being threatened or harmed with weapons and actively carrying or using them.
D0125death communication difficultydeath communication difficulty measures how difficult, uncomfortable, or inhibited expressions are around talking about illness and especially death with a child/young person or their family. It encompasses worry about upsetting others, reluctance to initiate discussion, and perceived barriers to open conversation about death-related topics.
D0126electoral candidate evaluationelectoral candidate evaluation measures how strongly an expression centers on judging political candidates in terms of support, fit, effectiveness, and electability. It encompasses expressions about whether a candidate matches one's views, can govern effectively, or can win nomination or general-election contests.
D0127kidnapping exposurekidnapping exposure measures the presence and severity of involvement with kidnapping events, including risk, victimization, knowledge of others' victimization, participation in kidnapping acts, and consequences of those events. It encompasses both whether kidnapping occurs and how serious or prolonged the exposure is.
D0128prescription medication useprescription medication use measures the presence and extent of ongoing use of prescribed medicines. It encompasses whether prescription medicines are being taken at all, cost-related underuse or incomplete filling, and the number and regularity of prescription medicines used.
D0129appetite changeappetite change measures the presence and salience of changes in appetite and eating interest, including reduced appetite, increased appetite, altered desire to eat, and related weight or food-response changes. It encompasses expressions about whether appetite has changed, how noticeable that change is, and whether it is linked to other causes or conditions.
D0130panic-like arousalpanic-like arousal measures the presence and intensity of acute bodily alarm symptoms such as palpitations, sweating, trembling, chest tightness, and rapid or heavy breathing. It encompasses expressions describing little or no clear activation as well as expressions describing increasingly vivid physical episodes of anxious arousal.
D0131future optimismfuture optimism measures the extent to which expressions convey hopeful, positive versus pessimistic expectations about the future, especially one's personal future. It encompasses both general hopefulness and explicit optimism about what lies ahead.
D0132pre-arrest drug usepre-arrest drug use measures the presence and extent of substance use described in relation to the period before an arrest. It encompasses expressions ranging from little or no identifiable pre-arrest substance-use content to specific recent use of multiple drugs and inhalants.
D0133suicidalitysuicidality measures the presence, frequency, and severity of expressions about wanting to be dead, thinking about ending one's life, self-harm, and suicide attempts. It encompasses both suicidal thoughts and more acute suicidal behavior.
D0134live birth historylive birth history measures whether and how extensively an expression refers to having had children born alive. It encompasses references ranging from non-birth-related or affective pregnancy content to general reports of live-born children and more explicit statements of having given birth.
D0135allergic condition presenceallergic condition presence measures whether an expression indicates the presence, recognition, or specification of allergies or hypersensitivity. It encompasses simple mention of allergic conditions as well as more elaborated identification of allergic triggers, types, severity, or confirmation.
D0136sensory impairmentsensory impairment measures the presence and severity of abnormal bodily sensation, including numbness, tingling, loss of feeling, and reduced sensory responsiveness in the limbs. It encompasses both subjective sensory symptoms and observed decreases in sensation.
D0137stress levelstress level measures the amount and severity of stress a person experiences across life overall and in specific areas or events. It encompasses both stress tied to particular domains and a more pervasive sense of stress in daily life.
D0138intrusive thought persistenceintrusive thought persistence measures the presence, recurrence, and difficulty controlling unwanted thoughts. It encompasses expressions about thoughts that keep entering awareness, are hard to stop, and may last for extended periods or resist being pushed out of mind.
D0139partner-related saliencepartner-related salience measures the extent to which an expression centers on a spouse or partner and their condition, behavior, or circumstances. It encompasses references to a partner's status, needs, functioning, health, and impact on daily life.
D0140life event occurrencelife event occurrence measures whether expressions refer to discrete life events and their occurrence, including counting events, identifying notable events, and noting when they happened. It encompasses both general mention of events and more specific reference to negative or major events.
D0141antiretroviral treatment specificationantiretroviral treatment specification measures how explicitly an expression identifies antiretroviral therapy through named drugs, regimen combinations, treatment line, or treatment-management details such as changes, interruptions, or missed doses. It encompasses both general mention of treatment and highly specific regimen naming.
D0142sexual coercionsexual coercion measures the presence and severity of unwanted sexual contact or sexual acts imposed without willing agreement, including harassment, forced touching, and forced sex. It encompasses both nonconsensual sexual contact and incapacitated or overtly forced sexual acts.
D0143self-rated healthself-rated health measures how an expression evaluates a person's health status, including general, overall, recent, current, and past health as judged by the person or by a broad rating prompt. It encompasses both direct satisfaction with health and comparative or categorical appraisals of health quality.
D0144credit card usecredit card use measures the extent to which an expression concerns having, using, paying, or managing credit cards and their balances. It encompasses both general credit card activity and more specific patterns of payment, billing, and account handling.
D0145life evaluation framinglife evaluation framing measures whether an expression uses a global best-to-worst life rating format, especially a numbered scale or ladder for placing one's life in the present, past, or future. It encompasses broad life appraisal prompts framed as possible life situations, life quality, or standing on a life ladder.
D0146arthritis statusarthritis status measures whether an expression indicates arthritis-related symptoms, treatment, affected joints, or a professional diagnosis of arthritis. It encompasses both symptomatic or treatment-focused references and explicit confirmation that arthritis has been identified by a health professional.
D0147intentional fire-settingintentional fire-setting measures the extent to which expressions involve deliberately setting fires or participating in fire-related destructive acts. It encompasses references ranging from general fire-related acts to repeated, purposeful, and harmful fire-setting, including arson and property damage.
D0148desired family sizedesired family size measures the amount of childbearing a person wants or expects, including preferred number of children and interest in additional pregnancies. It encompasses both ideal total family size and intentions about having another child or becoming pregnant again.
D0149depressive symptom severitydepressive symptom severity measures the extent to which an expression indicates depression or depressive symptoms, including their presence, amount, and scored severity. It encompasses both generic references to depression and explicit symptom-score expressions.
D0150collaborative partnership orientationcollaborative partnership orientation measures the extent to which an expression centers on partner-linked, cooperative, or collaborative relationships and activities. It encompasses references to partners, joint treatment or involvement, and more formal cooperative or research partnerships.
D0151gift receiptgift receipt measures whether an expression involves receiving goods or items as a gift. It encompasses general references to being given something as a gift as well as more specific references to receiving food or treats as gifts.
D0152mental health help-seekingmental health help-seeking measures whether an expression concerns seeking, contacting, or consulting professionals about emotional, behavioral, or mental health difficulties. It encompasses general mention of professional help for such problems as well as more specific discussion of talking to particular professionals about symptoms such as sadness, attacks, substance use, or mood disturbance.
D0153substance-related relationship harmsubstance-related relationship harm measures the extent to which expressions describe alcohol or drug use as causing interpersonal, social, family, or practical problems, especially damage to close relationships. It encompasses both general harmful consequences of substance use and explicit reports of relationships being hurt by that use.
D0154emotion regulationemotion regulation measures how expressions describe managing, controlling, modulating, suppressing, or identifying emotional states. It encompasses both effective regulation strategies and difficulties in handling or articulating feelings.
D0155Hispanic origin identificationHispanic origin identification measures whether an expression is about identifying, classifying, or reporting Hispanic or Latino origin, background, or descent. It encompasses both general references to Hispanic family membership and more explicit self- or person-level origin categorization.
D0156moral concern scopemoral concern scope measures how broadly an expression extends care and moral consideration across targets. It encompasses the allocation of concern from narrow, interpersonal, or situational targets to increasingly inclusive categories of people, animals, and things.
D0157problem seriousnessproblem seriousness measures the perceived severity, burden, or consequential weight of a problem or set of problems. It encompasses expressions that frame an issue in terms of how serious, severe, big, or disruptive it is.
D0158food allergy statusfood allergy status measures the extent to which an expression concerns having, suspecting, treating, or confirming a food allergy or intolerance. It encompasses references ranging from little or no identifiable food-allergy content to explicit diagnosis and confirmation of a food allergy or intolerance.
D0159smoking cravingsmoking craving measures the presence and intensity of desire, urge, and felt need to smoke cigarettes. It encompasses attraction to smoking cues, difficulty going without smoking, and overpowering or hard-to-control cravings.
D0160resilienceresilience measures the ability to continue functioning, stay determined, and recover after difficulties, setbacks, hardship, illness, or frustration. It encompasses both persistence during adversity and bouncing back afterward.
D0161personal importancepersonal importance measures how strongly an expression frames something as personally significant, valued, or worth prioritizing. It encompasses stated importance across varied life domains, including general priorities and more specifically health-related values.
D0162doctor care engagementdoctor care engagement measures the extent to which an expression centers on having, using, and evaluating ongoing medical care from doctors or other health professionals. It encompasses contact with doctors, having a usual or personal doctor, multiple sources of care, and judgments about the quality of that care relationship.
D0163gratitudegratitude measures the presence and intensity of thankful appreciation, including noticing good in life, feeling grateful, and expressing appreciation toward others. It encompasses both an appreciative outlook and explicit experiences or expressions of thankfulness.
D0164ethical principlednessethical principledness measures the extent to which expressions emphasize personal moral standards, doing what is right, and adherence to ethical principles in judgment and conduct. It encompasses valuing honesty and integrity, using right-versus-wrong principles in decisions, and rejecting unethical advantage.
D0165work-life interferencework-life interference measures the extent to which demands, stress, fatigue, and emotional depletion spill over between work and personal or family life. It encompasses both general perceptions of work-life balance and concrete interference in either direction between home and work roles.
D0166recent-period symptom querying[Method artifact] recent-period symptom querying measures the extent to which expressions are framed as asking about experiences, behaviors, or events within a recent 30-day reference period. It encompasses simple recent-use count questions, broader recent-period behavior or event questions, and more explicit recent-period questions about emotional or cognitive symptoms.
D0167dependent care statusdependent care status measures the extent to which an expression concerns a person as the object of monitoring, assistance, developmental functioning, or serious health-related need. It encompasses references to another person's basic abilities, need for help, vulnerability, and care-relevant condition.
D0168well-being appraisalwell-being appraisal measures the extent to which an expression centers on evaluating a person's current well-being, including overall, mental, emotional, psychological, and social aspects. It encompasses broad appraisals of well-being as a whole as well as more specifically social forms of well-being.
D0169endorsement of physical punishmentendorsement of physical punishment measures the extent to which an expression approves of, accepts, or presents hitting, spanking, slapping, or beating children as appropriate discipline. It encompasses both general acceptance of child obedience enforced through force and explicit belief that physical punishment is necessary or beneficial.
D0170disability inclusion orientationdisability inclusion orientation measures endorsement of people with disabilities participating in ordinary shared settings, relationships, and community life rather than being separated. It encompasses support for belonging, participation, and equal inclusion in everyday social and educational contexts.
D0171drug accessdrug access measures the extent to which an expression concerns obtaining drugs, including both perceived ease of getting them and concrete sources or channels through which they are acquired. It encompasses hypothetical availability as well as actual procurement from friends, relatives, strangers, or other informal sources.
D0172recent-day reporting[Method artifact] recent-day reporting measures whether an expression is framed as a report about experiences, behaviors, symptoms, or intake occurring on the immediately preceding day or similarly recent time point. It encompasses recall prompts about what happened yesterday or a few days ago across varied content areas.
D0173vision-related limitationvision-related limitation measures the extent to which expressions concern visual functioning and the degree to which eyesight problems interfere with everyday activities, reading, mobility, and need for help. It encompasses both general references to vision status and explicit activity limitations caused by eyesight.
D0174verbal degradationverbal degradation measures the extent to which expressions describe being demeaned through insults, ridicule, belittling, humiliation, or contemptuous criticism. It encompasses interpersonal expressions that attack a person's worth, competence, or dignity through words or openly demeaning treatment.
D0175personal concernpersonal concern measures the degree to which an expression conveys worry, concern, or preoccupation about one's circumstances, risks, or ability to manage important life matters. It encompasses both diffuse everyday concern and more specific worries about finances, health-related costs, functioning, and future obligations.
D0176childbirth experiencechildbirth experience measures whether an expression is specifically about labor, delivery, and the immediate childbirth period, including timing, events, care, and complications around birth. It encompasses references to being in labor, giving birth, delivery circumstances, and postpartum problems or care.
D0177partner control and abusepartner control and abuse measures the extent to which expressions describe an intimate partner or former partner as restricting autonomy, isolating the person from others, humiliating or insulting them, or using threats or violence. It encompasses coercive control, emotional degradation, and physically aggressive partner behavior.
D0178self-efficacyself-efficacy measures perceived confidence in one's ability to manage problems, make health-related decisions, and carry out self-control in challenging situations. It encompasses general confidence in handling concerns as well as confidence in resisting specific temptations or pressures.
D0179fracture and fall historyfracture and fall history measures the presence and extent of expressions about falls, broken bones, fractures, and related bone fragility experiences. It encompasses both general reports of falling or bone breakage and more specific expressions involving hip fracture, medically recognized fracture, or family history of fracture-related bone problems.
D0180child harm exposurechild harm exposure measures the presence and severity of harmful experiences and concerning physical or behavioral signs involving a child. It encompasses caregiver incapacity, physical assault, and marked signs of possible injury or illness.
D0181family relationship satisfactionfamily relationship satisfaction measures how positively an expression evaluates family relationships, family life, and related family well-being. It encompasses general appraisals of how family relationships are going as well as explicit satisfaction with family and the quality of those relationships.
D0182personal safety perceptionpersonal safety perception measures how expressions frame a person's felt safety or unsafety in everyday environments and situations. It encompasses general security, worry about harm, and situational safety concerns tied to being alone, walking, home, school, neighborhood, or threat of attack.
D0183credit transaction complexitycredit transaction complexity measures how much an expression involves formal borrowing, repayment terms, lender actions, fees, disclosures, and add-on products within credit use. It encompasses movement from simple mention of credit access or delayed payment toward increasingly structured, conditional, and bundled credit arrangements.
D0184preventive coping orientationpreventive coping orientation measures the extent to which expressions emphasize anticipating problems, avoiding harm, and taking action to prevent or manage undesirable outcomes. It encompasses both active problem management and avoidance-based efforts aimed at reducing future difficulty or distress.
D0185word-based language assessmentword-based language assessment measures the extent to which an expression centers on eliciting, checking, or recording word-level language performance. It encompasses tasks involving word recall, repetition, comprehension, pronunciation, and identifying which words can be understood or produced.
D0186crying pronenesscrying proneness measures the tendency to cry easily, frequently, or in repeated spells. It encompasses both general susceptibility to tears and more recurrent or intense episodes of crying.
D0187cough symptomscough symptoms measures the presence and salience of coughing-related respiratory symptoms in an expression. It encompasses general cough occurrence as well as more specific cough presentations such as barking, dry, or phlegm-producing cough.
D0188social ease: friendship formationsocial ease: friendship formation measures how readily an expression conveys ease, difficulty, or comfort in making friends, keeping friends, and getting to know other people.
D0189happinesshappiness measures the presence and extent of feeling happy, cheerful, or satisfied with life or daily activity. It encompasses both situational reports of being happy and broader self-descriptions of happiness.
D0190impaired driving exposureimpaired driving exposure measures involvement with driving situations in which alcohol or drugs are affecting the driver or are being used in a vehicle. It encompasses personally driving while impaired, riding with an impaired driver, and related harmful consequences such as arrests or accidents.
D0191visual impairmentvisual impairment measures the presence and severity of vision problems described in expressions. It encompasses blurred or blurry vision, reduced sight in low light, night blindness, and difficulty seeing in daylight.
D0192loss of interestloss of interest measures the presence and extent of diminished interest or pleasure in usually enjoyable activities and experiences. It encompasses expressions about losing interest in most things, reduced ability to enjoy positive events, and persistent day-to-day lack of interest.
D0193child age referencechild age reference measures whether an expression is framed around identifying or describing a child's age or age bracket. It encompasses both general child-related expressions and more explicit age-specifying expressions.
D0194home language usehome language use measures whether expressions are about the language spoken, understood, or used in family and household communication. It encompasses general mention of another language as well as more specific reference to household members' understanding and the primary language used at home.
D0195community location referencingcommunity location referencing measures how strongly an expression is organized around identifying, describing, or selecting communities and places of residence. It encompasses references to where one lives, neighborhood belonging, and mapping or considering specific communities for housing-related choices.
D0196nervousnessnervousness measures the presence and extent of feeling nervous, tense, high-strung, or troubled by one's nerves. It encompasses both general descriptions of being a nervous person and reports of recent or recurring nervous feelings.
D0197intertemporal choice preferenceintertemporal choice preference measures how strongly an expression centers on choosing between smaller-sooner and larger-later outcomes, including explicit tradeoffs involving waiting, delayed payment, and future returns. It encompasses both direct preference statements and structured allocation or risk choices framed across time.
D0198emotional impairmentemotional impairment measures the presence and severity of emotional problems as they disrupt wellbeing, daily functioning, or prompt help-seeking. It encompasses expressions about emotional difficulties, distress, behavioral or psychological problems, and interference with regular activities.
D0199cognitive rigiditycognitive rigidity measures the tendency to hold fixed views, prefer established ways of thinking, and resist revising one's mind after forming a judgment. It encompasses both attachment to conventional or stubborn thinking and explicit unwillingness to change one's opinion or conclusion.
D0200financial situation appraisalfinancial situation appraisal measures how expressions evaluate or reflect on a person's financial condition, including perceived adequacy of money, savings, ability to cover expenses, management of finances, and overall satisfaction with one's financial situation.
D0201perceived powerlessnessperceived powerlessness measures the extent to which expressions convey feeling unable to influence, control, or change important events and conditions in one's life. It encompasses both general appraisals of control and more explicit feelings of helplessness or being powerless.
D0202psychological distress: daily life strainpsychological distress: daily life strain measures the presence and severity of troubled emotional and life-functioning experience in an expression, including depressed mood, felt struggle, sleep problems, relationship difficulties, and hardship-related disruption. It captures distress that extends into daily living, close relationships, and routine functioning.
D0203activity incapacityactivity incapacity measures the extent to which expressions describe days of illness, weakness, or health-related inability to carry out usual activities, responsibilities, or basic functioning. It encompasses both reduced physical capability and complete inability to work, study, manage daily life, or perform normal activities.
D0204sister reproductive mortalitysister reproductive mortality measures whether an expression concerns a sister's childbirth history together with death or child death around pregnancy, delivery, or the immediate period after birth. It encompasses references to sisters' births, maternal death, stillbirth, and very early neonatal death.
D0205life meaningfulnesslife meaningfulness measures the extent to which expressions convey that life, everyday activity, or one's role feels purposeful, significant, and fulfilling. It encompasses both a general sense that life is meaningful and the perception that what one does contributes meaning or fulfillment.
D0206child-focused reportingchild-focused reporting measures the extent to which an expression is framed as a report about a child’s status, experiences, exposures, or care. It encompasses references to child development and behavior, child events and incidents, and concrete counts of what was given to or happened to the child.
D0207pregnancy affectpregnancy affect measures emotional orientation toward a pregnancy or becoming pregnant, including whether the pregnancy was wanted and how positively or negatively it was received. It encompasses desire for pregnancy, immediate emotional reaction, and explicit happiness or unhappiness about the pregnancy.
D0208cannabis use involvementcannabis use involvement measures whether an expression indicates engagement with cannabis use and, when present, how specifically that use is elaborated in terms of frequency, forms, purposes, or consequences. It encompasses simple lifetime use references as well as more detailed expressions about patterns, reasons, and impacts of use.
D0209sense of belongingsense of belonging measures the extent to which an expression conveys feeling accepted, at home, or part of a community, group, place, or field. It encompasses both general references to belonging and stronger, more explicit identification with a community or social setting.
D0210stepparent relationship involvementstepparent relationship involvement measures the extent to which expressions concern contact with, evaluation of, conflict with, or harmful treatment involving a stepmother or stepfather. It encompasses both ordinary relationship engagement and more adverse or coercive interactions within that relationship context.
D0211manic symptom intensitymanic symptom intensity measures the presence and severity of expressions describing manic episodes and their characteristic features. It encompasses elevated or irritable mood, exaggerated self-confidence, racing thoughts, reduced need for sleep, increased activity, and related impairment during episodes.
D0212gang involvementgang involvement measures the extent to which expressions reflect exposure to, association with, participation in, or identification with gangs. It encompasses concern about gang-related harm, gang presence in one's social environment, active gang membership, and personal attachment to gang membership.
D0213task initiation drivetask initiation drive measures a person's energetic readiness to begin tasks and plans promptly, along with a tendency to stay engaged once started. It encompasses eagerness to get going, immediate action on intentions, and persistent involvement in ongoing activity.
D0214antimalarial medication useantimalarial medication use measures whether an expression refers to taking, being prescribed, or otherwise using medication for malaria treatment. It encompasses both general mention of antimalarial drugs and specific named antimalarial medicines or treatment combinations.
D0215interpersonal trustinterpersonal trust measures the extent to which an expression concerns confidence that other people are reliable, honest, or dependable across close relationships, community members, and professionals. It encompasses trust in specific known people as well as more generalized trust in people and social contacts.
D0216racial identity salienceracial identity salience measures how centrally race is brought into a person's self-understanding, interpersonal experience, and family socialization. It encompasses awareness of race in identity, experiences of race-based visibility or exclusion, and explicit discussion or teaching about race and racism.
D0217change orientationchange orientation measures how strongly an expression centers on change as something that can be handled, initiated, learned from, or used for improvement and growth. It encompasses both personal adaptation to change and belief in the possibility of meaningful change more generally.
D0218spending extentspending extent measures the presence and amount of monetary outlay described in an expression. It encompasses references to expenditures, costs, and spending across everyday goods and services as well as more specific domains such as health-related expenses.
D0219functional interferencefunctional interference measures how much a person's felt emotional or mood-related problems disrupt everyday functioning and relationships. It encompasses impairment in work, school, home responsibilities, social life, and getting along with family or friends.
D0220social cue responsivenesssocial cue responsiveness measures how readily an expression reflects noticing, interpreting, and using other people's signals to guide attention, emotion, or behavior. It encompasses basic orienting to social signals as well as using another person's facial or emotional reactions to decide how to act.
D0221thirst and fluid intakethirst and fluid intake measures the presence and extent of thirst experience together with attention to drinking water, other liquids, and rehydration-related intake. It encompasses expressions about feeling thirsty as well as expressions about receiving or consuming fluids.
D0222visit occurrencevisit occurrence measures the extent to which an expression is centered on a visit event, including whether a visit happened and details about its timing, duration, scheduling, result, or repeated occurrence. It captures salience of visits as the main focus of the expression.
D0223community change agencycommunity change agency measures perceived and enacted ability to work with others to improve one's community. It encompasses beliefs about making a difference, organizing or leading collective efforts, and active contribution to solving community problems.
D0224episode durationepisode duration measures the extent to which an expression is about the length, persistence, or temporal span of an episode, including whether it is still ongoing and how much it disrupts life over time. It encompasses simple mention of episodes, reference to episode occurrence, and more explicit focus on how long episodes last.
D0225injection equipment sharinginjection equipment sharing measures involvement in using, sharing, lending, or receiving needles and syringes in connection with drug injection. It encompasses both general injection-equipment use patterns and direct interpersonal circulation of used equipment.
D0226health insurance satisfactionhealth insurance satisfaction measures expressed satisfaction with health insurance coverage and plan cost-sharing features such as deductibles, co-pays, and out-of-pocket payments. It encompasses general evaluations of insurance coverage as well as satisfaction with specific payment obligations within a plan.
D0227substance use motivationsubstance use motivation measures whether an expression centers on reasons for using substances, especially marijuana or hashish, and on the motives given for that use. It encompasses general mention of reasons, mixed motive content, and explicit endorsement of use motives such as relaxation, experimentation, pleasure, or felt need.
D0228disaster-related disruptiondisaster-related disruption measures the extent to which expressions describe harms, changes, or difficulties linked to a major storm or hurricane. It encompasses perceived harm, changes in safety or mood, functional difficulty, losses, and problems meeting health or household needs after the event.
D0229sleep disturbancesleep disturbance measures the presence and extent of disrupted, unsatisfactory, or poorly regulated sleep. It encompasses expressions about difficulty falling or staying asleep, nighttime wakefulness, poor sleep quality, daytime consequences of poor sleep, and delayed or problematic sleep timing.
D0230event timing focusevent timing focus measures the extent to which an expression is organized around identifying when something happened or around a condition occurring at a particular time. It encompasses simple requests for timing information as well as time-anchored references to substance use, illness, pain, medication, and related circumstances.
D0231marital saliencemarital salience measures how strongly expressions center on marriage, getting married, or formal union as a meaningful life concern, expectation, or event. It encompasses general mention of marriage, practical attention to marriage-related occasions, and explicit importance or pressure attached to marrying.
D0232humor engagementhumor engagement measures the extent to which expressions reflect noticing, valuing, maintaining, or expressing humor and amusement. It encompasses both an appreciative stance toward humor and an active tendency to laugh, joke, or find things funny, including under stress or in gloomy situations.
D0233ritualized samenessritualized sameness measures the extent to which expressions reflect a need for fixed order, repetition, cleanliness, and unchanged routines, often with distress or resistance when things differ. It encompasses compulsive ordering or cleaning, insistence on doing things in a particular way, and upset when routines cannot be completed exactly.
D0234functional difficultyfunctional difficulty measures the presence and extent of problems in everyday functioning, development, learning, health, or emotional regulation described for a named person. It encompasses expressions ranging from simple person-referenced status questions to clear indications of impairment, delay, or difficulty in normal activities.
D0235smoking cessation effortsmoking cessation effort measures the extent to which an expression concerns attempting, sustaining, or evaluating stopping smoking. It encompasses prior smoking before quitting, perceived ability to quit, failed quit attempts, and repeated or sustained efforts to stop smoking.
D0236drug avoidance motivationdrug avoidance motivation measures how strongly an expression emphasizes reasons for not using drugs. It encompasses moral objections, social distancing from users, concern about loss of control or addiction, and aversion to drug-related experiences or dangers.
D0237in-law relationship involvementin-law relationship involvement measures the extent to which an expression centers on relationships, interactions, contact, support, expectations, or strain involving in-laws. It encompasses both practical exchanges and evaluative attention to how in-laws relate to the speaker or family.
D0238social pressuresocial pressure measures the extent to which expressions reflect perceived expectations, disapproval, or influence from other people about what one should do. It encompasses both the presence of close supportive ties and, more strongly, felt pressure from others to conform, change behavior, or meet expectations.
D0239recent problem burdenrecent problem burden measures the extent to which expressions describe difficulties, impairments, or unmet needs occurring within a recent time frame. It encompasses reports of recent frequency, recurrence, and impact across emotional, cognitive, interpersonal, substance-related, and medical-access problems.
D0240interpersonal disagreementinterpersonal disagreement measures the presence and extent of open conflict, arguments, and differences of opinion in close relationships. It encompasses both general conflict experiences and recurring disagreements about specific relational, family, or practical issues.
D0241leadership engagementleadership engagement measures how strongly an expression centers on leadership roles, supervisory relationships, and the exercise of guiding or managing others. It encompasses references to bosses, managers, supervisors, leaders, and increasingly active or motivational forms of leadership influence.
D0242alternative treatment usealternative treatment use measures the extent to which expressions indicate use, endorsement, or selection of non-mainstream healing practices and therapies for health problems, wellness, or illness prevention. It encompasses herbal, traditional, manipulative, and spiritually oriented forms of care outside conventional treatment.
D0243psychotic experiencespsychotic experiences measures the presence and intensity of expressions describing unusual perceptions, disturbed thought control, and implausible beliefs that are experienced as real. It encompasses hearing or seeing things others do not and believing that thoughts, minds, or outside forces are acting in extraordinary ways.
D0244salary evaluationsalary evaluation measures how strongly an expression focuses on a person's pay, including its amount, timing, changes, and subjective appraisal. It encompasses both factual attention to salary receipt and stronger evaluative reactions to salary level or raises.
D0245police intrusionpolice intrusion measures the extent to which expressions describe direct police-initiated stops, questioning, searches, detention, arrest, and coercive treatment during encounters. It encompasses both routine contact and more invasive or forceful forms of police intervention.
D0246math engagementmath engagement measures a person's involvement with, confidence in, and emotional orientation toward mathematics-related activity and learning. It encompasses perceived capability in math settings as well as interest, enjoyment, and willingness to engage with mathematics.
D0247motor skill assessmentmotor skill assessment measures the extent to which an expression involves eliciting or observing a child's motor performance, especially fine motor actions and simple coordinated movements. It encompasses prompts, tasks, and observations used to check whether specific motor abilities can be demonstrated.
D0248household co-residencehousehold co-residence measures whether an expression is about people who live together in the same home or house. It encompasses references to who lives with someone, who sleeps in the house most of the time, and explicitly identified cohabiting family members.
D0249fatiguefatigue measures the presence and severity of tiredness, low energy, and effortfulness in an expression. It encompasses both general reports about energy level and more impairing exhaustion that interferes with usual activity and enjoyment.
D0250medical condition burdenmedical condition burden measures the extent to which an expression indicates the presence of notable health-related conditions or care needs. It encompasses movement from little clear condition-related content, to dependency-related sleeping arrangements, to confirmed diagnoses, and to more complex or serious diagnosed conditions.
D0251episode-related distressepisode-related distress measures the presence of expressions about periods of intense negative feeling accompanied by additional problems, along with their timing, management, and consequences. It encompasses whether such episodes are identified at all, described in relation to other experiences, or linked to impairment, treatment, and surrounding circumstances.
D0252post-COVID symptom persistencepost-COVID symptom persistence measures the presence, duration, and ongoing impact of symptoms associated with COVID-19, especially when they continue beyond the initial illness period. It encompasses recent COVID-19 symptoms, lingering or bothersome effects, and more prolonged post-infection symptom continuation.
D0253father involvementfather involvement measures the extent to which an expression centers on a father or father-like male caregiver as a salient person, including his presence, condition, behavior, reactions, and interactions with the respondent. It encompasses references to paternal identity, paternal mental health and functioning, and paternal responses or engagement.
D0254concurrent substance useconcurrent substance use measures the extent to which an expression describes using one substance together with another so that their effects coincide or overlap. It encompasses general co-use across substances as well as more specific patterns involving cocaine combined with other substances.
D0255persistent sadnesspersistent sadness measures the extent to which expressions describe feeling sad, low, or blue in a way that does not readily lift. It encompasses both general statements of being unable to shake these feelings and stronger statements that the sadness persists even when support is available.
D0256walking difficultywalking difficulty measures difficulty with walking, including trouble walking set distances and the need for equipment or assistance to walk. It encompasses both general walking problems and more pronounced limitations that remain evident with or without support.
D0257body weight assessmentbody weight assessment measures whether an expression is concerned with body weight or size being recorded, estimated, or evaluated. It encompasses direct weight reporting, birth weight, size at birth, and related physical indicators used to judge weight status.
D0258Latino ethnic salienceLatino ethnic salience measures how centrally Latino, Hispanic, Mexican, immigrant, Spanish-language, and documentation-related identity content is foregrounded in an expression. It encompasses attention to cultural belonging, family and social ties, discrimination concerns, and attitudes or contact involving these ethnic-group references.
D0259social contact extentsocial contact extent measures how many people an expression indicates someone interacts or communicates with in everyday life. It encompasses the breadth of daily interpersonal contact across in-person and remote forms, including known people and strangers.
D0260present-focused self-appraisalpresent-focused self-appraisal measures the extent to which an expression asks for an evaluation of the person's current state, functioning, feelings, life, or immediate needs. It encompasses in-the-moment judgments about how things are right now, including general well-being, functioning, and desire for help.
D0261therapist professional developmenttherapist professional development measures the extent to which an expression centers on growth, change, influence, training, and evolving practice in the therapist role. It encompasses reflection on how therapeutic work, clients, collaboration, research, teaching, and personal experience shape development as a therapist.
D0262perceived effectivenessperceived effectiveness measures the extent to which an expression evaluates whether help, services, leadership, partnerships, or institutions are able to produce useful results or meet needs. It encompasses judgments about adequacy, impact, productivity, responsiveness, and inclusive effectiveness.
D0263functional capabilityfunctional capability measures the ability expressed in everyday actions, especially basic mobility, self-care, household tasks, carrying, and handling ordinary objects. It encompasses whether an expression indicates being able to perform practical physical activities and, at the upper end, being able to visually identify or inspect specific objects.
D0264heroin use severityheroin use severity measures the extent and seriousness of heroin involvement, from little or unspecified heroin-related content to expressions of heroin use, repeated use, and heroin-related impairment, time investment, tolerance, and consequences. It encompasses both whether heroin use is present and whether it has become disruptive or difficult to control.
D0265identity theft exposureidentity theft exposure measures whether an expression concerns experiences, incidents, consequences, or detection of identity misuse involving personal information, accounts, credit, or related fraud. It encompasses both general references to identity theft and more specific references to account misuse, credit problems, and resulting disruptions or losses.
D0266trauma re-experiencingtrauma re-experiencing measures the extent to which expressions describe recurring emotional, sensory, or behavioral reliving of a traumatic event and its aftermath. It encompasses sustained post-traumatic reactions, trauma-themed reenactment and hyperalertness, and intrusive memories, dreams, or flashback-like reliving.
D0267perceived attainabilityperceived attainability measures how realistic, achievable, or within reach a desired goal, life condition, or outcome feels in light of a person's current situation. It encompasses judgments about goal alignment, feasibility, and whether important practical and personal aims seem possible to realize.
D0268decision involvementdecision involvement measures the extent to which an expression reflects having a say in choices and decisions that affect oneself, including being heard, participating, and making one's own decisions. It encompasses both personal decision authority and involvement in shared decision-making with others or service providers.
D0269diabetes-related health burdendiabetes-related health burden measures the extent to which an expression reflects diabetes presence, diabetes treatment, family history of diabetes, or active blood sugar problems and complications. It encompasses both identification of diabetes in oneself or relatives and more immediate signs of symptomatic blood sugar instability.
D0270future expectationfuture expectation measures the extent to which an expression is framed around anticipated future states, outcomes, or possibilities. It encompasses predictions, expectations, and prospective judgments about what will happen in life, health, functioning, relationships, or other future circumstances.
D0271attentional controlattentional control measures the ability to focus, sustain, and shift attention without becoming easily distracted. It encompasses concentration on tasks, listening and following ongoing activity, and managing attention across changing demands.
D0272itch burdenitch burden measures the presence and impact of itching as a distressing bodily experience. It encompasses expressions ranging from little clear itch-related content to direct reports of itching and scratching, and to itch that disrupts comfort, functioning, sleep, or thinking.
D0273preadmission reference framingpreadmission reference framing measures the extent to which expressions are organized around describing experiences, behaviors, functioning, or life circumstances in the period before admission. It encompasses retrospective questions anchored to that time frame, from weak or absent preadmission framing to strongly explicit preadmission evaluation and functioning descriptions.
D0274time use intensitytime use intensity measures how strongly an expression centers on spending measurable amounts of time on everyday activities, chores, care, work, and household tasks. It encompasses both general references to time spent and more specific concentration on sustained domestic and caregiving activity.
D0275reduced verbal engagementreduced verbal engagement measures diminished outward verbal and social participation, including talking less, having little to say, and slowed speech or movement that makes communication less active. It encompasses both lowered social expressiveness and observable reduction in speaking behavior.
D0276job finding orientationjob finding orientation measures how strongly an expression is organized around obtaining, keeping, or replacing employment. It encompasses attention to job search, perceived ability to find work, and broader concern with employment continuity or access.
D0277psychedelic drug usepsychedelic drug use measures whether expressions indicate use of hallucinogenic or psychedelic drugs and the extent of that use. It encompasses general mention of hallucinogen use as well as more specific expressions about lifetime occasions, timing of first use, and repeated use of psychedelics other than LSD.
D0278recent emotional distress: coping strainrecent emotional distress: coping strain measures recent-month expressions of feeling unlike oneself, discouraged, overwhelmed, or unable to get going, with emphasis on difficulty managing problems and daily demands.
D0279oral health impactoral health impact measures how much problems with the teeth, mouth, or dentures affect functioning, comfort, and psychosocial experience. It encompasses both practical oral difficulties and broader emotional or social consequences attributed to oral condition.
D0280substance withdrawal severitysubstance withdrawal severity measures the presence and intensity of withdrawal-related symptoms and after-effects that occur when a person cuts down, stops, or wears off from alcohol or other drugs. It encompasses feeling sick, shaking, anxiety, sleep disturbance, perceptual disturbances, and using substances to relieve or avoid these symptoms.
D0281recorded managementrecorded management measures the extent to which an expression emphasizes keeping track of important matters, knowing limits or status, and managing obligations or care in a deliberate, organized way. It encompasses simple recording or procedural tracking as well as more active monitoring and responsible handling of finances or social responsibilities.
D0282prescription drug misuse severityprescription drug misuse severity measures the extent and seriousness of problematic nonmedical use of prescription drugs, especially opioids, sedatives, tranquilizers, and pain relievers. It encompasses risky intoxication, difficulty limiting or stopping use, continued use despite social or emotional harm, heavy time involvement, and signs of escalating use.
D0283academic program engagementacademic program engagement measures the extent to which an expression is centered on active involvement in formal higher education programs, including enrollment, coursework, credits, degree pursuit, and evaluation of that program experience. It encompasses both general study participation and more committed orientation toward advanced degree study.
D0284social self-regulationsocial self-regulation measures the ability to manage behavior, emotion, and understanding in relation to other people and shared expectations. It encompasses cooperative responding, imitation and participation with others, emotional settling with support, sharing, separation tolerance, and following simple social routines.
D0285pretend playpretend play measures the extent to which expressions describe a child engaging in symbolic, imaginative, or representational play. It encompasses ordinary play activity when it is tied to using objects, figures, or actions as stand-ins for imagined roles, characters, or meanings.
D0286sexual minority saliencesexual minority salience measures how strongly an expression centers on lesbian, gay, bisexual, or transgender identity, relationships, and social experience. It encompasses simple mention or contact, community-related experience, and personal disclosure or felt interpersonal consequences tied to that identity content.
D0287person status reportingperson status reporting measures the extent to which an expression is framed as a direct report or checklist-style query about a person's conditions, circumstances, abilities, care, or participation. It encompasses brief person-referenced assessments ranging from weakly defined content to concrete reports about health, living situation, functioning, and school involvement.
D0288sadness experiencesadness experience measures the presence, frequency, duration, and felt intensity of sadness-related emotional states, including depressed mood and loss of interest. It encompasses both episodic and more persistent expressions of feeling sad, blue, depressed, or emotionally down.
D0289lonelinessloneliness measures the presence and intensity of feeling lonely, isolated, or without company. It encompasses expressions that describe loneliness as a felt state, a bothersome experience, or a recurring condition.
D0290substance use involvementsubstance use involvement measures the extent to which an expression concerns substance use, its treatment context, and related consequences or service experiences. It encompasses broad references to being in treatment or other time-bound situations as well as more specific reports of drug use frequency and substance-related problems.
D0291anxious distressanxious distress measures the presence and extent of anxiety-related emotional strain in an expression. It encompasses feeling anxious, anxiety-related impairment, and anxiety serious enough to prompt help-seeking, treatment, or identification as a problem.
D0292deployment-related experiencedeployment-related experience measures the extent to which an expression is framed around events, symptoms, behaviors, or exposures occurring during deployment. It encompasses references to deployment as the organizing context for describing emotional problems, physical symptoms, substance use, moral conflict, danger, and related experiences.
D0293symptom distresssymptom distress measures how much an expression reflects being bothered, troubled, or distressed by emotional, cognitive, or physical symptoms and related experiences. It encompasses both general reports of bothersome symptoms and more specific distress tied to depressive, anxious, restless, or concentration-related experiences.
D0294past-year problem saliencepast-year problem salience measures the extent to which an expression centers on difficulties, threats, distress, or unmet needs framed as occurring within the past year. It encompasses references to recent adverse experiences, recent need or concern, and broader recent-life problems or symptoms.
D0295hearing-related impairmenthearing-related impairment measures the presence and impact of hearing loss, deafness, tinnitus, and related hearing difficulties. It encompasses both identification of hearing problems and the extent to which those problems interfere with emotions, cognition, communication, and daily activities.
D0296psychological distress: depressive disconnectionpsychological distress: depressive disconnection measures the presence and intensity of troubling emotional, cognitive, sleep, and social-disconnection experience in an expression. It encompasses signs ranging from weak or indirect personal-evaluative content to clear symptoms of depression, loneliness, worthlessness, insomnia, impaired concentration, and difficulty relating to others.
D0297transgender identity saliencetransgender identity salience measures how strongly an expression centers transgender status, gender identity, or gender nonconformity as a personally or socially consequential aspect of experience. It encompasses self-identification as transgender, the importance of that identity, and experiences, attitudes, or actions organized around transgender status.
D0298substance use frequencysubstance use frequency measures how much an expression reflects repeated lifetime use of alcohol or other drugs, including both general use and nonmedical use of specific substances. It encompasses references to the number of occasions on which substances have been used or taken.
D0299care wait timecare wait time measures the amount of time an expression describes waiting for health-related appointments, services, or being seen. It encompasses delays before receiving care, between referral and specialist access, and during visits or administrative processes tied to care.
D0300depressive episode saliencedepressive episode salience measures how strongly an expression centers on a discrete spell of depressed mood and the symptoms, impairments, or experiences occurring within that spell. It encompasses references to having such spells, their duration and recurrence, and detailed features present during a depressive period.
D0301mood disturbancemood disturbance measures the presence and salience of problems with mood, including general mood difficulty, mood variability, and mood-related interference with daily functioning. It encompasses expressions that explicitly focus on troubled mood states, moodiness, and difficulty managing or functioning because of mood.
D0302out-of-home exposureout-of-home exposure measures the extent to which expressions describe recent in-person contact, visits, and time spent in places outside the home or household. It encompasses interpersonal proximity, social outings, errands, and use of shared public or indoor settings.
D0303involuntary movement burdeninvoluntary movement burden measures the presence and life impact of involuntary movement symptoms. It encompasses expressions about tremors, choreiform movements, and related neurological movement symptoms, including both symptom occurrence and interference with daily functioning.
D0304post-admission service engagementpost-admission service engagement measures the extent to which expressions concern activities, help, services, appointments, or problem management occurring since admission. It encompasses both broad references to events since admission and more explicit involvement in receiving help, attending programs, and dealing with practical or legal issues.
D0305anger pronenessanger proneness measures the tendency to become irritable, angry, touchy, or temperamental, including both the frequency of these feelings and difficulty controlling them. It encompasses expressions of irritability, anger, and temper dysregulation.
D0306spoken language developmentspoken language development measures the presence and advancement of spoken-word communication, including saying recognizable words, combining words, speaking in phrases or sentences, and references to delayed speech or language. It encompasses expressions about whether speech is present at all as well as how developed spoken language is.
D0307breastfeeding involvementbreastfeeding involvement measures whether an expression concerns infant feeding through breastfeeding or breast milk, including breastfeeding status, exclusivity, duration, and related contrasts with formula or solid foods. It captures the extent to which feeding expressions are centered on breast milk rather than general or unspecified content.
D0308incarceration involvementincarceration involvement measures the extent to which an expression is centered on imprisonment, jail or prison sentences, and life within correctional settings. It encompasses references to being incarcerated, sentence history, prison administration, access and restrictions, and everyday prison conditions.
D0309vaping involvementvaping involvement measures the extent to which an expression reflects engagement with vaping, including use, frequency, lifetime experience, and reasons for vaping across substances or vaping contents. It encompasses both general participation in vaping and more specific references to what is vaped or why vaping occurs.
D0310pain severitypain severity measures the intensity, extremity, and disruptive impact of pain as described in an expression. It encompasses pain presence, severe or acute pain episodes, pain at rest or while bedridden, and pain that interferes with daily functioning or dominates attention.
D0311child adjustment difficultieschild adjustment difficulties measures the presence of developmental, health, behavioral, and emotional difficulties in a child's functioning. It encompasses expressions about delays, health concerns, dependence, social unease, and problems with emotional regulation or adaptation.
D0312event frequency reportingevent frequency reporting measures whether an expression is framed around estimating how often, how many times, days, weeks, or months something occurred. It encompasses recall and counting of occurrences, duration, visits, service use, symptoms, and substance use episodes.
D0313condition-related functional limitationcondition-related functional limitation measures the extent to which a health problem, injury, or substance-related problem interferes with everyday functioning, self-care, mobility, and independent daily activities. It encompasses both general signs of condition-related impact and more explicit dependence on help or behavioral restriction because of the condition.
D0314therapy service receipttherapy service receipt measures whether expressions describe receiving treatment or therapeutic services, including outpatient care, program-based treatment, and specific therapy modalities. It captures the presence and specificity of received therapeutic care.
D0315epilepsy burdenepilepsy burden measures the presence and impact of epilepsy or seizures in an expression. It encompasses diagnosis and treatment references as well as seizure frequency, side effects, injury, and effects on daily life or well-being.
D0316conditional framing[Method artifact] conditional framing measures the extent to which an expression is organized around hypothetical or contingent situations introduced by conditional wording. It encompasses simple branching prompts as well as more elaborated if-then scenarios about actions, events, problems, or responses.
D0317diarrheal symptom burdendiarrheal symptom burden measures the presence and intensity of diarrhea-related symptoms and their immediate bodily impact. It encompasses expressions about having diarrhea, urgency and accident risk, episode duration, and the frequency of bowel movements during the illness.
D0318terrorism salienceterrorism salience measures how centrally terrorism and terrorist attacks figure in an expression, including personal impact, safety concern, perceived threat, and judgments about responses to terrorism. It encompasses both direct reactions to attacks and broader engagement with terrorism-related risks and countermeasures.
D0319dizziness symptomsdizziness symptoms measures the presence and experiential burden of dizziness-related problems, including feeling dizzy, balance disturbance, unsteadiness, and related care or history indicators. It encompasses both general mention of dizziness problems and more specific descriptions of their severity, duration, and bodily quality.
D0320salience prioritizationsalience prioritization measures whether an expression asks a person to identify the single most important, severe, troubling, helpful, or impactful option from a set. It encompasses expressions that require selecting or ranking what stands out most in personal significance, effect, or priority.
D0321gambling-related harmgambling-related harm measures the presence and severity of harmful consequences linked to gambling, including financial, relational, occupational, and family disruption. It encompasses both exposure to another person's gambling problems and direct personal harm caused by one's own gambling.
D0322recent personal functioningrecent personal functioning measures the presence and salience of self-reported experiences, behaviors, feelings, health status, and day-to-day functioning within a recent time window. It encompasses both substance use reports and broader statements about emotional state, health, confidence, and ability to meet expected functioning.
D0323patiencepatience measures the tendency or capacity to wait, delay action, and remain calm rather than demanding immediate action or gratification. It encompasses willingness to wait, taking turns, and tolerating delay or annoyance without impulsive responding.
D0324work engagementwork engagement measures the extent to which an expression reflects recent participation in work or readiness to begin working if an opportunity is available. It encompasses both current involvement in income-earning activity and immediate availability to take up work.
D0325child care program involvementchild care program involvement measures whether expressions concern participation in organized child care, daycare, preschool, or related center-based programs. It encompasses references to attending, using, or identifying such care settings and programs.
D0326reading engagementreading engagement measures the extent to which expressions concern reading-related activity, exposure, interest, and skill. It encompasses access to books, being read to or reading independently, frequency of reading, and reading fluency or everyday reading ability.
D0327recent distressrecent distress measures the presence and intensity of negatively valenced emotional and coping-related experiences described over a recent time period. It encompasses expressions about being bothered, depressed, downhearted, aggressive, unsupported, or unable to manage interactions with others.
D0328six-month reference period[Method artifact] six-month reference period measures whether an expression is framed around a six-month duration or the past six months. It encompasses both threshold-style references to lasting six months or longer and broader retrospective questions anchored to the last six months.
D0329child development appraisalchild development appraisal measures the extent to which an expression focuses on evaluating a child's development, health, functioning, or general condition. It encompasses both concrete factual prompts about the child's care and history and broader judgments about the child's overall development and appearance.
D0330distress symptomsdistress symptoms measures the presence and intensity of negatively valenced emotional and motivational symptoms, including anxiety, stress, tension, loss of interest, difficulty getting going, and a sense that ordinary demands are hard to manage. It encompasses both general worry-related expressions and broader expressions of psychological strain and impairment.
D0331recent emotional distress: dysphoric impairmentrecent emotional distress: dysphoric impairment measures recent-period expressions of unhappiness, depression, worry, crying, sleep difficulty, and reduced ability to cope or get going, especially when emotional upset is frequent and functionally disruptive.
D0332subjective well-beingsubjective well-being measures the extent to which expressions reflect positive versus negative emotional and self-evaluative experience. It encompasses distress and symptom-focused experience at one end, more generic symptom-frequency wording in the middle, and positive feelings of coping, self-regard, and life going well at the other end.
D0333serious life adversityserious life adversity measures the presence and severity of major harmful events and substantial worsening in a person's life circumstances. It encompasses serious illness, injury, impactful incidents, and marked recent deterioration in health, finances, family situation, or overall quality of life.
D0334classroom social climateclassroom social climate measures the extent to which an expression is centered on the shared social environment of a class or classroom, including the presence, composition, interaction, and interpersonal tone of students in that setting. It encompasses both simple reference to class-based student groups and more explicit descriptions of supportive, friendly, and participatory class environments.
D0335survey prompt formality[Method artifact] survey prompt formality measures the extent to which an expression is phrased as a direct, structured questionnaire prompt using formal second-person address, explicit question framing, and administrative or assessment-style wording. It encompasses simple factual prompts as well as more specific health, family, and symptom questions when they are presented in this formal elicitation style.
D0336teacher feedbackteacher feedback measures the extent to which expressions describe evaluative, corrective, encouraging, or praising responses from teachers toward a person’s behavior, performance, or qualities. It encompasses both general comments from others and more explicit teacher-delivered judgments, guidance, and praise.
D0337emotional experienceemotional experience measures the extent to which expressions describe felt emotional states, especially discouragement, worry, upset, fear, and related affective reactions. It also encompasses references to emotionally meaningful personal impact when the expression centers on how something was felt or experienced.
D0338meal-related exchangemeal-related exchange measures the extent to which an expression concerns meals as occasions for payment, tipping, or assistance related to food. It encompasses references to meal transactions, meal-associated earnings, and help with meals.
D0339drug use reportingdrug use reporting measures the extent to which an expression is framed around reporting substance use, including whether substances were used, how long use or nonuse lasted, and reasons for use. It encompasses simple mention or counting of drugs, time-based reporting of use patterns, and explicit reporting of medical versus non-medical use.
D0340criminal justice exposurecriminal justice exposure measures the extent to which an expression indicates close social ties to people involved with jail, prison, detention, or arrest. It encompasses incarceration and arrest experiences occurring among relatives, friends, or other close contacts.
D0341restlessnessrestlessness measures the presence and intensity of subjective or observable inability to remain still, including feeling fidgety, needing to keep moving, or being unable to sit still.
D0342Arab ethnic identificationArab ethnic identification measures the extent to which an expression reflects Arab, Middle Eastern, Lebanese, or related cultural and language-based self-identification or group affiliation. It encompasses explicit identity claims, cultural background, origin, and home-language markers tied to that ethnic background.
D0343financial hardshipfinancial hardship measures the presence and severity of money-related strain and adverse consequences in an expression. It encompasses material ranging from little clear financial burden to unpaid bills, collection activity, and coercive consequences tied to debt.
D0344five-year time framing[Method artifact] five-year time framing measures the extent to which an expression is organized around a five-year temporal reference or adjacent life-course horizon. It encompasses retrospective, prospective, and event-frequency wording anchored to five years, including occasional mortality-related framing when the expression uses a long-horizon life review perspective.
D0345alcohol use reportingalcohol use reporting measures whether an expression is framed around reporting alcohol consumption, especially occurrence and frequency of drinking episodes. It encompasses general intoxication and substance-use references at one end and increasingly explicit reports of drinking occasions and beverage consumption at the other.
D0346personal problem reportingpersonal problem reporting measures the extent to which an expression is framed as a direct report of personal difficulties, symptoms, adverse experiences, or unmet needs. It encompasses self-referential statements about trouble, impairment, distress, and concrete personal circumstances rather than neutral descriptive or developmental prompts.
D0347rating scale usage[Method artifact] rating scale usage measures the extent to which an expression is framed as placing, rating, or judging something on an explicit response scale or calibrated reference. It encompasses direct scale-based evaluation language as well as weaker references to amounts, levels, timing, or prescribed levels.
D0348life problem burdenlife problem burden measures the extent to which an expression centers on consequential difficulties, stressors, or disruptive problems in life circumstances and behavior. It encompasses both general references that are not problem-focused and more specific expressions describing stressful transitions, legal trouble, health-related problems, or risky substance-related situations.
D0349self-referential appraisalself-referential appraisal measures the extent to which an expression centers on evaluating, projecting, or characterizing the self or one's own circumstances. It encompasses expressions about personal status, personal behavior patterns, and explicit judgments about one's own functioning or potential.
D0350evaluative signalingevaluative signaling measures the extent to which an expression centers on indicating, judging, or formally identifying that something is wrong, inappropriate, or in need of action. It encompasses explicit signaling of concern, negative appraisal, and referral-oriented or problem-marking language.