CODE-UD in psychiatric education.

Morra & Ban

SELF-ASSESSMENT

The self-assessment of CODE-UD is based on 218 entries with 167 "statements," one corresponding statement with 167 "primary codes."  There are no corresponding statements to the 36-computer derived secondary codes and to the 14 codes which need to be completed by the rater.

Each of the 167 statements of the self-assessment is responded either by "true" or "false" with the responses to the "secondary codes" derived from the responses to the "primary codes."    

Statements

1.   ABSENCE OF REACTIVE MOOD CHANGES

      Computer derived: Reactive Mood Changes (-)

2.   ABULIA

      I don’t have enough will to do anything

3.   ACCEPTABLE DURATION

      I have been depressed at least for 4 weeks

4.   ACHES AND PAINS

      I have aches and pains which cannot be attributed to medical illness or trauma

5.   ACUTE ONSET

      My depression started suddenly It’s time of onset can be clearly defined and        

      determined within a specific 2-week period

 6.   AFFECTIVE LABILITY

      I have rapid and extreme changes in my mood

7.   AGITATION

      I have to move all the time and cannot stand still for a moment

8.   ANGER

      I am so angry that I feel ready to explode

9. ANGLICA MELANCHOLIA SYNDROME

      Computer derived: Suicidal Tendencies (+)

10. ANGUISH

       I feel tightness in my chest

11. ANHEDONIA

      I feel that I`ve lost my ability to experience pleasure

12. ANXIOUS DEPRESSION SYNDROME

      Computer derived: Anxiety (+) + Hypochondriasis/Tension/Vegetative Manifestations (+)

13. ANXIETY

       I feel nervous and anxious

14. ANXIOUS MOOD

I feel so scared that something might happen that I have at least 1 of the following 7 symptoms: goose bumps, moist skin, bulging eyes, dilated pupils, vascular throbbing, tremor, rapid breathing

15. APATHETIC INDIFFERENCE

      I don't care about anything any more 

16. APATHETIC MELANCHOLIA SYNDROME

Computer derived: The presence of at least 2 of the following 3 variables: Abulia, Apathetic Indifference and Indecisiveness

17. ASTHENIA

      I feel weak and tired even without doing anything

18. AVERSION

      Computer derived: Misanthropy/Withdrawal (+)

19. AVERSION FROM MOTION SYNDROME

      Computer derived: Motor Retardation/Stupor/Withdrawal (+)

20. BODILY MISPERCEPTIONS

      I have strange feelings in my body

21. BRIEF DURATION

      I have been depressed for less than 2 weeks

22. CATATONIC MANIFESTATIONS*

Displayed at least 1 of the following symptoms: catalepsy, echolalia, echopraxia, excessive purposeless motor activity, immobility, mutism, posturing, stereotypes

23. CHILDBIRTH

       I just gave birth to a baby

24. CLINOPHILIA

      I spend much more time in bed than before

25. COMPLAINTIVENESS

       I complain all the time

26. COMPULSIVE ACTIONS

       I can't stop carrying out some of my senseless thoughts

27. CONCERNS OF BODY AND AFFAIRS SYNDROME

      Computer derived: Feeling of Impoverishment/Hypochondriasis (+)

28. CONSCIENTIOUSNESS

       I am a conscientious, responsible and reliable person

29. CONSTRICTED AFFECT

      I feel that my emotions are limited to either one or a few feelings

30. CORPORISATION

       I feel ill, but I know that I don't have a physical ilness

31. CRITICAL ATTITUDE

       I have a tendency to be overcritical and an inclination to judge others too harshly

32. DECREASED APPETITE

      I have lost my appetite and eat less than before

33. DECREASED SEX DRIVE

      I have less desire for sex than before

34. DECREASED TALKATIVENESS

      I talk less than before

35. DELIRIUM*

Displays clouded consciousness, fleeting attention, disconnected thinking, hallucinatory experiences and disorientation to place

36. DELUSIONAL DISORDER

      I was diagnosed with delusional disorder

37. DELUSIONAL MELANCHOLIA SYNDROME

      Computer derived: Depressed Mood (+)  and  Delusions/Hallucinations (+)

38. DELUSIONS

      I have beliefs which people around me think are false

39. DELUSIONS OF ANNIHILATION

      I believe that my world has been destroyed and no one from my family is left alive

40. DEPERSONALISATION

      I feel strange, changed, unreal and unidentifiable

41. DEPRESSED MOOD

      I feel depressed and sad

42. DEPRESSION IN TEMPORAL CONNECTION WITH CHILDBIRTH

      I had just delivered a baby when my current depression began

43. DEPRESSION IN TEMPORAL CONNECTION WITH LOSS OF LOVED ONE

      My depression started within 2 months after someone dear to me passed away

44. DEPRESSION IN TEMPORAL CONNECTION WITH MEDICAL ILLNESS

I was diagnosed with a medical illness during the 3-months before my current depression began

45. DEPRESSION IN TEMPORAL CONNECTION WITH MOOD-DEPRESSANT                           MEDICATION

In the month my current depression started I was taking at least one of the following drugs: cimethidine, clonidine, corticosteroids, cytotoxic agents, guanethidine, oral contraceptives, methyldopa, propranolol, reserpine

46. DEPRESSION IN TEMPORAL CONNECTION WITH NEUROLOGICAL ILLNESS

      My depression started within 1 month after I was diagnosed with a neurological illness 

47. DEPRESSION IN TEMPORAL CONNECTION WITH NON-AFFECTIVE AND NON-PSYCHOTIC PSYCHIATRIC ILLNESS

My depression started within 3 months after I was diagnosed with one of the following illnesses: anxiety disorder, dissociative disorder, factitious disorder, somatoform disorder

48. DEPRESSION IN TEMPORAL CONNECTION WITH NON-AFFECTIVE PSYCHOTIC PSYCHIATRIC ILLNESS

My depression started within 3 months after I was diagnosed with one of the following illnesses: schizophrenia, schizophreniform disorder, schizoaffective disorder, delusional disorder, brief psychotic disorder, shared psychotic disorder

49. DEPRESSION IN TEMPORAL CONNECTION WITH PRECIPITATING FACTOR

My depression started within 3 months after a very emotionally painful event occurred in my life

50. DEPRESSION IN TEMPORAL CONNECTION WITH SUBSTANCE USE

In the month before my current depression started I was taking at least one of the following drugs: alcohol in excess, amphetamines, cannabis, cocaine, hallucinogens, inhalants, ketamine, opioids, phencyclidine, and related drugs and/or sympathomimetics

51. DEPRESSIVE EVALUATIONS

I have nothing good in my life, I have no happy memories and I have nothing to look forward to in the future

52. DEREALISATION

      I feel that the world around me has changed and become strange and unreal

53. DESIRE TO DIE

      I wish I was dead

54. DISPLEASURE

      I am displeased with myself or my current situation

55. DISTURBANCE OF CONCENTRATION

      I have problems concentrating

56. DISTURBANCE OF VITAL BALANCE

      I awake exhausted already in the mornings

57. DIURNAL VARIATION

      The severity of my depression is different at different times of the day

58. DRIVEN COMPLAINTIVENESS

      I keep on complaining about the same things

59. DYSPEPSIA

      I have indigestion with belching, nausea and vomiting

60. DYSPHORIA

      I feel bitter, resentfull and grumpy

61. DYSTHYMIA

      Since I was diagnosed with dysthimia I never felt well gain

62. EARLY INSOMNIA

      I have difficulty falling asleep at night

63. EARLY ONSET

      I was younger than 22 years old, when I had to see a doctor because of my depression

64. EPILEPSY

      I was diagnosed with epilepsy

65. EXCESSIVE APPETITE

      My appetite increased and I eat more than before

66. EXTENDED DURATION

      I have been depressed currently for longer than 6 months, but less than 2 years

67. FEAR OF FUTURE SYNDROME

      Computer derived: Feeling of Hopelessness/Pessimistic Outlook (+)

68. FEELING OF ALIEN INFLUENCE

      I feel that I am physically controlled by outside forces

69. FEELING OF BEING OUT OF CONTROL

      I feel that I am losing control

70. FEELING OF BEING OVERWHELMED

      I feel overwhelmed with my problems

71. FEELING OF EMPTINESS

      I feel completely empty

72. FEELING OF HELPLESSNESS

      I feel that I am unable to manage my affairs on my own

73. FEELING OF HOPELESSNESS

      I feel that nothing in the future could improve my situation

74. FEELING OF INADEQUACY

      I feel inferior to others

75. FEELING OF LOSS OF FEELINGS

      I feel that I cannot feel emotions any more

76. FEELING LOSS OF VITALITY

      I have lost my vitality and I am less lively and vigorous

77. FEELING OF UNHAPPINESS

      I feel unlucky and unfortunate

78. FEELING OF WORTHLESSNESS

      I feel that I am good for nothing

79. FEELINGS OF GUILT

      I feel guilty about things I have done or not done, but should have done

80. FEELINGS OF IMPOVERISHMENT

      I feel that I am losing everything I have and poverty is inevitable

81. FEMALE

      I am a woman

82. FIRST EPISODE

This is my first depressive episode for which I am seeing a physician

83. FREQUENT RECURRENCE

      I have had short, less than 2 weeks duration, depressive episodes

      for at least a year

84. FULL RECOVERY IN PAST

      I have always completely recovered from my depression

85. GASTROINTESTINAL COMPLAINTS

I have problems with my bowels and I have at least one of the following symptoms: abdominal pain, abdominal discomfort, bloating, flatulence, constipation and diarrhea

86. GENETICALLY PURE

       I have a family history of mood disorder

87. GENETICALLY ON SPECTRUM

       I have a family history of mental illness, but not of mood disorder

88. HALLUCINATIONS

At least 1 of the following apply to me: I hear voices that others cannot hear; I see things others cannot see; I smell things others cannot smell; and I`ve felt like being touched when no one was around

89.HARRIED DEPRESSIVE SYNDROME

Computer derived: Agitation/Motor Restlessness (+), and the presence of at least 2 of the following 3 variables: Anxious Mood/Depressed Mood, Complaintiveness/Driven Complaintiveness, and Restricted Thinking

90. HATRED OF LIFE SYNDROME

      Computer derived: Loss of Desire to Live/Suicidal tendencies (+)

91. HISTRIONICS

      I am theatrical and have a tendency to exaggerate my problems

92. HOMICIDAL ACT

      I killed or tried to kill someone recently

93. HOMICIDAL IDEATION

      I have recurrent thoughts of killing someone

94. HOMICIDAL TENDENCIES

      Computer derived: Homicidal Act/Homicidal Ideation (+)

95. HOSTILE DEPRESSION SYNDROME

      Computer derived: Hostility (+) and Suspiciousness (+)

96. HOSTILITY

      I am hostile, unfriendly to people

97. HYPERSOMNIA

      I have been sleeping more than usual lately

98. HYPOCHONDRIACAL DEPRESSION SYNDROME

Computer derived: Anxious Mood/Depressed Mood (+) + Hypochondriasis (+) and the presence of at least 2 of the following 3 variables: Bodily Misperceptions/Corporization, Feeling of Hopelessness, and Complaintiveness

99. HYPOCHONDRIASIS

       I am very concerned about having a serious physical illness

100.HYPOMANIA

       I had one or more episode(s) with elevated or irritable mood which affected my

       judgement to the extent that I was doing things I would not do otherwise

101.HYSTERIA

       I was diagnosed with hysteria

102.IDEAS OF REFERENCE

       I pick up cues which indicate to me that people are observing me and/or are talking

       about matters related to me

103.IMAGINARY MELANCHOLIC SYNDROME

       Computer derived: Hypochondriasis (+)

104.IMMATURITY

       I act and talk without considering the possible consequences of what I am doing and

       saying

105.IMPAIRMENT OF ADAPTATION AT HOME

       I cannot cope with my family and with my responsibilities at home

106.IMPAIRMENT OF ADAPTATION AT WORK

       I cannot cope with the people and with my responsibilities at work

107.IMPAIRMENT OF SOCIAL ADAPTATION

       Computer derived: Impairment of Adaptation at Home and Impairment of Adaptation

       at Work (+)

108.IMPAIRMENT OF SOCIAL ADAPTATION IN PAST

       I have had difficulties at work and with people all through my life

109. INAPROPIATE EMOTINAL RESPONSE

        My emotional responses are often inappropriate

110. INCOHERENCE *

        Patient’s thoughts are incoherent and his/her speech is incomprehensible

111.INDECISIVENESS

       I have difficulty in making decisions

112.INHIBITED THINKING

I feel that there is an external force physically interfering with the flow of my

      thoughts that I cannot remove however hard I try

113.INSIDIOUS ONSET

       Computer derived: Acute Onset (-) + Subacute Onset (-)

114.INSOMNIA

       Computer derived: Early Insomnia (+) + Middle Insomnia (+) + Late Insomnia (+)

115. INTEREPISODE RECOVERY

       Computer derived: First episode (-) and Full Recovery in past (+)

116.IRRITABILITY

       I am irritable, I get annoyed by trivial matters

117.LACK OF DRIVE

       I don’t have the energy to start with any new activity

118.LACK OF INSIGHT

       All my difficulties are real and they have nothing to do with my mood state

119.LACK OF INTEREST

       I have lost interest in everything

120.LACK OF JOY

       I have no joy in my life

121.LACK OF PLAY

       I have no play in my life

122.LATE INSOMNIA

       I wake up earlier in the mornings than before

123.LATE ONSET

       I was at least 45 years old when I became so depressed that I had to see a doctor

124.LEADEN PARALYSIS

       I feel my arms and legs are heavy

125.LIFE-LONG DURATION

       I have been continuously depressed all my life

126.LIMITED DURATION

       I have been depressed longer than 2 weeks, but less than 6 months currently

127.LOSS OF DESIRE TO LIVE

       I have lost my desire to live

128.LOSS OF LOVED ONE

       Someone dear to me passed away recently

129.MANIA

I had one or more episode(s) with an elevated or irritable mood which affected my judgement to the extent that I had to be hospitalized

130.MEDICAL ILLNESS

       I was diagnosed with a non-psychiatric and non-neurological medical illness

131.MELANCHOLIA ANGLICA SYNDROME

       Computer derived: Loss of Desire to Live/Suicidal Ideation (+)

132.MELANCHOLIA ATTONITA SYNDROME

       Computer derived: Motor Retardation/Retarded Thinking/Stupor

133.MIDDLE INSOMNIA

       I wake up many times during the night

134.MINIMAL DURATION

       I have been depressed currently at least for 2 weeks

135.MISANTHROPIC MELANCHOLIA SYNDROME

       Computer derived: Misanthropy/Withdrawal (+)

136.MISANTHROPY

       I despise people and hate mankind

137.MOOD-CONGRUENT PSYCHOTIC SYMPTOMS*

       Patient’s delusions are in keeping with his/her mood state

138.MOOD-DEPRESSANT MEDICATION

I have been treated with one or more of the following drugs: cimetidine, clonidine, corticosteroids, cytotoxic agents, guanethidine, oral contraceptives, methyldopa, propranolol, reserpine

139.MOTOR RESTLESSNESS

       I am restless

140.MOTOR RETARDATION

       I move slower than before

141.MULTIFORM CLINICAL PICTURE

       My symptoms keep on changing

142.NEGATIVISM *

       Patient is not doing what he/she is asked to do or does the opposite

143.NEUROLOGICAL ILLNESS

       I was diagnosed with a neurological illness

144.NIHILISTIC DELUSIONS

       I believe that I don't exist

145.NO IMPAIRMENT OF SOCIAL ADAPTATION IN PAST

       Computer derived: Impairment of Social Adaptation in Past (-)

146.NON-AFFECTIVE AND NON-PSYCHOTIC PSYCHIATRIC ILLNESS

I was diagnosed with 1 of the following illnesses: anxiety disorder, somatoform disorder, factitious disorder, dissociative disorder

147.NON-AFFECTIVE PSYCHOTIC PSYCHIATRIC ILLNESS

I was diagnosed with 1 of the following illnesses: schizophrenia, schizophreniform disorder, schizoaffective disorder, delusional disorder, brief psychotic disorder, shared psychotic disorder

148.NON-PARTICIPATORY DEPRESSION SYNDROME

Computer derived: Motor Retardation/Stupor (+) and Anhedonia/Constricted Affect/Feeling of Loss of Feelings (+), and the presence of at least 2 of the following 3 variables: Abulia, Lack of Drive/Motor Retardation, and Depersonalisation/Derealisation

149.OBSESSIONAL

        I am a perfectionist and I cannot tolerate uncertainties in my life

150.OBSESSIVE THOUGHTS

I am bothered by persistently recurring senseless thoughts which I cannot ignore however hard I try

151.PANIC

       I have had panic attacks

152.PEEVISHNESS

       I am argumentative and hard to please

153.PERMISSIBLE DURATION

       I have been depressed currently for less than 6 months

154.PERPLEXITY

       I feel befuddled by events, and cannot figure out what is going on

155.PESSIMISTIC OUTLOOK

       I am a pessimist; I see the negative side of everything

156.PHOBIAS

       In certain situations and in the presence of certain objects I am overcome with fear  

       that, even if I know that it is unwarranted, is so overwhelming I try to avoid the

       triggering situations and objects 

157.PRECIPITATING FACTOR

       I recently had an emotionally painful event in my life

158.PREMENSTRUAL PHASE DEPRESSION

       Almost every month I am depressed before my menstruation starts

159.PROLONGED DURATION

       I have been depressed currently at least for 2 years

160.REACTIVE MOOD CHANGES

       If something good or bad happens to me my mood changes

161. RECURRENT EPISODE

  I had to see a doctor before because of another depressive episode

162.RECURRENT THOUGHTS OF DEATH

       I think of death and dying frequently

163.REJECTION SENSITIVITY

       I am always afraid of being rejected

164.RESPONSIVENESS TO SOMATIC TREATMENT IN THE PAST

       My depression responded favorably to medication or electroconvulsive treatment

165.RESTLESSNESS AND IMPATIENCE SYNDROME

       Computer derived: Agitation/Motor Restlessness (+)

166.RESTRICTED THINKING

       My thinking is restricted to one a handful of themes and I have difficulty switching

       from one topic to        another

167.RETARDED DEPRESSION SYNDROME

       Computer derived: Apathetic Indifference/Constricted Affect/Lack of Interest (+) and

       Motor Retardation (+)

168.RETARDED MELANCHOLIA SYNDROME

       Computer derived: Restricted Thinking/Retarded Thinking (+) and Motor

      Retardation/Stupor

169.RETARDED THINKING

       My thinking is slow and when I talk there are increasing delays

170.RUMINATION

       I am endlessly preoccupied with the thoughts of unpleasant events in my past

171.SCHIZOPHRENIA

       I was diagnosed with schizophrenia

172.SCYTHIAN DISEASE

       I am a transvestite

173.SEASONAL RECURRENCE

       I become depressed every year in the same season

174.SELF-ABSORPTION

       I cannot stop thinking about myself

175.SELF-INCRIMINATION

       I accuse and denigrate myself

176.SELF-PITY

       I feel sorry for myself

177.SELF-TORTURING DEPRESSION SYNDROME

       Computer derived: Feelings of Guilt/Self-incrimination (+), and the presence of at

       least 3 of the following 4 variables: Rumination, Feelings of Inadequacy/Feelings of

       Worthlessness, Loss of desire to Live/Suicidal Tendencies, and

       Complaintiveness/Driven Complaintiveness

178.SEMISTUPOR*

        Patient is motionless and answered questions by uttering monosyllables only

179.SHORT DURATION

       I have been depressed for less than 1 week

180.SOMATIC SYMPTOMS

       Computer derived: Aches and pains/Gastrointestinal Complaints/Vegetative

       Manifestations (+)

181.SORROWFUL MELANCHOLIA SYNDROME

       Computer derived: Displeasure/Feeling of Helplessness/Feeling of Hopelessness

182.STUPOR*

Patient is motionless and unresponsive without answering questions, without following instructions and without responding to any external stimulation

183.STUPOR IN TEMPORAL CONNECTION WITH CHILDBIRTH*

       Patient delivered a child in the month prior to becoming stuporous

184.STUPOR IN TEMPORAL CONNECTION WITH LOSS OF LOVED ONE*

       A significant person in patient’s life died within 2 months prior to becoming stuporous

185.STUPOR IN TEMPORAL CONNECTION WITH MEDICAL ILLNESS*

Patient was diagnosed with a non-psychiatric and non-neurological medical illness within 3 months prior to becoming stuporous

186.STUPOR IN TEMPORAL CONNECTION WITH MOOD-DEPRESSANT

       MEDICATION*

       Patient was treated with one of the following drugs in the month prior to becoming

       stuporous: cimetidine, clonidine, corticosteroids, cytotoxic agents, guanethidine, oral

       contraceptives, methyldopa, propranolol, and /or reserpine

187.STUPOR IN TEMPORAL CONNECTION WITH NEUROLOGICAL ILLNESS*

       Patient was diagnosed with a neurological illness in the month prior to becoming stuporous

188.STUPOR IN TEMPORAL CONNECTION WITH PRECIPITATING FACTOR*

       Patient was in a stressful life situation within 3 months prior to becoming stuporous

189.STUPOR IN TEMPORAL CONNECTION WITH SUBSTANCE USE*

Patient was taking at least one of the following drugs in the month prior to becoming stuporous: alcohol in excess, amphetamines, cannabis, cocaine, hallucinogens, inhalants, ketamine, opioids, phencyclidine, and related drugs and /or sympathomimetics

190.SUBACUTE ONSET

The beginning of my depression was gradual, it’s time of onset can be approximated within a specific 3-month period but not clearly defined within a 2-week period

191.SUBSTANCE USE

I have used recurrently one or more of the following drugs: alcohol in excess,amphetamines, cannabis, cocaine, hallucinogens, inhalants, ketamine, opioids, phencyclidine, and related drugs and/or sympathomimetics

192.SUBSTANCIAL DURATION

       I have been depressed for less than 2 months

193.SUICIDAL ACT

       I have tried to kill myself

194.SUICIDAL IDEATION

       I have frequent thoughts of killing myself

195.SUICIDAL TENDENCIES

       Computer derived: Suicidal Act/Suicidal Ideation (+)

196.SUPERSTITIOUS MELANCHOLIA SYNDROME

       Computer derived: Suspiciousness (+)

197.SUPERSTITIOUSNESS

       I believe in magic and the supernatural

198.SUSPICIOUS DEPRESSION SYNDROME

Computer derived: Suspiciousness (+) and the presence of at least 3 of the following 4 variables: Anxious Mood/Depressed Mood, Ideas of Reference, Delusions, and Suicidal Tendencies

199.SUSPICIOUS MELANCHOLIA SYNDROME

       Computer derived: Suspiciousness (+)

200.SUSPICIOUSNESS

        I feel suspicious and distrust people

201.TANGENTIAL THINKING*

        Patient in his thinking never reaches the goal because he/she keeps on going off on tangents

202.TEARFUL

        I cry easily and frequently

203.TENSION

        I feel tense in my muscles and unable to relax

204.THOUGHT BROADCASTING

        People know what I think, everybody knows what goes on in my head

205.THOUGHT INSERTION

        People have introduced thoughts into my head which are not mine

206.THOUGHT WITHDRAWAL

       People have removed thoughts from my head

207.TIME STILL

        Time passes slower than before

208.TRANSIENT DURATION

        I have been depressed currently for less than 1 month

209.UNMOTIVATED DEPRESSED MOOD

        I cannot understand or explain why I am depressed

210.UNMOTIVATED DYSPHORIA

        I cannot understand or explain why I am bitter

211.VAGABOND MELANCHOLIA SYNDROME

       Computer derived: Agitation/Motor Restlessness (+)

212.VEGETATIVE MANIFESTATIONS

I have one or more of the following symptoms: dry mouth, excessive perspiration,                                hyperventilation, pounding heart

213.WEARINESS OF LIFE SYNDROME

       Computer derived:  Loss of Desire to Live/Suicidal Tendencies (+)

214.WEIGHT GAIN

       I have put on at least 5% of my original weight without dieting

215.WEIGHT LOSS

       I have lost at least 5% of my original weight without dieting

216.WITHDRAWAL

       I have withdrawn from people

217.WORSE IN THE EVENINGS

       I feel worse in the evenings than in the mornings

218.WORSE IN THE MORNINGS

       I feel worse in the mornings than in the evenings

November 17, 2022