🕷️ Crawler Inspector

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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 102 (from laksa026)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa102.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/assessment-measures","crawl_time":1776053379,"first_indexed_time":1477931093,"http_code":200,"src_unparsed":"org,psychiatry!www,\/psychiatrists\/practice\/dsm\/educational-resources\/assessment-measures s443","src_root_hash":"3208705627035071702","history_drop_reason":null,"meta_title":"Psychiatry.org - DSM-5-TR Online Assessment Measures","meta_descriptions":["APA offers a number of online assessment measures which includes instructions, scoring information, interpretation guidelines, and \"emerging measures” in Section III of DSM-5-TR."],"attrs_boilerpipe_text":"For further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care.\nLevel 1 Cross-Cutting Symptom Measures\nDSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult\n(also available in print book)\nDSM-5 Parent\/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17\n(also available in print book)\nDSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17\nLevel 2 Cross-Cutting Symptom Measures\nFor Adults\nLevel 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form)\nLevel 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form)\nLevel 2—Mania—Adult (Altman Self-Rating Mania Scale [ASRM])\nLevel 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form)\nLevel 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])\nLevel 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form)\nLevel 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory [FOCI] Severity Scale [Part B])\nLevel 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)\nFor Parents of Children Ages 6–17\nLevel 2—Somatic Symptom—Parent\/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])\nLevel 2—Sleep Disturbance—Parent\/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form\n)\nLevel 2—Inattention—Parent\/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV [SNAP-IV])\nLevel 2—Depression—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank)\nLevel 2—Anger—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent)\nLevel 2—Irritability—Parent\/Guardian of Child Age 6–17 (Affective Reactivity Index [ARI])\nLevel 2—Mania—Parent\/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale [ASRM])\nLevel 2—Anxiety—Parent\/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank)\nLevel 2—Substance Use—Parent\/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST)\nFor Children Ages 11–17\nLevel 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15])\nLevel 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form)\nLevel 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank)\nLevel 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric)\nLevel 2—Irritability—Child Age 11–17 (Affective Reactivity Index [ARI])\nLevel 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale [ASRM])\nLevel 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank)\nLevel 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory [C-FOCI] Severity Scale)\nLevel 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST)\nDisorder-Specific Severity Measures\nFor Adults\nSeverity Measure for Depression—Adult (Patient Health Questionnaire [PHQ-9])\nSeverity Measure for Separation Anxiety Disorder—Adult\nSeverity Measure for Specific Phobia—Adult\nSeverity Measure for Social Anxiety Disorder (Social Phobia)—Adult\nSeverity Measure for Panic Disorder—Adult\nSeverity Measure for Agoraphobia—Adult\nSeverity Measure for Generalized Anxiety Disorder—Adult\nSeverity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale [NSESS])\nSeverity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale [NSESS])\nSeverity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale [DES-B])\nFor Children Ages 11–17\nSeverity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents [PHQ-A]—Adapted)\nSeverity Measure for Separation Anxiety Disorder—Child Age 11–17\nSeverity Measure for Specific Phobia—Child Age 11–17\nSeverity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17\nSeverity Measure for Panic Disorder—Child Age 11–17\nSeverity Measure for Agoraphobia—Child Age 11–17\nSeverity Measure for Generalized Anxiety Disorder—Child Age 11–17\nSeverity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale [NSESS])\nSeverity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale [NSESS])\nSeverity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale [DES-B])\nClinician-Rated\nClinician-Rated Severity of Autism Spectrum and Social Communication Disorders\nClinician-Rated Dimensions of Psychosis Symptom Severity\n(also available in print book)\nClinician-Rated Severity of Somatic Symptom Disorder\nClinician-Rated Severity of Oppositional Defiant Disorder\nClinician-Rated Severity of Conduct Disorder\nClinician-Rated Severity of Nonsuicidal Self-Injury\nDisability Measures\nWHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered)\n(also available in print book)\nWHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered)\nPersonality Inventories\nFor Adults\nThe Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult\nThe Personality Inventory for DSM-5 (PID-5)—Adult\nThe Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult\nFor Children Ages 11–17\nThe Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17\nThe Personality Inventory for DSM-5 (PID-5)—Child Age 11–17\nEarly Development and Home Background\nFor Parents of Children Ages 6–17\nEarly Development and Home Background (EDHB) Form—Parent\/Guardian\nClinician-Rated\nEarly Development and Home Background (EDHB) Form—Clinician\nCultural Formulation Interviews\nCultural Formulation Interview\n(also available in print book)\nCultural Formulation Interview—Informant Version\n(also available in print book)\nAlternative Versions to the Core Cultural Formulation Interview (CFI)\nSupplementary Modules to the Core Cultural Formulation Interview (CFI)\nAbout the Measures\nThese measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types:\nCross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains.\nSeverity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete.\nThe World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work\/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health.\nThe Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available.\nThe Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician.\nThe Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. The last module explores the experiences and views of individuals who perform caregiving functions.","attrs_markdown":"[Skip to content](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/assessment-measures#main)\n\n[Advocacy Action Center for Members: Federal Policy Updates. Log in to view \\>](https:\/\/www.psychiatry.org\/psychiatrists\/advocacy\/advocacy-action-center)\n\nClose alert\n\n## Advocacy Action Center for Members\nFederal Policy Updates\n\n[Log in to view \\>](https:\/\/www.psychiatry.org\/psychiatrists\/advocacy\/advocacy-action-center)\n\nClose alert\n\n[About APA](https:\/\/www.psychiatry.org\/about-apa)\n\nAbout APA submenu\n\n- [Vision, Mission, Guiding Principles and Goals](https:\/\/www.psychiatry.org\/about-apa\/vision-mission)\n- [Meet Our Organization](https:\/\/www.psychiatry.org\/about-apa\/meet-our-organization)\n- [Read APA Organization Documents and Policies](https:\/\/www.psychiatry.org\/about-apa\/read-apa-organization-documents-and-policies)\n- [Work At APA](https:\/\/www.psychiatry.org\/about-apa\/work-at-apa)\n- [About APA's Headquarters](https:\/\/www.psychiatry.org\/about-apa\/apa-headquarters)\n- [Policy Finder](https:\/\/www.psychiatry.org\/about-apa\/policy-finder)\n- [Contact Us](https:\/\/www.psychiatry.org\/about-apa\/contact-us)\n- [APA Seal of Acceptance](https:\/\/www.psychiatry.org\/about-apa\/apa-seal-of-acceptance)\n\n[APA Publishing](https:\/\/psychiatryonline.org\/)\n\nAPA Publishing submenu\n\n- [American Journal of Psychiatry](https:\/\/psychiatryonline.org\/journal\/ajp?utm_medium=Psychiatry&utm_source=TopNavigation)\n- [Journals](https:\/\/psychiatryonline.org\/?utm_medium=Psychiatry&utm_source=TopNavigation)\n- [Books](https:\/\/psychiatryonline.org\/books)\n- [Psychiatric News](https:\/\/psychiatryonline.org\/journal\/pn?utm_medium=Psychiatry&utm_source=TopNavigation)\n\n[Newsroom](https:\/\/www.psychiatry.org\/news-room)\n\nNewsroom submenu\n\n- [News Releases](https:\/\/www.psychiatry.org\/news-room\/news-releases)\n- [Messages from the APA President](https:\/\/psychnews.psychiatryonline.org\/topic\/news-president?sortBy=Ppub)\n- [Reporting on Mental Health Conditions](https:\/\/www.psychiatry.org\/news-room\/reporting-on-mental-health-conditions)\n- [APA Blogs](https:\/\/www.psychiatry.org\/news-room\/apa-blogs)\n- [Goldwater Rule](https:\/\/www.psychiatry.org\/news-room\/goldwater-rule)\n- [Annual Meeting Press Registration + Guidelines](https:\/\/www.psychiatry.org\/news-room\/annual-meeting-press-registration-guidelines)\n- [APA Public Opinion Polls](https:\/\/www.psychiatry.org\/news-room\/apa-public-opinion-polls)\n- [Reporter Toolkit: Recommendations on Covering the AAPI Community](https:\/\/www.psychiatry.org\/news-room\/recommendations-on-covering-aapi-community)\n- [Comunicados de prensa en español](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/comunicados-de-prensa-en-espanol)\n\n[Advocacy & APAPAC](https:\/\/www.psychiatry.org\/psychiatrists\/advocacy)\n\n[APA Sites](https:\/\/www.psychiatry.org\/)\n\nAPA Sites submenu\n\n- [APA Annual Meeting](https:\/\/www.psychiatry.org\/psychiatrists\/meetings\/annual-meeting)\n- [APA Communities](http:\/\/community.psychiatry.org\/)\n- [APA Foundation](https:\/\/apaf.org\/)\n- [APA JobCentral](https:\/\/jobs.psychiatry.org\/)\n- [APA Learning Center](https:\/\/education.psychiatry.org\/)\n- [APA Publishing](https:\/\/appi.org\/)\n- [Center for Workplace Mental Health](https:\/\/workplacementalhealth.org\/)\n- [Melvin Sabshin, M.D. Library & Archives](https:\/\/www.apaf.org\/library-archives\/)\n- [Psychiatric News](http:\/\/psychnews.psychiatryonline.org\/)\n- [Psychiatry Online](http:\/\/www.psychiatryonline.org\/)\n\n- [Sign In](https:\/\/www.psychiatry.org\/Login)\n\n[![American Psychiatric Association home](https:\/\/www.psychiatry.org\/assets\/images\/logos\/c-logo.svg)](https:\/\/www.psychiatry.org\/)\n\nThis search input has a predictive search function. 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[District Branch Dues for General Members](https:\/\/www.psychiatry.org\/membership\/district-branches\/district-branch-dues-for-general-members)\n    \n    - [District Branch Dues for Residents and Fellows](https:\/\/www.psychiatry.org\/membership\/district-branches\/district-branch-dues-for-residents-and-fellows)\n# DSM-5-TR Online Assessment Measures\n- ## You are here:\n- [Psychiatrists](https:\/\/www.psychiatry.org\/psychiatrists)\n- [Practice](https:\/\/www.psychiatry.org\/psychiatrists\/practice)\n- [DSM](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm)\n- [Educational Resources](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources)\n- DSM-5-TR Online Assessment Measures\n\n- Share\n- Print\n\nSub Navigation\n\n- ## [Educational Resources](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources)\n  Toggle Educational Resources Page Listing\n  - [DSM-5-TR Fact Sheets](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/dsm-5-tr-fact-sheets)\n  - [DSM-5-TR Online Assessment Measures](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/assessment-measures)\n  - [DSM-5 Fact Sheets](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/dsm-5-fact-sheets)\n  - [DSM-5 Online Assessment Measures](https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\/educational-resources\/dsm-5-assessment-measures)\n## On This Page\n\nFor further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care.\n\n## **Level 1 Cross-Cutting Symptom Measures**\n- [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult](https:\/\/www.psychiatry.org\/getmedia\/e0b4b299-95b3-407b-b8c2-caa871ca218d\/APA-DSM5TR-Level1MeasureAdult.pdf) (also available in print book)\n- [DSM-5 Parent\/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17](https:\/\/www.psychiatry.org\/getmedia\/1e799501-f718-4d06-817e-ce98e35c6bdd\/APA-DSM5TR-Level1MeasureParentOrGuardianOfChildAge6To17.pdf) (also available in print book)\n- [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/9352851c-d69f-411a-8933-3212e8c29063\/APA-DSM5TR-Level1MeasureChildAge11To17.pdf)\n## **Level 2 Cross-Cutting Symptom Measures**\n### For Adults\n- [Level 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/4326c940-f414-4f2c-acec-bd8299a3cf14\/APA-DSM5TR-Level2DepressionAdult.pdf)\n- [Level 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/a56cc2a0-3818-4975-bbcb-4a047e1ffbea\/APA-DSM5TR-Level2AngerAdult.pdf)\n- [Level 2—Mania—Adult (Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/c1783d55-268a-47b2-9932-a549b21c8d64\/APA-DSM5TR-Level2ManiaAdult.pdf)\n- [Level 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/f284f967-ed9e-4754-99fc-b32765b1c4a0\/APA-DSM5TR-Level2AnxietyAdult.pdf)\n- [Level 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/843c7fa5-9a40-4795-a25e-70208903d88c\/APA-DSM5TR-Level2SomaticSymptomAdult.pdf)\n- [Level 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/c606b335-f087-4358-9c8d-f233313d9d04\/APA-DSM5TR-Level2SleepDisturbanceAdult.pdf)\n- [Level 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory \\[FOCI\\] Severity Scale \\[Part B\\])](https:\/\/www.psychiatry.org\/getmedia\/a451f9f0-40b7-4262-8ef2-e7be2ea004f2\/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsAdult.pdf)\n- [Level 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/cf5e60dd-6452-4b1b-a42f-40a7d46b410b\/APA-DSM5TR-Level2SubstanceUseAdult.pdf)\n### For Parents of Children Ages 6–17\n- [Level 2—Somatic Symptom—Parent\/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/b4e23271-7608-47b5-abc0-ebc3749435eb\/APA-DSM5TR-Level2SomaticSymptomParentOfChildAge6To17.pdf)\n- [Level 2—Sleep Disturbance—Parent\/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form](https:\/\/www.psychiatry.org\/getmedia\/f479fedd-da9e-4669-887c-0eedcefc931b\/APA-DSM5TR-Level2SleepDisturbanceParentOfChildAge6To17.pdf))\n- [Level 2—Inattention—Parent\/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV \\[SNAP-IV\\])](https:\/\/www.psychiatry.org\/getmedia\/a2cd4dd6-a178-4f9c-840d-69a492b7f753\/APA-DSM5TR-Level2InattentionParentOfChildAge6To17.pdf)\n- [Level 2—Depression—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/dbc10f10-1048-4385-8e64-b2e6bb4a21b9\/APA-DSM5TR-Level2DepressionParentOfChildAge6To17.pdf)\n- [Level 2—Anger—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent)](https:\/\/www.psychiatry.org\/getmedia\/eaaed48f-2820-43f1-ba91-dec194f225b8\/APA-DSM5TR-Level2AngerParentOfChildAge6To17.pdf)\n- [Level 2—Irritability—Parent\/Guardian of Child Age 6–17 (Affective Reactivity Index \\[ARI\\])](https:\/\/www.psychiatry.org\/getmedia\/773055df-7885-4398-bda8-42e3a3b1b21e\/APA-DSM5TR-Level2IrritabilityParentOfChildAge6To17.pdf)\n- [Level 2—Mania—Parent\/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/ba6fc25e-9b55-486e-8fc0-14bd54b7c142\/APA-DSM5TR-Level2ManiaParentOfChildAge6To17.pdf)\n- [Level 2—Anxiety—Parent\/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/97fe0c71-1fc2-4d1c-afce-fc3b35ae6d76\/APA-DSM5TR-Level2AnxietyParentOfChildAge6To17.pdf)\n- [Level 2—Substance Use—Parent\/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/c2fa9b94-bad6-4e75-bf9e-7f44403d5c8b\/APA-DSM5TR-Level2SubstanceUseParentOfChildAge6To17.pdf)\n### For Children Ages 11–17\n- [Level 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/a2004fae-ba2e-4807-8a3c-69430aed2338\/APA-DSM5TR-Level2SomaticSymptomChildAge11To17.pdf)\n- [Level 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/f4b112bd-0b43-451b-b5a9-e88495710c21\/APA-DSM5TR-Level2SleepDisturbanceChildAge11To17.pdf)\n- [Level 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/ade87498-9ead-40b5-b896-6b979f51d361\/APA-DSM5TR-Level2DepressionChildAge11To17.pdf)\n- [Level 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric)](https:\/\/www.psychiatry.org\/getmedia\/1212c1db-84b1-4d55-8eb3-f24fb7c0cc37\/APA-DSM5TR-Level2AngerChildAge11To17.pdf)\n- [Level 2—Irritability—Child Age 11–17 (Affective Reactivity Index \\[ARI\\])](https:\/\/www.psychiatry.org\/getmedia\/071874b0-4b41-4dc6-81e0-ebbc9ce7137b\/APA-DSM5TR-Level2IrritabilityChildAge11To17.pdf)\n- [Level 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/b6e02e83-a91c-49de-8457-861f1858aecd\/APA-DSM5TR-Level2ManiaChildAge11To17.pdf)\n- [Level 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/1c618b9a-d320-45a7-8f9c-09c7ac81a238\/APA-DSM5TR-Level2AnxietyChildAge11To17.pdf)\n- [Level 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory \\[C-FOCI\\] Severity Scale)](https:\/\/www.psychiatry.org\/getmedia\/9400a464-0506-445c-9cbe-fcff9695e89a\/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsChildAge11To17.pdf)\n- [Level 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/fc0e0209-b230-4139-b4b1-10962293c80d\/APA-DSM5TR-Level2SubstanceUseChildAge11To17.pdf)\n## **Disorder-Specific Severity Measures**\n### For Adults\n- [Severity Measure for Depression—Adult (Patient Health Questionnaire \\[PHQ-9\\])](https:\/\/www.psychiatry.org\/getmedia\/a3986be5-94af-42e7-afce-19234c2f4998\/APA-DSM5TR-SeverityMeasureForDepressionAdult.pdf)\n- [Severity Measure for Separation Anxiety Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/538a62c3-2e1e-4bc3-bafd-7a02efad4937\/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderAdult.pdf)\n- [Severity Measure for Specific Phobia—Adult](https:\/\/www.psychiatry.org\/getmedia\/b281daed-b8a9-4d45-8d6f-6315ce8f784b\/APA-DSM5TR-SeverityMeasureForSpecificPhobiaAdult.pdf)\n- [Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult](https:\/\/www.psychiatry.org\/getmedia\/69c11866-906c-4262-bfe3-753ac4ad2780\/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderAdult.pdf)\n- [Severity Measure for Panic Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/6ab8ea4f-e810-4c0c-b41c-16838293506d\/APA-DSM5TR-SeverityMeasureForPanicDisorderAdult.pdf)\n- [Severity Measure for Agoraphobia—Adult](https:\/\/www.psychiatry.org\/getmedia\/3345c156-1aac-4e29-ac61-1c6541cb39be\/APA-DSM5TR-SeverityMeasureForAgoraphobiaAdult.pdf)\n- [Severity Measure for Generalized Anxiety Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/b1a256c4-1304-4610-8aca-0cc70b46ff53\/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderAdult.pdf)\n- [Severity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/1af5dc37-6370-4e72-94d8-e0224d8495f8\/APA-DSM5TR-SeverityOfPosttraumaticStressSymptomsAdult.pdf)\n- [Severity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/364c20fa-25a5-43cb-b6ad-a4b230ef5b70\/APA-DSM5TR-SeverityOfAcuteStressSymptomsAdult.pdf)\n- [Severity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale \\[DES-B\\])](https:\/\/www.psychiatry.org\/getmedia\/40a74f7f-d18c-4088-8464-653073c74452\/APA-DSM5TR-SeverityOfDissociativeSymptomsAdult.pdf)\n### For Children Ages 11–17\n- [Severity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents \\[PHQ-A\\]—Adapted)](https:\/\/www.psychiatry.org\/getmedia\/5bffce7c-6ad1-4621-8f90-d3f1b8c28b8b\/APA-DSM5TR-SeverityMeasureForDepressionChildAge11To17.pdf)\n- [Severity Measure for Separation Anxiety Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/b7a64e97-7bb5-46d7-9e75-69a16de1049d\/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderChildAge11To17.pdf)\n- [Severity Measure for Specific Phobia—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/d7db0c92-8f11-445a-936e-cd6bc9f45480\/APA-DSM5TR-SeverityMeasureForSpecificPhobiaChildAge11To17.pdf)\n- [Severity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/3b328005-dc9a-4c3a-8b8d-56f8017af73b\/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderChildAge11To17.pdf)\n- [Severity Measure for Panic Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/bdf5a1a6-1357-4bb6-9c37-0ca93d7e062e\/APA-DSM5TR-SeverityMeasureForPanicDisorderChildAge11To17.pdf)\n- [Severity Measure for Agoraphobia—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/3060504d-1660-4176-a12f-fd6bd979b804\/APA-DSM5TR-SeverityMeasureForAgoraphobiaChildAge11To17.pdf)\n- [Severity Measure for Generalized Anxiety Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/73e293d0-6355-4258-9cd3-2fc8a5c5b830\/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderChildAge11To17.pdf)\n- [Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/19964a66-5074-4f00-9138-81d85577f107\/APA-DSM5TR-SeverityOfPostTraumaticStressSymptomsChildAge11To17.pdf)\n- [Severity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/8cb69e1d-5d73-4797-85af-48024bd1df44\/APA-DSM5TR-SeverityOfAcuteStressSymptomsChildAge11To17.pdf)\n- [Severity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale \\[DES-B\\])](https:\/\/www.psychiatry.org\/getmedia\/e0cee092-397f-4498-bbd8-61f420ac9973\/APA-DSM5TR-SeverityofDissociativeSymptomsChildAge11To17.pdf)\n### Clinician-Rated\n- [Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders](https:\/\/www.psychiatry.org\/getmedia\/97fbc44e-f928-41f3-8fac-5f5c15a7161d\/APA-DSM5TR-ClinicianRatedSeverityOfAutismSpectrumAndSocialCommunicationDisorders.pdf)\n- [Clinician-Rated Dimensions of Psychosis Symptom Severity](https:\/\/www.psychiatry.org\/getmedia\/639675df-e6d0-4fe5-bb86-a517d9b15cfd\/APA-DSM5TR-ClinicianRatedDimensionsofPsychosisSymptomSeverity.pdf) (also available in print book)\n- [Clinician-Rated Severity of Somatic Symptom Disorder](https:\/\/www.psychiatry.org\/getmedia\/f634d540-eb39-4309-b6cd-5270b3d03730\/APA-DSM5TR-ClinicianRatedSeverityOfSomaticSymptomDisorder.pdf)\n- [Clinician-Rated Severity of Oppositional Defiant Disorder](https:\/\/www.psychiatry.org\/getmedia\/c8c54ca1-92a9-4608-bd05-147cb92db691\/APA-DSM5TR-ClinicianRatedSeverityOfOppositionalDefiantDisorder.pdf)\n- [Clinician-Rated Severity of Conduct Disorder](https:\/\/www.psychiatry.org\/getmedia\/7f0c5730-df33-4e67-b1a5-493fed023485\/APA-DSM5TR-ClinicianRatedSeverityOfConductDisorder.pdf)\n- [Clinician-Rated Severity of Nonsuicidal Self-Injury](https:\/\/www.psychiatry.org\/getmedia\/956cbe48-0d36-4565-b729-3b2ddf40e371\/APA-DSM5TR-ClinicianRatedSeverityOfNonSuicidalSelfInjury.pdf)\n## **Disability Measures**\n- [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered)](https:\/\/www.psychiatry.org\/getmedia\/5f4794de-8d66-4434-99f3-784a3fd1e567\/APA-DSM5TR-WHODAS2SelfAdministered.pdf) (also available in print book)\n- [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered)](https:\/\/www.psychiatry.org\/getmedia\/f1e7a9ff-431f-48ff-9284-9be7a2809c4e\/APA-DSM5TR-WHODAS2ProxyAdministered.pdf)\n## **Personality Inventories**\n### For Adults\n- [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult](https:\/\/www.psychiatry.org\/getmedia\/f65c4386-b2bc-44a5-9ace-d6fea2211506\/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormAdult.pdf)\n- [The Personality Inventory for DSM-5 (PID-5)—Adult](https:\/\/www.psychiatry.org\/getmedia\/594673a6-1b9b-4298-8b52-c4c652c4a4e2\/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionAdult.pdf)\n- [The Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult](https:\/\/www.psychiatry.org\/getmedia\/c98d1549-7dd6-4916-b758-296331fb4ffc\/APA-DSM5TR-ThePersonalityInventoryforDSM5FullVersionInformant.pdf)\n### For Children Ages 11–17\n- [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/e2112f01-d14a-4503-8440-d4a30c519676\/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormChildAge11To17.pdf)\n- [The Personality Inventory for DSM-5 (PID-5)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/e02d3a80-9010-4d04-bd36-ec3510dcfc1e\/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionChildAge11To17.pdf)\n## **Early Development and Home Background**\n### For Parents of Children Ages 6–17\n- [Early Development and Home Background (EDHB) Form—Parent\/Guardian](https:\/\/www.psychiatry.org\/getmedia\/ef4ce2bb-ae0e-4270-a8de-dfbb20e5d2f6\/APA-DSM5TR-EarlyDevelopmentAndHomeBackgroundFormParentOfChildAge6To17-pdf.pdf)\n### Clinician-Rated\n- [Early Development and Home Background (EDHB) Form—Clinician](https:\/\/www.psychiatry.org\/getmedia\/b06aa42b-5b39-40f0-8ac1-d24815d44343\/APA-DSM5TR-ClinicianRatedEarlyDevelopmentAndHomeBackground.pdf)\n## **Cultural Formulation Interviews**\n- [Cultural Formulation Interview](https:\/\/www.psychiatry.org\/getmedia\/5cc5329d-3bd4-4c6a-bae1-dfd0d6496f44\/APA-DSM5TR-CulturalFormulationInterview.pdf) (also available in print book)\n- [Cultural Formulation Interview—Informant Version](https:\/\/www.psychiatry.org\/getmedia\/4b37a60b-dcbd-402c-9ee2-3af7f5c9dc70\/APA-DSM5TR-CulturalFormulationInterviewInformant.pdf) (also available in print book)\n- [Alternative Versions to the Core Cultural Formulation Interview (CFI)](https:\/\/www.psychiatry.org\/getmedia\/e308b799-98cc-4ad4-81c3-1f662335074d\/APA-DSM5TR-AlternativeVersionsoftheCoreCFI.pdf)\n- [Supplementary Modules to the Core Cultural Formulation Interview (CFI)](https:\/\/www.psychiatry.org\/getmedia\/aca8f5a2-9b1b-456c-a3b7-f7f852edcf7c\/APA-DSM5TR-CulturalFormulationInterviewSupplementaryModules.pdf)\n## About the Measures\nThese measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types:\n\n- Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains.\n- Severity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete.\n- The World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work\/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health.\n- The Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available.\n\nThe Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician.\n\nThe Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. 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Disease**](https:\/\/www.psychiatry.org\/patients-families\/alzheimers)\n- [What Are Dementia and Alzheimer’s Disease?](https:\/\/www.psychiatry.org\/patients-families\/alzheimers\/what-is-alzheimers-disease)\n- [Expert Q\\&A: Dementia and Alzheimer's Disease](https:\/\/www.psychiatry.org\/patients-families\/alzheimers\/expert-q-and-a)\n\n- Back\n- [**Depression**](https:\/\/www.psychiatry.org\/patients-families\/depression)\n- [What Is Depression?](https:\/\/www.psychiatry.org\/patients-families\/depression\/what-is-depression)\n- [Expert Q\\&A: Depression](https:\/\/www.psychiatry.org\/patients-families\/depression\/expert-q-and-a)\n\n- Back\n- [**Disruptive, Impulse-Control and Conduct Disorders**](https:\/\/www.psychiatry.org\/patients-families\/disruptive-impulse-control-and-conduct-disorders)\n- [What are Disruptive, Impulse Control and Conduct Disorders?](https:\/\/www.psychiatry.org\/patients-families\/disruptive-impulse-control-and-conduct-disorders\/what-are-disruptive-impulse-control-and-conduct)\n- [Expert Q\\&A: Disruptive, Impulse Control and Conduct Disorders](https:\/\/www.psychiatry.org\/patients-families\/disruptive-impulse-control-and-conduct-disorders\/expert-q-and-a)\n\n- Back\n- [**Dissociative Disorders**](https:\/\/www.psychiatry.org\/patients-families\/dissociative-disorders)\n- [What Are Dissociative Disorders?](https:\/\/www.psychiatry.org\/patients-families\/dissociative-disorders\/what-are-dissociative-disorders)\n- [Expert Q\\&A: Dissociative Disorders](https:\/\/www.psychiatry.org\/patients-families\/dissociative-disorders\/expert-q-and-a)\n\n- Back\n- [**Eating Disorders**](https:\/\/www.psychiatry.org\/patients-families\/eating-disorders)\n- [What are Eating Disorders?](https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders)\n- [Expert Q\\&A: Eating Disorders](https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/expert-q-and-a)\n\n- Back\n- [**Gambling Disorder**](https:\/\/www.psychiatry.org\/patients-families\/gambling-disorder)\n- [What is Gambling Disorder?](https:\/\/www.psychiatry.org\/patients-families\/gambling-disorder\/what-is-gambling-disorder)\n- [Expert Q\\&A: Gambling Disorder](https:\/\/www.psychiatry.org\/patients-families\/gambling-disorder\/expert-q-and-a)\n\n- Back\n- [**Gender Dysphoria**](https:\/\/www.psychiatry.org\/patients-families\/gender-dysphoria)\n- [What is Gender Dysphoria?](https:\/\/www.psychiatry.org\/patients-families\/gender-dysphoria\/what-is-gender-dysphoria)\n- [Expert Q\\&A: Gender Dysphoria](https:\/\/www.psychiatry.org\/patients-families\/gender-dysphoria\/expert-q-and-a)\n\n- Back\n- [**Hoarding Disorder**](https:\/\/www.psychiatry.org\/patients-families\/hoarding-disorder)\n- [What is Hoarding Disorder?](https:\/\/www.psychiatry.org\/patients-families\/hoarding-disorder\/what-is-hoarding-disorder)\n- [Expert Q\\&A: Hoarding Disorder](https:\/\/www.psychiatry.org\/patients-families\/hoarding-disorder\/expert-q-and-a)\n\n- Back\n- [**Intellectual Disability**](https:\/\/www.psychiatry.org\/patients-families\/intellectual-disability)\n- [What is Intellectual Disability?](https:\/\/www.psychiatry.org\/patients-families\/intellectual-disability\/what-is-intellectual-disability)\n- [Expert Q\\&A: Intellectual Disability](https:\/\/www.psychiatry.org\/patients-families\/intellectual-disability\/expert-q-and-a)\n\n- Back\n- [**Neurodevelopmental Disorders**](https:\/\/www.psychiatry.org\/patients-families\/neurodevelopment-disorders)\n- [Neurodevelopmental Disorders - Communication Disorders](https:\/\/www.psychiatry.org\/patients-families\/neurodevelopment-disorders\/neurodevelopment-disorders-communication-disorders)\n- [Neurodevelopmental Disorders - Motor Disorders](https:\/\/www.psychiatry.org\/patients-families\/neurodevelopment-disorders\/neurodevelopmental-disorders-motor-disorders)\n\n- Back\n- [**Obsessive-Compulsive and Related Disorders**](https:\/\/www.psychiatry.org\/patients-families\/obsessive-compulsive-disorder)\n- [What Is are Obsessive-Compulsive and Related Disorders?](https:\/\/www.psychiatry.org\/patients-families\/obsessive-compulsive-disorder\/what-is-obsessive-compulsive-disorder)\n- [Expert Q\\&A: Obsessive-Compulsive and Related Disorders](https:\/\/www.psychiatry.org\/patients-families\/obsessive-compulsive-disorder\/expert-q-and-a)\n\n- Back\n- [**Perinatal Depression (formerly Postpartum)**](https:\/\/www.psychiatry.org\/patients-families\/peripartum-depression)\n- [What is Perinatal Depression (formerly Postpartum)?](https:\/\/www.psychiatry.org\/patients-families\/peripartum-depression\/what-is-peripartum-depression)\n- [Expert Q\\&A: Perinatal Depression](https:\/\/www.psychiatry.org\/patients-families\/peripartum-depression\/expert-q-and-a)\n\n- Back\n- [**Personality Disorders**](https:\/\/www.psychiatry.org\/patients-families\/personality-disorders)\n- [What are Personality Disorders?](https:\/\/www.psychiatry.org\/patients-families\/personality-disorders\/what-are-personality-disorders)\n- [Expert Q\\&A: Personality Disorders](https:\/\/www.psychiatry.org\/patients-families\/personality-disorders\/expert-q-and-a)\n\n- Back\n- [**Posttraumatic Stress Disorder (PTSD)**](https:\/\/www.psychiatry.org\/patients-families\/ptsd)\n- [What is Posttraumatic Stress Disorder (PTSD)?](https:\/\/www.psychiatry.org\/patients-families\/ptsd\/what-is-ptsd)\n- [Expert Q\\&A: Posttraumatic Stress Disorder (PTSD)](https:\/\/www.psychiatry.org\/patients-families\/ptsd\/expert-q-and-a)\n\n- Back\n- [**Schizophrenia**](https:\/\/www.psychiatry.org\/patients-families\/schizophrenia)\n- [What is Schizophrenia?](https:\/\/www.psychiatry.org\/patients-families\/schizophrenia\/what-is-schizophrenia)\n- [Expert Q\\&A: Schizophrenia](https:\/\/www.psychiatry.org\/patients-families\/schizophrenia\/expert-q-and-a)\n\n- Back\n- [**Sleep Disorders**](https:\/\/www.psychiatry.org\/patients-families\/sleep-disorders)\n- [What are Sleep Disorders?](https:\/\/www.psychiatry.org\/patients-families\/sleep-disorders\/what-are-sleep-disorders)\n- [Expert Q\\&A: Sleep Disorders](https:\/\/www.psychiatry.org\/patients-families\/sleep-disorders\/expert-q-and-a)\n\n- Back\n- [**Somatic Symptom Disorder**](https:\/\/www.psychiatry.org\/patients-families\/somatic-symptom-disorder)\n- [What is Somatic Symptom Disorder?](https:\/\/www.psychiatry.org\/patients-families\/somatic-symptom-disorder\/what-is-somatic-symptom-disorder)\n- [Expert Q\\&A: Somatic Symptom Disorder](https:\/\/www.psychiatry.org\/patients-families\/somatic-symptom-disorder\/expert-q-and-a)\n\n- Back\n- [**Specific Learning Disorders**](https:\/\/www.psychiatry.org\/patients-families\/specific-learning-disorder)\n- [What Are Specific Learning Disorders?](https:\/\/www.psychiatry.org\/patients-families\/specific-learning-disorder\/what-is-specific-learning-disorder)\n- [Expert Q\\&A: Specific Learning Disorders](https:\/\/www.psychiatry.org\/patients-families\/specific-learning-disorder\/expert-q-and-a)\n\n- Back\n- [**Technology Addictions: Social Media, Online Gaming, and More**](https:\/\/www.psychiatry.org\/patients-families\/technology-addictions-social-media-and-more)\n- [What is Technology Addiction?](https:\/\/www.psychiatry.org\/patients-families\/technology-addictions-social-media-and-more\/what-is-technology-addiction)\n- [Expert Q\\&A: Technology Addiction](https:\/\/www.psychiatry.org\/patients-families\/technology-addictions-social-media-and-more\/expert-q-a-technology-addiction)\n\n- Back\n- [**La Salud Mental**](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental)\n- [Adicción a la tecnología: redes sociales, juegos en línea, y más](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/adiccion-a-la-tecnologia-redes-sociales-juegos-en)\n- [Ansiedad](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/ansiedad)\n- [Ayudar a un ser querido a sobrellevar una enfermedad mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/ayudar-a-un-ser-querido-a-sobrellevar-una-enfermed)\n- [Cigarrillos electrónicos y vapeo](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/cigarrillos-electronicos-y-vapeo)\n- [Comunicados de prensa en español](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/comunicados-de-prensa-en-espanol)\n- [Conexiones entre el cambio climático y la salud mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/conexiones-entre-el-cambio-climatico-y-la-salud-me)\n- [Estilo de vida para apoyar la salud mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/estilo-de-vida-para-apoyar-la-salud-mental)\n- [La Salud Mental Allies \/ Aliados de La Salud Mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/la-salud-mental-collaborators)\n- [Más temas de salud mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/mas-temas-de-salud-mental)\n- [Mitos y Realidades Sobre La Salud Mental](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/mitos-y-realidades-sobre-la-salud-mental)\n- [¿Qué es el DSM?](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/%C2%BFque-es-el-dsm)\n- [¿Qué es la psicoterapia?](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/que-es-la-psicoterapia)\n- [¿Qué es la psiquiatría?](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/%C2%BFque-es-la-psiquiatria)\n- [¿Qué es una enfermedad mental?](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/%C2%BFque-es-una-enfermedad-mental)\n- [Trastorno por consumo de alcohol](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/trastorno-por-consumo-de-alcohol)\n- [Trastorno por consumo de opioides](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/trastorno-por-consumo-de-opioides-1)\n- [Trastorno del espectro autista](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/trastorno-del-espectro-autista)\n- [Trastorno de estrés postraumático (TEPT)](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/trastorno-de-estres-postraumatico-tept)\n- [Hispanic Heritage Month Toolkit](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/hispanic-heritage-month-toolkit)\n- [Guía de medicamentos para padres](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/guia-para-familias-sobre-los-medicamentos)\n- [Trastornos Alimentarios](https:\/\/www.psychiatry.org\/patients-families\/la-salud-mental\/mas-alla-de-las-dietas-y-la-apariencia)\n\n- Back\n- [**Join APA**](https:\/\/www.psychiatry.org\/membership\/join-apa)\n- [General Members](https:\/\/www.psychiatry.org\/membership\/join-apa\/general-members)\n- [Early Career Psychiatrists](https:\/\/www.psychiatry.org\/membership\/join-apa\/early-career-psychiatrists)\n- [Residents and Fellows](https:\/\/www.psychiatry.org\/membership\/join-apa\/residents-and-fellows)\n- [Medical Students](https:\/\/www.psychiatry.org\/membership\/join-apa\/medical-students)\n- [International](https:\/\/www.psychiatry.org\/membership\/join-apa\/international)\n- [International Resident-Fellows](https:\/\/www.psychiatry.org\/membership\/join-apa\/international-resident-fellows)\n- [Semi-Retired and Retired](https:\/\/www.psychiatry.org\/membership\/join-apa\/semi-retired-and-retired)\n- [View Your Profile](<https:\/\/my.psychiatry.org >)\n\n- Back\n- [**Member 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[Distinguished Fellow of the APA](https:\/\/www.psychiatry.org\/membership\/honorary-fellowship\/dfapa)\n- [International Fellow of the APA](https:\/\/www.psychiatry.org\/membership\/honorary-fellowship\/ifapa)\n- [International Distinguished Fellow of the APA](https:\/\/www.psychiatry.org\/membership\/honorary-fellowship\/idfapa)\n- [2026 Class of Honorary Fellows](https:\/\/www.psychiatry.org\/membership\/honorary-fellowship\/newest-class-of-honorary-fellows)\n\n- Back\n- [**Awards & Leadership Opportunities**](https:\/\/www.psychiatry.org\/membership\/awards-leadership-opportunities)\n- [Awards](https:\/\/www.psychiatry.org\/membership\/awards-leadership-opportunities\/awards)\n- [2026 APA National Elections](https:\/\/www.psychiatry.org\/membership\/awards-leadership-opportunities\/elections)\n- [Councils, Committees and Components](https:\/\/www.psychiatry.org\/about-apa\/Meet-Our-Organization\/Councils)\n- [Resident-Fellow Leadership 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Institute](https:\/\/www.psychiatry.org\/residents-medical-students\/residents\/fellowships\/additional-opportunities-for-fellows\/lead-institute)\n- [Medical Student Programs](https:\/\/www.psychiatry.org\/residents-medical-students\/medical-students\/medical-student-programs)\n- [Mentorship Program for APA\/APAF Fellows](https:\/\/www.psychiatry.org\/residents-medical-students\/residents\/fellowships\/additional-opportunities-for-fellows\/mentorship-program\/fellowship-mentorship-program)\n- [Minority and Underrepresented (M\/UR) Caucuses](https:\/\/www.psychiatry.org\/psychiatrists\/cultural-competency\/mur-caucuses)\n- [Research Colloquium](https:\/\/www.psychiatry.org\/psychiatrists\/research\/research-colloquium-for-junior-psychiatrist-invest)\n- [APA Communities](https:\/\/www.psychiatry.org\/membership\/get-involved\/apa-communities)\n\n- Back\n- [**Directories, Contact Info & FAQs**](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions)\n- [Contact the Membership Department](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions\/contact-your-membership-specialist)\n- [Contact Your District Branch](https:\/\/www.psychiatry.org\/about-apa\/Meet-Our-Organization\/district-branches)\n- [Membership FAQs](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions\/faqs)\n- [Semi-Retired and Retired FAQs](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions\/semi-retired-and-retired-faqs)\n- [Lump Sum Dues](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions\/lump-sum-dues)\n- [APA Dues Rate Changes FAQs](https:\/\/www.psychiatry.org\/membership\/contacts-and-frequently-asked-questions\/apa-dues-rate-changes-faqs)\n- [Member Directory](https:\/\/my.psychiatry.org\/s\/membersdirectory)\n- [Assembly Directory](https:\/\/my.psychiatry.org\/s\/membershipsites?dir=assembly)\n- [Components](https:\/\/www.psychiatry.org\/about-apa\/Meet-Our-Organization\/Councils)\n\n- Back\n- [**District Branches**](https:\/\/www.psychiatry.org\/about-apa\/Meet-Our-Organization\/district-branches)\n- [Resources for DB\/SA Leadership](https:\/\/www.psychiatry.org\/membership\/district-branches\/district-branch-resources)\n- [District Branch Dues for General Members](https:\/\/www.psychiatry.org\/membership\/district-branches\/district-branch-dues-for-general-members)\n- [District Branch Dues for Residents and Fellows](https:\/\/www.psychiatry.org\/membership\/district-branches\/district-branch-dues-for-residents-and-fellows)","attrs_readable_markdown":"For further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care.\n\n## **Level 1 Cross-Cutting Symptom Measures**\n- [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult](https:\/\/www.psychiatry.org\/getmedia\/e0b4b299-95b3-407b-b8c2-caa871ca218d\/APA-DSM5TR-Level1MeasureAdult.pdf) (also available in print book)\n- [DSM-5 Parent\/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17](https:\/\/www.psychiatry.org\/getmedia\/1e799501-f718-4d06-817e-ce98e35c6bdd\/APA-DSM5TR-Level1MeasureParentOrGuardianOfChildAge6To17.pdf) (also available in print book)\n- [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/9352851c-d69f-411a-8933-3212e8c29063\/APA-DSM5TR-Level1MeasureChildAge11To17.pdf)\n## **Level 2 Cross-Cutting Symptom Measures**\n### For Adults\n- [Level 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/4326c940-f414-4f2c-acec-bd8299a3cf14\/APA-DSM5TR-Level2DepressionAdult.pdf)\n- [Level 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/a56cc2a0-3818-4975-bbcb-4a047e1ffbea\/APA-DSM5TR-Level2AngerAdult.pdf)\n- [Level 2—Mania—Adult (Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/c1783d55-268a-47b2-9932-a549b21c8d64\/APA-DSM5TR-Level2ManiaAdult.pdf)\n- [Level 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/f284f967-ed9e-4754-99fc-b32765b1c4a0\/APA-DSM5TR-Level2AnxietyAdult.pdf)\n- [Level 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/843c7fa5-9a40-4795-a25e-70208903d88c\/APA-DSM5TR-Level2SomaticSymptomAdult.pdf)\n- [Level 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/c606b335-f087-4358-9c8d-f233313d9d04\/APA-DSM5TR-Level2SleepDisturbanceAdult.pdf)\n- [Level 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory \\[FOCI\\] Severity Scale \\[Part B\\])](https:\/\/www.psychiatry.org\/getmedia\/a451f9f0-40b7-4262-8ef2-e7be2ea004f2\/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsAdult.pdf)\n- [Level 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/cf5e60dd-6452-4b1b-a42f-40a7d46b410b\/APA-DSM5TR-Level2SubstanceUseAdult.pdf)\n### For Parents of Children Ages 6–17\n- [Level 2—Somatic Symptom—Parent\/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/b4e23271-7608-47b5-abc0-ebc3749435eb\/APA-DSM5TR-Level2SomaticSymptomParentOfChildAge6To17.pdf)\n- [Level 2—Sleep Disturbance—Parent\/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form](https:\/\/www.psychiatry.org\/getmedia\/f479fedd-da9e-4669-887c-0eedcefc931b\/APA-DSM5TR-Level2SleepDisturbanceParentOfChildAge6To17.pdf))\n- [Level 2—Inattention—Parent\/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV \\[SNAP-IV\\])](https:\/\/www.psychiatry.org\/getmedia\/a2cd4dd6-a178-4f9c-840d-69a492b7f753\/APA-DSM5TR-Level2InattentionParentOfChildAge6To17.pdf)\n- [Level 2—Depression—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/dbc10f10-1048-4385-8e64-b2e6bb4a21b9\/APA-DSM5TR-Level2DepressionParentOfChildAge6To17.pdf)\n- [Level 2—Anger—Parent\/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent)](https:\/\/www.psychiatry.org\/getmedia\/eaaed48f-2820-43f1-ba91-dec194f225b8\/APA-DSM5TR-Level2AngerParentOfChildAge6To17.pdf)\n- [Level 2—Irritability—Parent\/Guardian of Child Age 6–17 (Affective Reactivity Index \\[ARI\\])](https:\/\/www.psychiatry.org\/getmedia\/773055df-7885-4398-bda8-42e3a3b1b21e\/APA-DSM5TR-Level2IrritabilityParentOfChildAge6To17.pdf)\n- [Level 2—Mania—Parent\/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/ba6fc25e-9b55-486e-8fc0-14bd54b7c142\/APA-DSM5TR-Level2ManiaParentOfChildAge6To17.pdf)\n- [Level 2—Anxiety—Parent\/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/97fe0c71-1fc2-4d1c-afce-fc3b35ae6d76\/APA-DSM5TR-Level2AnxietyParentOfChildAge6To17.pdf)\n- [Level 2—Substance Use—Parent\/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/c2fa9b94-bad6-4e75-bf9e-7f44403d5c8b\/APA-DSM5TR-Level2SubstanceUseParentOfChildAge6To17.pdf)\n### For Children Ages 11–17\n- [Level 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \\[PHQ-15\\])](https:\/\/www.psychiatry.org\/getmedia\/a2004fae-ba2e-4807-8a3c-69430aed2338\/APA-DSM5TR-Level2SomaticSymptomChildAge11To17.pdf)\n- [Level 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form)](https:\/\/www.psychiatry.org\/getmedia\/f4b112bd-0b43-451b-b5a9-e88495710c21\/APA-DSM5TR-Level2SleepDisturbanceChildAge11To17.pdf)\n- [Level 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/ade87498-9ead-40b5-b896-6b979f51d361\/APA-DSM5TR-Level2DepressionChildAge11To17.pdf)\n- [Level 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric)](https:\/\/www.psychiatry.org\/getmedia\/1212c1db-84b1-4d55-8eb3-f24fb7c0cc37\/APA-DSM5TR-Level2AngerChildAge11To17.pdf)\n- [Level 2—Irritability—Child Age 11–17 (Affective Reactivity Index \\[ARI\\])](https:\/\/www.psychiatry.org\/getmedia\/071874b0-4b41-4dc6-81e0-ebbc9ce7137b\/APA-DSM5TR-Level2IrritabilityChildAge11To17.pdf)\n- [Level 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale \\[ASRM\\])](https:\/\/www.psychiatry.org\/getmedia\/b6e02e83-a91c-49de-8457-861f1858aecd\/APA-DSM5TR-Level2ManiaChildAge11To17.pdf)\n- [Level 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank)](https:\/\/www.psychiatry.org\/getmedia\/1c618b9a-d320-45a7-8f9c-09c7ac81a238\/APA-DSM5TR-Level2AnxietyChildAge11To17.pdf)\n- [Level 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory \\[C-FOCI\\] Severity Scale)](https:\/\/www.psychiatry.org\/getmedia\/9400a464-0506-445c-9cbe-fcff9695e89a\/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsChildAge11To17.pdf)\n- [Level 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST)](https:\/\/www.psychiatry.org\/getmedia\/fc0e0209-b230-4139-b4b1-10962293c80d\/APA-DSM5TR-Level2SubstanceUseChildAge11To17.pdf)\n## **Disorder-Specific Severity Measures**\n### For Adults\n- [Severity Measure for Depression—Adult (Patient Health Questionnaire \\[PHQ-9\\])](https:\/\/www.psychiatry.org\/getmedia\/a3986be5-94af-42e7-afce-19234c2f4998\/APA-DSM5TR-SeverityMeasureForDepressionAdult.pdf)\n- [Severity Measure for Separation Anxiety Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/538a62c3-2e1e-4bc3-bafd-7a02efad4937\/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderAdult.pdf)\n- [Severity Measure for Specific Phobia—Adult](https:\/\/www.psychiatry.org\/getmedia\/b281daed-b8a9-4d45-8d6f-6315ce8f784b\/APA-DSM5TR-SeverityMeasureForSpecificPhobiaAdult.pdf)\n- [Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult](https:\/\/www.psychiatry.org\/getmedia\/69c11866-906c-4262-bfe3-753ac4ad2780\/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderAdult.pdf)\n- [Severity Measure for Panic Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/6ab8ea4f-e810-4c0c-b41c-16838293506d\/APA-DSM5TR-SeverityMeasureForPanicDisorderAdult.pdf)\n- [Severity Measure for Agoraphobia—Adult](https:\/\/www.psychiatry.org\/getmedia\/3345c156-1aac-4e29-ac61-1c6541cb39be\/APA-DSM5TR-SeverityMeasureForAgoraphobiaAdult.pdf)\n- [Severity Measure for Generalized Anxiety Disorder—Adult](https:\/\/www.psychiatry.org\/getmedia\/b1a256c4-1304-4610-8aca-0cc70b46ff53\/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderAdult.pdf)\n- [Severity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/1af5dc37-6370-4e72-94d8-e0224d8495f8\/APA-DSM5TR-SeverityOfPosttraumaticStressSymptomsAdult.pdf)\n- [Severity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/364c20fa-25a5-43cb-b6ad-a4b230ef5b70\/APA-DSM5TR-SeverityOfAcuteStressSymptomsAdult.pdf)\n- [Severity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale \\[DES-B\\])](https:\/\/www.psychiatry.org\/getmedia\/40a74f7f-d18c-4088-8464-653073c74452\/APA-DSM5TR-SeverityOfDissociativeSymptomsAdult.pdf)\n### For Children Ages 11–17\n- [Severity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents \\[PHQ-A\\]—Adapted)](https:\/\/www.psychiatry.org\/getmedia\/5bffce7c-6ad1-4621-8f90-d3f1b8c28b8b\/APA-DSM5TR-SeverityMeasureForDepressionChildAge11To17.pdf)\n- [Severity Measure for Separation Anxiety Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/b7a64e97-7bb5-46d7-9e75-69a16de1049d\/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderChildAge11To17.pdf)\n- [Severity Measure for Specific Phobia—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/d7db0c92-8f11-445a-936e-cd6bc9f45480\/APA-DSM5TR-SeverityMeasureForSpecificPhobiaChildAge11To17.pdf)\n- [Severity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/3b328005-dc9a-4c3a-8b8d-56f8017af73b\/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderChildAge11To17.pdf)\n- [Severity Measure for Panic Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/bdf5a1a6-1357-4bb6-9c37-0ca93d7e062e\/APA-DSM5TR-SeverityMeasureForPanicDisorderChildAge11To17.pdf)\n- [Severity Measure for Agoraphobia—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/3060504d-1660-4176-a12f-fd6bd979b804\/APA-DSM5TR-SeverityMeasureForAgoraphobiaChildAge11To17.pdf)\n- [Severity Measure for Generalized Anxiety Disorder—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/73e293d0-6355-4258-9cd3-2fc8a5c5b830\/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderChildAge11To17.pdf)\n- [Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/19964a66-5074-4f00-9138-81d85577f107\/APA-DSM5TR-SeverityOfPostTraumaticStressSymptomsChildAge11To17.pdf)\n- [Severity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale \\[NSESS\\])](https:\/\/www.psychiatry.org\/getmedia\/8cb69e1d-5d73-4797-85af-48024bd1df44\/APA-DSM5TR-SeverityOfAcuteStressSymptomsChildAge11To17.pdf)\n- [Severity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale \\[DES-B\\])](https:\/\/www.psychiatry.org\/getmedia\/e0cee092-397f-4498-bbd8-61f420ac9973\/APA-DSM5TR-SeverityofDissociativeSymptomsChildAge11To17.pdf)\n### Clinician-Rated\n- [Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders](https:\/\/www.psychiatry.org\/getmedia\/97fbc44e-f928-41f3-8fac-5f5c15a7161d\/APA-DSM5TR-ClinicianRatedSeverityOfAutismSpectrumAndSocialCommunicationDisorders.pdf)\n- [Clinician-Rated Dimensions of Psychosis Symptom Severity](https:\/\/www.psychiatry.org\/getmedia\/639675df-e6d0-4fe5-bb86-a517d9b15cfd\/APA-DSM5TR-ClinicianRatedDimensionsofPsychosisSymptomSeverity.pdf) (also available in print book)\n- [Clinician-Rated Severity of Somatic Symptom Disorder](https:\/\/www.psychiatry.org\/getmedia\/f634d540-eb39-4309-b6cd-5270b3d03730\/APA-DSM5TR-ClinicianRatedSeverityOfSomaticSymptomDisorder.pdf)\n- [Clinician-Rated Severity of Oppositional Defiant Disorder](https:\/\/www.psychiatry.org\/getmedia\/c8c54ca1-92a9-4608-bd05-147cb92db691\/APA-DSM5TR-ClinicianRatedSeverityOfOppositionalDefiantDisorder.pdf)\n- [Clinician-Rated Severity of Conduct Disorder](https:\/\/www.psychiatry.org\/getmedia\/7f0c5730-df33-4e67-b1a5-493fed023485\/APA-DSM5TR-ClinicianRatedSeverityOfConductDisorder.pdf)\n- [Clinician-Rated Severity of Nonsuicidal Self-Injury](https:\/\/www.psychiatry.org\/getmedia\/956cbe48-0d36-4565-b729-3b2ddf40e371\/APA-DSM5TR-ClinicianRatedSeverityOfNonSuicidalSelfInjury.pdf)\n## **Disability Measures**\n- [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered)](https:\/\/www.psychiatry.org\/getmedia\/5f4794de-8d66-4434-99f3-784a3fd1e567\/APA-DSM5TR-WHODAS2SelfAdministered.pdf) (also available in print book)\n- [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered)](https:\/\/www.psychiatry.org\/getmedia\/f1e7a9ff-431f-48ff-9284-9be7a2809c4e\/APA-DSM5TR-WHODAS2ProxyAdministered.pdf)\n## **Personality Inventories**\n### For Adults\n- [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult](https:\/\/www.psychiatry.org\/getmedia\/f65c4386-b2bc-44a5-9ace-d6fea2211506\/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormAdult.pdf)\n- [The Personality Inventory for DSM-5 (PID-5)—Adult](https:\/\/www.psychiatry.org\/getmedia\/594673a6-1b9b-4298-8b52-c4c652c4a4e2\/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionAdult.pdf)\n- [The Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult](https:\/\/www.psychiatry.org\/getmedia\/c98d1549-7dd6-4916-b758-296331fb4ffc\/APA-DSM5TR-ThePersonalityInventoryforDSM5FullVersionInformant.pdf)\n### For Children Ages 11–17\n- [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/e2112f01-d14a-4503-8440-d4a30c519676\/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormChildAge11To17.pdf)\n- [The Personality Inventory for DSM-5 (PID-5)—Child Age 11–17](https:\/\/www.psychiatry.org\/getmedia\/e02d3a80-9010-4d04-bd36-ec3510dcfc1e\/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionChildAge11To17.pdf)\n## **Early Development and Home Background**\n### For Parents of Children Ages 6–17\n- [Early Development and Home Background (EDHB) Form—Parent\/Guardian](https:\/\/www.psychiatry.org\/getmedia\/ef4ce2bb-ae0e-4270-a8de-dfbb20e5d2f6\/APA-DSM5TR-EarlyDevelopmentAndHomeBackgroundFormParentOfChildAge6To17-pdf.pdf)\n### Clinician-Rated\n- [Early Development and Home Background (EDHB) Form—Clinician](https:\/\/www.psychiatry.org\/getmedia\/b06aa42b-5b39-40f0-8ac1-d24815d44343\/APA-DSM5TR-ClinicianRatedEarlyDevelopmentAndHomeBackground.pdf)\n## **Cultural Formulation Interviews**\n- [Cultural Formulation Interview](https:\/\/www.psychiatry.org\/getmedia\/5cc5329d-3bd4-4c6a-bae1-dfd0d6496f44\/APA-DSM5TR-CulturalFormulationInterview.pdf) (also available in print book)\n- [Cultural Formulation Interview—Informant Version](https:\/\/www.psychiatry.org\/getmedia\/4b37a60b-dcbd-402c-9ee2-3af7f5c9dc70\/APA-DSM5TR-CulturalFormulationInterviewInformant.pdf) (also available in print book)\n- [Alternative Versions to the Core Cultural Formulation Interview (CFI)](https:\/\/www.psychiatry.org\/getmedia\/e308b799-98cc-4ad4-81c3-1f662335074d\/APA-DSM5TR-AlternativeVersionsoftheCoreCFI.pdf)\n- [Supplementary Modules to the Core Cultural Formulation Interview (CFI)](https:\/\/www.psychiatry.org\/getmedia\/aca8f5a2-9b1b-456c-a3b7-f7f852edcf7c\/APA-DSM5TR-CulturalFormulationInterviewSupplementaryModules.pdf)\n## About the Measures\nThese measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types:\n\n- Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains.\n- Severity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete.\n- The World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work\/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health.\n- The Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available.\n\nThe Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician.\n\nThe Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. The last module explores the experiences and views of individuals who perform caregiving functions.","meta_canonical":null}

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Property	Value
URL	https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures
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Meta Title	Psychiatry.org - DSM-5-TR Online Assessment Measures
Meta Description	APA offers a number of online assessment measures which includes instructions, scoring information, interpretation guidelines, and "emerging measures” in Section III of DSM-5-TR.
Meta Canonical	null
Boilerpipe Text	For further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care. Level 1 Cross-Cutting Symptom Measures DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult (also available in print book) DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 (also available in print book) DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17 Level 2 Cross-Cutting Symptom Measures For Adults Level 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form) Level 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form) Level 2—Mania—Adult (Altman Self-Rating Mania Scale [ASRM]) Level 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form) Level 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15]) Level 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form) Level 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory [FOCI] Severity Scale [Part B]) Level 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST) For Parents of Children Ages 6–17 Level 2—Somatic Symptom—Parent/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15]) Level 2—Sleep Disturbance—Parent/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form ) Level 2—Inattention—Parent/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV [SNAP-IV]) Level 2—Depression—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank) Level 2—Anger—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent) Level 2—Irritability—Parent/Guardian of Child Age 6–17 (Affective Reactivity Index [ARI]) Level 2—Mania—Parent/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale [ASRM]) Level 2—Anxiety—Parent/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank) Level 2—Substance Use—Parent/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST) For Children Ages 11–17 Level 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale [PHQ-15]) Level 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form) Level 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank) Level 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric) Level 2—Irritability—Child Age 11–17 (Affective Reactivity Index [ARI]) Level 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale [ASRM]) Level 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank) Level 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory [C-FOCI] Severity Scale) Level 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST) Disorder-Specific Severity Measures For Adults Severity Measure for Depression—Adult (Patient Health Questionnaire [PHQ-9]) Severity Measure for Separation Anxiety Disorder—Adult Severity Measure for Specific Phobia—Adult Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult Severity Measure for Panic Disorder—Adult Severity Measure for Agoraphobia—Adult Severity Measure for Generalized Anxiety Disorder—Adult Severity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale [NSESS]) Severity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale [NSESS]) Severity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale [DES-B]) For Children Ages 11–17 Severity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents [PHQ-A]—Adapted) Severity Measure for Separation Anxiety Disorder—Child Age 11–17 Severity Measure for Specific Phobia—Child Age 11–17 Severity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17 Severity Measure for Panic Disorder—Child Age 11–17 Severity Measure for Agoraphobia—Child Age 11–17 Severity Measure for Generalized Anxiety Disorder—Child Age 11–17 Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale [NSESS]) Severity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale [NSESS]) Severity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale [DES-B]) Clinician-Rated Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders Clinician-Rated Dimensions of Psychosis Symptom Severity (also available in print book) Clinician-Rated Severity of Somatic Symptom Disorder Clinician-Rated Severity of Oppositional Defiant Disorder Clinician-Rated Severity of Conduct Disorder Clinician-Rated Severity of Nonsuicidal Self-Injury Disability Measures WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered) (also available in print book) WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered) Personality Inventories For Adults The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult The Personality Inventory for DSM-5 (PID-5)—Adult The Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult For Children Ages 11–17 The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17 The Personality Inventory for DSM-5 (PID-5)—Child Age 11–17 Early Development and Home Background For Parents of Children Ages 6–17 Early Development and Home Background (EDHB) Form—Parent/Guardian Clinician-Rated Early Development and Home Background (EDHB) Form—Clinician Cultural Formulation Interviews Cultural Formulation Interview (also available in print book) Cultural Formulation Interview—Informant Version (also available in print book) Alternative Versions to the Core Cultural Formulation Interview (CFI) Supplementary Modules to the Core Cultural Formulation Interview (CFI) About the Measures These measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types: Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains. Severity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete. The World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health. The Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available. The Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician. The Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. The last module explores the experiences and views of individuals who perform caregiving functions.
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[Educational Resources](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources) - DSM-5-TR Online Assessment Measures - Share - Print Sub Navigation - ## [Educational Resources](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources) Toggle Educational Resources Page Listing - [DSM-5-TR Fact Sheets](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-tr-fact-sheets) - [DSM-5-TR Online Assessment Measures](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures) - [DSM-5 Fact Sheets](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets) - [DSM-5 Online Assessment Measures](https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-assessment-measures) ## On This Page For further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care. ## Level 1 Cross-Cutting Symptom Measures - [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult](https://www.psychiatry.org/getmedia/e0b4b299-95b3-407b-b8c2-caa871ca218d/APA-DSM5TR-Level1MeasureAdult.pdf) (also available in print book) - [DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17](https://www.psychiatry.org/getmedia/1e799501-f718-4d06-817e-ce98e35c6bdd/APA-DSM5TR-Level1MeasureParentOrGuardianOfChildAge6To17.pdf) (also available in print book) - [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17](https://www.psychiatry.org/getmedia/9352851c-d69f-411a-8933-3212e8c29063/APA-DSM5TR-Level1MeasureChildAge11To17.pdf) ## Level 2 Cross-Cutting Symptom Measures ### For Adults - [Level 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form)](https://www.psychiatry.org/getmedia/4326c940-f414-4f2c-acec-bd8299a3cf14/APA-DSM5TR-Level2DepressionAdult.pdf) - [Level 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form)](https://www.psychiatry.org/getmedia/a56cc2a0-3818-4975-bbcb-4a047e1ffbea/APA-DSM5TR-Level2AngerAdult.pdf) - [Level 2—Mania—Adult (Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/c1783d55-268a-47b2-9932-a549b21c8d64/APA-DSM5TR-Level2ManiaAdult.pdf) - [Level 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form)](https://www.psychiatry.org/getmedia/f284f967-ed9e-4754-99fc-b32765b1c4a0/APA-DSM5TR-Level2AnxietyAdult.pdf) - [Level 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/843c7fa5-9a40-4795-a25e-70208903d88c/APA-DSM5TR-Level2SomaticSymptomAdult.pdf) - [Level 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form)](https://www.psychiatry.org/getmedia/c606b335-f087-4358-9c8d-f233313d9d04/APA-DSM5TR-Level2SleepDisturbanceAdult.pdf) - [Level 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory \[FOCI\] Severity Scale \[Part B\])](https://www.psychiatry.org/getmedia/a451f9f0-40b7-4262-8ef2-e7be2ea004f2/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsAdult.pdf) - [Level 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/cf5e60dd-6452-4b1b-a42f-40a7d46b410b/APA-DSM5TR-Level2SubstanceUseAdult.pdf) ### For Parents of Children Ages 6–17 - [Level 2—Somatic Symptom—Parent/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/b4e23271-7608-47b5-abc0-ebc3749435eb/APA-DSM5TR-Level2SomaticSymptomParentOfChildAge6To17.pdf) - [Level 2—Sleep Disturbance—Parent/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form](https://www.psychiatry.org/getmedia/f479fedd-da9e-4669-887c-0eedcefc931b/APA-DSM5TR-Level2SleepDisturbanceParentOfChildAge6To17.pdf)) - [Level 2—Inattention—Parent/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV \[SNAP-IV\])](https://www.psychiatry.org/getmedia/a2cd4dd6-a178-4f9c-840d-69a492b7f753/APA-DSM5TR-Level2InattentionParentOfChildAge6To17.pdf) - [Level 2—Depression—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank)](https://www.psychiatry.org/getmedia/dbc10f10-1048-4385-8e64-b2e6bb4a21b9/APA-DSM5TR-Level2DepressionParentOfChildAge6To17.pdf) - [Level 2—Anger—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent)](https://www.psychiatry.org/getmedia/eaaed48f-2820-43f1-ba91-dec194f225b8/APA-DSM5TR-Level2AngerParentOfChildAge6To17.pdf) - [Level 2—Irritability—Parent/Guardian of Child Age 6–17 (Affective Reactivity Index \[ARI\])](https://www.psychiatry.org/getmedia/773055df-7885-4398-bda8-42e3a3b1b21e/APA-DSM5TR-Level2IrritabilityParentOfChildAge6To17.pdf) - [Level 2—Mania—Parent/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/ba6fc25e-9b55-486e-8fc0-14bd54b7c142/APA-DSM5TR-Level2ManiaParentOfChildAge6To17.pdf) - [Level 2—Anxiety—Parent/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank)](https://www.psychiatry.org/getmedia/97fe0c71-1fc2-4d1c-afce-fc3b35ae6d76/APA-DSM5TR-Level2AnxietyParentOfChildAge6To17.pdf) - [Level 2—Substance Use—Parent/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/c2fa9b94-bad6-4e75-bf9e-7f44403d5c8b/APA-DSM5TR-Level2SubstanceUseParentOfChildAge6To17.pdf) ### For Children Ages 11–17 - [Level 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/a2004fae-ba2e-4807-8a3c-69430aed2338/APA-DSM5TR-Level2SomaticSymptomChildAge11To17.pdf) - [Level 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form)](https://www.psychiatry.org/getmedia/f4b112bd-0b43-451b-b5a9-e88495710c21/APA-DSM5TR-Level2SleepDisturbanceChildAge11To17.pdf) - [Level 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank)](https://www.psychiatry.org/getmedia/ade87498-9ead-40b5-b896-6b979f51d361/APA-DSM5TR-Level2DepressionChildAge11To17.pdf) - [Level 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric)](https://www.psychiatry.org/getmedia/1212c1db-84b1-4d55-8eb3-f24fb7c0cc37/APA-DSM5TR-Level2AngerChildAge11To17.pdf) - [Level 2—Irritability—Child Age 11–17 (Affective Reactivity Index \[ARI\])](https://www.psychiatry.org/getmedia/071874b0-4b41-4dc6-81e0-ebbc9ce7137b/APA-DSM5TR-Level2IrritabilityChildAge11To17.pdf) - [Level 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/b6e02e83-a91c-49de-8457-861f1858aecd/APA-DSM5TR-Level2ManiaChildAge11To17.pdf) - [Level 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank)](https://www.psychiatry.org/getmedia/1c618b9a-d320-45a7-8f9c-09c7ac81a238/APA-DSM5TR-Level2AnxietyChildAge11To17.pdf) - [Level 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory \[C-FOCI\] Severity Scale)](https://www.psychiatry.org/getmedia/9400a464-0506-445c-9cbe-fcff9695e89a/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsChildAge11To17.pdf) - [Level 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/fc0e0209-b230-4139-b4b1-10962293c80d/APA-DSM5TR-Level2SubstanceUseChildAge11To17.pdf) ## Disorder-Specific Severity Measures ### For Adults - [Severity Measure for Depression—Adult (Patient Health Questionnaire \[PHQ-9\])](https://www.psychiatry.org/getmedia/a3986be5-94af-42e7-afce-19234c2f4998/APA-DSM5TR-SeverityMeasureForDepressionAdult.pdf) - [Severity Measure for Separation Anxiety Disorder—Adult](https://www.psychiatry.org/getmedia/538a62c3-2e1e-4bc3-bafd-7a02efad4937/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderAdult.pdf) - [Severity Measure for Specific Phobia—Adult](https://www.psychiatry.org/getmedia/b281daed-b8a9-4d45-8d6f-6315ce8f784b/APA-DSM5TR-SeverityMeasureForSpecificPhobiaAdult.pdf) - [Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult](https://www.psychiatry.org/getmedia/69c11866-906c-4262-bfe3-753ac4ad2780/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderAdult.pdf) - [Severity Measure for Panic Disorder—Adult](https://www.psychiatry.org/getmedia/6ab8ea4f-e810-4c0c-b41c-16838293506d/APA-DSM5TR-SeverityMeasureForPanicDisorderAdult.pdf) - [Severity Measure for Agoraphobia—Adult](https://www.psychiatry.org/getmedia/3345c156-1aac-4e29-ac61-1c6541cb39be/APA-DSM5TR-SeverityMeasureForAgoraphobiaAdult.pdf) - [Severity Measure for Generalized Anxiety Disorder—Adult](https://www.psychiatry.org/getmedia/b1a256c4-1304-4610-8aca-0cc70b46ff53/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderAdult.pdf) - [Severity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/1af5dc37-6370-4e72-94d8-e0224d8495f8/APA-DSM5TR-SeverityOfPosttraumaticStressSymptomsAdult.pdf) - [Severity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/364c20fa-25a5-43cb-b6ad-a4b230ef5b70/APA-DSM5TR-SeverityOfAcuteStressSymptomsAdult.pdf) - [Severity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale \[DES-B\])](https://www.psychiatry.org/getmedia/40a74f7f-d18c-4088-8464-653073c74452/APA-DSM5TR-SeverityOfDissociativeSymptomsAdult.pdf) ### For Children Ages 11–17 - [Severity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents \[PHQ-A\]—Adapted)](https://www.psychiatry.org/getmedia/5bffce7c-6ad1-4621-8f90-d3f1b8c28b8b/APA-DSM5TR-SeverityMeasureForDepressionChildAge11To17.pdf) - [Severity Measure for Separation Anxiety Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/b7a64e97-7bb5-46d7-9e75-69a16de1049d/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderChildAge11To17.pdf) - [Severity Measure for Specific Phobia—Child Age 11–17](https://www.psychiatry.org/getmedia/d7db0c92-8f11-445a-936e-cd6bc9f45480/APA-DSM5TR-SeverityMeasureForSpecificPhobiaChildAge11To17.pdf) - [Severity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17](https://www.psychiatry.org/getmedia/3b328005-dc9a-4c3a-8b8d-56f8017af73b/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderChildAge11To17.pdf) - [Severity Measure for Panic Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/bdf5a1a6-1357-4bb6-9c37-0ca93d7e062e/APA-DSM5TR-SeverityMeasureForPanicDisorderChildAge11To17.pdf) - [Severity Measure for Agoraphobia—Child Age 11–17](https://www.psychiatry.org/getmedia/3060504d-1660-4176-a12f-fd6bd979b804/APA-DSM5TR-SeverityMeasureForAgoraphobiaChildAge11To17.pdf) - [Severity Measure for Generalized Anxiety Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/73e293d0-6355-4258-9cd3-2fc8a5c5b830/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderChildAge11To17.pdf) - [Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/19964a66-5074-4f00-9138-81d85577f107/APA-DSM5TR-SeverityOfPostTraumaticStressSymptomsChildAge11To17.pdf) - [Severity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/8cb69e1d-5d73-4797-85af-48024bd1df44/APA-DSM5TR-SeverityOfAcuteStressSymptomsChildAge11To17.pdf) - [Severity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale \[DES-B\])](https://www.psychiatry.org/getmedia/e0cee092-397f-4498-bbd8-61f420ac9973/APA-DSM5TR-SeverityofDissociativeSymptomsChildAge11To17.pdf) ### Clinician-Rated - [Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders](https://www.psychiatry.org/getmedia/97fbc44e-f928-41f3-8fac-5f5c15a7161d/APA-DSM5TR-ClinicianRatedSeverityOfAutismSpectrumAndSocialCommunicationDisorders.pdf) - [Clinician-Rated Dimensions of Psychosis Symptom Severity](https://www.psychiatry.org/getmedia/639675df-e6d0-4fe5-bb86-a517d9b15cfd/APA-DSM5TR-ClinicianRatedDimensionsofPsychosisSymptomSeverity.pdf) (also available in print book) - [Clinician-Rated Severity of Somatic Symptom Disorder](https://www.psychiatry.org/getmedia/f634d540-eb39-4309-b6cd-5270b3d03730/APA-DSM5TR-ClinicianRatedSeverityOfSomaticSymptomDisorder.pdf) - [Clinician-Rated Severity of Oppositional Defiant Disorder](https://www.psychiatry.org/getmedia/c8c54ca1-92a9-4608-bd05-147cb92db691/APA-DSM5TR-ClinicianRatedSeverityOfOppositionalDefiantDisorder.pdf) - [Clinician-Rated Severity of Conduct Disorder](https://www.psychiatry.org/getmedia/7f0c5730-df33-4e67-b1a5-493fed023485/APA-DSM5TR-ClinicianRatedSeverityOfConductDisorder.pdf) - [Clinician-Rated Severity of Nonsuicidal Self-Injury](https://www.psychiatry.org/getmedia/956cbe48-0d36-4565-b729-3b2ddf40e371/APA-DSM5TR-ClinicianRatedSeverityOfNonSuicidalSelfInjury.pdf) ## Disability Measures - [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered)](https://www.psychiatry.org/getmedia/5f4794de-8d66-4434-99f3-784a3fd1e567/APA-DSM5TR-WHODAS2SelfAdministered.pdf) (also available in print book) - [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered)](https://www.psychiatry.org/getmedia/f1e7a9ff-431f-48ff-9284-9be7a2809c4e/APA-DSM5TR-WHODAS2ProxyAdministered.pdf) ## Personality Inventories ### For Adults - [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult](https://www.psychiatry.org/getmedia/f65c4386-b2bc-44a5-9ace-d6fea2211506/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormAdult.pdf) - [The Personality Inventory for DSM-5 (PID-5)—Adult](https://www.psychiatry.org/getmedia/594673a6-1b9b-4298-8b52-c4c652c4a4e2/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionAdult.pdf) - [The Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult](https://www.psychiatry.org/getmedia/c98d1549-7dd6-4916-b758-296331fb4ffc/APA-DSM5TR-ThePersonalityInventoryforDSM5FullVersionInformant.pdf) ### For Children Ages 11–17 - [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17](https://www.psychiatry.org/getmedia/e2112f01-d14a-4503-8440-d4a30c519676/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormChildAge11To17.pdf) - [The Personality Inventory for DSM-5 (PID-5)—Child Age 11–17](https://www.psychiatry.org/getmedia/e02d3a80-9010-4d04-bd36-ec3510dcfc1e/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionChildAge11To17.pdf) ## Early Development and Home Background ### For Parents of Children Ages 6–17 - [Early Development and Home Background (EDHB) Form—Parent/Guardian](https://www.psychiatry.org/getmedia/ef4ce2bb-ae0e-4270-a8de-dfbb20e5d2f6/APA-DSM5TR-EarlyDevelopmentAndHomeBackgroundFormParentOfChildAge6To17-pdf.pdf) ### Clinician-Rated - [Early Development and Home Background (EDHB) Form—Clinician](https://www.psychiatry.org/getmedia/b06aa42b-5b39-40f0-8ac1-d24815d44343/APA-DSM5TR-ClinicianRatedEarlyDevelopmentAndHomeBackground.pdf) ## Cultural Formulation Interviews - [Cultural Formulation Interview](https://www.psychiatry.org/getmedia/5cc5329d-3bd4-4c6a-bae1-dfd0d6496f44/APA-DSM5TR-CulturalFormulationInterview.pdf) (also available in print book) - [Cultural Formulation Interview—Informant Version](https://www.psychiatry.org/getmedia/4b37a60b-dcbd-402c-9ee2-3af7f5c9dc70/APA-DSM5TR-CulturalFormulationInterviewInformant.pdf) (also available in print book) - [Alternative Versions to the Core Cultural Formulation Interview (CFI)](https://www.psychiatry.org/getmedia/e308b799-98cc-4ad4-81c3-1f662335074d/APA-DSM5TR-AlternativeVersionsoftheCoreCFI.pdf) - [Supplementary Modules to the Core Cultural Formulation Interview (CFI)](https://www.psychiatry.org/getmedia/aca8f5a2-9b1b-456c-a3b7-f7f852edcf7c/APA-DSM5TR-CulturalFormulationInterviewSupplementaryModules.pdf) ## About the Measures These measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types: - Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains. - Severity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete. - The World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health. - The Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available. The Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician. The Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. The last module explores the experiences and views of individuals who perform caregiving functions. ![Buy the DSM–5-TR](https://www.psychiatry.org/getmedia/25e23297-981d-40d7-9409-030e9fb2ab20/hero-DSM-5-TR.png?width=1266&height=720&ext=.png) ## Buy the DSM–5-TR DSM–5–TR includes fully revised text and references, updated diagnostic criteria and ICD–10–CM codes since DSM–5 was published. [*Shop the DSM–5* Collection](https://www.appi.org/products/dsm). [Buy Now](https://www.appi.org/products/dsm) ## Medical leadership for mind, brain and body. 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Readable Markdown	For further clinical evaluation and research, the APA is offering a number of “emerging measures” in Section III of DSM-5-TR. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress, thus serving to advance the use of initial symptomatic status and patient reported outcome (PRO) information, as well as the use of “anchored” severity assessment instruments. Instructions, scoring information, and interpretation guidelines are included. Clinicians and researchers may provide APA with further data on the instruments’ usefulness in characterizing patient status and improving patient care. ## Level 1 Cross-Cutting Symptom Measures - [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult](https://www.psychiatry.org/getmedia/e0b4b299-95b3-407b-b8c2-caa871ca218d/APA-DSM5TR-Level1MeasureAdult.pdf) (also available in print book) - [DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17](https://www.psychiatry.org/getmedia/1e799501-f718-4d06-817e-ce98e35c6bdd/APA-DSM5TR-Level1MeasureParentOrGuardianOfChildAge6To17.pdf) (also available in print book) - [DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17](https://www.psychiatry.org/getmedia/9352851c-d69f-411a-8933-3212e8c29063/APA-DSM5TR-Level1MeasureChildAge11To17.pdf) ## Level 2 Cross-Cutting Symptom Measures ### For Adults - [Level 2—Depression—Adult (PROMIS Emotional Distress—Depression—Short Form)](https://www.psychiatry.org/getmedia/4326c940-f414-4f2c-acec-bd8299a3cf14/APA-DSM5TR-Level2DepressionAdult.pdf) - [Level 2—Anger—Adult (PROMIS Emotional Distress—Anger—Short Form)](https://www.psychiatry.org/getmedia/a56cc2a0-3818-4975-bbcb-4a047e1ffbea/APA-DSM5TR-Level2AngerAdult.pdf) - [Level 2—Mania—Adult (Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/c1783d55-268a-47b2-9932-a549b21c8d64/APA-DSM5TR-Level2ManiaAdult.pdf) - [Level 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety—Short Form)](https://www.psychiatry.org/getmedia/f284f967-ed9e-4754-99fc-b32765b1c4a0/APA-DSM5TR-Level2AnxietyAdult.pdf) - [Level 2—Somatic Symptom—Adult (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/843c7fa5-9a40-4795-a25e-70208903d88c/APA-DSM5TR-Level2SomaticSymptomAdult.pdf) - [Level 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance—Short Form)](https://www.psychiatry.org/getmedia/c606b335-f087-4358-9c8d-f233313d9d04/APA-DSM5TR-Level2SleepDisturbanceAdult.pdf) - [Level 2—Repetitive Thoughts and Behaviors—Adult (Adapted from the Florida Obsessive-Compulsive Inventory \[FOCI\] Severity Scale \[Part B\])](https://www.psychiatry.org/getmedia/a451f9f0-40b7-4262-8ef2-e7be2ea004f2/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsAdult.pdf) - [Level 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/cf5e60dd-6452-4b1b-a42f-40a7d46b410b/APA-DSM5TR-Level2SubstanceUseAdult.pdf) ### For Parents of Children Ages 6–17 - [Level 2—Somatic Symptom—Parent/Guardian of Child Age 6–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/b4e23271-7608-47b5-abc0-ebc3749435eb/APA-DSM5TR-Level2SomaticSymptomParentOfChildAge6To17.pdf) - [Level 2—Sleep Disturbance—Parent/Guardian of Child Age 6–17 (PROMIS—Sleep Disturbance—Short Form](https://www.psychiatry.org/getmedia/f479fedd-da9e-4669-887c-0eedcefc931b/APA-DSM5TR-Level2SleepDisturbanceParentOfChildAge6To17.pdf)) - [Level 2—Inattention—Parent/Guardian of Child Age 6–17 (Swanson, Nolan, and Pelham, version IV \[SNAP-IV\])](https://www.psychiatry.org/getmedia/a2cd4dd6-a178-4f9c-840d-69a492b7f753/APA-DSM5TR-Level2InattentionParentOfChildAge6To17.pdf) - [Level 2—Depression—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Depression—Parent Item Bank)](https://www.psychiatry.org/getmedia/dbc10f10-1048-4385-8e64-b2e6bb4a21b9/APA-DSM5TR-Level2DepressionParentOfChildAge6To17.pdf) - [Level 2—Anger—Parent/Guardian of Child Age 6–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Parent)](https://www.psychiatry.org/getmedia/eaaed48f-2820-43f1-ba91-dec194f225b8/APA-DSM5TR-Level2AngerParentOfChildAge6To17.pdf) - [Level 2—Irritability—Parent/Guardian of Child Age 6–17 (Affective Reactivity Index \[ARI\])](https://www.psychiatry.org/getmedia/773055df-7885-4398-bda8-42e3a3b1b21e/APA-DSM5TR-Level2IrritabilityParentOfChildAge6To17.pdf) - [Level 2—Mania—Parent/Guardian of Child Age 6–17 (Adapted from the Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/ba6fc25e-9b55-486e-8fc0-14bd54b7c142/APA-DSM5TR-Level2ManiaParentOfChildAge6To17.pdf) - [Level 2—Anxiety—Parent/Guardian of Child Age 6–17 (Adapted from PROMIS Emotional Distress—Anxiety—Parent Item Bank)](https://www.psychiatry.org/getmedia/97fe0c71-1fc2-4d1c-afce-fc3b35ae6d76/APA-DSM5TR-Level2AnxietyParentOfChildAge6To17.pdf) - [Level 2—Substance Use—Parent/Guardian of Child Age 6–17 (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/c2fa9b94-bad6-4e75-bf9e-7f44403d5c8b/APA-DSM5TR-Level2SubstanceUseParentOfChildAge6To17.pdf) ### For Children Ages 11–17 - [Level 2—Somatic Symptom—Child Age 11–17 (Patient Health Questionnaire 15 Somatic Symptom Severity Scale \[PHQ-15\])](https://www.psychiatry.org/getmedia/a2004fae-ba2e-4807-8a3c-69430aed2338/APA-DSM5TR-Level2SomaticSymptomChildAge11To17.pdf) - [Level 2—Sleep Disturbance—Child Age 11–17 (PROMIS—Sleep Disturbance—Short Form)](https://www.psychiatry.org/getmedia/f4b112bd-0b43-451b-b5a9-e88495710c21/APA-DSM5TR-Level2SleepDisturbanceChildAge11To17.pdf) - [Level 2—Depression—Child Age 11–17 (PROMIS Emotional Distress—Depression—Pediatric Item Bank)](https://www.psychiatry.org/getmedia/ade87498-9ead-40b5-b896-6b979f51d361/APA-DSM5TR-Level2DepressionChildAge11To17.pdf) - [Level 2—Anger—Child Age 11–17 (PROMIS Emotional Distress—Calibrated Anger Measure—Pediatric)](https://www.psychiatry.org/getmedia/1212c1db-84b1-4d55-8eb3-f24fb7c0cc37/APA-DSM5TR-Level2AngerChildAge11To17.pdf) - [Level 2—Irritability—Child Age 11–17 (Affective Reactivity Index \[ARI\])](https://www.psychiatry.org/getmedia/071874b0-4b41-4dc6-81e0-ebbc9ce7137b/APA-DSM5TR-Level2IrritabilityChildAge11To17.pdf) - [Level 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale \[ASRM\])](https://www.psychiatry.org/getmedia/b6e02e83-a91c-49de-8457-861f1858aecd/APA-DSM5TR-Level2ManiaChildAge11To17.pdf) - [Level 2—Anxiety—Child Age 11–17 (PROMIS Emotional Distress—Anxiety—Pediatric Item Bank)](https://www.psychiatry.org/getmedia/1c618b9a-d320-45a7-8f9c-09c7ac81a238/APA-DSM5TR-Level2AnxietyChildAge11To17.pdf) - [Level 2—Repetitive Thoughts and Behaviors—Child Age 11–17 (Adapted from the Children’s Florida Obsessive Compulsive Inventory \[C-FOCI\] Severity Scale)](https://www.psychiatry.org/getmedia/9400a464-0506-445c-9cbe-fcff9695e89a/APA-DSM5TR-Level2RepetitiveThoughtsAndBehaviorsChildAge11To17.pdf) - [Level 2—Substance Use—Child Age 11–17 (Adapted from the NIDA-Modified ASSIST)](https://www.psychiatry.org/getmedia/fc0e0209-b230-4139-b4b1-10962293c80d/APA-DSM5TR-Level2SubstanceUseChildAge11To17.pdf) ## Disorder-Specific Severity Measures ### For Adults - [Severity Measure for Depression—Adult (Patient Health Questionnaire \[PHQ-9\])](https://www.psychiatry.org/getmedia/a3986be5-94af-42e7-afce-19234c2f4998/APA-DSM5TR-SeverityMeasureForDepressionAdult.pdf) - [Severity Measure for Separation Anxiety Disorder—Adult](https://www.psychiatry.org/getmedia/538a62c3-2e1e-4bc3-bafd-7a02efad4937/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderAdult.pdf) - [Severity Measure for Specific Phobia—Adult](https://www.psychiatry.org/getmedia/b281daed-b8a9-4d45-8d6f-6315ce8f784b/APA-DSM5TR-SeverityMeasureForSpecificPhobiaAdult.pdf) - [Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult](https://www.psychiatry.org/getmedia/69c11866-906c-4262-bfe3-753ac4ad2780/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderAdult.pdf) - [Severity Measure for Panic Disorder—Adult](https://www.psychiatry.org/getmedia/6ab8ea4f-e810-4c0c-b41c-16838293506d/APA-DSM5TR-SeverityMeasureForPanicDisorderAdult.pdf) - [Severity Measure for Agoraphobia—Adult](https://www.psychiatry.org/getmedia/3345c156-1aac-4e29-ac61-1c6541cb39be/APA-DSM5TR-SeverityMeasureForAgoraphobiaAdult.pdf) - [Severity Measure for Generalized Anxiety Disorder—Adult](https://www.psychiatry.org/getmedia/b1a256c4-1304-4610-8aca-0cc70b46ff53/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderAdult.pdf) - [Severity of Posttraumatic Stress Symptoms—Adult (National Stressful Events Survey PTSD Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/1af5dc37-6370-4e72-94d8-e0224d8495f8/APA-DSM5TR-SeverityOfPosttraumaticStressSymptomsAdult.pdf) - [Severity of Acute Stress Symptoms—Adult (National Stressful Events Survey Acute Stress Disorder Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/364c20fa-25a5-43cb-b6ad-a4b230ef5b70/APA-DSM5TR-SeverityOfAcuteStressSymptomsAdult.pdf) - [Severity of Dissociative Symptoms—Adult (Brief Dissociative Experiences Scale \[DES-B\])](https://www.psychiatry.org/getmedia/40a74f7f-d18c-4088-8464-653073c74452/APA-DSM5TR-SeverityOfDissociativeSymptomsAdult.pdf) ### For Children Ages 11–17 - [Severity Measure for Depression—Child Age 11–17 (PHQ-9 modified for Adolescents \[PHQ-A\]—Adapted)](https://www.psychiatry.org/getmedia/5bffce7c-6ad1-4621-8f90-d3f1b8c28b8b/APA-DSM5TR-SeverityMeasureForDepressionChildAge11To17.pdf) - [Severity Measure for Separation Anxiety Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/b7a64e97-7bb5-46d7-9e75-69a16de1049d/APA-DSM5TR-SeverityMeasureForSeparationAnxietyDisorderChildAge11To17.pdf) - [Severity Measure for Specific Phobia—Child Age 11–17](https://www.psychiatry.org/getmedia/d7db0c92-8f11-445a-936e-cd6bc9f45480/APA-DSM5TR-SeverityMeasureForSpecificPhobiaChildAge11To17.pdf) - [Severity Measure for Social Anxiety Disorder (Social Phobia)—Child Age 11–17](https://www.psychiatry.org/getmedia/3b328005-dc9a-4c3a-8b8d-56f8017af73b/APA-DSM5TR-SeverityMeasureForSocialAnxietyDisorderChildAge11To17.pdf) - [Severity Measure for Panic Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/bdf5a1a6-1357-4bb6-9c37-0ca93d7e062e/APA-DSM5TR-SeverityMeasureForPanicDisorderChildAge11To17.pdf) - [Severity Measure for Agoraphobia—Child Age 11–17](https://www.psychiatry.org/getmedia/3060504d-1660-4176-a12f-fd6bd979b804/APA-DSM5TR-SeverityMeasureForAgoraphobiaChildAge11To17.pdf) - [Severity Measure for Generalized Anxiety Disorder—Child Age 11–17](https://www.psychiatry.org/getmedia/73e293d0-6355-4258-9cd3-2fc8a5c5b830/APA-DSM5TR-SeverityMeasureForGeneralizedAnxietyDisorderChildAge11To17.pdf) - [Severity of Posttraumatic Stress Symptoms—Child Age 11–17 (National Stressful Events Survey PTSD Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/19964a66-5074-4f00-9138-81d85577f107/APA-DSM5TR-SeverityOfPostTraumaticStressSymptomsChildAge11To17.pdf) - [Severity of Acute Stress Symptoms—Child Age 11–17 (National Stressful Events Survey Acute Stress Disorder Short Scale \[NSESS\])](https://www.psychiatry.org/getmedia/8cb69e1d-5d73-4797-85af-48024bd1df44/APA-DSM5TR-SeverityOfAcuteStressSymptomsChildAge11To17.pdf) - [Severity of Dissociative Symptoms—Child Age 11–17 (Brief Dissociative Experiences Scale \[DES-B\])](https://www.psychiatry.org/getmedia/e0cee092-397f-4498-bbd8-61f420ac9973/APA-DSM5TR-SeverityofDissociativeSymptomsChildAge11To17.pdf) ### Clinician-Rated - [Clinician-Rated Severity of Autism Spectrum and Social Communication Disorders](https://www.psychiatry.org/getmedia/97fbc44e-f928-41f3-8fac-5f5c15a7161d/APA-DSM5TR-ClinicianRatedSeverityOfAutismSpectrumAndSocialCommunicationDisorders.pdf) - [Clinician-Rated Dimensions of Psychosis Symptom Severity](https://www.psychiatry.org/getmedia/639675df-e6d0-4fe5-bb86-a517d9b15cfd/APA-DSM5TR-ClinicianRatedDimensionsofPsychosisSymptomSeverity.pdf) (also available in print book) - [Clinician-Rated Severity of Somatic Symptom Disorder](https://www.psychiatry.org/getmedia/f634d540-eb39-4309-b6cd-5270b3d03730/APA-DSM5TR-ClinicianRatedSeverityOfSomaticSymptomDisorder.pdf) - [Clinician-Rated Severity of Oppositional Defiant Disorder](https://www.psychiatry.org/getmedia/c8c54ca1-92a9-4608-bd05-147cb92db691/APA-DSM5TR-ClinicianRatedSeverityOfOppositionalDefiantDisorder.pdf) - [Clinician-Rated Severity of Conduct Disorder](https://www.psychiatry.org/getmedia/7f0c5730-df33-4e67-b1a5-493fed023485/APA-DSM5TR-ClinicianRatedSeverityOfConductDisorder.pdf) - [Clinician-Rated Severity of Nonsuicidal Self-Injury](https://www.psychiatry.org/getmedia/956cbe48-0d36-4565-b729-3b2ddf40e371/APA-DSM5TR-ClinicianRatedSeverityOfNonSuicidalSelfInjury.pdf) ## Disability Measures - [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, self-administered)](https://www.psychiatry.org/getmedia/5f4794de-8d66-4434-99f3-784a3fd1e567/APA-DSM5TR-WHODAS2SelfAdministered.pdf) (also available in print book) - [WHODAS 2.0 (World Health Organization Disability Schedule 2.0, 36-item version, proxy-administered)](https://www.psychiatry.org/getmedia/f1e7a9ff-431f-48ff-9284-9be7a2809c4e/APA-DSM5TR-WHODAS2ProxyAdministered.pdf) ## Personality Inventories ### For Adults - [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Adult](https://www.psychiatry.org/getmedia/f65c4386-b2bc-44a5-9ace-d6fea2211506/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormAdult.pdf) - [The Personality Inventory for DSM-5 (PID-5)—Adult](https://www.psychiatry.org/getmedia/594673a6-1b9b-4298-8b52-c4c652c4a4e2/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionAdult.pdf) - [The Personality Inventory for DSM-5—Informant Form (PID-5-IRF)—Adult](https://www.psychiatry.org/getmedia/c98d1549-7dd6-4916-b758-296331fb4ffc/APA-DSM5TR-ThePersonalityInventoryforDSM5FullVersionInformant.pdf) ### For Children Ages 11–17 - [The Personality Inventory for DSM-5—Brief Form (PID-5-BF)—Child Age 11–17](https://www.psychiatry.org/getmedia/e2112f01-d14a-4503-8440-d4a30c519676/APA-DSM5TR-ThePersonalityInventoryForDSM5BriefFormChildAge11To17.pdf) - [The Personality Inventory for DSM-5 (PID-5)—Child Age 11–17](https://www.psychiatry.org/getmedia/e02d3a80-9010-4d04-bd36-ec3510dcfc1e/APA-DSM5TR-ThePersonalityInventoryForDSM5FullVersionChildAge11To17.pdf) ## Early Development and Home Background ### For Parents of Children Ages 6–17 - [Early Development and Home Background (EDHB) Form—Parent/Guardian](https://www.psychiatry.org/getmedia/ef4ce2bb-ae0e-4270-a8de-dfbb20e5d2f6/APA-DSM5TR-EarlyDevelopmentAndHomeBackgroundFormParentOfChildAge6To17-pdf.pdf) ### Clinician-Rated - [Early Development and Home Background (EDHB) Form—Clinician](https://www.psychiatry.org/getmedia/b06aa42b-5b39-40f0-8ac1-d24815d44343/APA-DSM5TR-ClinicianRatedEarlyDevelopmentAndHomeBackground.pdf) ## Cultural Formulation Interviews - [Cultural Formulation Interview](https://www.psychiatry.org/getmedia/5cc5329d-3bd4-4c6a-bae1-dfd0d6496f44/APA-DSM5TR-CulturalFormulationInterview.pdf) (also available in print book) - [Cultural Formulation Interview—Informant Version](https://www.psychiatry.org/getmedia/4b37a60b-dcbd-402c-9ee2-3af7f5c9dc70/APA-DSM5TR-CulturalFormulationInterviewInformant.pdf) (also available in print book) - [Alternative Versions to the Core Cultural Formulation Interview (CFI)](https://www.psychiatry.org/getmedia/e308b799-98cc-4ad4-81c3-1f662335074d/APA-DSM5TR-AlternativeVersionsoftheCoreCFI.pdf) - [Supplementary Modules to the Core Cultural Formulation Interview (CFI)](https://www.psychiatry.org/getmedia/aca8f5a2-9b1b-456c-a3b7-f7f852edcf7c/APA-DSM5TR-CulturalFormulationInterviewSupplementaryModules.pdf) ## About the Measures These measures should be used to enhance clinical decision-making and not as the sole basis for making a clinical diagnosis. Further information on these measures can be found in DSM-5-TR. The measures can be broadly classified into four types: - Cross-cutting symptom measures may aid in a comprehensive mental status assessment by drawing attention to symptoms that are important across diagnoses. They are intended to help identify additional areas of inquiry that may guide treatment and prognosis. The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains. - Severity measures are disorder-specific, corresponding closely to criteria that constitute the disorder definition. They may be administered to individuals who have received a diagnosis or who have a clinically significant syndrome that falls short of meeting full criteria. Some of the assessments are self-completed, whereas others require a clinician to complete. - The World Health Organization Disability Assessment Schedule, Version 2.0 (WHODAS 2.0) assesses a patient’s ability to perform activities in six areas: understanding and communicating; getting around; self-care; getting along with people; life activities (e.g., household, work/school); and participation in society. The scale is self- or informant-administered and corresponds to concepts contained in the WHO International Classification of Functioning, Disability and Health. - The Personality Inventories for DSM-5 measure maladaptive personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism. For adults and children ages 11 and older, there are brief forms with 25 items and full versions with 220 items. A full version for informants is also available. The Early Development and Home Background (EDHB) form may assist in the assessment of the early development and past and current home background experiences of a child receiving care. Two versions are provided: one to be completed by the child’s parent or guardian, and the other to be completed by the clinician. The Cultural Formulation Interview (CFI) is a set of 16 questions that clinicians may use to obtain information during a mental health assessment about the impact of culture on key aspects of an individual’s clinical presentation and care. The Informant Version collects collateral information on the CFI domains from family members or caregivers. In addition, the Supplementary Modules to the Cultural Formulation Interview can help clinicians conduct a more comprehensive cultural assessment. The first eight supplementary modules explore the domains of the core CFI in greater depth. The next three modules focus on populations with specific needs, such as children and adolescents, older adults, and immigrants and refugees. The last module explores the experiences and views of individuals who perform caregiving functions.
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