2024-12-20
095_ Cognitive subgroups among individuals with bipolar disorder as well as schizophrenia and their relation to outcome variables in a cross-sectional sample
Research Question and Aims
It is well known that individuals with severe mental illness, schizophrenia (SCZ) and bipolar disorder (BD), have impaired cognition in comparison to healthy controls (Ganesh et al., 2021; McCutcheon et al., 2023), which negatively affects day-to-day functioning (Soni et al., 2017; Ventura et al., 2020). Several researchers have separately investigated associations between cognition and measures of outcome, such as quality of life (Ponsoni et al., 2023; Rekhi et al., 2023), and attributes of cognitive subgroups created via cluster analysis (Lima et al., 2019; Senner et al., 2023). To our knowledge, the longitudinal outcome parameters of cognitive subgroups have yet to be investigated in SCZ and BD.
Therefore, the aim of the proposed analysis is to identify cognitive subgroups according to participants’ cognitive profiles, and to investigate whether the subgroups differ in important outcome variables, such as quality of life, global functioning, and clinical characteristics, over the course of time. In addition, we want to investigate other variables that the subgroups might differ in, including sociodemographic variables and medical history.
Analytic Plan
We will only include individuals with BD and SCZ and exclude any incomplete datasets as well as individuals that were not euthymic at the time of measurement.
Before conducting any statistical analyses, the variables assessing cognitive ability will be converted into domain scores via the calculation of z scores, the addition of related variables, creating the following cognitive domain scores (once again after the calculation of z scores): attention and psychomotor speed (TMT part A, Digit-Symbol-Test), executive function (TMT part B – part A, backward digit-span), memory (forward digit-span), and crystallized intelligence (Multiple-Choice Vocabulary Intelligence Test).
To identify cognitive subgroups, a cluster analysis will be performed using the cognitive domain scores. According to Dalmaijer et al. (2022), cluster analysis can be applied if each subgroup has a size of at least n = 20-30, and if subgroups can be adequately separated to enable large effect sizes and satisfactory power. We expect both to be the case. Based on previous research, we expect the formation of three (or at most four) clusters differing from each other in terms of the severity of cognitive function impairment, each of which will contain a sufficient number of individuals due to a large sample size. We plan to use and compare several different methods of cluster analysis including (1) agglomerative hierarchical cluster analysis with squared Euclidean distance as a measure of distance for metric data, as the sample will not contain any preformed cognitive subgroups, (2) partitional cluster analysis using k-means clustering, with the number of clusters based on the results of the hierarchical cluster analysis, and (3) two step cluster analysis with sex as a categorical variable. In addition, we want to use the clustering method developed specifically for the PsyCourse sample by the Ludwig Maximilian University of Munich.
Thereafter, a multivariate analysis of covariances (MANCOVA) will be performed to compare the subgroups regarding the main outcome variables Global Assessment of Functioning (GAF), Clinical Global Impression (CGI), and World Health Organization Quality of Life (WHOQOL) from V1. Age, education, and sex will be used as covariates.
Additionally, the cognitive subgroups will be compared in other variables, such as education, age, sex, number of episodes, illness duration, number of suicide attempts, number of comorbidities, compliance regarding medication intake, lithium response, drug use, and BMI, calculating repeated measures MANCOVAs with the covariates age, education, and sex (each of which will be excluded when it is analyzed as a dependent variable).
Resources needed
v1_id
v1_stat
v1_center
v1_tstlt
v1_interv_date
v1_sex
v1_age
v1_yob
v1_seas_birth
v1_age_m_birth
v1_age_f_birth
v1_marital_stat
v1_partner
v1_no_bio_chld
v1_no_adpt_chld
v1_stp_chld
v1_brothers
v1_sisters
v1_hlf_brthrs
v1_hlf_sstrs
v1_stp_brthrs
v1_stp_sstrs
v1_twin_fam
v1_twin_slf
v1_liv_aln
v1_school
v1_prof_dgr
v1_ed_status
v1_curr_paid_empl
v1_disabl_pens
v1_spec_emp
v1_wrk_abs_pst_5_yrs
v1_cur_work_restr
v1_cntr_brth
v1_cntr_brth_m
v1_cntr_brth_f
v1_cntr_brth_gmm
v1_cntr_brth_gfm
v1_cntr_brth_gmf
v1_cntr_brth_gff
v1_cur_psy_trm
v1_outpat_psy_trm
v1_age_1st_out_trm
v1_daypat_inpat_trm
v1_age_1st_inpat_trm
v1_dur_illness
v1_1st_ep
v1_tms_daypat_outpat_trm
v1_cat_daypat_outpat_trm
v1_Antidepressants
v1_Antipsychotics
v1_Mood_stabilizers
v1_Tranquilizers
v1_Other_psychiatric
v1_adv
v1_medchange
v1_lith
v1_lith_prd
v1_fam_hist
v1_height
v1_weight
v1_waist
v1_bmi
v1_chol_trig
v1_hyperten
v1_ang_pec
v1_heart_att
v1_stroke
v1_diabetes
v1_hyperthy
v1_hypothy
v1_osteopor
v1_asthma
v1_copd
v1_allerg
v1_neuroder
v1_psoriasis
v1_autoimm
v1_cancer
v1_stom_ulc
v1_kid_fail
v1_stone
v1_epilepsy
v1_migraine
v1_parkinson
v1_liv_cir_inf
v1_tbi
v1_beh
v1_eyear
v1_inf
v1_ever_smkd
v1_age_smk
v1_no_cig
v1_alc_pst12_mths
v1_alc_5orm
v1_lftm_alc_dep
v1_evr_ill_drg
v1_sti_cat_evr
v1_can_cat_evr
v1_opi_cat_evr
v1_kok_cat_evr
v1_hal_cat_evr
v1_inh_cat_evr
v1_tra_cat_evr
v1_var_cat_evr
v1_evr_hvy_usr
v1_pst6_ill_drg
v1_scid_dsm_dx
v1_scid_dsm_dx_cat
v1_scid_age_MDE
v1_scid_no_MDE
v1_scid_age_mania
v1_scid_no_mania
v1_scid_age_hypomania
v1_scid_no_hypomania
v1_scid_ever_halls
v1_scid_ever_delus
v1_scid_ever_psyc
v1_scid_age_fst_psyc
v1_scid_yr_fst_psyc
v1_scid_evr_suic_ide
v1_scid_suic_ide
v1_scid_suic_thght_mth
v1_scid_suic_note_thgts
v1_suic_attmpt
v1_scid_no_suic_attmpt
v1_prep_suic_attp_ord
v1_suic_note_attmpt
v1_age_fst_suic_att
v1_age_sec_suic_att
v1_age_thr_suic_att
v1_idsc_itm1
v1_idsc_itm2
v1_idsc_itm3
v1_idsc_itm4
v1_idsc_itm5
v1_idsc_itm6
v1_idsc_itm7
v1_idsc_itm8
v1_idsc_itm9
v1_idsc_itm9a
v1_idsc_itm9b
v1_idsc_itm10
v1_idsc_itm11
v1_idsc_itm12
v1_idsc_itm13
v1_idsc_itm14
v1_idsc_itm15
v1_idsc_itm16
v1_idsc_itm17
v1_idsc_itm18
v1_idsc_itm19
v1_idsc_itm20
v1_idsc_itm21
v1_idsc_itm22
v1_idsc_itm23
v1_idsc_itm24
v1_idsc_itm25
v1_idsc_itm26
v1_idsc_itm27
v1_idsc_itm28
v1_idsc_itm29
v1_idsc_itm30
v1_idsc_sum
v1_ymrs_itm1
v1_ymrs_itm2
v1_ymrs_itm3
v1_ymrs_itm4
v1_ymrs_itm5
v1_ymrs_itm6
v1_ymrs_itm7
v1_ymrs_itm8
v1_ymrs_itm9
v1_ymrs_itm10
v1_ymrs_itm11
v1_ymrs_sum
v1_cgi_s
v1_gaf
v1_nrpsy_com
v1_nrpsy_lng
v1_nrpsy_mtv
v1_nrpsy_tmt_A_rt
v1_nrpsy_tmt_A_err
v1_nrpsy_tmt_B_rt
v1_nrpsy_tmt_B_err
v1_nrpsy_dgt_sp_frw
v1_nrpsy_dgt_sp_bck
v1_nrpsy_dg_sym
v1_nrpsy_mwtb
v1_sf12_itm0
v1_sf12_itm1
v1_sf12_itm2
v1_sf12_itm3
v1_sf12_itm4
v1_sf12_itm5
v1_sf12_itm6
v1_sf12_itm7
v1_sf12_itm8
v1_sf12_itm9
v1_sf12_itm10
v1_sf12_itm11
v1_sf12_itm12
v1_med_pst_wk
v1_med_pst_sx_mths
v1_bdi2_itm1
v1_bdi2_itm2
v1_bdi2_itm3
v1_bdi2_itm4
v1_bdi2_itm5
v1_bdi2_itm6
v1_bdi2_itm7
v1_bdi2_itm8
v1_bdi2_itm9
v1_bdi2_itm10
v1_bdi2_itm11
v1_bdi2_itm12
v1_bdi2_itm13
v1_bdi2_itm14
v1_bdi2_itm15
v1_bdi2_itm16
v1_bdi2_itm17
v1_bdi2_itm18
v1_bdi2_itm19
v1_bdi2_itm20
v1_bdi2_itm21
v1_bdi2_sum
v1_asrm_itm1
v1_asrm_itm2
v1_asrm_itm3
v1_asrm_itm4
v1_asrm_itm5
v1_asrm_sum
v1_whoqol_itm1
v1_whoqol_itm2
v1_whoqol_itm3
v1_whoqol_itm4
v1_whoqol_itm5
v1_whoqol_itm6
v1_whoqol_itm7
v1_whoqol_itm8
v1_whoqol_itm9
v1_whoqol_itm10
v1_whoqol_itm11
v1_whoqol_itm12
v1_whoqol_itm13
v1_whoqol_itm14
v1_whoqol_itm15
v1_whoqol_itm16
v1_whoqol_itm17
v1_whoqol_itm18
v1_whoqol_itm19
v1_whoqol_itm20
v1_whoqol_itm21
v1_whoqol_itm22
v1_whoqol_itm23
v1_whoqol_itm24
v1_whoqol_itm25
v1_whoqol_itm26
v1_whoqol_dom_glob
v1_whoqol_dom_phys
v1_whoqol_dom_psy
v1_whoqol_dom_soc
v1_whoqol_dom_env
v2_age
v2_interv_date
v2_clin_ill_ep_snc_lst
v2_clin_no_ep
v2_clin_fst_ill_ep_man
v2_clin_fst_ill_ep_dep
v2_clin_fst_ill_ep_mx
v2_clin_fst_ill_ep_psy
v2_clin_fst_ill_ep_dur
v2_clin_fst_ill_ep_hsp
v2_clin_fst_ill_ep_hsp_dur
v2_clin_fst_ill_ep_symp_wrs
v2_clin_fst_ill_ep_slf_end
v2_clin_fst_ill_ep_suic
v2_clin_fst_ill_ep_oth_end
v2_clin_fst_ill_ep_med_chg
v2_clin_fst_ill_ep_othr
v2_clin_sec_ill_ep_man
v2_clin_sec_ill_ep_dep
v2_clin_sec_ill_ep_mx
v2_clin_sec_ill_ep_psy
v2_clin_sec_ill_ep_dur
v2_clin_sec_ill_ep_hsp
v2_clin_sec_ill_ep_hsp_dur
v2_clin_sec_ill_ep_symp_wrs
v2_clin_sec_ill_ep_slf_end
v2_clin_sec_ill_ep_suic
v2_clin_sec_ill_ep_oth_end
v2_clin_sec_ill_ep_med_chg
v2_clin_sec_ill_ep_othr
v2_clin_add_oth_hsp
v2_clin_oth_hsp_nmb
v2_clin_oth_hsp_dur
v2_clin_othr_psy_med
v2_cur_psy_trm
v2_cng_mar_stat
v2_marital_stat
v2_partner
v2_no_bio_chld
v2_no_adpt_chld
v2_stp_chld
v2_chg_hsng
v2_liv_aln
v2_chg_empl_stat
v2_curr_paid_empl
v2_disabl_pens
v2_spec_emp
v2_wrk_abs_pst_6_mths
v2_cur_work_restr
v2_weight
v2_waist
v2_bmi
v2_evnt_prcp_illn
v2_evnt_prcp_illn_txt
v2_suic_ide_snc_lst_vst
v2_scid_suic_ide
v2_scid_suic_thght_mth
v2_scid_suic_note_thgts
v2_suic_attmpt_snc_lst_vst
v2_no_suic_attmpt
v2_prep_suic_attp_ord
v2_suic_note_attmpt
v2_Antidepressants
v2_Antipsychotics
v2_Mood_stabilizers
v2_Tranquilizers
v2_Other_psychiatric
v2_adv
v2_medchange
v2_lith
v2_lith_prd
v2_smk_strt_stp
v2_no_cig
v2_alc_pst6_mths
v2_alc_5orm
v2_pst6_ill_drg
v2_idsc_itm1
v2_idsc_itm2
v2_idsc_itm3
v2_idsc_itm4
v2_idsc_itm5
v2_idsc_itm6
v2_idsc_itm7
v2_idsc_itm8
v2_idsc_itm9
v2_idsc_itm9a
v2_idsc_itm9b
v2_idsc_itm10
v2_idsc_itm11
v2_idsc_itm12
v2_idsc_itm13
v2_idsc_itm14
v2_idsc_itm15
v2_idsc_itm16
v2_idsc_itm17
v2_idsc_itm18
v2_idsc_itm19
v2_idsc_itm20
v2_idsc_itm21
v2_idsc_itm22
v2_idsc_itm23
v2_idsc_itm24
v2_idsc_itm25
v2_idsc_itm26
v2_idsc_itm27
v2_idsc_itm28
v2_idsc_itm29
v2_idsc_itm30
v2_idsc_sum
v2_ymrs_itm1
v2_ymrs_itm2
v2_ymrs_itm3
v2_ymrs_itm4
v2_ymrs_itm5
v2_ymrs_itm6
v2_ymrs_itm7
v2_ymrs_itm8
v2_ymrs_itm9
v2_ymrs_itm10
v2_ymrs_itm11
v2_ymrs_sum
v2_cgi_s
v2_cgi_c
v2_gaf
v2_nrpsy_com
v2_nrpsy_lng
v2_nrpsy_mtv
v2_nrpsy_vlmt_check
v2_nrpsy_vlmt_corr
v2_nrpsy_vlmt_lss_d
v2_nrpsy_vlmt_lss_t
v2_nrpsy_vlmt_rec
v2_nrpsy_tmt_A_rt
v2_nrpsy_tmt_A_err
v2_nrpsy_tmt_B_rt
v2_nrpsy_tmt_B_err
v2_nrpsy_dgt_sp_frw
v2_nrpsy_dgt_sp_bck
v2_nrpsy_dg_sym
v2_sf12_itm0
v2_sf12_itm1
v2_sf12_itm2
v2_sf12_itm3
v2_sf12_itm4
v2_sf12_itm5
v2_sf12_itm6
v2_sf12_itm7
v2_sf12_itm8
v2_sf12_itm9
v2_sf12_itm10
v2_sf12_itm11
v2_sf12_itm12
v2_med_pst_wk
v2_med_pst_sx_mths
v2_bdi2_itm1
v2_bdi2_itm2
v2_bdi2_itm3
v2_bdi2_itm4
v2_bdi2_itm5
v2_bdi2_itm6
v2_bdi2_itm7
v2_bdi2_itm8
v2_bdi2_itm9
v2_bdi2_itm10
v2_bdi2_itm11
v2_bdi2_itm12
v2_bdi2_itm13
v2_bdi2_itm14
v2_bdi2_itm15
v2_bdi2_itm16
v2_bdi2_itm17
v2_bdi2_itm18
v2_bdi2_itm19
v2_bdi2_itm20
v2_bdi2_itm21
v2_bdi2_sum
v2_asrm_itm1
v2_asrm_itm2
v2_asrm_itm3
v2_asrm_itm4
v2_asrm_itm5
v2_asrm_sum
v2_whoqol_itm1
v2_whoqol_itm2
v2_whoqol_itm3
v2_whoqol_itm4
v2_whoqol_itm5
v2_whoqol_itm6
v2_whoqol_itm7
v2_whoqol_itm8
v2_whoqol_itm9
v2_whoqol_itm10
v2_whoqol_itm11
v2_whoqol_itm12
v2_whoqol_itm13
v2_whoqol_itm14
v2_whoqol_itm15
v2_whoqol_itm16
v2_whoqol_itm17
v2_whoqol_itm18
v2_whoqol_itm19
v2_whoqol_itm20
v2_whoqol_itm21
v2_whoqol_itm22
v2_whoqol_itm23
v2_whoqol_itm24
v2_whoqol_itm25
v2_whoqol_itm26
v2_whoqol_dom_glob
v2_whoqol_dom_phys
v2_whoqol_dom_psy
v2_whoqol_dom_soc
v2_whoqol_dom_env
v3_age
v3_interv_date
v3_clin_ill_ep_snc_lst
v3_clin_no_ep
v3_clin_fst_ill_ep_man
v3_clin_fst_ill_ep_dep
v3_clin_fst_ill_ep_mx
v3_clin_fst_ill_ep_psy
v3_clin_fst_ill_ep_dur
v3_clin_fst_ill_ep_hsp
v3_clin_fst_ill_ep_hsp_dur
v3_clin_fst_ill_ep_symp_wrs
v3_clin_fst_ill_ep_slf_end
v3_clin_fst_ill_ep_suic
v3_clin_fst_ill_ep_oth_end
v3_clin_fst_ill_ep_med_chg
v3_clin_fst_ill_ep_othr
v3_clin_sec_ill_ep_man
v3_clin_sec_ill_ep_dep
v3_clin_sec_ill_ep_mx
v3_clin_sec_ill_ep_psy
v3_clin_sec_ill_ep_dur
v3_clin_sec_ill_ep_hsp
v3_clin_sec_ill_ep_hsp_dur
v3_clin_sec_ill_ep_symp_wrs
v3_clin_sec_ill_ep_slf_end
v3_clin_sec_ill_ep_suic
v3_clin_sec_ill_ep_oth_end
v3_clin_sec_ill_ep_med_chg
v3_clin_sec_ill_ep_othr
v3_clin_add_oth_hsp
v3_clin_oth_hsp_nmb
v3_clin_oth_hsp_dur
v3_clin_othr_psy_med
v3_cur_psy_trm
v3_cng_mar_stat
v3_marital_stat
v3_partner
v3_no_bio_chld
v3_no_adpt_chld
v3_stp_chld
v3_chg_hsng
v3_liv_aln
v3_chg_empl_stat
v3_curr_paid_empl
v3_disabl_pens
v3_spec_emp
v3_wrk_abs_pst_6_mths
v3_cur_work_restr
v3_weight
v3_bmi
v3_waist
v3_suic_ide_snc_lst_vst
v3_scid_suic_ide
v3_scid_suic_thght_mth
v3_scid_suic_note_thgts
v3_suic_attmpt_snc_lst_vst
v3_no_suic_attmpt
v3_prep_suic_attp_ord
v3_suic_note_attmpt
v3_Antidepressants
v3_Antipsychotics
v3_Mood_stabilizers
v3_Tranquilizers
v3_Other_psychiatric
v3_adv
v3_medchange
v3_lith
v3_lith_prd
v3_smk_strt_stp
v3_no_cig
v3_alc_pst6_mths
v3_alc_5orm
v3_pst6_ill_drg
v3_idsc_itm1
v3_idsc_itm2
v3_idsc_itm3
v3_idsc_itm4
v3_idsc_itm5
v3_idsc_itm6
v3_idsc_itm7
v3_idsc_itm8
v3_idsc_itm9
v3_idsc_itm9a
v3_idsc_itm9b
v3_idsc_itm10
v3_idsc_itm11
v3_idsc_itm12
v3_idsc_itm13
v3_idsc_itm14
v3_idsc_itm15
v3_idsc_itm16
v3_idsc_itm17
v3_idsc_itm18
v3_idsc_itm19
v3_idsc_itm20
v3_idsc_itm21
v3_idsc_itm22
v3_idsc_itm23
v3_idsc_itm24
v3_idsc_itm25
v3_idsc_itm26
v3_idsc_itm27
v3_idsc_itm28
v3_idsc_itm29
v3_idsc_itm30
v3_idsc_sum
v3_ymrs_itm1
v3_ymrs_itm2
v3_ymrs_itm3
v3_ymrs_itm4
v3_ymrs_itm5
v3_ymrs_itm6
v3_ymrs_itm7
v3_ymrs_itm8
v3_ymrs_itm9
v3_ymrs_itm10
v3_ymrs_itm11
v3_ymrs_sum
v3_cgi_s
v3_cgi_c
v3_gaf
v3_nrpsy_com
v3_nrpsy_lng
v3_nrpsy_mtv
v3_nrpsy_vlmt_check
v3_nrpsy_vlmt_corr
v3_nrpsy_vlmt_lss_d
v3_nrpsy_vlmt_lss_t
v3_nrpsy_vlmt_rec
v3_nrpsy_tmt_A_rt
v3_nrpsy_tmt_A_err
v3_nrpsy_tmt_B_rt
v3_nrpsy_tmt_B_err
v3_nrpsy_dgt_sp_frw
v3_nrpsy_dgt_sp_bck
v3_nrpsy_dg_sym
v3_sf12_itm0
v3_sf12_itm1
v3_sf12_itm2
v3_sf12_itm3
v3_sf12_itm4
v3_sf12_itm5
v3_sf12_itm6
v3_sf12_itm7
v3_sf12_itm8
v3_sf12_itm9
v3_sf12_itm10
v3_sf12_itm11
v3_sf12_itm12
v3_med_pst_wk
v3_med_pst_sx_mths
v3_bdi2_itm1
v3_bdi2_itm2
v3_bdi2_itm3
v3_bdi2_itm4
v3_bdi2_itm5
v3_bdi2_itm6
v3_bdi2_itm7
v3_bdi2_itm8
v3_bdi2_itm9
v3_bdi2_itm10
v3_bdi2_itm11
v3_bdi2_itm12
v3_bdi2_itm13
v3_bdi2_itm14
v3_bdi2_itm15
v3_bdi2_itm16
v3_bdi2_itm17
v3_bdi2_itm18
v3_bdi2_itm19
v3_bdi2_itm20
v3_bdi2_itm21
v3_bdi2_sum
v3_asrm_itm1
v3_asrm_itm2
v3_asrm_itm3
v3_asrm_itm4
v3_asrm_itm5
v3_asrm_sum
v3_whoqol_itm1
v3_whoqol_itm2
v3_whoqol_itm3
v3_whoqol_itm4
v3_whoqol_itm5
v3_whoqol_itm6
v3_whoqol_itm7
v3_whoqol_itm8
v3_whoqol_itm9
v3_whoqol_itm10
v3_whoqol_itm11
v3_whoqol_itm12
v3_whoqol_itm13
v3_whoqol_itm14
v3_whoqol_itm15
v3_whoqol_itm16
v3_whoqol_itm17
v3_whoqol_itm18
v3_whoqol_itm19
v3_whoqol_itm20
v3_whoqol_itm21
v3_whoqol_itm22
v3_whoqol_itm23
v3_whoqol_itm24
v3_whoqol_itm25
v3_whoqol_itm26
v3_whoqol_dom_glob
v3_whoqol_dom_phys
v3_whoqol_dom_psy
v3_whoqol_dom_soc
v3_whoqol_dom_env
v4_age
v4_interv_date
v4_clin_ill_ep_snc_lst
v4_clin_no_ep
v4_clin_fst_ill_ep_man
v4_clin_fst_ill_ep_dep
v4_clin_fst_ill_ep_mx
v4_clin_fst_ill_ep_psy
v4_clin_fst_ill_ep_dur
v4_clin_fst_ill_ep_hsp
v4_clin_fst_ill_ep_hsp_dur
v4_clin_fst_ill_ep_symp_wrs
v4_clin_fst_ill_ep_slf_end
v4_clin_fst_ill_ep_suic
v4_clin_fst_ill_ep_oth_end
v4_clin_fst_ill_ep_med_chg
v4_clin_fst_ill_ep_othr
v4_clin_sec_ill_ep_man
v4_clin_sec_ill_ep_dep
v4_clin_sec_ill_ep_mx
v4_clin_sec_ill_ep_psy
v4_clin_sec_ill_ep_dur
v4_clin_sec_ill_ep_hsp
v4_clin_sec_ill_ep_hsp_dur
v4_clin_sec_ill_ep_symp_wrs
v4_clin_sec_ill_ep_slf_end
v4_clin_sec_ill_ep_suic
v4_clin_sec_ill_ep_oth_end
v4_clin_sec_ill_ep_med_chg
v4_clin_sec_ill_ep_othr
v4_clin_add_oth_hsp
v4_clin_oth_hsp_nmb
v4_clin_oth_hsp_dur
v4_clin_othr_psy_med
v4_cur_psy_trm
v4_cng_mar_stat
v4_marital_stat
v4_partner
v4_no_bio_chld
v4_no_adpt_chld
v4_stp_chld
v4_chg_hsng
v4_liv_aln
v4_chg_empl_stat
v4_curr_paid_empl
v4_disabl_pens
v4_spec_emp
v4_wrk_abs_pst_6_mths
v4_cur_work_restr
v4_weight
v4_bmi
v4_waist
v4_opcrit
v4_suic_ide_snc_lst_vst
v4_scid_suic_ide
v4_scid_suic_thght_mth
v4_scid_suic_note_thgts
v4_suic_attmpt_snc_lst_vst
v4_no_suic_attmpt
v4_prep_suic_attp_ord
v4_suic_note_attmpt
v4_Antidepressants
v4_Antipsychotics
v4_Mood_stabilizers
v4_Tranquilizers
v4_Other_psychiatric
v4_adv
v4_medchange
v4_lith
v4_lith_prd
v4_alda_A
v4_alda_B1
v4_alda_B2
v4_alda_B3
v4_alda_B4
v4_alda_B5
v4_smk_strt_stp
v4_no_cig
v4_alc_pst6_mths
v4_alc_5orm
v4_pst6_ill_drg
v4_idsc_itm1
v4_idsc_itm2
v4_idsc_itm3
v4_idsc_itm4
v4_idsc_itm5
v4_idsc_itm6
v4_idsc_itm7
v4_idsc_itm8
v4_idsc_itm9
v4_idsc_itm9a
v4_idsc_itm9b
v4_idsc_itm10
v4_idsc_itm11
v4_idsc_itm12
v4_idsc_itm13
v4_idsc_itm14
v4_idsc_itm15
v4_idsc_itm16
v4_idsc_itm17
v4_idsc_itm18
v4_idsc_itm19
v4_idsc_itm20
v4_idsc_itm21
v4_idsc_itm22
v4_idsc_itm23
v4_idsc_itm24
v4_idsc_itm25
v4_idsc_itm26
v4_idsc_itm27
v4_idsc_itm28
v4_idsc_itm29
v4_idsc_itm30
v4_idsc_sum
v4_ymrs_itm1
v4_ymrs_itm2
v4_ymrs_itm3
v4_ymrs_itm4
v4_ymrs_itm5
v4_ymrs_itm6
v4_ymrs_itm7
v4_ymrs_itm8
v4_ymrs_itm9
v4_ymrs_itm10
v4_ymrs_itm11
v4_ymrs_sum
v4_cgi_s
v4_cgi_c
v4_gaf
v4_nrpsy_com
v4_nrpsy_lng
v4_nrpsy_mtv
v4_nrpsy_vlmt_check
v4_nrpsy_vlmt_corr
v4_nrpsy_vlmt_lss_d
v4_nrpsy_vlmt_lss_t
v4_nrpsy_vlmt_rec
v4_nrpsy_tmt_A_rt
v4_nrpsy_tmt_A_err
v4_nrpsy_tmt_B_rt
v4_nrpsy_tmt_B_err
v4_nrpsy_dgt_sp_frw
v4_nrpsy_dgt_sp_bck
v4_nrpsy_dg_sym
v4_sf12_itm0
v4_sf12_itm1
v4_sf12_itm2
v4_sf12_itm3
v4_sf12_itm4
v4_sf12_itm5
v4_sf12_itm6
v4_sf12_itm7
v4_sf12_itm8
v4_sf12_itm9
v4_sf12_itm10
v4_sf12_itm11
v4_sf12_itm12
v4_med_pst_wk
v4_med_pst_sx_mths
v4_bdi2_itm1
v4_bdi2_itm2
v4_bdi2_itm3
v4_bdi2_itm4
v4_bdi2_itm5
v4_bdi2_itm6
v4_bdi2_itm7
v4_bdi2_itm8
v4_bdi2_itm9
v4_bdi2_itm10
v4_bdi2_itm11
v4_bdi2_itm12
v4_bdi2_itm13
v4_bdi2_itm14
v4_bdi2_itm15
v4_bdi2_itm16
v4_bdi2_itm17
v4_bdi2_itm18
v4_bdi2_itm19
v4_bdi2_itm20
v4_bdi2_itm21
v4_bdi2_sum
v4_asrm_itm1
v4_asrm_itm2
v4_asrm_itm3
v4_asrm_itm4
v4_asrm_itm5
v4_asrm_sum
v4_whoqol_itm1
v4_whoqol_itm2
v4_whoqol_itm3
v4_whoqol_itm4
v4_whoqol_itm5
v4_whoqol_itm6
v4_whoqol_itm7
v4_whoqol_itm8
v4_whoqol_itm9
v4_whoqol_itm10
v4_whoqol_itm11
v4_whoqol_itm12
v4_whoqol_itm13
v4_whoqol_itm14
v4_whoqol_itm15
v4_whoqol_itm16
v4_whoqol_itm17
v4_whoqol_itm18
v4_whoqol_itm19
v4_whoqol_itm20
v4_whoqol_itm21
v4_whoqol_itm22
v4_whoqol_itm23
v4_whoqol_itm24
v4_whoqol_itm25
v4_whoqol_itm26
v4_whoqol_dom_glob
v4_whoqol_dom_phys
v4_whoqol_dom_psy
v4_whoqol_dom_soc
v4_whoqol_dom_env