UK Data Archive Study Number 1086 -

Socio-Psychiatric Survey on Distribution and Aetiology of Psychiatric Disorder, 1975-1976; Lewis and North Uist

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\ 111 [J~ Jl('l)J~) des .study , So',' / p-

r-r. -.. I 1 .... .:- .. ... ~- .... _-.:::.z'-_ f

"o~"'L ,/)7" r~./ ~ L

'{I,le 1,111JCI'LII'; (11A-./r L

C"'/'~~£ ,I

,0'.:' ,/:1 5//'7', /r;, ~,~.~_~

,....:'C l.-.r , .,- ....... _ .-r

~'l' ' , ,~""".( ... ,c'l1v 51'",.., I I"

~~ ... -6 <--[.7.. "'<" f ' n ('\, lit J~dS bo('n L',1,' 11_~JJ(dt rplt.::':>tJ(,n tall a"'Gout C\ Jl {S 1 , , d I oJ'; 1. 0 J t, or stell, 11 n,:; 11 ul 1 1 t C' pl cced~ns il Job

:lll-C to rC'l.1i .. e event s 10 ]lS) ell 11 trl c c..1}-I'lLC -POllltS

to Diller (~\"llt 5 or .J'" JfJ~111t, (''3

]\TU\-J l'd],] e to ,lS'\: a_1J,'.:?Y!.. tIle last_I..§. ~o:r2t;lS \

I Sectlon I - HR\LTH

~ lias Llnyone In the ,Sal1l1Y_c"cen 2...JJ:.?

\That about you? H01 .. - SerlOUS was

/\nyol1 e 0 f'f' ,,,'ork

the chlldrcn or husband or parents? 1 t? ;n cl1cr~ency? lJccnuse of' It? For how Ions?

etc,

~ J I'~ san) OJl C b c (~n l (lllJ t t_~~ _~L.?r 1 e~t, 1-,<.,t 12-r-)-()]J'-Y:~--5-")-

hospl.tLll dllr1.n.; the

!

" ,

r'or 'l,l/at.. 11111CSS? Pas ~t a rout~ne adlJ11ss1on or an el ,er~el1cy?

lio,v lOl11}; for? "hat ch,)n,se5 d~d It l.nvolve for you? \nlat 1.5 the I,cdlcal outlook? etc ..

I

If a relatl.ve or frlend

t Any operatlons at all' e.g. to self, c11l1d, husband

'T (' re I Ila t

you present' lee} up to the

G,d you expect dea th?

,,·Lre )OU l11volved ofter,.ards In Llny l\ay?

For :,)vur'3elf or JOur relatlves e,C' 1.n the past 12 11Ontlls.-

lias ~nyolle suffered f"Oll - ,/ • Any chest trouhl c§, ¥- N~~ '1"-6'''"'-

,. l-lI.;h blood 1'1"(, '~\"·e ~ lIcart tro1l,)le' l( /' ...... n uJccr or othrr stom.:lch iroul:>le .f~ny J. J ~ ney or 11100der trouble' r, j a.» " t c s f11: J-01U or otJler glandular trounle { 1, )C] l~(ic},:

f'rllni ln~ 4>£ dlL.Z.Y spells 'I\'ervolls ir(.Juble of .:J.ny kl)'ld Any P, )11('J15 11 treubl@s e .. g .. 1 11111111

perl(lfl::::)Lic.

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"

Have

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( - I () :; ~) 1] ')

lC'r- 11200:C uf - 01 ci 1 ~ e UrI)) C I J. 1 Ie 1 1. Y I j '11") '3 1, 1 1 n r I) I ) 11 "1 1 11 1)1 d I r ! P 1

A cllllJk ])luh1e)11, or ~a.llblll1[",

~\ny 1)( 1 \ ous condJ tJ on, c)l~

l)l...h\\-)()ur probJern.

/', "ll1er by a doc "lor or 111 a cl1nJC 01 hosp~tal7 Has t.hlS ever h.1ppLncd 111 your f ..... J.l'11.1y?

J ;,"1 s anyone--at 1.. L, 11) 1.. cd ~ ll) C 1 (] e?

On "lhe road, In the hone, On the 1erry

or on the larm, or plane.

J ,

l.'llUt about the cI1l1clren~ Do you "orry about them hav~ng \rhy 1.5 thl.s r, e.g. more cars about. n.n acc1.dent?

Tn tIle p.,st 12 J10ntlls If"'"' J .... 11.) one lost n h'l..l)y?

to yourse11/close 1apllly? /i..n.y :.;randch1.1dren ~)orn'?

Have you been lYo.rred thn.t you n~ght be pre::;nant at all?

Sectlon II - ,lOL2 CIIAl,GES/li\TE:-!ACTIuN CllANGES/FrtII::mS t::::..-=-~==_::...-:::....:_=-.:::..~~ _-= --::=_=-....=:= :::~~~=-=--===

e.~. )'Olll-selr, 1)rot1lers or s1.sters, chlldren -or uny close 1rlend.

',;'11en "I P.\.S thlS? (,\edd~ng, engagement) [hen l~as It declcled upon? Iio,~ 111volved lfere Y01I? etc.

2.~. s~ouse, p~rent?

"Tas t.h1S e)..pected? 'dhat chc...:nses dld J t 1)rJ ns? (lJnanclal, routJne

c112~n:;es etc.)

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* .1:) (),lC _)_cJ)<"l]~i!,_d_ f) ("l", or d, , , ( ( d

\lere you lJ1volv0d. tt d I J') I i.e. Iil.d Y()\l r:;..pcct 1.1. 10 11""J)]),.11')

~. g .. GOlle -,1\ 'lY to c:: I COJl(li.U-Y school?

or

Left hOld~ for llllIV(j'c::.lty or apprcntlcc~hlP etc. ilOH dJ <l you feel ahoui Un s?

/\.nyone l<J.]cen 111')Ori..""Int --- - - - __________ ..J.. __ _ C-~.-.'llnli..10]l'3

Ask If approprlate -

k Do you have a boyfrlend at all?

'-01-:' _Itll. 1..\ 1 1.1_ c_ ~0 _?~?

I

,) ,. 0, ,

Have you ever thought of narrY1TlB: hll~/gettlng enl'!'a'-ed? '\~ould you IJke to? 7/fo· ... ro ..... """ /ro..,Jc_-7 ~

f ~~ .. v b, v/"lr~0 /'7~_,,--/j ~ .. -..J r~lf'I" '-1/7 -...'ct.--{c/,--.T be- ~ , 1..fi'/ 0-7/1...(/ k .. ,? Ir 7.

ror older slngle_or_w1doHed_subJects.- (wlth tact!)

Jl.:.1ve you ever consld ered Plarrla.:;e? Or 1)CCll pl1~n~ed?

Jio,~ lOllG ~So '~GS tl11S?

Have you any rel;rets i1 1)out ','ha t ha,pp ened'

th1S'

T.V.

lias r1nyone b~8n to stay 1.11. your house for any 1ensth of tll"'le t'1J..S ycar'?

~ Ur anyone 1 eft hone '?

H<1S thJ s l1"'f'pened iJns past yeQr?

for SU~)J ect 1 f' el'l!)lo) eu «(ret l1u"lber o~ 1101.1rS pr>r "h'cek) I /1..J J,-J.; "/ •.. 1,---:','-' ... ...., ~~E/OL~ ;{;'crrt'<A....A.Y Ie.. (~ /C'~ .. ~--R..",J ~.s~ 7,yc.,.U. o ..... )

Do )OU enJo)f your Ja~'?

\,-llat Llre condlt1ons IJ}.,e'?

\lHlt are 11.:tJ..n to "ark '?

e.g. hours, dennJlc1s \l,1Ue eic.

go lns..

e.g. the 111i..crcsi.., i..he conpany, the l1oney.

¥-, ,. "

• 1. 1 I '-

]! l.ve you ill"o.ys done thl.'5 l';-lnd of \~ork? \, f;:-;"t.- -(ril-1J11.11,£; -d"ld- ');-ou fl-,"l-V--e?---------

I ,J

Tn t1,e 11st. l2 l1ont1'5 -

If..-lve there been Dny--.J)l~o~l_e!2s_ ai..-.-:~k?

E.g. lon,; h01lrs, d~~~J cult"lcs ,,1 t.h SllperVlS0r or collea~ues? trnnsport pro'JleI1s, lOH '\\.:l,ses elc.

\,'hat are the Ila~n tas1(s you do?

liDl ... · nuch land 15 there? lIo,,' Iluch I1vestock?

Goes everyone In the household help?

Is ",nyone ~ull-t~lle on tr,e croft or do you all h.:tve Dtller Jobs? Have thlngs nlHays been thlS ".i:L'-

l.'Jlat about cha".s;es In the last feH years?

c) ror SU')J ec 1.5 I 11u sbnnd

~) Gencrnl

lIas your hus',,,,-nd been ~",ploy,:~ all the last 12 nonths?

Has he h"d anL.E2"onotJ on or other changes?

'n,y ~s tlllS· "ould It be ]]Qrd ~or h~," to ~lnd another .Job? \Tould you say the Job sltU.-:ltlon l1as cr,ill1r:,ed In the last ~ew years?

(:for 111lslJanc!/self)

l'llilt about YOllr cJ111tJren? ~------

(~f over 16)

(', "~ok - Cllll d,-cn)

Is It Cl,y 01- (hfflL.lllt. fUl~ 111("'ln to ' .. cl ',OJ-h.") JJlltlil~ j-() 1- hl)YS or 1..,1J1 .... "

\}-C ) ()'IJlq, peOI)lc l)f't1..('l" 01 {' )}. 1 e JI()h' thdl1. 1 n )\,)111- O~ly?

','1 1 '11.. lrc the 11.:11)1 "\)''3 IJl "hlch 018Jr l)le has l~]l"'l.n~ed'? e.~. cQr'5, linney, 1101-e lelSlll-e, Ilore

cclucn t I on

::;ectlon IV - IlOUSING =--=---=-=--:---:-~- '-- - - --::-"'!:" =--=--==

a) b)

In thlS present house In thlS place generally (e.g. the dlstrlct, "J,e ,sland)

\,llat are the ,1.:111'1 advanta:;:es-?

-"

lJave you ever thousht of movlng else"here?

l,rhy 'h'ns "Lhl.s')

1:h.:\t rJls.:J.llvani....:t.....,cs are ?

\ ".1

there llere?

BOH_I~uch space }laVe you here')

La you ]lave rlodern ~aCl.lltles?

51,e,. . "'/ (, .... , ,.,)!'0 c.1 11/.- "/rc~1.)

/7rc"/L!...t '" ~v '-:,y' "._C'~j."1

e.g. electrlclty l7Ia211.5 ,,'a ter a ba l..hroom (C't(75/~&.Ir"''1 }'clc- ...,) "n.s/£.l(,,/cl.-'f1JIdc. /ao

~rccz~ T .. V .. , ",hat klnd of' ~1eatlng? ./ ~ .J/

/' n, ;,,"C ,~l- .. " Cl' v 4 tN'S /I<'~ ?'-:7

J.JC J/}o7Cj } ~ ~""7c~...,/'7'c.

,/1t..~,,? c.. ..., rCl

the rent? or wlth the landlord?

l{hat al)out your nel.<;hoours? (,nth tact!)

are they £rlendly, supportlve, etc.? or donlt you see thelTI often?

Scct1.on V - ]JONeY ---

approprl <

~ ou have 3.ny 'horrJ es about InoneJ:? c~pecJ 311y l.n past 12 110Jlths

e.,£. lO,\i ,\·,a:;es, l.:1ck of I,'orJe, or seasonal :rluci..u"'J.i..~un l..n lllCQne.

'0"

,

1.1 '''''J)1~/l'rl1f-('

c .. .!; ..

)<"P t , 1J1 "1 l

111 e1,

~jrc oni"3, e~~s, Gr I,lllk -,old, f01- f,\I,llly llse/

l.boui.. sheep'? Do you 0(-1.. pr~at

lrol'1 the ].1)1<J?

(or oU)t;r

~lOC_S_ .,=--verJ~o.~e_l_1._V_l}l~~ JJcl"e (OVG-l~ school 3kc) __ !lC].E...._":...I_i.~: _~J~<:.. ~,~O)~ cy7

c.~. Cllll(lren coni..rl~)ute to huusekccplng

e.g. ['ree school d1.nncrs, 1.:1IJJly allo1'ance, sl.ckness bene11 t) '-1"'~i"'"'1f'CO'~ I..-..A k........c;111

T.lO ~ have anythlng put ~ for~~_r'.;cncy?

or ,~ould you rely 0)1 rela1..1vcs to help out ~~nanclDlly?

In. Ule l)tlst 12 110ntlls

lnvolvll1b: yourself', farllly or lrlcnds .. ,~orry 1vlth t11e c~llar~n?

{I ... '-. \lr.,"" i:- t t '1.\ ,.' I ~ ;; f" ..... \ • ioI v

.. or \;],at about l:-hef't? or 11re? or bad

or any Ilvestock lost unexpectedly?

"

e.g. any partlcular

';1 , I

storl1S?

~ny J 11n855 or death 1,'e haven' t Il1ent,oncd so Jar? ,

L.g. t.o a ne"1Ghbour , ,

J10h' lnvol"\~ed 1,'ere you wlth tlll..S? .'

5-'~_ }-,aJ ;::~ny ne,,'s about sOl'1ethln~ ·"h1Ch J 5 [;Olng to happen 1n toe lu-Lurc?

e.g. ]laVJns to Inove house, a ~ood prlce £or ,~ool/oats

or 110i ~ettlns such 1S ,)ou'd hoped?

(

Gr {laVe you lcc.rnt .:"l~y~hln~ w1.<:..:"'(pe~~<:..(}_ 2b~]_~_~~~~one you thou2,ht "\ au h.neh! ,,'ell - ~~~C_~21J n;_"tJlat has ~c:!_~'}J'~_)_1)2~r ldcas about tJ.1CI~?

e.g. a frJend borro"Jl1S )JOlley , ..... nd not repc3.yll1.S ) ()ll ,

a 1)OY])-1 end £:,oln& oui.. "'"1 ill '301'1COne else f1J1d 'lot 1ellen:; 0'011, fd*'1 n Chllu b(,;).:1'~l'l.s 111 <1 "\ ~"ty )(.111'0 never E')...lH"'>C1.pd

(0:';. dr LJ)~~l ns)

C ~!> 1l"1.d

(~Jll 1 d 1111..1. n~ "In c._"~tlm?

hl)vcst7

1rJ

not not

,-,C'ii..lllS a ::;cttl.ng a

grant lor h011.<lay?

llCh' 1)111 lei) 11,[;57

or tl)c car you'd 11OJ'ed for7

I'~~}~ .n,::~~';,~~J ~~c J..;~o;; _V!2_I __ -_2l-\;{Ll~;,Jd~~Yr:n_Ifl\'D J";o~_~_~~2~~~~:"'-'3!~.)'--ou ~~~ tIe ilbou_~_yO\ll=--scl~ and f''-311C c/ hoy fl" end. • I~-:"~,"",~~':;;;::'r,-~_ ?-:;'-t- -«... L<~..t ... ""~;.,A,,?

llDh' '\ cJ l. __ "\~.:1:..d __ y_o21 ~Clx.._y_O_1.~~-£et on Jll ,£eneral?

E.);. any shared lntcrcstslnctl.vltles

~~~~~~~\ Just beln,:; to-=-ei..hcr .::.t hOllle

J:. brlnglng up the cJ1l1c'rcn runll '-ns th e hOI'lelllOney 1':mYlllS sce~n~ relat10ns

thlllSS

f ... lJout \,oney, 'lclplng relai...l.ons, holJdays, CO) ns t~1lnss on the croi't?

0:c 51.9---.2~.-'?u thln]c SOEle thlnss Clre--2:-e~ly a~~~anl 5 concern and '301 1 e a J J~n ' s?

\'1'lat l:cnd of' thln::;s?

+rc~er bJc~( to SiS early anSl\ers on conf'ldants.

.r'\.llythJ 116_ you can't dlSCUSS" 'Thy do you i..hll1]C th~s ~S"

Or ~s ~t "better to 13:1lc SOllC thln.:s over lvlth ['notl1er close person'? c.~. !lother, s~ster ..

----~l~)_O~\:' ~!1 o.:[i'ectlonate )Jcr~sol:~L2_~1~ you say"

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110\, 1\ou1 tl you sny you cei, nlol1' ----- - - --- --- - -- - - ----;>-- - -- ---

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('1' i 1 t '\ t j au '1. s

~ect1on VIII - ;<l~LIGION 're~er to __ ;r= ":. ~-="::"oZ ::. =~ .... ~ =- I-=--=-= ul1SherS to

rell..';] ous '=I.f11 1 I o-t t.l on (lUestlon 1J1 r~rly p3rt

Float about the chlldrcn? " ... 'v/ .... £,/(";',-I "'Il~ t..!,/'l!/,r

110" o~ten do you ['o? )

(

o:f

~i/;;--;;;-::::'_~7 "'o?;;;--;:~~"7'1_-v 7!;;> £/OU F7C/.soI1c~ll;; ,\ny other church act)V"Ltles \l.!l ld'lCh you help or are lnvolved?

e.g. SJcl~ V1S~1]lg, Sunday school

Is your husband/son an elner o~ tl.e church?

In

< --------

l~ not people no

ron!; as ever, do you thln.1\.?

t posslble reasons e.!.:. youns; lnterested

~ )""{>.~" (! ~ -, I

',~elve talked t' --f tlo e P" s t 12

hllve ],ad -

~~_~pcned?

\

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\ \

\ \ \ t \

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t" ,- , , \

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qUlte a blt a')o~1..1~J_l~"S __ ~~~t. __ h.:lVeJ.l...:~lcned to you III I Ion tl1 5 ,_l_I2.~_~LuG J:2~s __ ~]~ __ C/i)''::~Cl 1_'3 __ 0 ~. _ _ 0] ff 1 cult]. es JOu l'la1 JIdv_e_~1~e_r_c __ bC=_8J:_~Jl)~ ~Ec..E_~-.0.J_ly _:~l~~ thln,cs that have

\

/ e.s- a'101J(1ay, tJlat l,e 11nven't

J. -, .. t ~ ~'- ,

~

-. • I I , \

a chlld returl1.lng hone, l,lentloned?

,_ I - ! , .-,~ "

, "\.)\ . -, , .. " ,

I e

\

- .)-

tl'C'l.n '\ OU 1 d - - - -- - - - -

c.r:. on 1hc l~n(l! r."or:H]

1..101)1':' ''''I'll ,Ii .. "tlH)ol, 11 <1)J11'''', 1..11- Clllld

o J ~1 f I J l 1]'1 C , 1 1 ,,' Ill' 1 f, 1 1 1 )

;'\nyi..hlnl~ else r-),\ <:n '\'ou pl 1"'1 ::.c'? _______ ~ ______ -...:1- __ ./ __________ _

e.f ... _ SOI.e )1('1"" fUl'J111..Ul-C, llr clolhc~, or Jllst

501 COlle 1..h.lllJcln~ ynu or lJr.:l1S')~~ you Jor ':>OI,C­

thln~"

:":'0.2~~~)~o~--.::?_~ J:J!..'=-~~2-S~]~Y 1:l2.~ns ~_' £~eren tly"

you 1\ l s11 ll.:ld 1..1'rnc(l 011 t

Or aJ1ythln~ that 11as glvenJ_ou spec~a_l_f~111111l1ent~ '3 at 1 5 12 C t 10 n 7

J

, -~·D

DEMOGRAPHIC INFORm TION

NO:CJ --

Sex: M. F.

-~~!tf!a~I~I!· :!t!!a~1:::;s!!t!!a::!t:!a~s~~!~I-'Mor" 'wr,I~D[J/1·'ss","IRr----~l"l~umb er 0 f ch~ Idr en ••••••••• ".

Length of current marrIage: ~ Date of marrIage:

Date of any wIdow~ng/dIvorco·

Place of bIrth,: . . . . . . . . . . . . . . . . . . \ . . . . . . . . . . . . . . . . . Age left school/fInIs.h.ied

: BoardIng or day­

school?

pescrIptIon present Job: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Full or part-tIme?

Any Jabs before marrl.age. 'I •••••••••••••••••••••••••••••••••

On or off the Island: •••••••••••••••••••

Length present Job. yrs I mths

NOTE OTHER JOBS IN YEAR IF APPLICABLE

Father's usual occupat1on: 'I •••••••••••••••••••••••••••••••••

Husband's bIrth place: •••••••••• 0 •••••• Name of actual v111age ••••••••

Where husband brought up· ••••••••••••••

Husband's maIn occupatIon: 'I. 'I ••••• 'I ••• Any other Jobs? 'I ............. .

(e.g. croftIng)

Hours per week of secondary JoP .•.•...••.•..•. :: ••

SIze of craft (In a~res) ~

Age spouse fInI'shed full-tIme educatIon: D Age father fIiushed full-tIme educatIon: 0 , ,

S adopted. Yes/No: Age ,at adoptIon: 0 ,- ,

!:A~go:e::....~o~f:.....:S::...w=h~e:!n~f:::.a=t:!h:..:e::;r:,....=d:.;;I:.:e::.;d:::.:t=J ~ ,,..

Age of S when mother died: ~ ---- ~-, ---~ ~-- -- -._-------- -

-2-Parents separated? Yes/No:

Age of S at parents' separation: D So who-brought you up for most of your childhood? . . . . . . . . . . . . . . . . . . . . . \vere ou ever se arated from the war or an illness in your

(e.g. for evacuation during at any point in your childhood?

• • • • • • • .0. • 0 • 0 • • • • • • • • • • • • • ~ • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

· ...... ~ ~ .. ~ .. ,- .. - .' ... ' ................................................ . · . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Have you ever had any other children either who died or who you lost contact with for some reason?

· . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • •••••••••• ~ •••• ~ •••• ~ ~ • ~. ~ •••••••••••.••••••••••• • 0 .•••••• - ••••••••••••••••

Hiscnrriages? Have you ever had any? Yes/No: Date of 1ast: •••••••••••

Any stillbirths? Date of .last: . . . . . . . . . . . . . .

Present Household (include anyone coming regularly at weekends ete. Note any children at boarding school)

I , Occup. of any' children at Relationship Marital statusl Approx. Age. work (or type of's clH'llh ):

-::-

-----~--_ .. _---_.

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Soc~al Contacts

Can you tell me someth~ng about your close relat~ves (we don,'t need names but are Just ~nterested to know what contact people have w~th each other)

What about, your. parents/brothers and s~sters/cluldren

For frequency of contact ~n the year ask: Can you tell me how often you are ~n contact w~th ••••••••••• , that ~S, how often you v~s~t, go out w~th, or telephone each other?

~or cases: If d~fferent frequency before and after Cl, rate tw~ce, ~f poss~ble.

If v~.~ts to relat~ves Feported, ask "How do you feel about v~s~t~ng? Do you enJoy ~t? Do you feel you ~ to go and seo •••••••••• 1

Do you v~s~t relat~ves w~th your spouse/paronts/ch~ldren? YES/NO Do relat~ves come to your house? Do you have a car? A telephone?

, , 1. CLOSE REUTIVES OUTSIDE HOUSEHOLD

, las t ye,arl Where

-b~l""''''' I 'W=. Frequency of contac m

l~v~ng Seen ---onc e a - ~

'h~p _§...~ __ a,£fL __ :n last : R!w I Every Few Once, 1 lh area of studJ

- S SUlgle) - year week l"bmes ' month tunes a (eg London) M(marr~ed)

Yes (gate no. I a or a ymr 2 Elsewhere No ofchys imonth two year , ) Abroad - - - - - per wk.

--- - - - - -- - --I - - - - I

--

---- - - -" --- - --- -

, I

-

--- - -- - -i

- - --t - - -i - -

-- T - - - - ! I I i I , I I J

-

2. OTHER RELATIVES OUTSIDE HOUSEHOLD (~ncl In-laws)

----r-----~--~--~~~--.-------~~----------, I

r

3. Friends and Acquaintances

Do you have any friends or acquain'tances that you visit or go out with or who visit you?

(Cover those mentioned spontaneously, up to q) (No need to record names)

Do you v:i!sit friends.with-your'spousc/parents/children? How often? Do they come, t'o see you'!

Seen in last year? Frequency of contact in last year .

,

Once a week I Few ' times 21 Few times 'Once a i Yes/No nlimb",r of days month

Every month or a a year year ,

, .

- _._.

, , '

r I ,

._ ... ,-- -~'q. Nei!,:hbours (if included above, do not rate twice)

"Are there any neighbours that you visit or go out with or who visit you?

I I ' '

I "

' " , ,

, I , ,

. ' i , ,

(frequencies as above)

5. \,ork Associates

Anyon,s" at work that you see socially out of work hours?

I , .. I ,

..

I I I

(frequencies as a'bove)

6) if appropriate. Have you a rcgu];ar' boy/girl friend? How often do you s,ee each other?

7) Are you engaged?

, I

1

-5-

8} Do you belong to any clubs/organ1zat10ns, or go regularly to a pub?

9} Do you go to Church? How often? Wb1ch Church?

10} If you had a problem of some sort, who would be the f1rst person w1th whom you would want to d1scuss 1t? (Probe for how ava1lable th1s person 1S) Is there anyone else? Someone you could really trust? Anyth1ng you could not d1scuss w1th them?

If ment10ns no-one b} or relat1ve only 1n a} or b} c} l¥hat about fr1ends or acqua1ntances?

FREQUENCY OF CONTACT WITH CONFIDANT(S} (1f not already obta1ned)

a}

b}

c}

d}

11} Age at death of Father's father

12} Age at death of Father's mother

i)} Age at death of Mother's mother

lq} Age at death of Mother's father

15} Age at death of f1rst ch1ld

1 u o LJ

Stepfather's occupat10n -----------------------------------------

-----------------------------------------

~

-or/

1.

2.

3.

4.

5.

6.

\ 7.

>~ 8.

.Code No. ()()1-600

Inpat1entLOut~t1ent 1. I.P. 2. o.p. 3. G.P. 4. Commuru.ty x. Y.

HosE~tal

Sex

ABe of

Age of

1. Haudsley 2. St. Franc~s 3. Bethlem 4. x. Y.

1. Female 2. Male

S 16-65

S O. 16=19 1. 20-25 2. 25-29 3. 30-34 4. 35-39 5. 40-44 6. 45-49 7. 50-54 8. 55-59 9. 60-65 x. Y.

Nahonahty O. Br~t~sh

1. Coloured 2. Fore~en 3. Ir~sh X. Y.

Mantal Status 1. S:Lngle 2. Marned 3. W~doeed

DJ..JOJR"fHIC

etc

4. D~vorced/separated 5. Remarr~ed X. Y.

-.

lo"'Eb

Cod~ng sheet ,-- ]

I ]

~ \,

L

•

•

2

If married - len5th of marriage __ , o. < 1 year

1. 1 yr+ _._' 2. 2-3 yr , '

3. 4-5 Yr - ---~ .... - -----4: 6:10 yr _.5. 11-15 yr

6. 16-20 yr 7. 21-25 yr 8. 26-30 yr 9. 31 .. yr X. Y.

.. • .. f . , . . . . " ."

....... I_··--,T~ Whether employed at t~me of A ' (may not be w-.rla.n[l at hme of A, yet still be 'employed'

10.

~.e. on someones' books) 1. full t~me Job 2. part-time Job 3. not eIjlployed

11. Current or last occupat~on O. Student

12.

13· (pr

Lene;tl:.

1. Profess~onal 2. Intermedi'ate prof ./manag. 3. Matager/o~er small concern 4. SkJlled non-manual 5. Sk1lled manual 6. Sen-sla.lled 7. Unsla.lled 8. Ho<se~fe/only (never worked s~nce marr~age) X. Y.

S's Il"esent occupat~on 0 1yr 1-1 yr etc. 9-9t Y=hoLsewife only

Age S left school educat~on) bmshed fu:.lt~l'le

1.~ 14 2. -15 3. -16 4. -17+ X. Y.

13a. ~screpaney between S's occupat~on and Educat~on ' O. NP d~screpancy 1. Dtscrepan,cy

14. Husband's Occupahon O. Scudent 1. Pro'f ess~onal 2. Ibtermed~ate prot./manag. 3. Man~eer/owner small concern 4. SlO.l1ed non"1JB,nual 5. Sldlled manual 6. SSqi-sla.lled 7. Unskilled

.~" -

, I

, .'

••• 1

•

'1"

3

15. Father's occupation )

1. ProfessJ.onal 2. Interhle(hdte prof ./manag. 3. Hanager/Oliner SJ'lall concern 4. Slullecl non-ranual 5. Slulled ma nual 6. Sellll.-slo.lled 7. Unslo.lled

16. Current household of S MarJ.tal

1. Parental i 2. SJ. blJ.na 3. ChJ.ld etc. 4. Lop,gl.l1gs (S sharJ.nt.> flat '-'J. th frJ.ends l.ncluded here)

17.

18.

19,

20.

21.

•

SJ.ze

5. Hostel 6. Alone x •. Y.

household 0-0-etc. 0-9<-)Ii.

~.

cxclucb.nS S

No. Ll. 'fl.!!!! Close HelatJ.ves 0-0 etc. 9-9+ x. Y.

Children. 0-0 etc 9-9+ x. Y.

SJ.blJ.nl;ls 0-0 etc. 9-9+ x. Y.

rarents O-tl etc. 9-9+ x. Y •

(J.nc. fJ.andi)

J

]

[----'

t

I /

,

., 'i%Hll r;.r"OI'J~I'I'J ON

~2"_~1ie of !~otJ-!..Gr _~r .II~! 1](_1 <~1n rOr' t~ (pcrSoJ;l "ho broul;ht S "1' f('!" lOl1t,( "t [,cnod)

O. 0-35 yCD1'S 1. 36-45 yrs 2. 46-55 irs 5. 56-65 yrs 4. 66-'15 yrs 5. '16-U5 yrs 6. 86+ yrs x. Y. dead

23. :,=r..~ "!!>'? _b!:2'!!.:l~t!e f..':'-:t:_ JO!:'I';C"bt re~lO~ 1. No< tur"-l !..other 2. Stc,)-m,.ther 3. AdortJ. va J.}~lth.ar

4. Inst~ T,ubunal u1,1,n nGIIlS X. Y.

24. If natural tn'Jther dead , l!~l'lb,'r ofJeaJ s_ ar.~_bhe _9.'. e~ (note death of I;}other surIO[;ate ~n r,JaIlpn)

0.,( 1 yr 1.1yr-r 2. 2-3 yrs 3. 4-5 yrs 4. 6-10 yrs 5. 11-15 yrs 6. 16-20 yi'S 7. ~1-25 :/rs 8. ?6-$J yrs 9. 31+ yts

X. Y.

?5. l!onth of death ------1-12

X. Y.

26. !:.8e of-.-:~ _"t 'l-lDt}]_-,~[ -,,-,d:} c!: 1. 0-5 2. 5-10 3. 11-15 4. 16-20 5. 21-25 6. 26+ X. Y.

27. Natural mOLherls currcrt rcsJdencc 1. In S' s ho clSEch,-l d 2. In 'loruu ~11 of S ot' adJoJ.rl1 n£ borough 3. :ClosL"''h" (-1 C ~n lorJdon 4. Ot .er X. Y.

I

--] I . ;~----....... --

__ J

;;8. P-,rents ever s" I -1r 2. t~ ct (r:affimum 1 yr) or dl vorc ed -1. yes 2. no

29. ABe of S at pare:lts I (1st) separahon or dnorce - 1. 0-5

_ . 2. 6-10 3. 11-15 4. 16-20 5. 21-25 6. 26+ X. Y.

30. Age of father r father surroPjate (person who l.>rou.;ht S Ul) for longest perlod)

O. " -35 yrs 1. 36-45 yrs 2. 46-55 yrs 3. 56-65 yrs 4. 66-75 yrs 5. 76-85 yrs 6. 86+ yrs X. Y.

31. Person who brou,d1t S up for lOlll\est perlod

32. If (note

1. Ilatural fa.ther 2. step-father 3. adophve father 4. ~nst..!.. tlltJ..0rt<11 upbrJ.ngl.ng X. Y.

ndtural f',ther dead, no of years a~o father dled death of father surrogate ln roarglll

O. < 1 yr 1. 1yr+ 2. 2-3 yrs 3· 4-5 yrs 4. 6-10 yrs 5. 11-15 yrs 6. 16-20 yrs 7. 21-25 yrs 8. 26-30 yrs 9. 31+ y:. s x. Y.

33. Month of death 1 12 X. Y.

34. }'I;e of S at <1e--1<1: t'f father 1. 0-5 2. 6-10 3. 11-15 4. 16-20 5. 21-25 6. 26+ x. Y.

Ll

'''!I<'-''''*L::!' "!1'--r.... ~. '.." ",' ..'~ .. ,to ,"i"t, "I; .. ~. -,-

--- --

Y. , Y.

)(-. 3) Cccupn1..~"'H1Cl.l c1:: .. SCrel03.!'CY bptNeen S antl fEitp€:r () -'t.e LiJly , .. J'A!l S ... , .. ,:~ll fatber J.n same houC;,ehold)

b) SIS ~.CS.Utl<ltl.C".'lal MobJ.lJ.ty

,~. -I II

, ~

all

O. 1. ? j. I-

cases ~.e. even w]""n fath&r ~s deal or not ~n same household as S) ",ol S rll&1'n~e..l - f::.. tht?r non-I"\f..lnual S r'",!.u~l - f.' U",r rrof~ ss~ol1al S ncn-l':t:lu:;.l - father r.;a'1ual S rJOn-4\':..ln~E,1 - :r-~t{ler profe9F;lonal

~ , 5. 5 ; T'uf' f .. (, l" nal - l,qther r-··J.l1u31 6. S -profc:",s .... r,nn 1 - fa tJJ€:-r "JOn-r"Junual x. Y.

37. a) Edueat~onal c~sereraney bewteen (rate cnly IIhen S <'nC' f:,ther cur ently

S and father ~n same hot'senold)

b) S' s ,,<luea tH',11l1 'T·ob~h ty (1O,j,e In all cc,ncs ~ .e. even I.'hen fa ther dead/~ot ~n Saf"e household as S)

1. 11:11 ::J...e. ,"'ny of the follcwJ.ng combln.:..tl.ons S 1, .-t ,chool 15/ullder - father elerM:ntary S l,dt schoo], 16/over (,,0 'further ecluLat~on') - father Bra,r.ar S stJ.l1 o.t school 16/over - fatner Gr\~]1jl ,a.r or 'r.!J.LfJE-r ed I

S un.lvcr£lty/'furtl~er ed r - fat};er 'J'l.l;"'t-r eJ' ?. S 1 (. it .school 15/unck·J - f c. t.her .... ral-... 'T.ar 3 S :'eit fie hool 15/ul1df r - fe. ther 'lllChcr cd I

'of. ~ l...:fc sc:~()cl 16/over eut no iurth€r ed - f.s'lnGr 'hl ghar ed' 5. S left c chool 16/ovvr bl,t no furtJ,~r ed - f",t:,er elen&ntary 6. S "'c:tl1 .. t school C6:rernJ:Jar/nonGr!l·,.oar) !It 16/over - father Elez;,!'ntary '7. S Wll Vo:" G~ ty - f"ther elenentary 8. S ur:.J v ..!rc1. ty - ft. tb€:r eral J ar 9. S ott eX' further ed - ff1ther elermnts.ry

10. S ot}'or lLat:b0r ec. - father crarrr',;".I..r X Y.

2 .. 25-1':9 3. ;--:.,4 1,. 35 -39 5. 1,0-1-4 6. 1,5-49 7. 50-54 8. 55-59 9. 60-65 Y. Y.

S 1 'J l ,7'c. r~:s tC" J, 8 last Cl. ... ;-:l~ -':;-:~;se/cc}-lB.l"l:t. t tee)

1. L-6 2. 7-9 3. 10-12 I, • 13-15 5· i6-,8 6. 19-21 7. ZZ-2u 8. 25-27 9. Zc~ x. Y.

\

I ," ,11! Ii

S anrl

- v.'J..fe Tl'.Jn-JTlanual

.. ' ~ ~ II 'ir'

).~(ItJ." .. ", .. ,

~,rcfeBs~ol1nl

\ 1 f d rrhnu9l

\o"J.. f5- l,rof e5s~or:a 1 - \-.l f e r..ant1al ~ rrl. fe lJ.Q)J~ ··l.:.P~)aJ

I

"

j I 1 __________ 1

J

r--- I __________ I

u .tt . ti"."" ~ . 1"1l'-'~," ? '. - ., 1";--~ '"" "'1..;"lI.. I ott I ~~~

• ~~ ~,'~ •• ~' jV ~~ 7r1f"SI~ ~;If;'T{; wRl;i---~

47. Total no. of elu lurEn of ):r~(';"~t r.lf\r:rl"r~ 0-0 etc. 9- = 9+

48. ABe of younp;est cluld 11 v~n5 at home

L9. A, e of elcest cblcl 11Vln:.: at he·me O. 0-1 1. 2-.5 2. 6-10 3. 11-1.5 4. 16-20 .5. 21-2.5 6. 26-30 7. 31-3.5 8. 36+ x. Y.

,0. l{o. of ch~ldren h v~ne: at homo: Under .5 .5-10 11-1.5 16-20 21+ X. Y •

.51. Death of any ch~ld (~f ~ore than one, record f~rst dea,h)

\ "'~ tlun a \>l~ek c·f b~rth ~ < 6 Mths

\ ")<1yr ... <..5 YFs <. .5 yrs+

52. t:onth cf any de~ 1-12 Y. Y •

r---- -I I I -~-------

-] " I .

• I

1-

.53. L&r,7est educabonlil (etween S and any ch~ld L"~np, at horo,e (rate only for cluldr~n .

1. N~l ~.e. ''-!'ly one of t]-·e follDl>!1nc co"bJ::. .. t~r.I'8 CJuld hft school 1.5/under - S ele~,entary Clul,] left sclJool 16/over - (no further educabon) - S Grammar Clulc :;:;hll At school 16/over - S [~ra,u ar/lugher ed Clulc at unlvers~ty/lu~her cd - S cra.mar/luGher ed

2. Cluld left school 1.5/under- S ura~r 3. Cluld ] eft school 1.5/under - S lul,her ed 4. Clul~ Jefe school 16/over eut no further ed - S h~eher ed 5. Clul:! left school 16/over eut no further ed - S elementary 6. Clul-=: sbll at school (Grammar/non-':raml'1E<r) at 16/over - S elen.entary 7. Clul,: u-.~v~rslty - S ehmentary 8. Cluld u)!~ vcrs~ ty - S gramlllar 9. Clulcl other further ad - S elementary 10. ClulC:: otLcr further ed - S 'rammar X. Y.

. .

9

54. Largest occupatl.onal dl.screpancy between Sand Rny cluld ll.vl.nf) at home * ___ O. nl.l

1. s manual, chJ.ld non-~anual 2. S manuel, child professl.onal 3. S non-manual, cluld canu~l 4. S non-manual, cluld professl.onal 5. S professl.onal, chJ.ld manual 6. S profesGional, chJ.ld non-manual x. Y •

S'I!J SIBLINGS ,> J ~

55. No.- Sl.bs hVl.ng at home under 5

--- 5-10-11-15 16-20 21+ x. Y.

56. If death of an sl.b (l.f more than one record

O. {1 yr 1. ~ yr+ 2. 2-3 yrs 3. 4-5 yrs 4. 6-10 yrs 5. 11-15 yrs 6. 16-20 yrs 7. 21-25 yrs 8. 26-30 yrs 9. 31+ yrs x. Y.

57. Month of death 1-12 x. Y.

no of fl.rst

5B. Age of S at death of sl.b 1. 0-5 2. 6-10 3. 11-15 4. 16-20 5. 21-25 ~.- 26+ x. Y.

:

Sl.b dl.ed

59. ApproXl.amte nO of resl.dence changes of S over last 10 yrS 1",1 etc ~9

_ ~..J_""" _~ __

---_ .. , .

• 1 .;

-. - ,

-- -I

10

60. Rate of Job chanRs ov~r last 10 years O. Q 1. 1

-2. 2 -3. 3-4 4. 5-9 5. 10-14 6. 15-19 7. 20-24 8. 25-29 9. 30+

I

x. Y. (n.a. housewl.fe/n.a._unemployed -(non-housellll.fe)----- -

61. FOR ~IJ\R~Il!;D WOMEN ONLY Type of work before marrl.ed

O. Student 1. profcssl.onnal 2. intermedl.ate prof./manag. 3. manager/owner small concern 4. skl.lled non-manual 5. au.lled filallual 6. sem -skl.lled If. unskl.lled 8. dl.dn't work befpre marrl.age X. Y.

62.Descnphon of any w"rk and any tral.Jllng

63. No of years after marrl.age gave up work O=a t marrl.ae;e 1=1 etc 9=9+ x. Y.

FOR I'BMnLE <>UBJECTS

GynaecolOBl.Cal hl.story of the last 2 years (al

12-24 months(before A)

64. Number of pre~n~nCl.es

Months pr"gnant

66. Ml.e .carrl.age etc

0, 1, 2, 3.

0,1, _2, -3, 4. __ 5, 6, 7, 8, 9.

1. yes 2. no

(a)

j

(b) 0-12 months (before A)

0, 1, 2, 3.

0, 1, 2, 3, 4, 5, 6, 7, 8, 9.

1. yes 2. no

Sexual Status (a) before C3

(b) after C3

11

1. no contact with oppos1te sex 2. cas~,l contacts (protitutes, pick-ups) 3. c,mtacts of relatJ.vely sgort duration (4-5 weeks) 4. Contacts of longer duration ( 5 weeks) 5. Ste~dy relat10nsh1p 6. Engagement/'understanding' 7. cohabJ.ta on W1th some sort of household 8. marnuGe

(rate the state ncar0st '8' before and after C3)

68. New Soc1al Status group: High

Intermed1ate

low

69. Life stage 1. under 35, unmarrJ.ed

1(A) R.G. occupations I and II 1(B) R.G. occuaptions III 2(A) R.G. occupatJ.ons IV and V where there 1S

a car abd a telephone and/or where S or her husband have had 16+ educat10n

2(B) Remamder of IV and V 3. All those with OCcupat10ns rat1ng VI and VII

2. under 35, murr1ed, no ch11dren 3. youngest ch11d under 5 4. youngest ch11d 6 - 14 5. youngest ch11d 15+ 6. Older, m ch11dren at home, never marr1ed 7. Older, 110 cluldren at home, ever marr1ed

70. Inhmacf A 1) Truly J.ntJ.mute relat10nsh1p w1th husband/boyfr1end. Cantalk about

all, subJects. ,Strl'ng eV1dence of warmth and sat1sfact10n. Contact at least 4 t1mes a week 1f boyfr1end. Conf1dences between women arc 1acluded even w1thout eV1dence of any phys1cal relat10nsh1p - but they should be hnng to"ether.

A(1)2 Truly Jnhluate realtJ.onsh1p (as above) mod1hed or interrllpted by 111ness, etc.

;"(2), "l4l!:ldrum~1 relahonslup but has another 1ntilll!ite conhdant. Contact as above.

h(3) "H1.l!llCrUh"I r"lat10nship W1 th no toher conhdant. Contact as above.

A(4) Conf11ctful marr1aCe or relat10nsh1p. but eV1dence of perJ.ods of wlrmth and 111tU'laCY. Contact as above.

B(1) Int1nate relat10nsh1p w1th another woman. Contact at least 4 tl.mes .. 1 we e k.

B(2) Has a confJ.ddnt seen at least once a week and other SOCJ.al contDcts.

C Must have (l confJ.dant D No ccnf1dant

71. Acitivit1es (actual f1111ng of t1me) 1. very ~ny ~ctl.Vltl.eS 2. 3· 4. very fow act1v1ties

I

I

'C~rd Col'. No. .,

1

] 2

3

4

5 .

~

7

\ 8

9

10

11

12

13

;t ~

14

'\

15

16

17

18

19

20

21

I:!)!~., n. ~l 1 '! -- -- - ----

R~tlnl' >c>le 110.

(where ;,],prOprlate)

2. Commnnlty Code

68. Soclal cla~s

5. AlOe of S.

(fnll )

6. h~e of S. ( bTouped)

7. Natlonall ty/ place of olrth

8. )'arlt"l st .. tus

10. Whet PT e'.l1ployed

11. ClIrrent or l-.st oCcup;:;tlnn

12. Len"th S's pre~p'1t occupatlon

13. AI;e S. Flnlshed e~llC:ltlon

11);a.S I S f1.nP'..!lCl.al rele

14 'Ib's cocco

15. Fatl 'er' s ecc.

16. S's current h<l.)seh<!llci

17. '{",u~eh"ld 'nze exclll 'lnB S.

\

C ,r!! 1.1.

r rn (';01. Ho. "="atlnLT f ("~le "~o. ------

?2

23

24

25

--------

1P. 1'0 cJ o~e llVlne; :'P:!. ... tlV(>S

?n. "0.) lVln~ s,bs

26 14.c.RGO level':Notl~~Ofting employment of Head of Household 27 23. rerc;nn broll,ht S.

28

up lOP,;pst (~ ter'a~

24. Ho-:-rs. ,';0 mot'-1er Gv"'d

29. ~ 14.a.Crot:t.i.n,g ,I,n,vplvemen of Head of Household

30 of

31

32

33

14 B.Noncrof~~ Involvemen Head of HOllS ehold

26. '\':;e of S. ,t I'O'S

r'e th

27.~· a's Cdr;-ent ) e~lclence

?R. P. ;ents -evPT - - <;e:?"rrl.ted?

?? SIS cl e :It p?ren t 1 s SP'L rl~lr~

35 68b.who is head.of.HousQhold

36

37

31. ?erson \lPO brouo;llt S. up lon,cst

(!)"t('r~nl)

.32. NO.VTF. ~ro

fatl'er dled

38 Household Compos~t~on.Style. Scale 16b.

39

34. : ... ,-e of S •.• t fR'S r'e~th

! I

, t

.. I""

,

1 = A1

2 = A2

3 = A3

4 = =.A 4

5 = B1

'6 = B2

c = 7

D = 8

Der.Jographlc Data C"Til 1.1 • •

G,des Ol-. G-cl J J CMe lal<a... r<»--' k J)e'-'Jlr'<.f'N<- Cx.L..'1 8t..eel., H~b7,detl /4:..514-

'r (f.e- '/2a.ct .hIe ff,,-~! _ _ --ujeu_ -~ "-"-~ "'-- ft:D. _ Itjr-?-.u.wl S,Jz OJ 1L .. oJ 6heQt

.. '" .. ~ --~=- ~-..--=:= -:~ .. -~ .-~t~~

, ,

__ _ -L-~ ___ -_--"...:.

C.,rd Col. tiO. t?3tlnl) :.Jcale "10.

41 35· Fa'"5 C1lrrel1t reBlcence

42 14 a • H'o's'eAtra l occupatlon

43 3. Slze of croft

44 313. At-e of s:,ou se

45 39· Ace (h c;crepiUl cy beb'een S. f, c;pouse

46 40. :~o . yr~. age spouse dled

47 ......... 48

49 42. Aee S. at denth I of s.o;)@use I

I 50 43. I~,-e S2JOLlse fln"lshed ,

I eruc~t1.on

51 1,4. ......... i

45. ~d. • 52 ch ,=c:'epR.ncy I

I ~. 1'.0{ s ~:our:,e

I 53 l,6. I

j 54 47. :-Oat;;.l No. cnlldren

! of ~re"'ent 11~:trr1.c::.ge

55 I,i!. Ace youl1sest Chlld at lv·'me

56 49· Age oldest c1nld at r-o-ne

57 50. Tot?l clJ1.10..ren 11.Vlng at hOJ"le

58 51. Dei'lth of <lIly Chlld of S' 6 \~l th1.n

1/52 of blrth

59 \~l tl"nn 6 r10nths of blrth

60 wlth:.n 1 :Jear of bl'rth

61 wlthln 5 :~r5 of bHth

62 over 5 yedTS.

C'u'd Col. No. ?atlnp; . c 11 e .. <0.

63

64

65

66

67 55· t:o. 51. bs ;It hone "11th <

68 56. 110.yrs. tll~O a""1y slb (iled

'69 57. J..l;e of slb at death

70 50. Slb olrer or youneer t""n S. ?

71 58. Aee of S. at slb's death

~~ 72 7a. ' 'here S. brou,-"t <. up

73 50a. 3 chllcl.ren nncer 15 at h01,e?

74 61. Type of S's work before r1arrlac;e

75 63. No.yrs. after r·arr1t;ee S. stoP?cd w<ork

76 70. Il1t U~h::;'Cy

77 Does S. lllJTse a slck reli:ltloJC?·

78 Car/celep'lone?· ..

79 1 - card

80 1 - number

Codln,O' Note

1=elderly only 2=PhYSlcally ~lck 65+

3±~sfchlatrl~Y slck

•• col. 78. Car/Phone?

0 = nelthpT 1 = call only 2 = 'l'elep1'one only 3 = ~oth

For all ot111?r Coc1.nS'3 folIo,,,, tre ae~oGra~~lC ratln~. JOln as ln~lc~teci b) r[ltlng c;cale nllnberE.

~

,

H -·c,>~ no.

4 Rellelon 0 = nO'1church 0 = non church

5 6

7 8

9 10

11

12

13 14

15 16

17 18

19 20

21

22

23

24

25 26

27 28

29

• = 1 1 = lrrecul.-l.T rlt:0rJ,n'e

•• = 2 \ 2 = ref,ul~l.r -fttClJdnlJce

Scale 2

',cale 3

Sca' e 4

Scr:tle 1

SCGle 2

Sc"le 3

••• = 3

contdct \vlth non-kln - satlSa

- Dlbsat!."3.

CO'1t"ct W1 th '3oy/r.,rl r'r:erd - ",.tlS.

1)18S?.tlS.

Total ~olnt Actlvlty ('utsldc ~o11~e]10]d - SrltlS.

- dISSCltIS.

c]uld "parent rpl:ltlonc;;"lp - c;at15.

- dlssatls.

star~ara of IlvlnE -satls.

-dlss"tlS.

Om Fea:-!th

- D1C::S3tl.'3.

- Di<;sa.tlS.

'SorderllI'"''' In yeELr

10 = 0 Yes = 1

1'0 = 0 Yes = 1

"'i'ype of cao:e - al t-r.itlon ::!...n 3 nopt1ls

• .... y?e of J1()rc'erl1ne - "lter?tlon In 3 T10nths

('v(>r~ll TRtlne; (1-6 on ~everIty - .see at"':.~ched codes)

30 ) 2yne of syrortO"lS - 2 cols - 5d<- o..Tfo.Li-eJ ~ .31 )

:,ea.r \) = no Soo oj

~ N.

b: ",L

j2

'tel ~ I c\.......,,"" .. -<.. . 33 34

35 TiOEPl t?l hdnlS'Slon Ho = 0 Lel.IS

In ~ e?.I = 1 only

In past = 2

36) 37J No: weeks beb;een onset(C1) and ,ntervlew

Ulst

------

ILB.

N B.

2)

Col.

Col.

27 1 = onset case, nor-al past 3 nth'5.

2 = onset cas£> , 13 1 11'le pa'5t 3 ntl's.

3 = cl ro"ne C2S€" , nnrral ~"'5t 3 l'tl,S.

4 = c!u-onlC case, B'll-e P3st 3 nths.

28 1 = on5et B'llne

2 = chronlc B'llne

3 = onset B'llne nor~al ,-.ast 3 rnths.

4 = chronlc B'llne nornal p~st 3 mth'5.

I

For PSE lndlvld~al syM~tom corllng, the rat~nB at 3 non~hs has been ta"en 1 Ur.erever recorded, not 1 month, ln bo~ N. U,st and Le.o/ls.

For Leul.'5 onl:y,For the PSE symptom CCdlnS, cooe"5 :or X and Y we!'e enroneously reversed throuc";hout the ~roJect -

o Therefooe.;, 8 (x) = not

9 (y): not

kno~n or lnsufflclcntly a~\:ed ;;bout , appllcable

For Camben;ell and N. U'St 8=y = ,?=x.

Cols 30 & 31:-'

Type of Synptons:-

1 = Case depress10n

2 = Case depress1on/Borderline anx1ety

3 = Case depresslon/Case anxlety (, • e. IIllxed)

4 = Case anxlety/Borderllne depresslon

5 = Borderllne depresslon/Borderline anxlety (,. e. mlxed)

6 = Case anxlety

7 = Case other

8 = Borderllne other

9 = Borderllne anxlety

10 = Borderllne depresslon

11 = Case other/Borderl1ne anxlety

12 = Borderllne other/Borderllne depresslon

13 = Case de~ression/Case other

14 = Case other/Borderhne aepreSSl.OD

If 7, 8, 11 and 12 are appllcable spec1fy detalls.

• j I

! I ~ ~ i

I I

I

I . -I I I i I I I I

, .

1

2 ,

;J ~

7

• , 1.

11

12

~ 1}

Ca:!zh

2'~

C.l ...

51

--

hornll Clu .. Uic"UoA (1)

1"-2E lnduciu nrc bl"nk.

Y..,u!: of EY~rt. te:>1.

,. to 1.9 locl"G~v" are bJa."lk.

~1.

II 8ellJo

colWRDB 1.

\

" ,

:-calo 2.

;085t1v~ ~~elln&j ~:cc.; tA.I~C.

!.,.,~tlvo ?eelinl,' ~cales •

.... Cc:/ho.;t1: 1. t;r/outr,,::e Ilt'lUI~!8t.

::e"cticca.

Cnrd '7.1,

"-

/cont<5 ••• , I

,

I I

I

•

1 carda tor e8gb !!rn'

,

Sbort-t8t'1l cor.textUlll. thred

Cbort-term heported threct !;e.le 6

?5) Int.r~ctlo~ chan&_ - lnc~~ , 76 / - dec:rC1<&e

,

~out1r. chance outBid. ~ or evont.

79) 2 \

So 1

Card 2.1.

" \" , , " '­, "

" " " ' " "-\"

le·;Q.lA.u • •

f I

v-J-~

1 . "

2 subjocUo' , 0\,

~ 5 J

6

47

48

~9

~

51

[52 5' 54

55

56

ell". nur.ber

EYt'Dt ' !!m>ber

'!'iete duration or chllnt:e 111 routine or interllcticn. ,

Lonb-t~rm contftXtual ~~~4t

"-J,or.e-t~rc: r&;>crtod t!lre"t

\

Control. a) C~ntey.tual(

b) ~ .. ~crt.~

/

lie;:-orted FC:JH1'\"(1 :.nl"o()"

rieportnd ol'T.ooiti CD

3 " \

\ " ' \ "

\'

\ , ' , \

\

rcl"tion or events to Ch~L,. l~ints • (r~Jchiatr1c)

~ber or Y~~ke h~tv.er. .'ent

un" ~ 1nlerv1l!1i. C1 to

52.

(CXitG'xtual. Lon; -torr:. tnr&:t

-

J. ./

\ , \ \ , \ \

,

'"

•• •

'!'n:e 0 t 10311 tor IlIIYer.

eTlllite.

~ turation

60

or L.T. ooat4xtual thr~t

/COT't~ •••

(E:Yente ,.-t tb !lev ClftDoifloAUon or eTellte. DO 1./"1 throat all"

U~MI - r-.ll>te4 ~v .. p\a rlem) DOt ,c:od~ here) ,

\ '

Celli. 61 to 71 ue blank

78 • ~

79 ~

2

80 , 2

r.9 t CIS 1-

• 4:01\1=

\

50:· I • M.fl. - 1)0 Cb~;:;F. ;.'01nte

C • atter 1a:t ehan~o point

1 • ~rnr-. C1

2 • Bolore C2

3 • Befo~ C,

rd !1oll~.in&

(owet)

1 llullband Hcuc"hQld \

2 Childnm Group, , finhCCO

'+ 111K11 t!:l. t:\lbjeet

5 Ileal th bill' hond

6 StwUtb child Se:01tb

1 n ... lth "th .... Cro\lp.

pcT301l

\

, \

\ '\ \ ,,\

, \ \ \

8 • ~1~$exual .Tent.

9 a »:1lSCe11!<1\oous.

, -,

, " , . ,

JiI.D. ~ 1:ec:h dH~i=1tl 111 1:1><2&\1 aept!nlt.e17.

1

2 ,

:j 6.

1.

8.

9.

1r,.

11.

12.

1~.

14.

15.

,6. 17.

113.

19.

20.

21.

22.

'" 2'!>.

~er.r to ~1tfiou:t1&s sheet for the ocal. nu.bere.

St.lbject·. e~e ",u.t.r.

l:1fficult7 ~ullber (01. C?, "te.)

!lo"1l> .... t 'ty ~ ot Thr-.. t ,.

:: .... L'ndarl 'I),p. ot ':'hr~t 4.

------

!,ull.l .. cLi., (': • .r.unl' &.v~rit1 5(b)

•

•

Length of ~x>~~urQ up to C1 or interview (ie. ~~r~t!on' 8 /(;Oti.t~ •••••

.. .. )Jrt I ,

/contc! ..

~t!cd ~. :~~:l~~ belp ~1th .robl~. ,.

25.

26.

29. Cod. 1 1f dUnolllt7 re,ruJt .. rl"C1:I .... Mt it! 'Jeo.r (a'_ 1'61"r W

79. ,

eo. ,

_ "' )!oudllE

, • IhJsbc.rlcSt'"",r1 t",l

2 • ChUcir .. JI

} .. HN:no~

It • IIcultll flUbjftCt

5 • ~lft40ltb huebitnd

, a c~&lt~ ohild

1 .. 1!'.e1l1 th <>th"r per .. ;z:,

n ... .,.. .... 101re.v drcul ... ted)

•• O'>ehl!ou\lul ,

•

Soc~al Research Un1t, Bedford College, London, N W 1.

Respondent

SubJect

Relatlve ( ) Identify mother, spouse, etc.

Tbumbnall sketch of subJect

EVENTS RATINGS

~~IN SOURCES OF INFORMATION

Date of Intervlew

\ 0 Ilb

Abbreviated Verslon

July 1976

.. j ,~

I • I I

'1., ;.t, " ~ ,.' "

"

• '1" .! . :;")1\ ,~

.. ~.; 1 r1 , ,

. I

Indep. ,

. bg~8r~ K~tgr"fu Illn~6B related

ch~;{tnc

-tE

. 51 r

~f' " "-

, 50 49

~A' • ,

,

change­pOlnts

, " r; J;.l j

! 'j r

26 25 Indep.

Pose indlo before Cl POBS ind after Cl Illness related Psy­

ch1atr1.C change­p01nts

•

Independent

Poss,bly 'nd. ,

Other , , "

P <,

8ychlatrlc .' change

"

(

-

r--

,

, (C1)

Pay-chl.atrlc change powt .,

,

24

48 47 46 45 44 113

,

, 23 22 220 19 18

(C2)

Range of unccrtalnty of change pOlnts

~.' ,1

C3, C2, C1 = change po,nts

r' i', , " J~;:' "I J ')Tl'i',~.~ilM~.

-2-

, 13c 42 41 14 3B 37

I

1 l' 16 i 15 14 3 12

,

LEGIND

H H

H H

H H

Mental Hosp,tal Admlsslon

Case No.

3( 35 34 3, 1,2 I " 7£)

-

11 10 9 8 7 6 s

Date A on Ilne

~

( 12l

1- ( 1 b)

Any Event perlod excluded

ovent =

29 28 27

4 ~ ?

-

2Y ~)-

Uncertalnty lfl datlng events

nearest lntervlew

1

~

I J , , J

I

I I

!

I Code

1-- I ~ ,-!

)-

"

"J,

-3-

SHORT DESCRIPTION (number from 1nterv1ew) EVENTS

: I Over Code Class

I I,

-, :

~ , (",

4.- ' ;

-

~ -

I )(' "-

I

, \ , Over " , Class

--

, , r..~, t.\ 1'1 Over' :~ Code

i Class ,,'.' "

,

• >~' ~,\ "I ir;.g~"

II . "U:,:,":,i

,,'. i 'J

! ~ t,'

- ~ , f ,,~ ~ ___ , ... ". ... ,1'-:" .. ,'"

I,i... • ,'fJ"ti'~~ ..

. " ~

I~ '-' 1 ..... - 1 ... j,ffI''V h ,.'

~ .... '" .

II~ , ->< , " , , ,

"

15' . , '

, "

I ,

-4-EVENTS

II. BASIC DESCRIPTION - General descr'pt,on . ,

Note: -":"\tt -- ',' 1. DESCRIBE AT END OF SECTION ANY INTERESTING EVENTS NOT INCLUDED e.g. HOLIDAY

"'~~" I ........... r t I"'~ ~- -

2. " INCLUDE A DESCRIPTION OF AI'Y FORESHAOOIJED EVENT. NOT DESCRIBED AS AN ACTUAL EVENT ! .

H , Event I

Event I

Event I

Event I

Event 1

Event I

Event

Event 1

Event \

Event I ,

-5-

OVERALL CL.\SSIFICATION

Role Changes

1. Startlnp, flrst Job or returnlng to work after 10 years

2. Change of Job " UnempJoyment wlthout change of Job

1 e. 10ff 61Ck'

l~. Loss of Job 5 R~turn to work 6 Promohon/Demotlon 7 Pref\nancy 8. Blrths 9. School/Unlverslty - lncludlng new couree

10. Engagement 11. Harr'nge and announcement of marr16ge plan 12 Dlvo~ce/Separatlon 13 Mlscpl]ancou5 role changes ho Retlrement

Health changes

111 Illness 15 Hospltal adm16610n 16 Hospltal dlscharge 17 Dea th 18. f"lsCarrl.sees 19 Cperatlons

Jntpractlon/re6ldence changes

20 Intpractlon change ?1. I1e::adence chanee 22 alrl/boy frlend change

Crls16 lnvolvlng subJect

•

Event No.

x = y =

2j. rollce/sollcltor etc contact court appear~nce 2/.:. ACCldents 25. Bur~lflrles 26 106S, damage or theft of subJect's property 27. Examlnatlons 28 ~hscellaneouB crlSes

Important news/foreeast

29 ~r

31 32 31,

35 36. 37

(39.

Forecast rof lmportant change NC\.Js of lmportant rvcnt or Clrcumstance Forcc3sls of dlBt~t change Valued goal fulf11lment or dlsap~olntment of subJect Impor~ant deC)S10n Brealung baa news ~lef'tlng 'key' person from past Any '1nternal' change at work Treatment related event )

\ \

nk na

Rahng

,

Event I No.

2 ,

3 tJ, ..

"', "'h'V'~ 4 "',

J~fr\i

~~ 6 n

, , , 7

8' /(~'.

9

10 '1" ~

'. '" ... .,.t·~~~""· ,l,tI ( "

, ,11 i ,'\" .,. i.

.' .... ~1t ~:II~\'~,. L ~ • , ~ 1 1

, '

~ ",t·

"". :... ·.+l';l-.~'

.;' 1 ..... ~ ,I; \

, '1,");

, ,

, , '

"" ,

'- ,

~ j , J

ct! L~ I ", ~, "' 'r.~'~ ..

-6-2. IndeEendence of event

(a) 1. Independent of current ep~aode 3. PosB~bly lndependent of current epll!!ode

and occurrIng before C1. 5. POBSlbly Independent of current epIsode

and occurrIng after C1. 6. Related to current episode X. nk Y. na Related to prevIous epIsode and

occurrIng durIng It (b) 1. Not related t~ a prevloue epIsode

2. Related tb a previous eplsode

28. ConfrontatIon I

Consequences - aftermath 1n thIs scale 1. Our event precedes main InCIdent (FORECAST EVENTS) 2. Our event coincIdes wIth maln InCIdent

S 1) present maIn InCIdent (e.g dIscovers burglar at work)

or 11) present ImmedIate aftermath or 111) not present but knows maIn InCIdent

bappem.ng 3. Our event follows maIn lnCldent 5 'told' NEWG

of ~nc~dent 4. Our event follows ma~n ~nc1dent. S DISCOVERS after

math (e.g. d1Bcovers results of burglary) 5. S flnds out unexpectedly about clrcumetances WhlCh

do not have a maln lnCldent, REVELATION (e.g. told by husband of Ius affaJ.r of fJ.ndJ.np; out about J. t J.n another way)

29. 1. 2.

3.

Presence at maln lncldent

S present at maln lnCldent and immcd1at~fftcrmath S not present at ma1n lncldent but knOW8 1~ 15 happenlng and present at l.mmed1ste aftermath 8 not present at rnal.n lncl.dent and docs not know l.t 18 happenl.ng, but prescnt at J.lM1cdl.ate aft~r-

4. moth. \ S not present at maln 1nC1dent nor lmmedlate after­math, but knows J.t 15 happen1ng. S not present nt maln 1nC1dcnt nor 1mmedlate after­math and does not know 1t lS happenlng.

5.

(RATE THIS FOR REVELATION EVENTS RATED'S' ON CONFRONTATICN)

Y. Forecast Event. Maan 1nCldent not yet happened. ,

30. Source

1. SubJect Event 2. Relatlve or other 3. Equal lnvolvement subJect and other 4. Soc{al/lnstltutlonal

1

5. Un~lanned events X. nk

_3 Y. ns 4

5

\

\ Nd ,

'r;~ { .' .) , ' , :~ I '

~11,lt~)

",

, ' t I

I ;J.',

\Ilf , t

Ratlng , ,

'"

JE~~nt '. Rating

6' .~~~t , ,

8 " , .'

9 .' .. , -110

34•

-7-

Focus· of maJ.n l.ncldcnt

D. SubJect

1 Household member

2. JOlnt

3. SubJect's posscaS10n

4. Other peraon

X nk

Y. na

·Pcrson lDvolved lTI malll lnCldcnt Wh1Ch mayor may not be an avent.

ProElngUl.t::L, - relatlonS]lE before event

D. Parent or parental surrogate

1. Clnld

2. SpouB~cohab1tce/fl.ance

3. Slbllng

4. Close relatlve of ~pouse or other rclatlve of S

5. J01nt Wl.th hOUF.lchold mcmhere

6 Koy per~on from uast

7. CIOBe frl.end (~tcudy B1rl!boy frl.end or named conf1dant)

B. Other frlend nCl@;hbour/worl<mate

9. Casual acqualntance/stranger

x. nk

Y. na (SUbJect only focus)

'"

-8-

III. PREPARATION FOR EVENT

General de5cr~ptlon - to lnclude any warnlng about the event.

Event

Event

Event , . , ~,~ .. '/

J "-" ~,.

': ";*f; ),.1'~ ; ...... ~"''"'''I .' 'i

" .1

Event ,;

Event

Event

Event

Event

Event

'" , , /

/

-9-

12. Preparatlon for event - any durlng the last 3 months

- 'emot~onal' (exclude day of occurrence)

1. Marked worry/anxlety etc.

2. "Ioderate worry/anxl.ety

3. Some worry/anxlety

4. Llttle or none

5. No opuortunlty - nO preparatlon tlme

X nk

.

'.-of r \ ,."'1

, , , ",,'

I." \~ ~", ,. ''f..ttl''I1.,,1 \ t

_ T ... .,. .-~ ,

'.~;,., " ,i ,,' ',\) " ~,

\' nJ,' I,r .. )~J/, , ,J

, ,

, "

IV.

Event

Event

-10-

IHHEDIATE REACTIONS (In th~s sect10n and Sect10n V

made from the dom1nant percept10n dur1ng the week of consequences extend beyond week of event - up to 3 we,eke

General deecr1pt1on

Event r ----I

Event

Event

Event

Event

," J

",

"

L '~ It, , '

"'1 ---...... II'j~~' \ \ ' ~

, ,I

" -;l"f~~) \oT)J,~~ J , " , "/

" , ~1·1.;:,/'I,1Illo. ,j ,;( r \ . , ,r ~ _ j ~I. '

•• 1

" ~ II rlJ :- ;

•

-11-

IV IMMEDIATE REACTIONS

1. & 2. Acceptance

1. Poe~tlve feel1ng

1. Helconung - maJor emot1onal 1nvestment

2. v/elcom1ng 3. Some pos1tlve feellng 4. N11 or very I1ttle

2. Negatlve feellng

1. R~Ject1ng or marked negatlve feellngs - maJor emot10nal 1nvestment

2. ReJectlng or marked negat1ve feellng

3. Some negatlve feell-ng 4. Nl1 or very Ilttle

3. Anger/hostll1ty/outrage

4. Anxlety/d1sturbance/feellng upset

5. Depres~non

1. Marked 2. Moderate 3. Some

~vent RatJ.ng No. 4. N11 or I1ttle X. nk 1

Y. na 2

3 4

5

6

7

8

9

I 10

9

Event No.

1

2

3 4

5

6

7 8

9 10

-

6. Overall threat un leusantnesa dur1n da folloWlnB event

RatJ.ng

Rat1ng Event

No

1

2

3 I,

5

6

7

8

9 10

anythlng unpleasant e g death, paln, Joss, legal actlon, lOBS self­esteem, etc.)

1. Market

.,. I"

Rabng

.- , , ,

, I I , , , ,

, \ "[l·t" ," ,

, I ,

~ ~ i.'KI 'r"l~ I , ,,!, '\; I ' , , >- 1

,

vent Contextual Reported, . " No. ' ... ),

2. Moderate 3. Some 4. L1ttle or none X nk 1

Y. na 2

3

4

5

6

7 8 , 9

10

c' ,>,

,

, , , ,

-' ~ " ,.

1

.'1 , ">'I '(I, ' J ,>,' ',' 1 \.; J ;1' ,

!f.\" .

v.

Event

Event

Event

Event

Evene

Event

-12-

IMPLICATIONS AND COl/SEQUENCES (Rahngs are to be made from the , :,." domlnant perspectl ve by the end of the week of the event I except, :gJr!t~ ;,.r;t.~14'~ i'~ \'iherc the lmmedlste consequences of the event extend beyond the 1,~( ,\ week. \Jhere th15 happenG I the perspoctl ve may be taken from up .~ ., ~:,~: to 3 weeks follo\oJl.ng the cVE"nt).

General descrlptLon of lmpllcatlons and consequences of event Ir

;1 ~t .1

• I J {,~, •

, ~.t"'r f/-: >", :J

,,~ ... ' ,-11"" \:ao

• .r, t~,~ 'q:li.I , ,~.,,,,,,-;t.~~1 ,).,1,/ ., '~"'~')'"

, 't ....

, ' .,

-13-

Event

Event

Event

Event

'1

.'i'"

, ... \ ~~J,I ~ t ~/; ~7'.;L t~'''' ", J (" "

I

t "'~

~.r .. , : ( ,'r, i1p.

.....

. ,

~~I""~l<.,~,,"::. ,,.''''',\ .. ,,,,''''~ .,. ,> ~ (

-14- I', 1. Interact10n chan 0 outs~de da of event

Must last at least 2 days

(~) Increase 1n any close tlC

None or ll. ttlc 2. ...._- -a- prevlous t~me 3. _ "" .;. preV10US tl.me 4. NeW' contact

(11) Decrease 1n any close tle

1. None 2. c:::::: t prevl.ous tlmc 3. :::=:-.-.,. prCV10US tlme 4. Total 10s8 of contact

Event Ratl.ng --.!!~

1 ---- --- --

2 - -

3 -4

i-----t--5

-----1--------Event

_"y"'o • __ Rab.ng ------'--~-

2

3

[- If __ 2

2. Chan e 10 ds -to-da rout1ne out51de da of event Must last at least 2 days

Event

Event No.

6 -,

7 , 8

,9

10

, ~vent

No

6

7 8

9 10

No. Rat1n~ 1. Major change 1 ------2. Moderate change 2

3 Some change

4. No or m1n1tnal change

3 , ----- f-.

4

X. nk 5 •

Y. flU 6

7 8

-9 --- --.. -

10

3. Tlme durat10n of changes 10 lnteractl.on or rout1n@

Ratlng

, , ~I ~

..,. -V~·\"tl ." ,\

, , , •. , ~ .. \

J, ;. . , ,

'''''' "

1-. ";~' ~". ~{~

",., ',' Rating

,~<I-"

•

-

L1ttlc 1mpact of ~~ 1/52 ",,' ',-.,.

'" ,~,J~" I Event O.

1. Probably ~2 months Contextual Reported ~.;r;,~~, No , I

2 Probably 2 4 months 1 , ,

3. Probably 4 - 6 months 2 c ..,~ ~ "/,.

-4. Probably~ 6 months 3 .1 ..-'J~1~f-~

5. ProbBbly -==:.. 1 year 4 I' ---- ----6. Probably :-_" 1 year

7. Probably-~ 5 years f-- 5 -

6 "

" . • l I, ,

-8. Probably -permanent' 7

, --' "

9 Unccrtaln

X. nk

Y. na _ no change 1n routlne etc

8 f----

9 f---------10

, .

, "'

-15-Overall threat un leasantnees as a consequence of event

Refers to tensl0n etc. extendlng outsldo ~eek of event)

I Focus I to be re-written 'here for all events rated 1 or 2 .' . ~. " S BubJect/Jolnt, G = all other ratlngs.

I Event- Contextual No.

1. Harked ~-2

2. Hoderate

3. Some

4. Ll.ttle or none

3 ~4

~ -X. nk 7

8 Y na

9 Conseguences 10 ,

6 (b) 1. Los9 separatl.on or threat, l.ncludl.ng deaths

6 (d)

2. LOBB Major negatl.ve revelatl.on about some­one close

3. L068 Ll.fc-threatenl.ng 1.11ne68 to someone closo

4. LOSG Mc..ter1a1 loss or d1sap',01ntment or threat

5 Lose Enforced change of r~Bldence or threat

6. Loss M16ce11aneou8 cr1ses 1nvolvl.ng some element of loss or d1SIlppOl.ntmcnt

7. Non-loSB M1scellaneous cr1see

8. Non-loss Illne8s cr1SloS to subJect

Durat10n of Longterm threat

' ' Reported ;ff,~,~ ~ Focus,,; - '. ~~ .' 1 't.. '. 'J,,\",d \,

;, ~'i!',~~""'~ .. , .. It. I. ~r~~~"~~J' ' ' ... ~,,... ;

\0' , ~~.'.:;)~'-;:'"v . ,b~_ , , ,!,'rI!l'~-.'~li" .... ~ k

.," ~

" , ).,fj'~jl ':""~trl' , . ' t' ~,'/ \ " ~~ li" j.~-'l>'/ , I,,, . ~ / ',)r~~)q~

~--( ,;"t'''' ,1"'J' /", .... ' ..... !'~-L·~,.vi

, " ,-1'" JI." ".f'.,.~ ,t I ...

",'i,'\:'vJ~ 170 ' \ ,I~"l·",r ... "~, -c"---~--~-----l' __ ~'~~~ Even~ - I

~o. Type~of los~

__ ~1; _______ ~ ________ . ___ ' , 2 '. '. -'~.

3 ~~4--~------------~---1-,5c-----~~--"~----1---2-6 --.,.-, -f----------.------­---7-

7;----IL...------ "

-;-·-1~~--·--~..,---:ci·j+----·-----------------,...',-·-<-'----'-~'

"

1. Cleared up after 1 month Durat10n Dtira'tloll 2. " • " 1-3 months

3. " " " 4-6 months

4. " " " 7-9 months

5, " " " 10-12 months

6. Not cleared up yet

New Class1f1cat10n of events

0 = Houslong Event New ClaSEl1 No.

1 Husband/mar,tal)

2 Chl.ldren Household

= Group

3 1i1nanc1al

4 SubJect's health

5 Husband's health

6 Chlldren's health Health

Group

7 = Other's health ,,\

i "!1.

8 Socl.o/sexual events .J!/' ' ..

(lone. 9 = M16cellaneous S'6 ,

work ev('nts)

9.

13.

, ""~'Itf"~l'il!"~' ," 'l~!~,-~·:\iiJ.I

-16~""+, ' ' Control of the moat se.11cnt types of'~~~;eat/unplea5antneB6 from the event (refer to longterm threat)' -. ) r •• ~ .. ,"~ .. "

(BE CAUTIOUS IN RATING FOR 'LOSS' EVENTS - BE><> nortle~B:;;;;i7.;:r7f2~~S~~B~~

o. 0u1te unclear what chance of control eXl.sted

1. Apparently no chance of cantrol.l.i.ng C.onsho quences

2. Apparently I1ttle chanco of controlllng consequences

j. Apparently some chanco of control11ng I J

consequences " "!' ~d.: ~t ~f" I-'''':'-'--,;:''''''',,¥~ • ~ L:l,. H

4. Marked chance of a) b)

mod1fy1ng consequences avo1d1ng consequences \

~# f • \ X. nk

y. na - no negot1ve 1mplicat10oe cleared up by end of waek

Fulf11ment of rna or as 1rat10ns

f' /1 '~ I • , . , ., ,

or def1nit~1'9

events must have poss1ble ongterm effects)

1. Prcv10us aap1rat10ns rendered 1mpoeB1bleJ~~~d J,

2, I1aJor h~ndrance

3. Some h.1.ndral1ce

4. No\oV' important ~neB of actlonlasp~rallon made poss~ble

5. Major help

6. Some help

8. Irrelevant - not helplng or hlndcxl1lg In a lSignlfl.caHt way

9. Event conf~rms prevlous f~lure In l.mportant area of l1fe

X. nk

Y. na 10

I 1 H~' ~\,1'1 \~';I;",l

r\tl.:' t t~ . "t

i

VI. HELP

GencrCl.l dcscr1 ptlon

Event

Event

Event

Event

i:vent

Event

Event

-17-

Record full detaJ 15 of Pr<lcl,cnl 'oclp ('mot..l.onal support (sourc0 01 help) d'Ggusc,onj- who ""th ________________ o!?PPI!P!!!;s:!:,l:1.on ,1mOl vaJ cnG G

-18-

2. Reported POSItIve Support

1. 11"rked

2. Some

Y. na rater unable to vIsualIse POSItIve sup~ort beIng gIven In thIS 61tuatlon

3. Reported CpposILlon

1. 11arked

2 Some

Y. nn rater undbJc to VIsualIse OPPOSItIon In thIS SItuatIon

-

~ Event RutIng No. -

1 -

2

3

4

5

i_ 6~~ __________ __

-----------------! Event I N RaLlns :---~-- -----------

1

2 --~--+-----------

3

If ---~---+--------------

5

6

)

-d~lctr:-.,: \oU

REPORTm Cdi"C1JIC DI: ..... ICULTI/!JIl~!:R'IJ,INTY (L~lING l,'I LEIIS? ~ , II

1.. Area I C.OI.- 6~ O:-HOUCll1g I. "ork ~f" l1oPI?Y' ). Lelsurejf~lends - 6~e ~~d r OPPoslte sex (check t-1hether '8'

be10>!) '9. - Children 5: lIeal th - / 6. Interactlon With rertlves/bouse-" hold relab.onshlps 7. ronf) l.ct 1.1' soclal pbllO'atlon t\. Harl tal lnteractlon'j'steady'

\ relatlonshlp Wlt:t~pPOSl.te aftA ~. JhsaPPolntments I. Ge'lcral dlfflcul v ll1 fWlctlO[Ung

as soc~al un~ t I . Y. f>'Ilscell3Ileous I

'-Q'- "+ 2. Slb -Area NUJ'1ber (ratJ Y ~f only one 7. suyarea)

~-----' I

<....~ ~ 3. DOl"'l nant '1'y-oe of Unnl~asantness1rhreat ----- ~ b.n':!.J.dl~ ObVlOLS cOfs~qL.eDceJ7f

inau. in tuatlon) i ( o. ~T"nreClt of) los of valued person

• 1. ("hre&t of) los of self-esteem

4. ,

5.

2. (1f....:-eat of) lo~ of valued Goal 3. t-h"t-erlal Drobl~m • I 4. '( hange) rout',"e/actlnty 5. p.lJ'l/l1eal th/threat to hfe - S 6. ~un/.h.alth/threat to 11fe - 0 7. CClfllCt over declslons/obllgat1oDs 8. lrterpersonal temaon cetlJJeen S

kl other(s) 9. P"turbod behanour of household

~Qbcrs/close rclatlves ~l,celliVleous dlfflC.J.lty x.

Y. II .,

'secorrU-y Ul"oleasan tnes~/T::"lreat 0:-- lreat of) loss of valued person \1. ('h'e~t of) loss of self-esteem ~. (T,eat of) loss of ,alued goal 3~ Ha 'r~al prob1 aM 4. (Cl nge ) rQut~re/actlv~ty 5. Pa-/health/threat to 11fo - S 6. P?-l/health/threat to 11fo 0 7. C~t~ct ov~~ declslons/

o 1 )atl.o::1s B. ~ eperso~al ~enSlon bet~een S

and ther(s) 9 .. ' '

8.

• Dl"lt\ -bed bcha,,?-our of household mel:lpcs/close r;blat1 ves - - - ,

x. '1ls~e-'enco..:.s ~,.+f:flculty Y.. 1I1.A,\

T1mlng of Cff~Culby/tr~sltlonal (

1. B to 9< 2.. C1 to t. I 3. Both (as .onE 9.5

lcrGth l.n ~eliod x. Y.

state etc ..

total ~ 1/12 not :lli1portant)

('H:VlRE 'BOTi" RA'1.1) &, r'dERE IS A DIFFZfu"2,CE III D nICULTY DURING ThE 1'''0 PERIODS PATE '>CAlLS ON B - C1)

~ ----- ,

( e.) OOJ('ctlvc l~l...IL(o) General Seven.t.J Se "erl t:£

1. 1 • 2. 2. 3. .3. 4. 4. 5. 5. 6. 6. 7. N A. 7. Ii jJ

DescrlEt::..or.:.

(a) Indepenaen-ce 1 D. ,~,

-' ProbablY lndepenaent - woula be but 51tuatl~n hac lasted 1 year T

before C1 1. P?"obably lndependent of (..urr~'1t

eplscdc 2. Probably !.ndependcnt of :.urrE!TIt

ep~50de (related ~o prcvloLS eFLsode) 3.. Posslblj lndependc~t of Ckrr~lt

epl.scd~

4. P055lbly lr.dependent of ctu"rent ep1sode (related to prevlous ..ep~sodl")

5. POS5l~ly ~elatea to c~rent ep1~ode 6. Relat~bd to cur~ent cplsode x. () (

-- ~ 1d)co ... lc..L.J" • Independe~ce 2. Reportln~ ~nlO~PO~ ... ~ 1. Severlty SL.ch that. rea~opaole 10= oS v,-v ..... <:c 0 ~

to report d~fflculty If not depressed - rate whethe= or not Qlff1culty exp~rlenced by S before C~

2. SeverltJ lnGufflC1ent to rate '1' (see eAa~ples) O\t cle~ eVldence that S E:xper~enced dlfflcultJ~ oefore C1 (must be rated '1' or '3' on Scale 5)

3. Other cases X. PVerare arolJIlt of t1.f'".e '\-nth' problem COL Ii - 1n do phyS1Cal sense (tal<e as base.l1.ne a\24 h~~r day Do not count hours asleEp = 8 hours If no other 1nfo~atlo~. I~ t1.me has changed, tcl-e Most domlllant pattern 1.n perlod) O. No dl.rect conta~ w1.th focus of

problem (see example~) 1. Da~ly, most of the day (approx.5; h7s) 2. DcU.ly, fa1r aMount of day 3. D~ly, brlefly (approx. 1 hr) 4. Few t~es a week 5. Weekly, or less ofte~ 6. Monthly, or less often 7. Problcn has no-overall clear externsl

focus (see cxa~plec) 8. No QOlJJ.n.:mt pattern X. Y. No probl.",

(.-L''j

r _~ \ CI , -

>-,,0

L~i.a~'::.-_=-U ('=: ,~C.'l'0"\!~ LO:JS!S3;'~'fl.2.~ .. ,!:' .... 'D.),; . t ';,:; Cr ., I ;:)ul~l ~~ . t.~! I

15 ~1]£~tn.:nty_-9..?~~t. .. f~£~~t:~9-2..~cE..c:E ~:- ..... 1

10. POGsIbllltv of S')DstIh .. tes JI1 ,ear fUl..ltre (tlC3t Grnt.ro.lly, C C '3ubst~t­~tCf;r 'role' r .... 'th .. r tn.:t.'1 specIfIc per&on)

11

12.

1. ImpOSE>lblC? t.o rCpl;IOE.. 2. Gll:c.lt dlf1lculty In replo.ccllcnt 3 Cons~d( r.;lble (11ffIcu1ty 4. ~!oderatc dIffIculty 5. thnUlo.1 dlfflcult.y 6 Not a loss sltu~tIon/loss not 16.

x. Y.

su~tdblc to rate on th~s scale

Conrlltrncnt (trcet spl?cIil.cally, e.g. person r:lt'u::'r tn?..n 'role') 1. CledI 1) 11l.bhcr than average> 2. Aver().cc 3. Clcu.xly lOIol.'e:- than o.verc.gc x. Y. Not u loss sItuatIon/loss not

sUItable to r~tc on thIS scale

Tra..'15I b..onal sto.te/Statc of uncc:-talntv (base 0'1 6elf-~cport 1Dd/or OGJectlvc conslderallons) (Rate In order 1, 28 3) 1. Yes, trrulsl tlondl st.:lte (also =

state of W1cel tal'1ty) < 1 yr 2. Yes, tran~ltIo~nl st~te (also =

state of uncertaInty) ~ 1 yr 3. Yes, st~te of unec~talnty only 4. No x. Y.

lJesr-rIptIon

17

\ .... ,.I. ~ t t \... I

(CL..I1 be appll..:-a to al.l. dlfflcult::.cs,· "..l·wtp0!'" cr "'ot st..:ttc.. of I.!!'certa .... nt) 1. C~rtalJ1 of fc.tvourablc -outco'-c 2. So~c doubts uuout f~vourable outcome 3; }Io,y- doubts ~bout f~vour"blo outcome 4. P~dctleally eerta~n cf Q'1favouro.oJe

outcome ~ c. Sltuallon w~ll ~ot --X [lmprovc Y Dlfficulty over bi/not st~<ca at C1

LYDcctcd b.ne durc:.tlon of e"\.lJosure to a:::. aL. "2.... "2...

dlfflculty transltlona1 state etc. at C1-(r<fers to Scale 15 ~certaln (rate 8 or 9 ~f posslble) 1. (ProbabJ y) /( 6 m 2. (Probably) /< 1 yr 3 (I'.cobo.bly) /< 2 yr 4. (?roGably) 2 - 5 yrs 5. (Probably) 6 - 10 yrs 6. (Probably) 10+ yrs 7. (Prob~bly) pornanent 8 Uncert.:UJl probably( 1 yr 9. Ullcert'lln probably;> 1 yr x. Y DIfflculty/transltlonal State over

bl C1/,ot st,~t"d at C1 \

Lcn~th of e'rOSU1~ to C.:flculty/ transItlonal st?te etc. up t~ll C1 1. <: 2 m 2. 2 - " " 3. 4 " 6 rn 4. > 1> M

5. < 1 yr 6 )'-1yt 7. ,}2y'r 8 ">' 5 j-r 9. 5'10 yr x. Y. ILA D~filculty began after C1

(0", '- S

18. Pr<lctIcal help "Il. th proa] €:'M c...::;)\.- L \.L....

13 • ...T~n~np; of tran~1 tIonhl st.:J.t.c/ unccrta\nty (refers to Scale 12) 1. B to C1 2. C1 to A 3. Both x. Y.

14. LIkLly tlne durnt]on of perIod of uncertaInty ~refers to Scale 12) 1. T~mc knoW! exactly 2. Une ert.::u i. - tIMe known w~ th~n

l~lts

3. UW ... crtaIn - tIne unknown x. Y.

f

19

1. H"-T'y.cd 2. SQna' 3 N~l x. Y. EMot~on~ Support (a) POSItIve erotlonal ~uooort C~ 1. ~;-

1. l"c.r-red 2. SOrT'C

3. Nll A. Y (b) AC~lve O?UO~31 tlon/1.n~erfcrcl"'cc <..0 ....... ZC::,

1. Had.cd 2. Some 3. Nll x. Y. (c) Ar,blvcl.ence(c.g. lack of aI'y 3u;Jport C"'- l.~

where ~Ib~t clearly expect It or clear CVIQen~e of (a) & (b) togctner)

1. ~1.:u-l-:.cd

2. SOl":'I.:: 3. Jhl x. Y. Dc~crIptlon of Qurat~on etc·. of Gl.r~po;'"t