Scientific Concept of the National Cohort (status ... - Nationale Kohorte

Diet *
Modules
Simplified 24-h diet recalls (web-based; also available
as paper version) (1x in study center, 3x at home)
Short food list (web-based; also available as paper
version)
Exact 24-h recalls by telephone (EPIC-SOFT, 3x)
(level 2 only)
Environmental factors
Job and home address (for linkage with geocoded
environmental data),
Medical radiation exposure
Occupational questions *
[Work-related stress; listed under “psychosocial
factors”]
Screening questions for specific conditions, e.g. shift
work
Health care utilization and compliance
Health insurance (type, insurance member’s number)
Social security number
Health care utilization: general practitioner visits, which
of 16 medical subspecialties (Fachärzte) visited how
often during past 3 months, ambulatory and inpatient
treatment past 12 months
75
Interview
X
A.3 Study design
Assessment Instruments
Touch
Screen
X
SAQ
(paper)
X
X X
Adherence to medication (Morisky Score) X
Other modules for specific subgroups
Questions only for cancer survivors: various modules X
*Further details will be clarified in feasibility studies (see Sect. A.3.3.11)
Neurologic and psychiatric factors
X
Webbased
The lifetime prevalence of psychiatric disorders such as major depression, anxiety disorders,
or addiction is over 45% and rising 472 . The disorders usually start early in life, i.e.,
in adolescence or early adulthood, and very often are chronically progressive and recurrent.
The individual and economic burdens caused by psychiatric disorders are very high:
four psychiatric diseases are found among the 10 leading causes of disability worldwide,
major depression being the number one for burden of disease in high- and middle-income
countries even before CVD55. About 10–15% of patients commit suicide during the course
of these diseases, and even without clinically relevant symptoms mental disorders may
enhance overall mortality 473 . Psychiatric disorders show a high rate of comorbidity with somatic
diseases.
The proposed instruments include scales for assessing depressive symptoms, anxiety, personality,
and chronic stress.
X
X
A.3