Yelskñs f,an,hla Ndús;d lrkak

K10+

frda.shdf.a/fiajd odhlhdf.a ye|qkqu:|___|___|___|___|___|___|___|___|___|___|___|___|

fiajd i<ikakd: ___________________

jdi.u :
wfkl=;a kñs:

Tyqf.a/wehf.a ye|qkqu:

Wmka oskh:|___|___|___|___|___|___|___|___|___ ___ / ___ ___ / ___ ___ ______MENTAL HEALTH

Binding margin – do not write

iñsmQraK l< oskh: __ __ / __ __ / __ __ __ __ia;S%/mqreI Ndjh:
mqreI

1ia;S%2,smskh:

my; i|yka m%Yak j,ska miq.sh osk 30 ;=< Tnf.a yeNSñs ms<sn| f;dr;=re úuikq ,nhs. iEu
m%Yakhlgu imhd we;s úl,am ms<s;=re my weiqfrka m%Yakhg wod, ldrKh iñSnkaOfhka Tnf.a
yeNSñs jvd;a ksjerosj úia;r flfrk úl,am ms<s;=r f;dard th rjqñs lrkak.
fndfydajsg

iuyrúgyosiaisfhkalsisu úgltfiaoekqfka fyda
fmkqfkake;a. …….ksYaps; fya;=jla ke;sj uykais.;sfhka fm,qfkao?

1

2

3

4

5b. …….l<n, .;sfhka fm,qfkao?

1

2

3

4

5c. …….lsisu whqrlska ikaiqka njg
m;aúh fkdyels ;rñ l<n,.;shlska fm,qfkao?

1

2

3

4

5

d. …….wfmaCIdNka.;ajfhka fm,qfkao?

1

2

3

4

5e. …….wúfjslSnjska fyda fkdikaiqka
núka fm,qfkao?

1

2

3

4

5

f. …….b|f.k isgSugj;a fkdyels;rfñs wúfjslSnjlska fm,qfkao?

1

2345g. …….l<lsreKq fyda
wffOrahu;anjlska fm,qfkao?

1

2345h. …….lsisu whqrlska ffOrau;a fkdjk;rfñs l<lsreKqnjlska fm,qfkao?

1

23

45i. …….iEu fohlau W;aiyhla jYfhka
oekqfkao?

1

2

3

45j. …….ukdjeo.;a fyda jgskdlula ke;smqoa.,hl= f,i yeN=fkao?

1

2

3

45miq.sh udih ;=< Tn fldf;la oqrg…………

bosrs m%Yak i|yd msgqj fmr,kakK10+ SELF–REPORT MEASURE (1 of 2)

ieujsguQ1.

Q2.

fmr wik ,o m%Yak 10 uNska Tn miq.sh udih ;=< iuyrúg w;aolsk ,o yeNSñs fyda
ú|jk ,o foa ms<sn| wik ,os. tajd iuia;hla yegshg f.k miq.sh osk 30 ;=< tuyeNSñs we;s jSu idudkH ;;ajhg jvd jevs jYfhka isoqjQfhao, th Tnf.a idudkH;;a;ajho, idudkH ;;a;ajhg jvd wvqfjka isoqjQfhaoehs m%ldY lrkak. ^Tng lsisu úfglfujeks yeNSñs oekS ke;akñ 4 jk úl,amh rjqñs lrkak&idudkH ;;a;ajg jvd b;du wvqfjka
tu yeNSñs we;súhidudkH ;;a;ajhg jvdksrka;rfhka tu yeNSñ we;súh
idudkH;;a;ajhg
jvd;rulaúsYd,
jYfhkaidudkH;;a;ajhg
hdka;uska
úYd,
jYfhka1

2

3

idudkH ;;a;ajhg
iudkh

idudkH;;a;ajhg
jvd w,amjYfhkawvqfjka

idudkH;;a;ajhg
jvd;rula
wvqfjka

idudkH;;a;ajhg
jvd úYd,jYfhkawvqfjka

567

4MENTAL HEALTH

miq.sh osk 30l ld,h ;=< fuu yeNSñ Tng n,mdkq ,enQ wdldrh uS,N m%Yak lSmfhka úuikq ,nhs
Tnf.a yeNSus ms<sn| by; m%Yak 10gu Tfns ms<s;=r jQfha “ lsisu jsfgl tfia yeN=fka fyda fm,qfkake; “ hkak kus Tn fuu m%Yak j,g ms<s;=re iemhsh hq;= fkdfjS

Q3.

miq.sh osk 30 we;=<; fuu yeNSñs ksid osk lShla Tnf.a idudkH jev lghq;=
lrf.k hdug fkdyels jQfhao?
_______ (osk ixLHdj)

Q4.

fuu yeNSñs ksid miq.sh osk 30 ;=<oS Tn idudkHfhka lrk jevlghq;= j,skawvla fyda Bg wvqfjka lrk ,o osk .Kk lShlao? ^fuu osk .Kk .Kka.ekSfñsoS m%Yak wxl 03g ms<s;=r f,i i|yka l< osk .Kk ms<s;=rg wh;afkdúh hq;=h&_______ (osk ixLHdj)
Q5. miq.sh osk 30 we;=<; oS fuu yeNSñs ksid Tn ffjoHjrhl= fyda fjk;aúsfYaI{hl= yuqjq osk .Kk ljfrao?

K10+ SELF–REPORT MEASURE (2 of 2)_______ (jdr ixLHdj)

Q6.

miq.sh osk 30 we;=<;oS ldhsl
fi!LHh m%Yak fya;=fjka flf;laoqrg fujeks yeNSñs we;slrjQfhao?

ieujsgu

fndfydajsg

iuyrjsgyosiaisfhkalsisu
jsgl
tfiajQfhake;

1

2

3

45fuu m%Yakdj,sh iñmQrAK lsrSu iñnkaOfhka Tng ia;=;shs.

Binding margin – do not write

idudkH;;a;ajhg
jvd b;djsYd,jYfhka

© Ronald C. Kessler, PhD. 2012
All rights reserved. Based on the Composite International Diagnostic Interview © 2001 Ronald C. Kessler,
PhD. All rights reserved. Used with permission. Requests for permission to reproduce or translate should
be addressed to Professor Ronald Kessler, PhD, Department of Health Care Policy, Harvard Medical
School, (email: ronkadm@hcp.med.harvard.edu).

Acknowledgements
Translation of this document was performed on behalf of the Composite International Diagnostic Interview
Advisory Committee by Noriyuki Kawamura, MD, PhD, of the Division of Psychosomatic Research,
National Institute of Mental Health, Chiba, Japan.