Yelskñs f,an,hla Ndús;d lrkak

K6+

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

ia;S%12,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
úgl tfiaoekqfka
fyda
fmkqfkake;a. …….l<n, .;sfhka fm,qfkao?

1

2

3

4

5b. …….wfmaCIdNka.;ajfhka fm,qfkao?

1

2

3

4

5c. …….wúfjslSnjska fyda fkdikaiqka núka

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5miq.sh osk 30 ;=< Tn fldf;la oqrg ……

fm,qfkao?

MENTAL HEALTH

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

e. … iEu fohlau W;aiyhla jYfhkaoekqfkao?

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

bosrs m%Yak i|yd msgqj fmr,kakK6+ SELF–REPORT MEASURE (1 of 2)

ieujsgu

Q1.

Q2.

fmr wik ,o m%Yak 6 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;=< tu yeNSñs we;s jSu idudkH ;;ajhg jvd jevs jYfhka isoqjQfhao, th Tnf.aidudkH ;;a;ajho, idudkH ;;a;ajhg jvd wvqfjka isoqjQfhaoehs m%ldY lrkak.
^Tng lsisu úfgl fujeks yeNSñs oekS ke;akñ 4 jk úl,amh rjqñs lrkak&idudkH ;;a;ajg jvd b;du wvqfjka tu
yeNSñs we;súhidudkH ;;a;ajhg jvd ksrka;rfhka
tu yeNSñ we;súhidudkH;;a;ajhg
jvd;rulaúsYd,jYfhkaidudkH;;a;ajhg
hdka;uska
úYd,
jYfhka123

idudkH ;;a;ajhg
iudkh

idudkH;;a;ajhg
jvd w,amjYfhka
wvqfjka

idudkH;;a;ajhg
jvd;rulawvqfjka

idudkH;;a;ajhg
jvd úYd,jYfhka
wvqfjka

5674miq.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 06gu 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.khdug fkdyels jQfhao?
_______

Q4.

fuu yeNSñs ksid miq.sh osk 30 ;=<oS Tn idudkHfhka lrk jevlghq;= j,ska wvla 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;a fkdúh hq;=h&_______

Q5.

(osk ixLHdj)

miq.sh osk 30 we;=<; oS fuu yeNSñs ksid Tn ffjoHjrhl= fyda fjk;a úsfYaI{hl=yuqjq osk .Kk ljfrao?
_______

K6+ SELF–REPORT MEASURE (1 of 2)

Q6.

(osk ixLHdj)(jdr ixLHdj)

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

ieujsgu

fndfydajsg

iuyrjsgyosiaisf
hkalsisu
jsgl
tfiajQfhake;

12

3

4

5

fuu 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.