by a clinician as follows: 0=never ill, 1=no loss of employment or marital status, 2= loss of status but not disabled, 3=disabled but lives independently, 4=disabled and not living independently. This rating was based on multiple interview items rating general impact of illness on life functioning (e.g. did something happen as a result of illness (such as marital separation, absence from work or school, loss of job, or lower grades) as well as interviewer observations and clinical overview of the complete interview.