Form Structure: Profile of Mood States - Short Form (POMS-SF)
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Profile of Mood States - Short Form (POMS-SF)
Short Name:
POMSSF
Description:
The POMS 2 instruments assess the mood states of individuals 13 years of age and older. A revision of the Profile of Mood States, the self-report scales are a collection of tools that allow for the quick assessment of transient, fluctuating feelings, and enduring affect states. The tool is applicable in clinical, medical, research, and athletic settings, where its sensitivity to change makes the assessment ideal for treatment monitoring and evaluation, as well as clinical trials. Shacham S. 1983. A shortened version of the Profile of Mood States. J Pers Assess 47: 305-306.
Copyright: American Psychological Association
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard
Labels:
Form Type:
Clinical Assessment
Publication Date:
2017-03-16
Version:
1.1
Date Created:
2017-03-13
Owner:
Number of Data Elements:
59
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Vital status | Status of participant/subject as alive or dead | VitStatus | Optional | CDE |
| 5 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 6 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 7 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 8 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 9 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Language form administration ISO code | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | LangCRFAdministratISOCode | Recommended | CDE |
| 2 | Language form administration ISO code other text | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | LangCRFAdministratISOCodeOTH | Recommended | CDE |
| 3 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 4 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 5 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 6 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
POMS Test (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Profile of Mood States - Short Form (POMS-SF) - Feeling Tense Scale | Scale to rate how often the subject feels tense, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFeelTenseScl | Recommended | CDE |
| 2 | Profile of Mood States - Short Form (POMS-SF) - Feeling Angry Scale | Scale to rate how often the subject feels angry, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelAgryScl | Recommended | CDE |
| 3 | Profile of Mood States - Short Form (POMS-SF) - Feeling Worn Out Scale | Scale to rate how often the subject feels worn out, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelWrnOutScl | Recommended | CDE |
| 4 | Profile of Mood States - Short Form (POMS-SF) - Feeling Lively Scale | Scale to rate how often the subject feels lively, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelLivlyScl | Recommended | CDE |
| 5 | Profile of Mood States - Short Form (POMS-SF) - Feeling Confused Scale | Scale to rate how often the subject feels confused, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelConfusdScl | Recommended | CDE |
| 6 | Profile of Mood States - Short Form (POMS-SF) - Feeling Peeved Scale | Scale to rate how often the subject feels peeved, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelPevdScl | Recommended | CDE |
| 7 | Profile of Mood States - Short Form (POMS-SF) - Feeling Sad Scale | Scale to rate how often the subject feels sad, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelSadScl | Recommended | CDE |
| 8 | Profile of Mood States - Short Form (POMS-SF) - Feeling Active Scale | Scale to rate how often the subject feels active, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelActvScl | Recommended | CDE |
| 9 | Profile of Mood States - Short Form (POMS-SF) - Feeling On Edge Scale | Scale to rate how often the subject feels on edge, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelOnEdgScl | Recommended | CDE |
| 10 | Profile of Mood States - Short Form (POMS-SF) - Feeling Grouchy Scale | Scale to rate how often the subject feels grouchy, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelGrouchyScl | Recommended | CDE |
| 11 | Profile of Mood States - Short Form (POMS-SF) - Feeling Blue Scale | Scale to rate how often the subject feels blue, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelBluScl | Recommended | CDE |
| 12 | Profile of Mood States - Short Form (POMS-SF) - Feeling Energetic Scale | Scale to rate how often the subject feels energetic, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelEnrgticScl | Recommended | CDE |
| 13 | Profile of Mood States - Short Form (POMS-SF) - Feeling Hopeless Scale | Scale to rate how often the subject feels hopeless, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelHoplesScl | Recommended | CDE |
| 14 | Profile of Mood States - Short Form (POMS-SF) - Feeling Cheerful Scale | Scale to rate how often the subject feels cheerful, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelCherfulScl | Recommended | CDE |
| 15 | Profile of Mood States - Short Form (POMS-SF) - Feeling Unhappy Scale | Scale to rate how often the subject feels unhappy, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelUnhapyScl | Recommended | CDE |
| 16 | Profile of Mood States - Short Form (POMS-SF) - Feeling Uneasy Scale | Scale to rate how often the subject feels uneasy, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelUneasyScl | Recommended | CDE |
| 17 | Profile of Mood States - Short Form (POMS-SF) - Feeling Restless Scale | Scale to rate how often the subject feels restless, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelRestlsScl | Recommended | CDE |
| 18 | Profile of Mood States - Short Form (POMS-SF) - Feeling Unable to Concentrate Scale | Scale to rate how often the subject feels unable to concentrate, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelUnabltoConcenScl | Recommended | CDE |
| 19 | Profile of Mood States - Short Form (POMS-SF) - Feeling Fatigued Scale | Scale to rate how often the subject feels fatigued, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelFatigudScl | Recommended | CDE |
| 20 | Profile of Mood States - Short Form (POMS-SF) - Feeling Annoyed Scale | Scale to rate how often the subject feels annoyed, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelAnoyedScl | Recommended | CDE |
| 21 | Profile of Mood States - Short Form (POMS-SF) - Feeling Discouraged Scale | Scale to rate how often the subject feels discouraged, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelDiscourgedScl | Recommended | CDE |
| 22 | Profile of Mood States - Short Form (POMS-SF) - Feeling Resentful Scale | Scale to rate how often the subject feels resentful, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelResentfulScl | Recommended | CDE |
| 23 | Profile of Mood States - Short Form (POMS-SF) - Feeling Nervous Scale | Scale to rate how often the subject feels nervous, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelNervusScl | Recommended | CDE |
| 24 | Profile of Mood States - Short Form (POMS-SF) - Feeling Miserable Scale | Scale to rate how often the subject feels miserable, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelMisrableScl | Recommended | CDE |
| 25 | Profile of Mood States - Short Form (POMS-SF) - Feeling Bitter Scale | Scale to rate how often the subject feels bitter, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelBittrScl | Recommended | CDE |
| 26 | Profile of Mood States - Short Form (POMS-SF) - Feeling Exhausted Scale | Scale to rate how often the subject feels exhausted, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelExahustdScl | Recommended | CDE |
| 27 | Profile of Mood States - Short Form (POMS-SF) - Feeling Anxious Scale | Scale to rate how often the subject feels anxious, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelAnxiusScl | Recommended | CDE |
| 28 | Profile of Mood States - Short Form (POMS-SF) - Feeling Helpless Scale | Scale to rate how often the subject feels helpless, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelHelplssScl | Recommended | CDE |
| 29 | Profile of Mood States - Short Form (POMS-SF) - Feeling Weary Scale | Scale to rate how often the subject feels weary, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelWearyScl | Recommended | CDE |
| 30 | Profile of Mood States - Short Form (POMS-SF) - Feeling Bewildered Scale | Scale to rate how often the subject feels bewildered, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelBewilderdScl | Recommended | CDE |
| 31 | Profile of Mood States - Short Form (POMS-SF) - Feeling Furious Scale | Scale to rate how often the subject feels furious, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelFuriousScl | Recommended | CDE |
| 32 | Profile of Mood States - Short Form (POMS-SF) - Feeling Full of Pep Scale | Scale to rate how often the subject feels full of pep, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelFulofPepScl | Recommended | CDE |
| 33 | Profile of Mood States - Short Form (POMS-SF) - Feeling Worthless Scale | Scale to rate how often the subject feels worthless, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelWorhtlssScl | Recommended | CDE |
| 34 | Profile of Mood States - Short Form (POMS-SF) - Feeling Forgetful Scale | Scale to rate how often the subject feels forgetful, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelForgtfulScl | Recommended | CDE |
| 35 | Profile of Mood States - Short Form (POMS-SF) - Feeling Vigorous Scale | Scale to rate how often the subject feels vigorous, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelVigorousScl | Recommended | CDE |
| 36 | Profile of Mood States - Short Form (POMS-SF) - Feeling Uncertain Scale | Scale to rate how often the subject feels uncertain, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelUncertainScl | Recommended | CDE |
| 37 | Profile of Mood States - Short Form (POMS-SF) - Feeling Bushed Scale | Scale to rate how often the subject feels bushed, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSSFFeelBushedScl | Recommended | CDE |
POMS Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Profile of Mood States - Short Form (POMS-SF) - Fatigue inertia score | The score of the subject's fatigue-inertia, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSFatigueInertiaScore | Recommended | CDE |
| 2 | Profile of Mood States - Short Form (POMS-SF) - Vigor activity score | The score of the subject's vigor-activity, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSVigorActivityScore | Recommended | CDE |
| 3 | Profile of Mood States - Short Form (POMS-SF) - Tension anxiety score | The score of the subject's tension-anxiety, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSTensionAnxietyScore | Recommended | CDE |
| 4 | Profile of Mood States - Short Form (POMS-SF) - Depression dejection score | The score of the subject's depression-dejection, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSDepressionDejectionScore | Recommended | CDE |
| 5 | Profile of Mood States - Short Form (POMS-SF) - Anger hostility score | The score of the subject's anger-hostility, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSAngerHostilityScore | Recommended | CDE |
| 6 | Profile of Mood States - Short Form (POMS-SF) - Confusion bewilderment score | The score of the subject's confusion-bewilderment, as a part of the Profile of Mood States - Short Form (POMS-SF). | POMSConfusionBewildermentScore | Recommended | CDE |
| 7 | Profile of Mood States - Short Form (POMS-SF) - Total mood disturbance score | The total of all 6 subscales of the Profile of Mood States - Short Form minus the score of the Vigor-Anxiety subscale. | POMSTotalMoodDistScore | Recommended | CDE |
Keywords
