Protocol - Emotional Distress
- Anxiety Disorders Screener - Adult
- Depression Screener - Adults
- General Distress Screener
- Sleep Disorders Screener
- Sleep Disorders Screener - Children
Description
This set of questions from the PROMIS© Version 1.0 item banks measure self-reported emotional anxiety, depression, and sleep disturbance. Each question is measured on a five-point scale asking the respondent to reflect on the past 7 days.
Specific Instructions
The PhenX Working Group recommends this PROMIS® protocol. For additional information regarding PROMIS® instruments (including scoring, validity, and interpretation) please visit: www.healthmeasures.net.
For specific information about this instrument, please visit:
- Anxiety - www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=146&Itemid=992
- Depression - www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=157&Itemid=992
- Sleep Disturbance - www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=70&Itemid=992
Availability
Protocol
Anxiety
Please respond to each item by marking one box.
In the past 7 days...
1. I felt fearful
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
2. I felt anxious
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
3. I felt worried
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
4. I found it hard to focus on anything other than my anxiety
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
5. I felt nervous
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
6. I felt uneasy
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
7. I felt tense
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
Depression
Please respond to each item by marking one box.
In the past 7 days....
8. I felt worthless
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
9. I felt that I had nothing to look forward to
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
10. I felt helpless
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
11. I felt sad
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
12. I felt like a failure
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
13. I felt depressed
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
14. I felt unhappy
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
15. I felt hopeless
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
Sleep Disturbance
Please respond to each item by marking one box.
In the past 7 days...
16. My sleep was restless
1[ ]Not at all
2[ ]A little bit
3[ ]Somewhat
4[ ]Quite a bit
5[ ]Very much
17. I was satisfied with my sleep
5[ ]Not at all
4[ ]A little bit
3[ ]Somewhat
2[ ]Quite a bit
1[ ]Very much
18. My sleep was refreshing
5[ ]Not at all
4[ ]A little bit
3[ ]Somewhat
2[ ]Quite a bit
1[ ]Very much
19. I had difficulty falling asleep
1[ ]Not at all
2[ ]A little bit
3[ ]Somewhat
4[ ]Quite a bit
5[ ]Very much
In the past 7 days…
20. I had trouble staying asleep
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
21. I had trouble sleeping
1[ ]Never
2[ ]Rarely
3[ ]Sometimes
4[ ]Often
5[ ]Always
22. I got enough sleep
5[ ]Never
4[ ]Rarely
3[ ]Sometimes
2[ ]Often
1[ ]Always
In the past 7 days…
23. My sleep quality was
5[ ]Very poor
4[ ]Poor
3[ ]Fair
2[ ]Good
1[ ]Very good
© 2008 PROMIS Health Organization and PROMIS Cooperative Group
Personnel and Training Required
NoneEquipment Needs
NoneRequirements
Requirement Category | Required |
---|---|
Major equipment | No |
Specialized training | No |
Specialized requirements for biospecimen collection | No |
Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self-administered questionnaire
Lifestage
Adult
Participants
Adults aged 18 years and older
Selection Rationale
The PROMIS© protocols have been tested and have been found to be reliable and comparable to established measures of these same content areas. Additionally, they are quick and easy to administer, providing for a variety of user options.
Language
English, Other languages available at source
Standards
Standard | Name | ID | Source |
---|---|---|---|
Logical Observation Identifiers Names and Codes (LOINC) | Emotional distress proto | 62963-4 | LOINC |
Human Phenotype Ontology | Triggered by stress | HP:0025226 | HPO |
caDSR Form | PhenX PX190601 - Emotional Distress | 6194792 | caDSR Form |
Derived Variables
None
Process and Review
Not applicable.
Protocol Name from Source
Patient-Reported Outcomes Measurement Information System® Item Bank, v.1.0
Source
U.S. Department of Health and Human Services. National Institutes of Health (NIH). PROMIS© Item Bank v.1.0—Emotional Distress–Anxiety Short Form 1. PROMIS© Item Bank v. 1.0—Emotional Distress–Depression Short Form 1. PROMIS© Item Bank v. 1.0—Sleep Disturbance.
General References
None
Protocol ID
190601
Variables
Export VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX190601_Hard_To_Focus | ||||
PX190601040000 | In the past 7 days... I found it hard to more | N/A | ||
PX190601_I_Felt_Anxious | ||||
PX190601020000 | In the past 7 days... I felt anxious | N/A | ||
PX190601_I_Felt_Depressed | ||||
PX190601130000 | In the past 7 days... I felt depressed | Variable Mapping | ||
PX190601_I_Felt_Fearful | ||||
PX190601010000 | In the past 7 days... I felt fearful | Variable Mapping | ||
PX190601_I_Felt_Helpless | ||||
PX190601100000 | In the past 7 days... I felt helpless | N/A | ||
PX190601_I_Felt_Hopeless | ||||
PX190601150000 | In the past 7 days... I felt hopeless | N/A | ||
PX190601_I_Felt_Like_A_Failure | ||||
PX190601120000 | In the past 7 days... I felt like a failure | Variable Mapping | ||
PX190601_I_Felt_Nervous | ||||
PX190601050000 | In the past 7 days... I felt nervous | Variable Mapping | ||
PX190601_I_Felt_Sad | ||||
PX190601110000 | In the past 7 days... I felt sad | Variable Mapping | ||
PX190601_I_Felt_Tense | ||||
PX190601070000 | In the past 7 days... I felt tense | Variable Mapping | ||
PX190601_I_Felt_Uneasy | ||||
PX190601060000 | In the past 7 days... I felt uneasy | Variable Mapping | ||
PX190601_I_Felt_Unhappy | ||||
PX190601140000 | In the past 7 days... I felt unhappy | N/A | ||
PX190601_I_Felt_Worried | ||||
PX190601030000 | In the past 7 days... I felt worried | N/A | ||
PX190601_I_Felt_Worthless | ||||
PX190601080000 | In the past 7 days... I felt worthless | N/A | ||
PX190601_I_Got_Enough_Sleep | ||||
PX190601220000 | In the past 7 days... I got enough sleep | N/A | ||
PX190601_I_Had_Difficulty_Falling_Asleep | ||||
PX190601190000 | In the past 7 days... I had difficulty more | N/A | ||
PX190601_I_Had_Trouble_Sleeping | ||||
PX190601210000 | In the past 7 days... I had trouble sleeping | N/A | ||
PX190601_I_Had_Trouble_Staying_Asleep | ||||
PX190601200000 | In the past 7 days... I had trouble staying asleep | N/A | ||
PX190601_My_Sleep_Was_Refreshing | ||||
PX190601180000 | In the past 7 days... My sleep was refreshing | N/A | ||
PX190601_My_Sleep_Was_Restless | ||||
PX190601160000 | In the past 7 days... My sleep was restless | Variable Mapping | ||
PX190601_Nothing_To_Look_Forward_To | ||||
PX190601090000 | In the past 7 days... I felt that I had more | N/A | ||
PX190601_Satisfied_With_My_Sleep | ||||
PX190601170000 | In the past 7 days... I was satisfied with more | N/A | ||
PX190601_Sleep_Quality | ||||
PX190601230000 | In the past 7 days... My sleep quality was | N/A |
Measure Name
Emotional Distress
Release Date
December 13, 2010
Definition
This is a measure to assess emotional distress in the past 7 days.
Purpose
This measure can be used to assess a respondent's level of emotional distress, which can have a direct impact on gastrointestinal disorders and other physical problems.
Keywords
Emotional distress, anxiety, depression, sleep disturbance, Gastrointestinal, PROMIS
Measure Protocols
Protocol ID | Protocol Name |
---|---|
190601 | Emotional Distress |
Publications
Glassberg, J. A., et al. (2020) Publication of data collection forms from NHLBI funded sickle cell disease implementation consortium (SCDIC) registry. Orphanet J Rare Dis. 2020 July; 15(1): 178. doi: 10.1186/s13023-020-01457-x