PROMIS Item Bank v. 1.0 – Emotional Distress - Anger - Short Form 1
Emotional Distress - Anger – Short Form 1
Please respond to each item by marking one box per row.
In the past 7 days...
EDANG03
EDANG06
EDANG09
EDANG15
EDANG25
EDANG28
EDANG30
EDANG35
Never
Rarely
Sometimes
Often
Always
I was irritated more than people knew ...
I made myself angry about something
just by thinking about it..........................
I felt angry ..............................................
I felt like I was ready to explode ............
I stayed angry for hours..........................
I felt angrier than I thought I should.......
I was grouchy .........................................
I felt annoyed..........................................
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
© 2008 PROMIS Health Organization and PROMIS Cooperative Group
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
PROMIS Item Bank v.1.0 – Emotional Distress - Anxiety Short Form 1
Emotional Distress - Anxiety – Short Form 1
Please respond to each item by marking one box per row.
In the past 7 days...
Never
EDANX01
Rarely
Sometimes
Often
Always
I felt fearful..........................................................
I felt anxious ........................................................
I felt worried ........................................................
I found it hard to focus on anything
other than my anxiety ................................
I felt nervous.........................................................
I felt uneasy ..........................................................
I felt tense .............................................................
1
EDANX05
1
EDANX30
1
EDANX40
EDANX46
1
1
EDANX53
1
EDANX54
1
2
2
2
2
2
2
2
3
3
3
3
3
3
3
© 2008 PROMIS Health Organization and PROMIS Cooperative Group
4
4
4
4
4
4
4
5
5
5
5
5
5
5
PROMIS Item Bank v. 1.0 – Emotional Distress - Depression Short Form 1
Emotional Distress - Depression – Short Form 1
Please respond to each item by marking one box per row.
In the past 7 days....
EDDEP04
EDDEP05
EDDEP06
EDDEP17
EDDEP22
EDDEP29
EDDEP36
EDDEP41
Never
Rarely
Sometimes
Often
Always
I felt worthless……………………..
I felt that I had nothing to look forward
to………………………………………..
I felt helpless……………………………
I felt sad………………………………...
I felt like a failure……………………….
I felt depressed………………………….
I felt unhappy…………………………...
I felt hopeless ...........................................
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
© 2008 PROMIS Health Organization and PROMIS Cooperative Group
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
Scoring PROMIS Short Forms
Scoring Short Forms
Static short forms administered online can be scored using the same numerical scoring
algorithm implemented in the Assessment Center software. The item response theory (IRT)
model adopted in PROMIS (i.e., the graded response model) uses the pattern of item responses
for scoring, not just the sum of individual item responses. Under paper administration of static
short forms, however, it is inevitable to streamline the process and use some form of lookup
tables based on summed scores, because the number of different response patterns will
become unmanageably large to present in a lookup table as the test length increases beyond
two or three items. Therefore, for a given collection of IRT calibrated items, we estimate the
conditional distribution of each summed score as a function of the trait continuum. Taking into
account the score distribution in the population of examinees from which our standardization
sample was drawn, we then determine the optimal trait level for each summed score and
populate a scoring table. A scoring table can be prepared in advance to map all possible
summed scores to trait scores in one-to-on correspondence. Upon administering a static short
form, the test administrator can add up the individual item responses reported by the examinee
and map the summed score to a trait score using the scoring table provided for the form. All
PROMIS short forms are designed to be scored from 1 to 5 (or higher depending on the number
of response options). For instance, the PROMIS Depression short form is composed of 8 items
and each item has five response options (i.e., Never, Rarely, Sometimes, Often, and Always).
Thus, the minimum possible raw summed score for the form is 8 (8 times 1) and the maximum
40 (8 times 5). The scoring table for the form lists all possible raw summed scores ranging from
8 to 40 and the corresponding trait scores and standard errors. Because a scoring table is
prepared for a fixed set of items, it can only be used when an examinee responds to all of the
items in the set. One or more missing responses will render such scoring tables unusable.
Raw Score to T Score Conversion Tables
The following conversion tables allow a user to convert simple summed raw scores from
PROMIS short forms into T-score values on an individual respondent or group of respondents.
In all cases, these conversions only work accurately when all questions on the short form have
been answered. T-Score distributions are standardized such that a 50 represents the average
(mean) for the US general population, and the standard deviation around that mean is 10 points.
A high score always represents more of the concept being measured. Thus, for example, a
person who has a T-score of 60 is one standard deviation higher than the general population for
the concept being measured. For symptoms and other negatively-worded concepts like pain,
fatigue, anxiety, and sleep disturbance, a 60 is one standard deviation worse than average; for
functional scores and other positively-worded concepts like physical or social function, a 60 is
one standard deviation better than average, etc.
5/8/08
page 1
Scoring PROMIS Short Forms
Anger
Anxiety
Short Form Conversion Table
Raw.Score T.Score
SE*
8
32.4
5.2
9
37.3
3.8
10
40.2
3.4
11
42.5
3.1
12
44.4
3.0
13
46.0
2.9
14
47.6
2.8
15
49.1
2.7
16
50.5
2.7
17
51.8
2.6
18
53.1
2.6
19
54.4
2.6
20
55.7
2.6
21
56.9
2.6
22
58.2
2.6
23
59.4
2.6
24
60.7
2.6
25
61.9
2.6
26
63.2
2.6
27
64.5
2.6
28
65.7
2.6
29
67.0
2.6
30
68.3
2.6
31
69.6
2.6
32
70.9
2.6
33
72.3
2.6
34
73.7
2.6
35
75.1
2.6
36
76.7
2.6
37
78.3
2.7
38
80.2
2.8
39
82.3
3.1
40
85.2
3.5
Short Form Conversion Table
Raw.Score T.Score
SE*
7
36.3
5.4
8
42.1
3.4
9
44.7
2.9
10
46.7
2.6
11
48.4
2.4
12
49.9
2.3
13
51.3
2.3
14
52.6
2.2
15
53.8
2.2
16
55.1
2.2
17
56.3
2.2
18
57.6
2.2
19
58.8
2.2
20
60.0
2.2
21
61.3
2.2
22
62.6
2.2
23
63.8
2.2
24
65.1
2.2
25
66.4
2.2
26
67.7
2.2
27
68.9
2.2
28
70.2
2.2
29
71.5
2.2
30
72.9
2.2
31
74.3
2.2
32
75.8
2.3
33
77.4
2.4
34
79.5
2.7
35
82.7
3.5
*SE = Standard Error
*SE = Standard Error

5/8/08
Conversion Table applies only when ALL questions on the short form have
been answered
page 2
Scoring PROMIS Short Forms
Depression
Fatigue
Short Form Conversion Table
Raw.Score T.Score
SE*
8
37.1
5.5
9
43.3
3.4
10
46.2
2.8
11
48.2
2.4
12
49.8
2.2
13
51.2
2.0
14
52.3
1.9
15
53.4
1.8
16
54.3
1.8
17
55.3
1.7
18
56.2
1.7
19
57.1
1.7
20
57.9
1.7
21
58.8
1.7
22
59.7
1.8
23
60.7
1.8
24
61.6
1.8
25
62.5
1.8
26
63.5
1.8
27
64.4
1.8
28
65.4
1.8
29
66.4
1.8
30
67.4
1.8
31
68.3
1.8
32
69.3
1.8
33
70.4
1.8
34
71.4
1.8
35
72.5
1.8
36
73.6
1.8
37
74.8
1.9
38
76.2
2.0
39
77.9
2.4
40
81.1
3.4
Short Form Conversion Table
Raw.Score T.Score
SE*
7
29.4
5.3
8
33.4
4.8
9
36.9
4.3
10
39.6
4.0
11
41.9
3.8
12
43.9
3.5
13
45.8
3.3
14
47.6
3.2
15
49.2
3.1
16
50.8
3.0
17
52.2
3.0
18
53.7
3.0
19
55.1
3.0
20
56.4
2.9
21
57.8
2.9
22
59.2
2.9
23
60.6
2.9
24
62.0
2.9
25
63.4
2.9
26
64.8
2.9
27
66.3
2.9
28
67.8
2.9
29
69.4
2.9
30
71.1
3.0
31
72.9
3.0
32
74.8
3.1
33
77.1
3.3
34
79.8
3.6
35
83.2
4.1
*SE = Standard Error
*SE = Standard Error

5/8/08
Conversion Table applies only when ALL questions on the short form have
been answered
page 3
Scoring PROMIS Short Forms
Pain Behavior
Pain Impact
Short Form Conversion Table
Raw.Score T.Score
SE*
7
36.7
5.1
8
42.5
2.3
9
44.4
1.8
10
45.7
1.6
11
46.9
1.6
12
48
1.6
13
49
1.6
14
50.1
1.6
15
51.1
1.7
16
52.1
1.7
17
53
1.7
18
53.9
1.6
19
54.8
1.6
20
55.6
1.6
21
56.4
1.5
22
57.1
1.5
23
57.8
1.5
24
58.6
1.5
25
59.2
1.5
26
59.9
1.4
27
60.6
1.4
28
61.2
1.4
29
61.9
1.4
30
62.5
1.4
31
63.1
1.4
32
63.8
1.4
33
64.4
1.4
34
65.1
1.4
35
65.8
1.5
36
66.6
1.5
37
67.4
1.6
38
68.3
1.7
39
69.3
1.8
40
70.5
2
41
72.1
2.2
42
75.9
3.7
Short Form Conversion Table
Raw.Score T.Score
SE*
6
41
6
7
48.5
2.6
8
50.8
2.1
9
52.5
1.9
10
53.8
1.8
11
55
1.7
12
56.1
1.7
13
57.1
1.7
14
58.1
1.7
15
59.1
1.6
16
60
1.6
17
60.9
1.6
18
61.8
1.6
19
62.7
1.6
20
63.6
1.6
21
64.5
1.6
22
65.5
1.6
23
66.4
1.6
24
67.4
1.7
25
68.5
1.7
26
69.6
1.8
27
70.9
1.9
28
72.4
2.1
29
74.4
2.4
30
78.3
3.7
*SE = Standard Error
*SE = Standard Error

5/8/08
Conversion Table applies only when ALL questions on the short form have
been answered
page 4
Scoring PROMIS Short Forms
Physical Function
Sleep Disturbance
Short Form Conversion Table
Raw.Score T.Score
SE*
10
14.1
3.3
11
17
2.8
12
18.7
2.7
13
20.1
2.5
14
21.3
2.4
15
22.4
2.3
16
23.4
2.2
17
24.4
2.2
18
25.3
2.1
19
26.2
2
20
27.1
2
21
28
1.9
22
28.8
1.9
23
29.6
1.9
24
30.4
1.8
25
31.2
1.8
26
32
1.8
27
32.7
1.7
28
33.5
1.7
29
34.2
1.7
30
35
1.7
31
35.7
1.7
32
36.4
1.7
33
37.2
1.7
34
37.9
1.7
35
38.7
1.7
36
39.4
1.7
37
40.2
1.8
38
41
1.8
39
41.8
1.8
40
42.6
1.8
41
43.5
1.9
42
44.4
2
43
45.4
2
44
46.4
2.2
45
47.7
2.4
46
49.1
2.6
47
50.8
3
48
53
3.4
49
55.3
3.7
50
61.7
5.9
Short Form Conversion Table
Raw.Score T.Score
SE*
8
28.9
4.8
9
33.1
3.7
10
35.9
3.3
11
38
3
12
39.8
2.9
13
41.4
2.8
14
42.9
2.7
15
44.2
2.7
16
45.5
2.6
17
46.7
2.6
18
47.9
2.6
19
49
2.6
20
50.1
2.5
21
51.2
2.5
22
52.2
2.5
23
53.3
2.5
24
54.3
2.5
25
55.3
2.5
26
56.3
2.5
27
57.3
2.5
28
58.3
2.5
29
59.4
2.5
30
60.4
2.5
31
61.5
2.5
32
62.6
2.5
33
63.7
2.6
34
64.9
2.6
35
66.1
2.7
36
67.5
2.8
37
69
3
38
70.8
3.2
39
73
3.5
40
76.5
4.4
*SE = Standard Error

*SE = Standard Error
5/8/08
page 5
Conversion Table applies only
when ALL questions on the short
form have been answered
Scoring PROMIS Short Forms
Social-Satisfaction with
Discretionary Activities
Social-Satisfaction with Roles
Short Form Conversion Table
Raw.Score T.Score
SE*
7
27.0
4.1
8
31.0
2.6
9
32.8
2.3
10
34.1
2.0
11
35.3
1.9
12
36.3
1.8
13
37.3
1.8
14
38.2
1.8
15
39.1
1.8
16
39.9
1.8
17
40.8
1.8
18
41.7
1.8
19
42.6
1.8
20
43.5
1.8
21
44.4
1.8
22
45.3
1.8
23
46.3
1.8
24
47.3
1.9
25
48.3
1.9
26
49.4
1.9
27
50.5
1.9
28
51.6
1.9
29
52.7
1.9
30
53.9
1.9
31
55.2
1.9
32
56.6
2.0
33
58.2
2.3
34
60.4
2.8
35
65.6
4.9
Short Form Conversion Table
Raw.Score T.Score
SE*
7
28.7
4.4
8
32.8
2.9
9
34.8
2.5
10
36.3
2.3
11
37.6
2.1
12
38.7
2.0
13
39.8
1.9
14
40.7
1.9
15
41.7
1.9
16
42.6
1.9
17
43.5
1.9
18
44.4
1.9
19
45.3
1.9
20
46.3
1.9
21
47.2
1.9
22
48.1
1.9
23
49.1
1.9
24
50.1
1.9
25
51.1
1.9
26
52.1
1.9
27
53.1
1.9
28
54.2
1.9
29
55.2
1.9
30
56.3
1.9
31
57.5
2.0
32
58.8
2.1
33
60.4
2.3
34
62.5
2.8
35
67.3
4.7
*SE = Standard Error
*SE = Standard Error

5/8/08
Conversion Table applies only when ALL questions on the short form have
been answered
page 6
Scoring PROMIS Short Forms
Wake Disturbance
Short Form Conversion Table
Raw.Score T.Score
SE*
8
30
5.4
9
35.1
4.6
10
38.7
4.2
11
41.4
3.8
12
43.6
3.6
13
45.5
3.4
14
47.3
3.1
15
48.9
2.9
16
50.3
2.7
17
51.6
2.6
18
52.9
2.6
19
54
2.5
20
55.1
2.5
21
56.1
2.5
22
57.2
2.5
23
58.2
2.4
24
59.3
2.4
25
60.3
2.4
26
61.3
2.4
27
62.3
2.3
28
63.3
2.3
29
64.3
2.3
30
65.3
2.3
31
66.3
2.3
32
67.3
2.3
33
68.4
2.3
34
69.5
2.4
35
70.7
2.4
36
71.9
2.5
37
73.3
2.6
38
75
2.8
39
76.9
3.1
40
80
3.9
*SE = Standard Error

5/8/08
Conversion Table applies only when ALL questions on the short form have
been answered
page 7