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A POMS short form for cancer patients: psychometric and structural evaluation
Open accessAbstract
The internal consistency, validity, and factor structure of the Shacham shortened version (37 items) of the 65‐item profile of mood states (POMS) were examined with a sample of 428 cancer patients who were awaiting bone marrow transplantation. Cronbach's alphas ranging from 0.78 to 0.91 were obtained for each of the six subscales of the POMS‐short form (POMS‐SF) and for the total 37‐item scale. Correlations with the CES‐D, the Self‐Rated Karnofsky, the MOS SF‐20 Physical Functioning, and the Bradburn Positive and Negative Affect Scales provided evidence of the convergent and discriminant validity of the POMS‐SF. Results of a confirmatory factor analysis were supportive of the 6‐factor interpretation of the POMS items in the 37‐item version of the POMS. Copyright © 2002 John Wiley & Sons, Ltd.
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“The Profile of Mood States – Short Form (POMS-SF) is a 37-item well-validated self-report mood inventory that is commonly used in oncology settings.”
From Psychological flexibility, distress, and coping in ovarian cancer survivors. (2026) · cites this paper as [24]
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“In a sample of 437 cancer patients, Baker 32 reported a mean score for fatigue of 5.63 and established the cut-off score for clinical classification of an individual as fatigued at ≥ 6.”
BackgroundInfluentialKing, H.-J., & Lee, H. (2022) · International Journal of Environmental Health Research · doi:10.1080/09603123.2022.2044456 · Cited by 8
“A shorter version was later developed by Shacham (1983), which has been verified by other researchers, including Curran et al. (1995) and Baker et al. (2002).”
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BackgroundInfluentialStroemel-Scheder, C., & Lautenbacher, S. (2021) · BMC Psychology · doi:10.1186/s40359-021-00641-3 · Cited by 8
“German sample, the POMS yielded satisfactory internal consistency [23]; the same result was found in studies assessing the English short form of the POMS in Englishspeaking samples [25, 26].”
ResultDie emotionale Befindlichkeit älterer Menschen—
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“…liegt ein Instrument zur Erfassung des psychischen Befindens vor, das im klinischen Bereich vielfach angewandt wird, z. B. im onkologischen Bereich (DiLorenzo et al., 1999; Baker et al., 2002), aber auch im nicht-klinischen Bereich für verschiedene Populationen zweckmäßig ist (z. B. Dalbert, 1992).”
BackgroundPhysical activity, cardiovascular health and mood state in older adults
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Andrade, E., Arce, C., Garrido, J., Torrado, J., & Francisco, C. D. (2011) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 7
The effectiveness of a rehabilitation programme for C hinese cancer survivors: A pilot study
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Hu, X., Zhang, Q., Wang, H., Tan, J., Geng, Q., Ma, H., & Jin, Y. (2025) · Psycho-Oncology · doi:10.1002/pon.70287 · Cited by 6
“The Chinese version of the Profile of Mood States‐Short Form (POMS‐SF) was used to measure psychological distress [27].”
Pharmacodynamic Evaluation: CNS
Wesnes, K. A., & Brooker, H. J. (2010) · Springer eBooks · doi:10.1007/978-3-540-89891-7_32 · Cited by 6
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Heiney, S. P., McWayne, J., Ford, L., & Carter, C. (2006) · Journal of Psychosocial Oncology · doi:10.1300/j077v24n04_05 · Cited by 6
“Multiple versions of this tool were used ranging from a linear analog scale to short forms with fewer items (Baker et al., 2002; Cella et al., 1987; Sutherland, Lockwood, & Cunningham, 1989; Sutherland, Walker, & Till, 1988).”
MethodRural-urban disparities in psychosocial functioning in epithelial ovarian cancer patients
Telles, R., Zimmerman, M. B., Thaker, P. H., Slavich, G. M., Ramírez, E., Zia, S., Goodheart, M. J., Cole, S. W., Sood, A. K., & Lutgendorf, S. K. (2024) · Gynecologic Oncology · doi:10.1016/j.ygyno.2024.01.024 · Cited by 5
“At study-entry (pre-diagnosis), rural and urban patients did not differ signi fi cantly in levels of distress ( p = 0.91), with levels of distress in a moderately elevated range [4].”
BackgroundInfluentialEffects of Walking Combined With Resistance Band Exercises on Alleviating Cancer-Related Fatigue
Liu, A.-I., Lee, Y., Lu, C., Huda, N., & Huang, T. (2023) · Cancer Nursing · doi:10.1097/ncc.0000000000001300 · Cited by 6
Affect in Sporting Activities: a Preliminary Validation of the Worcester Affect Scale
Rhoden, C. L., & West, J. (2010) · Sport Science Review · doi:10.2478/v10237-011-0033-8 · Cited by 6
“These quick assessments of affect may provide a reduction in respondent burden resulting in more valid responses (Baker et al., 2002; Malouff et al., 1985; Västfjäll & Gärling, 2007; Wilhelm & Schoebi, 2007).”
BackgroundMethodInfluentialAdapting Large Batteries of Research Measures for Immigrants
Aroian, K. J. (2012) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-012-9628-0 · Cited by 5
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Fisher, C. L., Campbell-Salome, G., Bagautdinova, D., Wright, K., Forthun, L., Bacharz, K. C., Mullis, M., Wolf, B. M., Pereira, D., Spiguel, L., et al. (2023) · Cancers · doi:10.3390/cancers15153864 · Cited by 4
“Distress was measured using the Profile of Moods State (POMS) short form–cancer (37 items), which has been utilized to measure cancer caregivers’ distress [70,71].”
MethodBanks, N. F., Rogers, E. M., Helwig, N. J., Schwager, L. E., Alpers, J. P., Schulte, S. L., Trachta, E. R., Lockwood, C. M., & Jenkins, N. D. M. (2024) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2023.2297988 · Cited by 4
“Mood was assessed using the POMS-SF, a 35-item 5-point Likert scale survey which assesses Total Mood Disturbance and the following six sub-scales: Fatigue-Inertia, Vigor-60 Activity, Tension-Anxiety, Depression-Dejection, Anger-Hostility, and Confusion-Bewilderment [38].”
MethodHardy, S. J., Finkelstein, A. J., Tivarus, M. E., Culakova, E., Mohile, N. A., Weber, M. T., Lin, E., Zhong, J., Usuki, K. Y., Schifitto, G., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066458 · Cited by 4
Stańko-Kaczmarek, M., Jankowski, T., Bartel, R., Stankowska, M., Andrzejewska, M., Rybakowski, F., Kaczmarek, L. D., & RYBAKOWSKI, J. K. (2025) · Journal of Happiness Studies · doi:10.1007/s10902-025-00932-1 · Cited by 4
“We selected items from the Profile of Mood States, POMS–SF (Baker et al., 2002), six for positive affect (e.g., "energetic"), and six for negative affect (e.g., "sad").”
Goldberg, I., Sherwood, P. R., Sereika, S. M., Donovan, H. S., Weimer, J. M., Drappatz, J., Boele, F. W., Shi, X., & Loughan, A. R. (2023) · Journal of Neuroscience Nursing · doi:10.1097/jnn.0000000000000732 · Cited by 4
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“The pre-treatment stage (ie, from diagnosis to treatment initiation) is intensely distressing (Baker, Denniston, Zabora, Polland, & Dudley, 2002 ; Fife et al, 2000 ; Trask et al, 2002 ), yet few have examined the stressful events and/or coping efforts characteristic of this period.”
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Bond, S. M., Schumacher, K. L., Dietrich, M. S., Wells, N. L., Militsakh, O. N., & Murphy, B. A. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101751 · Cited by 3
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Strouse, C. S., Larson, M. C., Ehlers, S. L., Yost, K. J., Maurer, M. J., Ansell, S. M., Inwards, D. J., Johnston, P. B., Micallef, I. N., Link, B. K., et al. (2022) · JCO Oncology Practice · doi:10.1200/op.21.00694 · Cited by 3
“The validity of the POMS-SF in patients with cancer has been verified.(21) Both the STAI and POMS-SF are collected at FU3, and STAI is again collected at FU6.”
MethodNyklı́ček, I., Ostafin, B. D., & Boekhorst, M. G. B. M. (2024) · Mindfulness · doi:10.1007/s12671-024-02351-4 · Cited by 3
“Mood Mood in the past period was assessed using the Dutch version (Wald & Mellenbergh, 1990) of the short form of the Profile of Mood States (POMS-SF; Shacham, 1983).”
Preparing African American Women for Breast Biopsy
Bradley, P. K., Kash, K. M., Piccoli, C. W., & Myers, R. E. (2005) · Cancer Control · doi:10.1177/1073274805012004s16 · Cited by 3
Lai, P., Lee, A. Y., & Chang, C. Y. (2021) · Acta Horticulturae · doi:10.17660/actahortic.2021.1330.18 · Cited by 3
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Harvey, L. P., Lane, K. R., Johnson, R. A., & Silveira, B. A. (2024) · Educational Gerontology · doi:10.1080/03601277.2024.2321065 · Cited by 2
“The POMS’s reliability scores showed good internal consistency on the six subscales (Baker et al., 2002).”
BackgroundKoizumi, K., Hamaguchi, T., Tayama, J., Ishioka, T., Hiromi, N., Koike, Y., Nakaya, N., Konno, M., & Makita, S. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100122 · Cited by 1
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“These were chosen along two bipolar dimensions of affect: unpleasant – pleasant and deactivated – activated [45] with the highest factor loadings from the Profile of Mood States Short Form [46] and the low negative affect scale from Watson and Tellegen [47].”
Sleep Treatment Education Program for Cancer Survivors: Protocol for an Efficacy Trial
Bice, B., Michaud, A. L., McCormick, K. G., Miklos, E. M., Descombes, I. D., Medeiros-Nancarrow, C., Zhou, E. S., & Recklitis, C. J. (2024) · JMIR Research Protocols · doi:10.2196/60762 · Cited by 2
“The POMS-SF is a commonly used measure of psychological distress that has been validated in cancer populations [68].”
Kwon, M., Zhu, J., Wilding, G. E., Larkin, K., Gehrman, P., & Dickerson, S. S. (2024) · Annals of Behavioral Medicine · doi:10.1093/abm/kaae096 · Cited by 2
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THE EFFECTS OF HYPOXIA AND EXERCISE ON PHYSIOLOGICAL AND COGNITIVE PERFORMANCE
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Perceptual strain in a compensable hot environment: Accuracy and clinical correlates
Weiner, C. M., Kazman, J. B., Abraham, P. A., & Deuster, P. A. (2021) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2021.102863 · Cited by 2
Baydoun, M., Speca, M., Taylor‐Brown, J., Stephen, J. E., Piedalue, K.-A. L., Turner, J., & Carlson, L. E. (2021) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000058 · Cited by 1
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Quality of life and survivorship in patients with low-grade ovarian cancer
Lemieux, M., Telles, R., Goodheart, M. J., Dahmoush, L., Hagemann, I. S., Penedo, F. J., Nandakumar, R., Cole, S. W., Sood, A. K., Lutgendorf, S. K., et al. (2024) · Gynecologic Oncology · doi:10.1016/j.ygyno.2024.08.010 · Cited by 1
Daniel, E. K., Johnco, C. J., & Sicouri, G. (2025) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2025.100937 · Cited by 1
Bryan, E. G., Wright, K. B., Reese, S., Mullis, M. D., Bylund, C. L., Sae‐Hau, M., Weiss, E. S., Lagmay, J., & Fisher, C. L. (2026) · Palliative & Supportive Care · doi:10.1017/s1478951525101417 · Cited by 1
“The 37-item Profile of Moods State (POMS) short form-cancer scale was used to measure parents’ distress (Baker et al. 2002; Kim et al. 2007) (α = .92).”
Lung Cancer Stigma: Associated Variables and Coping Strategies
Criswell, K. R. (2016) · The Scholars Repository - LLU (Loma Linda University) · Cited by 1
Reliability and Validity of the Outcome Questionnaire in a Heterogeneous Cancer Population
Testerman, L. S. (2012) · The Scholars Repository - LLU (Loma Linda University) · Cited by 1
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“Table 4의 6개 POMS 요인 (factor)은 본 연구의 표본수가 적기 때문에 요인분석을 별도로 하 기보다 기존 연구(Baker et al., 2002)의 요인분석 결과를 토대로 분류하였다.”
Editors, I. (2016) · International Journal of Educational Psychology · doi:10.17583/ijep.2016.2151 · Cited by 1
Effects of Biofeedback Training on HRV, Mood State and Shooting Performance of Shooters
Donghai, H., & Wahab, M. N. A. (2024) · Environment-Behaviour Proceedings Journal · doi:10.21834/e-bpj.v9isi20.6100 · Cited by 1
“The study was divided into three stages, with data collected four times using the POMS short-form questionnaire (Baker et al.,2002): at baseline and after each stage.”
MethodLópez-Jiménez, C. M., Cano‐García, F. J., Sanduvete‐Chaves, S., & Moscoso, S. C. (2025) · Rheumato · doi:10.3390/rheumato5020004 · Cited by 1
“Studies in healthy adult and cancer patient samples support the reliability of this abbreviated version (between 0.73 and 0.96) [15–18].”
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“…addition to self-report 16 1 6 questionnaires on perceptions of cognitive deficits and fatigue via the Profile of Mood States – Short Form (POMS-SF, Baker et al., 2002), social support seeking through the Hesitation Scale (Farmer, Clark, & Sherman, 2003), the Beck Depression Inventory – II…”
MethodPsychological flexibility, distress, and coping in ovarian cancer survivors.
Telles, R., Hosch, A., Pennington, K. P., Schlumbrecht, M., McGregor, B. A., Heron, L., Zia, S., Noble, A., Goodheart, M. J., Noonan, M., et al. (2026) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2025.2588632
“24,25 The anxiety/tension subscale is a sum score of six items from this subscale.”
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Mariño, J. S., Bernal, G., Rodríguez, L., Gómez, K., & Morales-Cruz, J. (2016) · Salud & Sociedad · doi:10.22199/s07187475.2012.0002.00007
Evaluation of an Iyengar yoga intervention for women with cancer
Duncan, M. D. (2007) · University Library - University of Saskatchewan (University of Saskatchewan)
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The Effect of a Brief Acceptance-Based Protocol on Health Related Relational Framing
Madrigal-Bauguss, J. A. (2010) · doi:10.12794/metadc30488
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중환자실 환자의 불안 정도와 불안에 영향하는 요인 분석
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Comoglio, C. C. (2017) · Purdue e-Pubs (Purdue University System) · doi:10.7912/c2594m
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BackgroundMethodInfluentialCognitive Sequelae of Endocrine Therapy for the Treatment of Breast Cancer
Underwood, E. A. (2017) · TSpace (University of Toronto)
The Effect of Flower Arrangement on the Emotions of Psychology Teachers
Du, J., Chen, J., Yin, J., Xie, Z., & Zhang, H. (2018)
Nutrition and Cancer Treatment
Heber, D., & Bowerman, S. (2013) · CRC Press eBooks · doi:10.1201/b15294-73
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Η επίδραση της συμβουλευτικής και της άσκησης στην ποιότητα ζωής των καρκινοπαθών
Papastergiou, D. (2021) · doi:10.12681/eadd/50901
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Nutrition and Cancer Treatment
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Quality of life and patient-reported outcomes in neuro-oncology clinical care and research
King, A. L., & Cahill, J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-15663-2.00040-7
Frontal Cortical Activity during Care Farming Activities of Adults Using Electroencephalogram
Kim, S.-O., Wu, Y., Lee, K., & Park, S.-A. (2024) · HortScience · doi:10.21273/hortsci17890-24
“Each of the six mood states was de fi ned by fi ve adjective items, and the total mood disorder (TMD) score was evaluated using the following formula: The lower the TMD score, the better the psychological state of the participant (Baker et al. 2002).”
Method무용전공 여대생의 섭식장애와 월경불순에 따른 근골격계질환, 수면의 질 및 기분상태의 차이검증*
석, 지., & 이, 호. (2024) · 한국체육학회지 · doi:10.23949/kjpe.2024.9.63.5.1
Sforza, M., Sala, M., Galbiati, A., Zucconi, M., Casoni, F. M., Ferini‐Strambi, L., & Castronovo, V. (2025) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-025-00614-0
“Confirmatory Factor Analysis We tested the 6-factor structure proposed by Baker et al. (2002) using a Confirmatory Factor Analysis (CFA).”
InfluentialPfaff, K. (2008) · Scholarship at UWindsor (University of Windsor)
Quality of life questionnaires in patients with acromegaly: a scoping review
Builes-Montaño, C. E., Contreras-Saldarriaga, J. E., Arroyo-Ripoll, O. F., & Donado-Gomez, J. H. (2026) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-026-01022-3
Working memory in chronic pain: evidence for task-specific rather than global differencesPreprint
Halicka, M., Scheller, M., & Brown, C. A. (2026) · medRxiv · doi:10.64898/2026.03.20.26348805
Fisher, C. L., Wright, K. B., Wollney, E. N., Crowe, A., Paige, S. R., Sae‐Hau, M., Weiss, E. S., & Bylund, C. L. (2026) · Psycho-Oncology · doi:10.1002/pon.70478
“Psychological distress was measured with the 37‐item Profile of Moods State short form–cancer (POMS‐SF) [13].”
Metadata
- Authors
- Baker, F., Denniston, M., Zabora, J., Polland, A., & Dudley, W. N.
- Affiliations
- American Cancer Society (US)
- Johns Hopkins University (US)
- University of Utah (US)
- Corresponding author
- Baker, Frank
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2002-07
- Volume
- 11
- Issue
- 4
- Pages
- 273-281
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2157354328
- Cited by
- 304
- References
- 40
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 15 · 2023: 5 · 2022: 10 · 2021: 16 · 2020: 13 · 2019: 11 · 2018: 10 · 2017: 11 · 2016: 22 · 2015: 19 · 2014: 15 · 2013: 17 · 2012: 21
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- green
- libres.uncg.edu
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- Profile of Mood States, cancer patients, mood states, psychometric properties, factor structure, convergent validity, discriminant validity, internal consistency, bone marrow transplantation, positive and negative affect, quality of life
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Neoplasms, Psychometrics, Quality of Life, Surveys and Questionnaires, Social Adjustment, Reproducibility of Results, Bone Marrow Transplantation, Mood Disorders
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