Table I.
PROMIS Early Childhood Domains and Definitions
| Domain | Definition |
|---|---|
| Global health | Overall evaluation of one’s physical, mental, and social health |
| Mental health | |
| Anger/irritability | Angry mood (irritability, grouchiness) and behavior (frustration, tantrums, and management of angry behavior) |
| Anxiety | Fear (fearfulness, panic), anxious misery (worry/dread), hyperarousal (tension, nervousness), and social/separation anxiety (fear/distress when separating from caregivers, in unfamiliar situations) |
| Depressive symptoms | Sad/withdrawn, negative views of self (self-criticism, low self-esteem), and anhedonia (loss of interest, inability to engage in play, lack of enjoyment) |
| Positive affect | Feelings and moods associated with momentary positive affective experiences (contentment, happiness, and joy) |
| Engagement—curiosity | Emotional, behavioral, and cognitive curiosity and interest, initiative taking |
| Engagement—persistence | Sustained engagement and effort in problem solving and completing challenging activities, self-confidence |
| Self-control—adaptability | Ability to adapt in response to environmental demands, changes, and expectations (flexibility) |
| Self-control—self-regulation | Recognition and regulation of emotions and behaviors in service of one’s own goals (coping, frustration tolerance) |
| Social health | |
| Social relationships | Family relationships reflecting positive interactions, experiences, and connectedness with the primary caregiver and broader family unit reflecting warmth and affection, trust, dependability, and support |
| Peer relationships related to positive peer interactions, sociability (getting along well with others), and empathic behaviors | |
| Physical health | |
| Physical activity | General physical activity behaviors and associated intensity and physiological symptoms |
| Sleep health | Sleep disturbance pertaining to delayed sleep, sleep onset, sleep continuity, and sleep quality |
| Sleep-related impairment related to the impact of impact of poor sleep on daytime functioning, routines, and mood |
Note. Bolded words and phrases in the PROMIS Early Childhood definitions reflect developmentally sensitive modifications made from the existing PROMIS pediatric (5–17 years) domain definitions.