Quality of Life Research

, Volume 29, Issue 1, pp 201–211 | Cite as

Psychometric validation of PROMIS® Anxiety and Depression Item Banks for the Brazilian population

  • Natália Fontes Caputo de CastroEmail author
  • Rogério de Melo Costa Pinto
  • Tânia Maria da Silva Mendonça
  • Carlos Henrique Martins da Silva



Scientific evidence indicates that depression and anxiety symptoms may be understood as risk factors associated with the incidence and progression of chronic diseases. Considering the lack of mental health assessment tools that meet strict methodological standards, the authors have chosen to validate the psychometric properties of Anxiety and Depression Item Banks - Emotional Distress domain of the Patient-Reported Outcomes Measurement Information System (PROMIS®) for the Brazilian population.


In this study, 606 adults responded to the self-administered Anxiety and Depression Item Banks, which were calibrated using Factor Analyses (Exploratory and Confirmatory analysis) and adjustment of the Graded Response Model. Transcultural validity was assessed by Differential Item Functioning (DIF).


The two-factor analysis confirmed the unidimensionality of Emotional Distress Items (CFI = 0.96, TLI = 0.96, RMSEA = 0.05). The residual correlation matrix did not identify item pairs with local dependence. Indicators marked with DIF presented a low impact for gender, age, and language variables. The instrument demonstrated greater reliability in the moderate-severe range, indicating that the error reduction is reflected in the − 1.0 to + 3.0 amplitude.


The psychometric measurements of Anxiety and Depression Item Banks in the Brazilian version were equivalent to those in the original version. Additional research contemplating patients with different levels of emotional distress are necessary to better comprehend the results obtained in this study.


PROMIS® Emotional distress PRO IRT Adults 



We would like to thank the PROMIS® network for their technical support in the cultural adaptation, particularly the researchers at the Medical Social Sciences Department of Northwestern University, Chicago, USA), David Cella, PhD Helena Correia, FACITtrans Director, Benjamin Arnold (Elmhurst, USA). We thank the Research Support Foundation of the state of Minas Gerais (FAPEMIG) for the financial support (PPM-00303-08) and the Quality of Life research group of the School of Medicine of the Federal University of Uberlândia (FAMED-UFU).


This study was funded by the Research Support Foundation of the state of Minas Gerais (FAPEMIG) (Grant Number: PPM-00303-08).

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Natália Fontes Caputo de Castro
    • 1
    Email author
  • Rogério de Melo Costa Pinto
    • 2
  • Tânia Maria da Silva Mendonça
    • 3
  • Carlos Henrique Martins da Silva
    • 4
  1. 1.Post-graduate Program in Health Sciences, Quality of Life Research Group, School of MedicineFederal University of UberlândiaUberlândiaBrazil
  2. 2.School of Mathematics, Quality of Life Research Group, School of MedicineFederal University of UberlândiaUberlândiaBrazil
  3. 3.School of Medicine, Quality of Life Research Group, School of MedicineFederal University of UberlândiaUberlândiaBrazil
  4. 4.Pediatrics Department and Post-graduate Program in Health Sciences, Quality of Life Research Group, School of MedicineFederal University of UberlândiaUberlândiaBrazil

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