In this self-assessment mood questionnaire, participants indicate in how far the 72 five-point Likert scale items represent his/her mood.
(5) The hospital anxiety and depression scale (HADS, [ 16, 17]) is a standard 14 items self-assessment mood scale developed to detect depression and anxiety in a hospital, outpatient, and community-based population.
The HADS is a self-assessment mood scale developed for medical outpatients [ 29] containing 14 questions graded on a 4-point Likert scale, with subscales of anxiety and depression, with a sum score ranging from 0 to 21 for each.
The Seasonal Pattern Assessment Questionnaire (SPAQ) assesses mood states over a 1-year period and would therefore not be appropriate for seasonal tracking [ 25].
For the detection and assessment of mood disorders the module of mood state from the Primary Care Evaluation of Mental Disorders (PRIME-MD) questionnaire was used.
It allows the daily assessment of mood and episode severity, based on the degree of mood-associated functional impairment.
Assessment of mood at regular intervals would be far more efficacious given the dynamic nature of athletic training load, mood disturbance [ 27], and overtraining syndrome [ 27, 28].
Finally, no assessment of mood state was made in the participants with BD at the time of the performance.
The most common shortcomings of previous studies included small sample size, no exclusion for visual difficulties in patients, inadequate assessment of mood, and poor control for prednisone use.
Assessment of mood was slightly different in the various studies.
The presence of these various elements mandates a multidimensional approach to assessment of mood instability.
