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The POMS test in a brief version is composed of 30 questions with a 5-point scale aboutthe current mood state, which is classified into“tension-anxiety”,“depression-dejection”,“anger-hostility”,“vigor”,“fatigue”and“confusion”subscales. A low POMS score indicates a better mood state, except for the“vigor”factor. Scores for each item is recorded as 0 for 'Not at all' up to 4 for 'extremely', except for the two Esteem-related Affect subscale which are reverse-scored prior to being combined with the other items. A Total Mood Disturbance (TMD) score is calculated by summing the totals for the negative subscales (tension, depression, fatigue, confusion, anger) and then subtracting the totals for the positive subscales (vigor and esteem-related affect).