PANAS: Positive and Negative Affect Schedule
The PANAS (Positive and Negative Affect Schedule) is a 20-item self-report questionnaire that measures positive affect (PA) and negative affect (NA), each scored 10–50, over a chosen time frame such as right now, the past week, or in general.
The PANAS is a 20-item validated measure of mood and affect. Ten items measure Positive Affect (PA) and ten measure Negative Affect (NA), each scored 10–50. Population means: PA ≈ 35, NA ≈ 18. Watson, Clark & Tellegen (1988).
What the PANAS measures
The Positive and Negative Affect Schedule (PANAS) was developed by David Watson, Lee Anna Clark, and Auke Tellegen (1988) to efficiently measure two dominant dimensions of mood: Positive Affect (PA) and Negative Affect (NA). These two dimensions are largely independent (not opposite ends of one scale) and each represents a distinct neurobiological and psychological system.
High PA indicates high energy, engagement, and positive mood. Low PA is a hallmark of depression (not anxiety). High NA indicates distress, nervousness, and negative mood, and is associated with both anxiety and depression. Check the copyright holder's terms before clinical or commercial use of the PANAS.
How to administer the PANAS
The 20 items are common mood descriptors, 10 reflecting positive affect (e.g., excited, enthusiastic, attentive) and 10 reflecting negative affect (e.g., distressed, upset, nervous). Each is rated on a 5-point scale (1 = Very slightly or not at all, 5 = Extremely) based on the respondent's current state or a specified time frame (today, past week, in general). It is self-report; no clinician administration or scoring is required.
Rate each word based on how you feel right now or select your preferred time frame below.
Rating scale
Educational reference only. Cannot diagnose or replace clinical evaluation.
PANAS scoring and interpretation
PA and NA subscale scores are each summed across their 10 items (range 10–50). The two subscales are interpreted separately; they are not combined into a single total, and no fixed severity cutoffs have been established in the literature.
Score reference
Watson, Clark & Tellegen (1988). Norms for "in general" instruction: PA mean ≈ 35.0 (SD 7.9); NA mean ≈ 18.0 (SD 6.9).
Positive Affect (PA)
Items: interested, excited, strong, enthusiastic, proud, alert, inspired, determined, attentive, active
Negative Affect (NA)
Items: distressed, upset, guilty, scared, hostile, irritable, ashamed, nervous, jittery, afraid
Psychometric properties
In the original development study, Watson, Clark, and Tellegen (1988) showed the two 10-item scales to be highly internally consistent, largely uncorrelated, and stable at appropriate levels over a 2-month period, with factorial and external evidence of convergent and discriminant validity. In 416 outpatient substance users, Cronbach's alpha was 0.90 for Positive Affect and 0.91 for Negative Affect, with acceptable baseline-to-week-1 test-retest reliability (PA 0.80, NA 0.76) (Serafini et al., 2016). In 595 Spanish adults with depressive, anxiety, or adjustment disorders, the online version kept its two-factor structure, with good internal consistency and sensitivity to change (Díaz-García et al., 2020).
Limitations
- Not diagnostic. The PANAS measures affect dimensions that relate to, but are distinct from, diagnostic categories.
- No clinical cutoffs. Scores are compared against normative means, not validated severity bands.
- Time frame matters. Norms differ by instruction (right now, past week, in general), so scores are only comparable when the same time frame is used.
- Self-report. Ratings reflect the respondent's own perception of their mood.
Track Mood and Affect Over Time in HiBoop
PANAS alongside PHQ-9 and GAD-7, longitudinal mood tracking to monitor treatment response and wellbeing across your patient panel.
This library is an academic and clinical reference. A scale described here is not necessarily offered in HiBoop; each page says whether it is.
Frequently Asked Questions
Is the PANAS self-report or clinician-administered?
The PANAS is a self-report measure. Respondents rate each of the 20 mood descriptors themselves on a 5-point scale. No clinician administration or scoring is required, making it practical for routine outcome monitoring in clinical and research settings.
How is the PANAS scored?
The PANAS produces two independent subscale scores. The 10 Positive Affect items are summed to give a PA score (range 10–50), and the 10 Negative Affect items are summed to give an NA score (range 10–50). The two subscales are interpreted separately — they are not combined into a single total score.
What is a typical PANAS score?
Based on Watson, Clark & Tellegen's 1988 normative data using the 'in general' time frame, the population mean for Positive Affect is approximately 35 (SD 7.9) and for Negative Affect approximately 18 (SD 6.9). Scores substantially below the PA mean or above the NA mean may warrant further clinical attention, but no fixed severity cutoffs have been established in the literature.
Can the PANAS diagnose depression or anxiety?
The PANAS is not a diagnostic tool. It measures the dimensions of positive and negative affect, which are related to but distinct from diagnostic categories. Low Positive Affect is a characteristic feature of depression, while high Negative Affect is associated with both depression and anxiety. Clinical diagnosis requires a comprehensive evaluation by a qualified clinician.
Bill this assessment
The PANAS: Positive and Negative Affect Schedule qualifies for reimbursement under these CPT codes (US).
Using this assessment in practice
For clinicians
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For individuals
This page is a clinical reference, not a diagnostic tool. If you have concerns about your own symptoms, bring this information to a qualified mental health professional.
References
- 1.Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54(6):1063-1070.View source
- 2.Díaz-García A, González-Robles A, Mor S, et al. Positive and Negative Affect Schedule (PANAS): psychometric properties of the online Spanish version in a clinical sample with emotional disorders. BMC Psychiatry. 2020;20(1):56.View source
- 3.Serafini K, Malin-Mayor B, Nich C, Hunkele K, Carroll KM. Psychometric properties of the Positive and Negative Affect Schedule (PANAS) in a heterogeneous sample of substance users. Am J Drug Alcohol Abuse. 2016;42(2):203-212.View source
Last reviewed: Jun 3, 2026
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