个人和社会功能量表（PSP）

第一节　个人和社会功能量表（PSP）

个人和社会功能量表（Personal and Social Performance Scale，PSP）PSP-WORKSHEET PSP工作表

Please rate the patient on his/her level of functioning during the past month.请对患者上1个月的功能水平评分。

There are 4 main domains of functioning considered in this scale:本量表考察四个主要领域的功能：

·Self-care自我照料

·Bathing/showering洗澡、淋浴

·Washing hair洗头

·Brushing teeth刷牙

·Changing clothes换衣服

·Taking medication服药

·Eating吃饭

·Socially useful activities有益社会的活动

·Work or school上班或上学

·Household chores做家务活

·Volunteer work or group activities志愿者工作或团体活动

·Personal & social relationships人际和社会关系

·Partner, family, and/or friends配偶，亲属，和（或）朋友

·Support system outside of treatment治疗以外的支持系统

·Disturbing and aggressive behavior干扰和攻击行为

·Speaking too loudly, cursing, verbal threats讲话太大声，咒骂，言语威胁

·Breaking or throwing objects, fighting打坏或扔物品，打架

·Making threats to harm self or others扬言伤害自己或他人

There are two different sets of operational criteria to judge the degree of difficulties:采用两套不同的操作标准评定严重度：

One for the a-c areas and one specific to the d area.一套是对a~c方面，一套只对d方面。

Degrees of severity areas a-c

a~c方面的严重程度

（ⅰ） Absent无

（ⅱ） Mild: known only to someone who is very familiar with the person轻度：只有非常熟悉患者本人的人才知道

（ⅲ） Manifest:difficulties clearly no-ticeable byeveryone, but not interfering substantially with the person^,s ability to perform his/her role in that area, given the person^,s socio-cultural context, age, sex and educational levels明显：每个人都清楚看出患者有问题，但考虑到其社会文化背景、年龄、性别和教育程度，则未明显妨碍其在那个领域内执行其功能的能力Degrees of severity areas d d方面的严重程度

（ⅰ） Absent无

（ⅱ） Mild: corresponding to mild rude-ness,unsociability or whingeing轻度：对应表现为轻度无礼，不善社交，或抱怨不止

（ⅲ） Manifest: such as speaking too loudly or speaking to others in a too-fa-miliar manner or eating in a socially un-acceptable manner明显：比如，说话过于大声或用过于放肆的态度对他人说话，或进餐方式不合社交礼仪

（ⅳ）Marked:difficulties interfering heavily with role performance in that area; however,the person is still able to do somthing without professional or social help, although inadequately and/or occasionally; if helped by someone,he/she may be able to reach the previous level of functioning显著：问题已严重妨碍患者在那个领域内功能的执行；但是，没有专业人士或社会的帮助，患者还能做些事，尽管不到位和（或）偶尔为之；如果有人协助，他（她）可能会达到以前的功能水平

（ⅴ） Severe: difficulties that make the person unable to perform any role in that area, if not professionally helped, or lead the person to a destructive role, however, there are no survival risks严重：如果没有专业人士帮助的话，问题已使患者不能在那个领域内执行任何功能；或已使患者只能扮演破坏性的角色；但是，没有生存危险(www.xing528.com)

（ⅵ） Very Severe:impairments and difficulties of such intensity to endanger the person^,s survival极严重：功能损害和问题严重到已危及患者的生存

（ⅳ） Marked: insulting others in pub-lic, breaking or wrecking objects,acting frequently in a socially inappropriate but not dangerous way（e.g., stripping or uri-nating in public）显著：在公众场合侮辱他人，打坏或损坏物品，经常出现不妥的社交行为但不具危险性（如当众脱衣服或小便）

（ⅴ） Severe: frequent verbal threats or frequent physical assaults, without intention or possibility to severe injuries严重：经常性的言语威胁或经常性的身体攻击，没有打算或不可能进行严重伤害

（ⅵ） Very Severe: defined as frequent aggressive acts, aimed at or likely to cause severe injuries极严重：经常采取攻击性行为，目的是引起或可能引起严重伤害

Guidelines for PSP total score PSP总评分指南

71~100: These ratings reflect only mild difficulties这一档评分反映了只存在轻度困难

31~70: These ratings reflect varying degrees of disability这一档评分反映了不同程度的功能障碍

1~30:These ratings reflect functioning so poor that the patient requires intensive sup-port or supervision这一档评分反映了功能障碍导致患者需要加强支持或监管

PSP-SCORING GUIDELINES PSP评分指南

100~91Excellent functioning in all four main areas. He/she is held in high considera-tion for his/her good qualities, copes adequately with life problems, is involved in a wide range of interests and activities在四个主要方面功能优良。被评定人的良好素质得到较高评价，有能力恰当处理生活中的问题，兴趣广泛且参与的活动众多

90~81Good functioning in all four main areas, presence of only common problems or difficulties在所有四个主要方面功能良好，仅存在常见的问题或困难

80~71Mild difficulties in one or more of areas a~c在a~c三个方面中的一个或更多方面存在轻微的困难

70~61Manifest, but not marked difficulties in one or more areas a-c or mild difficul-ties in d在a~c三个方面中的一个或更多方面存在明显但不显著的困难，或者在d方面存在轻微困难

60~51Marked difficulties in one of areas a-c, or manifest difficulties in d在a~c三个方面中的一个方面存在显著困难，或者在d方面存在明显困难

50~41Marked difficulties in two or more, or severe difficulties in one of areas a-c, with or without manifest difficulties in d在a~c三个方面中的两个及两个以上方面存在显著困难，或在这三个方面中的一个方面存在严重困难，同时在d方面存在或不存在明显困难

40~31Severe difficulties in one and marked difficulties in at least one of areas a-c, or marked difficulties in d在a~c三个方面中的一个方面存在严重困难，且在这三个方面中至少一个方面存在显著困难，或者在d方面存在显著困难

30~21Severe difficulties in two of areas a-c, or severe difficulties in d, with or without impairment in areas a~c在a~c三个方面中的两个方面存在严重困难，或者在d方面存在严重困难，同时在a~c三个方面存在或不存在功能缺陷

20~11 Severe difficulties in all areas a-d or very severe in d with or without impair-ment in general areas a-c. If the person reacts to external prompts, the suggested scores are 20~16; if not, the suggested scores are 15~11.在a~d的所有方面存在严重困难，或者在d方面存在非常严重的困难，同时在a~c三个方面普遍存在或不存在功能缺陷。如果被评定人对外部提示作出反应，建议给予评分为20~16；如果未作出反应，则建议给予评分为15~ 11。

10~1Lack of autonomy in basic functioning with extreme behaviours but without sur-vival risk（ratings 6~10） or with survival risk, e.g. death risk due to malnutrition, dehydration, infections, inability to recognize situations of manifest danger （ratings 5~1）.缺乏基本功能方面的自理能力，伴随极端但无生存风险的行为（评分6~10） ，或伴随有生存风险的行为，例如由于营养不良、脱水、感染或不能识别明显危险情势等造成的死亡风险（评分5~1）。

Score评分□□□

附录

PSP评分说明

1.为结构性面谈。

2.所有问题均与行为及功能有关。

3.评估每部分的严重程度：独立完成＞需口头提醒＞需别人协助＞完全靠别人完成。

4.若患者与照料者不一，以照料者为准。

5. 10min内完成。

6.评估过去1个月内的行为。

7.不考虑自杀行为。

8.以10分为一个评分档次。

9.避轻就重。

10. Interpreting Scores on the PSP Scale解释PSP量表评分结果。