Personal and Social Performance Scale, PSP Test - the question form
Questions: 4 · 1 minute
1. a) Socially useful activities, including work and study
1 – Absent
2 – Mild: known only to very close people
3 – Marked: difficulties are evident to anyone around the patient, but do not substantially and negatively affect the patient’s ability to perform functions in this domain, taking into account the patient’s sociocultural status, age, sex, and level of education
4 – Severe: difficulties greatly interfere with functioning in this domain; however, the patient is still able to function without professional or social assistance, even if not always adequately and/or only episodically; with assistance, he/she can reach the previous level of functioning
5 – Very severe: difficulties make functioning in this domain impossible without professional assistance, or lead to destructive behavior, but there is no danger to life
6 – Extremely severe: impairments and difficulties are so severe that the patient’s life is in danger
2. b) Relationships with close others and other social relationships
1 – Absent
2 – Mild: known only to very close people
3 – Manifest: difficulties are obvious to anyone in the patient’s environment, but do not have a substantial negative impact on the patient’s ability to carry out functions in this area, taking into account the patient’s sociocultural status, age, sex, and level of education
4 – Marked: difficulties greatly interfere with functioning in this area; however, the patient is still able to function without professional or social assistance, although not always adequately and/or only intermittently; with help from others, he/she can reach the previous level of functioning
5 – Severe: difficulties make it impossible to function in this area without professional assistance, or lead to destructive behavior, but there is no threat to life
6 – Very severe: impairments and difficulties are so pronounced that the patient’s life is in danger
3. Self-care
1 – Absent
2 – Mild: known only to very close people
3 – Moderate: difficulties are obvious to anyone around the patient, but do not have a substantial negative impact on the patient’s ability to carry out functions in this area, taking into account the patient’s sociocultural status, age, sex, and educational level
4 – Marked: difficulties greatly interfere with functioning in this area; nevertheless, the patient is still able to function without professional or social assistance, although not always adequately and/or intermittently; with assistance from others, he/she is able to achieve the previous level of functioning
5 – Severe: difficulties make functioning in this area impossible without professional help, or lead to destructive behavior; however, there is no threat to life
6 – Very severe: impairments and difficulties are so pronounced that the patient’s life is in danger
4. Disturbing and aggressive behavior
1 – Absent
2 – Mild: somewhat rude, withdrawn, or constantly complaining
3 – Manifest: for example, speaks too loudly, is overly familiar with others, or eats in a socially unacceptable manner
4 – Marked: publicly insults others, breaks or damages things; behavior is often socially unacceptable but not dangerous (e.g., exposes themself in public or urinates in public)
5 – Severe: frequent verbal threats or frequent physical violence, without intent or ability to cause serious physical harm
6 – Very severe: frequent aggressive acts intended to cause serious physical harm, or acts that are highly likely to result in serious physical harm