| RPT |
.| .| PERCEIVED STRESS SCALE| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB:
The PSS Scale is reprinted with permission of the American Sociological Association, from Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health
and Social Behavior, 24, 386-396. Cohen, S. and Williamson, G. Perceived Stress in a Probability Sample of the United States. Spacapan, S. and Oskamp, S. (Eds.) The Social| Psychology of Health.
Newbury Park, CA: Sage, 1988.| $~
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | Score: <-Scale->| | Questions and Answers| | 1. In the last month, how often have you been upset because of something
that happened unexpectedly?| <*Answer_6567*>| 2. In the last month, how often have you felt that you were unable to control the important things in your life?| <*Answer_6568*>| 3. In the last
month, how often have you felt nervous and stressed?| <*Answer_6569*>| 4. In the last month, how often have you felt confident about your ability to handle your personal problems?|
<*Answer_6570*>| 5. In the last month, how often have you felt that things were going your way?| <*Answer_6571*>| 6. In the last month, how often have you found that you could not cope with all
the things that you had to do?| <*Answer_6572*>| 7. In the last month, how often have you been able to control irritations in your life?| <*Answer_6573*>| 8. In the last month, how often have
you felt that you were on top of things?| <*Answer_6574*>| 9. In the last month, how often have you been angered because of things that were outside of your control?| <*Answer_6575*>| 10. In
the last month, how often have you felt difficulties were piling up so high that you could not overcome them?| <*Answer_6576*>| | | Information contained in this note is based on a self-report
assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.| |
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