Table 3 Second version of the rating reference guide

b130

Energy and drive functions

Extent and frequency of the problem, such as loss of motivation or appetite

0: No problem

1: Mild problem: May include problems with energy and drive functions that do not affect the patient's daily activities

2: Moderate problem: May include a problem in energy and drive functions that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) in energy and drive functions

4: Complete problem: May include a complete problem with energy and drive functions, such as having no motivation or appetite at any time

b134

Sleep functions

Extent and frequency of the problem, such as shortage of sleep or irregular sleep schedules

0: No problem

1: Mild problem: May include problems with sleep that do not affect the patient's daily activities

2: Moderate problem: May include a problem with sleep that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with sleep

Complete problem: May include a complete problem with sleep, such as being incapable of sleeping, or a complete day–night reversal every day

b152

Emotional functions

Extent and frequency of the problem, such as loss of emotional control or lack of emotional expression

0: No problem

1: Mild problem: May include problems with emotions that do not affect the patient's daily activities

2: Moderate problem: May include problems with emotions that exceed 1, but remains relatively minor (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with emotions

4: Complete problem: May include a complete problem with emotions, such as complete loss of control of emotions, or being incapable of expressing emotions at any time

b280

Sensation of pain

Extent, frequency, and number of sites with pain

0: No problem

1: Mild problem: May include problems with sensations of pain, but does not affect the patient's daily activities

2: Moderate problem: May include a problem with sensations of pain that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with sensations of pain

4: Complete problem: May include a complete problem with sensations of pain, such as continuous, intolerable pain

b455

Exercise tolerance functions

Extent and frequency of the problem, such as decline in respiratory and cardiovascular capacity that is required to perform daily activities

0: No problem

1: Mild problem: May include problems with exercise tolerance that do not affect the patient's daily activities

2: Moderate problem: May include a problem with exercise tolerance that exceeds Level 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with exercise tolerance

4: Complete problem: May include a complete problem with exercise tolerance, such as being incapable of bearing any single activity of daily living at any time due to cardiorespiratory problems

b620

Urination functions

Extent and frequency of the problem, such as difficulty urinating or urinary incontinence

0: No problem

1: Mild problem: May include problems with urination that do not affect the patient's daily activities

2: Moderate problem: May include a problem with urination that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with urination

4: Complete problem: May include a complete problem with urination, such as complete urinary retention or continuous incontinence at any time

b640

Sexual functions

Extent and frequency of the problem, such as loss of sexual desire and/or physical ability to engage in sexual activity

0: No problem

1: Mild problem: May include problems with sexual functions that do not affect the patient's daily activities

2: Moderate problem: May include a problem with sexual functions that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with sexual functions

4: Complete problem: May include a complete problem with sexual functions, such as a complete loss of sexual desire and/or physical ability to engage in sexual activity at any time

b710

Mobility of joint functions

Extent of the problem, such as joint contracture, or limitations in range of motion and percentage of joints with mobility problems

0: No problem

1: Mild problem: May include problems with joint mobility functions that do not affect the patient's daily activities

2: Moderate problem: May include problems with joint mobility that exceed 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with joint mobility

4: Complete problem: May include a complete problem with joint mobility, such as complete joint contracture in all of the major joints

b730

Muscle power functions

Extent of the problem, and percentage of joints with muscle power problems

0: No problem

1: Mild problem: May include problems with muscle power that do not affect the patient's daily activities

2: Moderate problem: May include a problem with muscle power functions that exceeds 1, but remains a relatively minor problem (< 50%)

3: Severe problem: May include a major problem (≧ 50%) with muscle power

4: Complete problem: May include a complete problem with muscle power, such as a complete loss of muscle power in all of the major muscles