{
  "schemaVersion": 1,
  "testId": "fatigue-accumulation22-family",
  "releaseId": "shadow16-fatigue-accumulation22-family-v1",
  "locale": "zh-CN",
  "localeRevision": 1,
  "title": "疲劳蓄积家属观察",
  "instructions": "请先选定一位正在工作的家人，按你观察到的最近一个月情况回答。前13题选择出现频率；无法判断的症状，按原表选择“几乎没有”。后9项逐条确认是否符合：符合选“有”，不符合选“无”，可全部选“无”。",
  "minValue": 1,
  "maxValue": 3,
  "responseOptions": [
    "几乎没有",
    "有时",
    "经常"
  ],
  "axisOrder": [
    "S",
    "C"
  ],
  "axes": {
    "S": {
      "low": "LOW_S",
      "high": "HIGH_S",
      "name": "疲劳与压力表现",
      "enName": "Fatigue and stress symptoms"
    },
    "C": {
      "low": "LOW_C",
      "high": "HIGH_C",
      "name": "工作与休养符合项数",
      "enName": "Work and rest: applicable items"
    }
  },
  "items": [
    {
      "itemId": "fatigue22-s1",
      "prompt": "最近一个月，这位家人显得烦躁。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed irritable.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S1"
    },
    {
      "itemId": "fatigue22-s2",
      "prompt": "最近一个月，这位家人显得不安。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed anxious.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S2"
    },
    {
      "itemId": "fatigue22-s3",
      "prompt": "最近一个月，这位家人看起来静不下心来。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed restless.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S3"
    },
    {
      "itemId": "fatigue22-s4",
      "prompt": "最近一个月，这位家人显得心情低落。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed down.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S4"
    },
    {
      "itemId": "fatigue22-s5",
      "prompt": "最近一个月，这位家人看起来身体不舒服。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed physically unwell.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S5"
    },
    {
      "itemId": "fatigue22-s6",
      "prompt": "最近一个月，这位家人看起来难以集中注意力。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to have difficulty concentrating.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S6"
    },
    {
      "itemId": "fatigue22-s7",
      "prompt": "最近一个月，这位家人做事时看起来出错较多。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to make many mistakes in what they do.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S7"
    },
    {
      "itemId": "fatigue22-s8",
      "prompt": "最近一个月，这位家人看起来困得厉害。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to be overcome by strong sleepiness.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S8"
    },
    {
      "itemId": "fatigue22-s9",
      "prompt": "最近一个月，这位家人看起来提不起干劲。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to lack motivation.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S9"
    },
    {
      "itemId": "fatigue22-s10",
      "prompt": "最近一个月，这位家人看起来累得浑身没力气（运动后除外）。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed exhausted and physically drained (excluding after exercise).",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S10"
    },
    {
      "itemId": "fatigue22-s11",
      "prompt": "最近一个月，这位家人早上醒来时仍显得疲惫。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has still seemed tired when waking in the morning.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S11"
    },
    {
      "itemId": "fatigue22-s12",
      "prompt": "最近一个月，这位家人看起来比以前更容易累。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to become tired more easily than before.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S12"
    },
    {
      "itemId": "fatigue22-s13",
      "prompt": "最近一个月，这位家人看起来食量减少了。",
      "left": "几乎没有",
      "right": "经常",
      "en": {
        "prompt": "Over the past month, this family member has seemed to eat less.",
        "left": "Almost never",
        "right": "Often"
      },
      "axisId": "S",
      "leftPole": "LOW_S",
      "rightPole": "HIGH_S",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1,
        3
      ],
      "responseScaleId": "symptom",
      "sourceItemId": "S13"
    },
    {
      "itemId": "fatigue22-c1",
      "prompt": "最近一个月，这位家人从下班到下一次上班之间的休息时间不够。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has not had enough rest between finishing one work period and starting the next.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C1"
    },
    {
      "itemId": "fatigue22-c2",
      "prompt": "最近一个月，这位家人经常在休息日工作。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has often worked on days off.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C2"
    },
    {
      "itemId": "fatigue22-c3",
      "prompt": "最近一个月，这位家人在工作日的加班看起来较多。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has seemed to work a lot of overtime on working days.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C3"
    },
    {
      "itemId": "fatigue22-c4",
      "prompt": "最近一个月，这位家人需要在外过夜的出差较多。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has often gone on business trips requiring overnight stays.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C4"
    },
    {
      "itemId": "fatigue22-c5",
      "prompt": "最近一个月，这位家人似乎在为工作上的事烦恼。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has seemed troubled by matters related to work.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C5"
    },
    {
      "itemId": "fatigue22-c6",
      "prompt": "最近一个月，这位家人看起来睡眠时间不足。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has appeared to get insufficient sleep.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C6"
    },
    {
      "itemId": "fatigue22-c7",
      "prompt": "最近一个月，这位家人似乎经常难以入睡，或半夜醒来。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has seemed often to have difficulty falling asleep or to wake during the night.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C7"
    },
    {
      "itemId": "fatigue22-c8",
      "prompt": "最近一个月，即使不在工作时间，这位家人似乎也放不下对工作的挂念。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has seemed unable to stop thinking or worrying about work even outside working hours.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C8"
    },
    {
      "itemId": "fatigue22-c9",
      "prompt": "最近一个月，在你看来，这位家人在工作以外几乎没有好好放松的时候。",
      "left": "无",
      "right": "有",
      "en": {
        "prompt": "Over the past month, this family member has seemed to spend hardly any time relaxing at ease outside working hours.",
        "left": "No",
        "right": "Yes"
      },
      "axisId": "C",
      "leftPole": "LOW_C",
      "rightPole": "HIGH_C",
      "coefficient": 1,
      "weight": 1,
      "scoreMap": [
        0,
        1
      ],
      "responseScaleId": "checkbox",
      "sourceItemId": "C9"
    }
  ],
  "scoringVersion": "fatigue22-family-original-sum-count-matrix-v1",
  "resultViewVersion": "dimension-profile-v1",
  "reportVersion": "fatigue22-family-report-v1",
  "engine": "bipolar-weighted-v1",
  "requiredCapabilities": [
    "statement-likert-v1",
    "weighted-dimensions-v1",
    "dimension-profile-v1",
    "dimension-bars-v1",
    "item-score-map-v1",
    "dimension-score-display-v1",
    "mixed-dimension-response-options-v1",
    "raw-score-matrix-v1"
  ],
  "report": {
    "kind": "dimension-profile-v1",
    "title": "家属观察的疲劳蓄积度",
    "subtitle": "从你观察到的近期表现、工作与休养情况，看看这位家人的疲劳蓄积。",
    "tiedSubtitle": "从你观察到的近期表现、工作与休养情况，看看这位家人的疲劳蓄积。",
    "poles": {
      "LOW_S": {
        "name": "报告的症状频率较低",
        "description": "家属报告的疲劳与压力表现，整体出现频率较低。",
        "en": {
          "name": "Lower reported symptom frequency",
          "description": "The fatigue and stress symptoms reported by the family observer occur less frequently overall."
        }
      },
      "HIGH_S": {
        "name": "报告的症状频率较高",
        "description": "家属报告的疲劳与压力表现，整体出现频率较高。",
        "en": {
          "name": "Higher reported symptom frequency",
          "description": "The fatigue and stress symptoms reported by the family observer occur more frequently overall."
        }
      },
      "LOW_C": {
        "name": "符合项较少",
        "description": "9项工作与休养情况中，家属选择“有”的项目较少。",
        "en": {
          "name": "Fewer applicable items",
          "description": "The family observer marks Yes for fewer of the nine work and rest statements."
        }
      },
      "HIGH_C": {
        "name": "符合项较多",
        "description": "9项工作与休养情况中，家属选择“有”的项目较多。",
        "en": {
          "name": "More applicable items",
          "description": "The family observer marks Yes for more of the nine work and rest statements."
        }
      }
    },
    "dimensionScores": {
      "S": {
        "offset": 0,
        "divisor": 1,
        "decimalPlaces": 0,
        "description": "原分范围0–39分。13项疲劳与压力表现按原选项相加；分数越高，家属报告的疲劳与压力表现整体出现频率越高。原表以11分为分界，分为0–10分和11–39分。无法判断的症状，按原表选“几乎没有”，计0分。",
        "sections": [
          {
            "id": "daily-s",
            "title": "对照最近一个月",
            "kind": "paragraphs",
            "paragraphs": [
              "在一起吃饭、起床或聊天时，家人可能会注意到一些变化：食量比以前小，早上起来仍显得疲惫，做熟悉的事也更容易出错。这一项汇总你最近一个月观察到的情况；累得浑身没力气的题目仍排除运动后的情形。"
            ]
          }
        ],
        "en": {
          "description": "Original range: 0–39. Original response scores are added across 13 fatigue and stress symptoms; higher scores reflect a higher overall reported frequency of fatigue and stress symptoms. The original threshold is 11, separating 0–10 from 11–39. When a symptom is difficult to judge, the original instruction is to select Almost never, scored as zero.",
          "sections": [
            {
              "id": "daily-s",
              "title": "Look back over the past month",
              "kind": "paragraphs",
              "paragraphs": [
                "At meals, on waking or in conversation, you may notice changes: eating less, still looking tired in the morning, or making more mistakes in familiar tasks. This component summarizes your observations over the past month. The exhaustion item excludes the period after exercise."
              ]
            }
          ]
        }
      },
      "C": {
        "offset": 0,
        "divisor": 1,
        "decimalPlaces": 0,
        "description": "原范围0–9项。原表9条中每符合一条计1项，全部不符合时为0项。原表以3项为分界，分为0–2项和3–9项；符合项越多，家属报告的工作与休养问题越多。",
        "sections": [
          {
            "id": "daily-c",
            "title": "对照最近一个月",
            "kind": "paragraphs",
            "paragraphs": [
              "这9项分别看下班到下次上班的休息、休息日工作、加班、过夜出差、工作烦恼与睡眠等情况。有些人回到家仍在想着工作，很少真正放松；有些人则是睡眠时间被下一次开工挤掉。逐条确认，能让这些不同的负担各自留下位置。"
            ]
          }
        ],
        "en": {
          "description": "Original range: 0–9 applicable items. Each applicable statement counts as one; no applicable statements gives zero. The original threshold is three, separating 0–2 from 3–9. More applicable items mean more work and rest difficulties reported by the family observer.",
          "sections": [
            {
              "id": "daily-c",
              "title": "Look back over the past month",
              "kind": "paragraphs",
              "paragraphs": [
                "These nine items cover rest between work periods, work on days off, overtime, overnight business travel, work-related worries and sleep. Someone may keep thinking about work at home and rarely unwind, or the next work period may cut into sleep time. Considering each statement separately preserves those different burdens."
              ]
            }
          ]
        }
      }
    },
    "matrixScoreContent": {
      "fatigue": {
        "name": "家属观察的疲劳蓄积度",
        "enName": "Family-observed fatigue accumulation",
        "bands": {
          "low": {
            "label": "家属观察：疲劳蓄积低",
            "description": "按原表交叉判定，本次家属观察的疲劳蓄积度为低档（0分）：症状原分低于11分，工作与休养符合项少于3项。",
            "sections": [
              {
                "id": "fatigue-low",
                "title": "从观察到的变化聊起",
                "kind": "paragraphs",
                "paragraphs": [
                  "把两项原分留作一次观察记录。之后可以对照食量、早起时的精神，以及下班后的休息有没有变化；聊起近况时，也可以从你看到的一件具体小事开始。"
                ]
              }
            ],
            "en": {
              "label": "Family observation: low fatigue accumulation",
              "description": "The original cross-table places this family observation in the low band, scored 0: the symptom score is below 11 and fewer than three work and rest items apply.",
              "sections": [
                {
                  "id": "fatigue-low",
                  "title": "Start with a change you have noticed",
                  "kind": "paragraphs",
                  "paragraphs": [
                    "Keep the two component results as one observation record. Later, compare changes in eating, how they seem on waking and rest after work. A conversation about how things are going can start with one small change you have noticed."
                  ]
                }
              ]
            }
          },
          "somewhat-high": {
            "label": "家属观察：疲劳蓄积略高",
            "description": "按原表交叉判定，本次家属观察的疲劳蓄积度为略高档（1分）：症状原分达到11分，或工作与休养符合项达到3项，其中一项达到分界、另一项未达到。",
            "sections": [
              {
                "id": "fatigue-somewhat-high",
                "title": "从观察到的变化聊起",
                "kind": "paragraphs",
                "paragraphs": [
                  "可以从最近反复看到的一件事聊起，比如下班后仍惦记任务、睡眠时间不够，或早上醒来仍显得累。先问问最近哪段时间最难真正停下来，再一起看看工作或休息安排有没有能调整的一处。"
                ]
              }
            ],
            "en": {
              "label": "Family observation: somewhat high fatigue accumulation",
              "description": "The original cross-table places this family observation in the somewhat high band, scored 1: either the symptom score reaches 11 or at least three work and rest items apply, with one threshold reached and the other not reached.",
              "sections": [
                {
                  "id": "fatigue-somewhat-high",
                  "title": "Start with a change you have noticed",
                  "kind": "paragraphs",
                  "paragraphs": [
                    "Start with something you have noticed repeatedly, such as thinking about tasks after work, too little time to sleep or still seeming tired on waking. Ask when it has been hardest to stop and recover, then look together for one work or rest arrangement that can be adjusted."
                  ]
                }
              ]
            }
          },
          "high": {
            "label": "家属观察：疲劳蓄积高",
            "description": "按原表交叉判定，本次家属观察的疲劳蓄积度为高档（2分）：症状原分达到11分，且工作与休养符合项达到3项。",
            "sections": [
              {
                "id": "fatigue-high",
                "title": "从观察到的变化聊起",
                "kind": "paragraphs",
                "paragraphs": [
                  "可以把常出现的疲劳表现，与加班、过夜出差或休息不足等具体安排放在一起谈。一起商量哪些工作与休养安排能够改善；需要调整任务量或排班时，也可以把具体情况带给主管或职业健康相关人员讨论。"
                ]
              }
            ],
            "en": {
              "label": "Family observation: high fatigue accumulation",
              "description": "The original cross-table places this family observation in the high band, scored 2: the symptom score is at least 11 and at least three work and rest items apply.",
              "sections": [
                {
                  "id": "fatigue-high",
                  "title": "Start with a change you have noticed",
                  "kind": "paragraphs",
                  "paragraphs": [
                    "Discuss recurring fatigue symptoms alongside concrete arrangements such as overtime, overnight business travel or insufficient rest. Work together on possible improvements to work and recovery. If workload or schedules need to change, bring the concrete situation to a supervisor or occupational health staff."
                  ]
                }
              ]
            }
          }
        }
      }
    },
    "sections": [
      {
        "id": "score-overview",
        "title": "两项原分，结合来看",
        "kind": "paragraphs",
        "paragraphs": [
          "疲劳与压力表现保留0–39分原分，工作与休养保留0–9项符合数。原表分别以11分、3项为分界，再组合成0–2分的疲劳蓄积度：两项均未达到分界为0分，一项达到为1分，两项均达到为2分，对应低、略高、高三档。"
        ]
      },
      {
        "id": "observation",
        "title": "从一起生活时看到的变化开始",
        "kind": "paragraphs",
        "paragraphs": [
          "吃饭时食量变小、早上醒来还显得累、晚上又在挂念工作，这些都是可以具体说出来的近况。聊的时候可以先说你在哪个时候看到了什么，再听听这位家人最近的工作与休息是怎样安排的。"
        ]
      },
      {
        "id": "adjustment",
        "title": "一起找回能够休息的时间",
        "kind": "paragraphs",
        "paragraphs": [
          "原表建议家人一起讨论工作方式与休养安排，并着手改善。可以先选一件具体的事：哪一次休息日仍被工作占用，哪一段睡眠总被挤掉，哪些工作烦恼到了家还放不下，再商量怎样让休息真正留出来。"
        ]
      },
      {
        "id": "source",
        "title": "题本来源",
        "kind": "paragraphs",
        "paragraphs": [
          "采用中央劳动灾害防止协会制定、日本厚生劳动省公开的《家属观察劳动者疲劳蓄积度检查表》2023年修订版，包含13项症状和9项工作与休养情况。",
          "16暗影依据日文完成中英文翻译与审校，将原脚注展开到对应题干，并将原9个勾选项目改为逐条确认“有／无”，保持原计数方式。报告文字由16暗影编写，原始资料按PDL1.0使用，来源链接列于报告末尾。"
        ]
      }
    ],
    "en": {
      "title": "Family-observed fatigue accumulation",
      "subtitle": "Review this family member’s fatigue accumulation through your observations of symptoms, work and rest over the past month.",
      "sections": [
        {
          "id": "score-overview",
          "title": "Two original component results",
          "kind": "paragraphs",
          "paragraphs": [
            "Fatigue and stress symptoms retain their original 0–39 score, while work and rest retain the 0–9 count of applicable items. The original thresholds are 11 points and three items. Their combination gives fatigue accumulation from 0 to 2: neither threshold reached gives 0, one reached gives 1, and both reached gives 2, corresponding to low, somewhat high and high."
          ]
        },
        {
          "id": "observation",
          "title": "Begin with changes you notice in daily life",
          "kind": "paragraphs",
          "paragraphs": [
            "Eating less at meals, still looking tired on waking or thinking about work in the evening are concrete changes you can describe. Start with what you noticed and when, then listen to how work and rest have been arranged recently."
          ]
        },
        {
          "id": "adjustment",
          "title": "Find time to recover together",
          "kind": "paragraphs",
          "paragraphs": [
            "The original checklist recommends discussing work and rest together as a family and making improvements. Choose a concrete issue: work occupying a day off, sleep repeatedly cut short, or work worries continuing at home. Then discuss how time for rest can actually be kept."
          ]
        },
        {
          "id": "source",
          "title": "Questionnaire source",
          "kind": "paragraphs",
          "paragraphs": [
            "This edition uses the 2023 revision of the Family Checklist for Worker Fatigue Accumulation, created by the Japan Industrial Safety and Health Association and published by Japan’s Ministry of Health, Labour and Welfare. It contains 13 symptom items and nine work and rest statements.",
            "16 Shadows translated and reviewed the Chinese and English against the Japanese original, incorporated the original footnotes into the relevant prompts and presented the nine checkboxes as individual Yes/No confirmations while retaining the original count. Report text was written by 16 Shadows. Original materials are used under Public Data License Version 1.0; source links are listed at the end of the report."
          ]
        }
      ]
    }
  },
  "sources": [
    {
      "name": "Japan Industrial Safety and Health Association. Family Checklist for Worker Fatigue Accumulation, 2023 revision: original Japanese 13 symptom items and nine work/rest checkboxes, published by MHLW.",
      "url": "https://www.mhlw.go.jp/content/001084311.docx"
    },
    {
      "name": "MHLW. Family Checklist for Worker Fatigue Accumulation, 2023 revision: official PDF with the symptom threshold of 11, checkbox threshold of three and original 0–2 score table.",
      "url": "https://www.mhlw.go.jp/content/001084060.pdf"
    },
    {
      "name": "MHLW. April 4, 2023 notice on the dissemination of the worker and family fatigue accumulation checklists, including the 2023 revisions.",
      "url": "https://www.mhlw.go.jp/content/001084302.pdf"
    },
    {
      "name": "MHLW. Website terms of use: Public Data License Version 1.0, source attribution and acknowledgement of editing or translation.",
      "url": "https://www.mhlw.go.jp/chosakuken/index.html"
    },
    {
      "name": "Digital Agency, Japan. Public Data License Version 1.0.",
      "url": "https://www.digital.go.jp/resources/open_data/public_data_license_v1.0"
    }
  ],
  "sourceFormHash": "d960f88820b36b6d605f9b33a94c85b0d4e874e8ab96341d584de7987b1bb1a6",
  "questionPresentation": "statement",
  "scoreMatrices": [
    {
      "id": "fatigue",
      "rowAxisId": "S",
      "columnAxisId": "C",
      "rowBands": [
        {
          "id": "below11",
          "min": 0,
          "max": 10
        },
        {
          "id": "atleast11",
          "min": 11,
          "max": 39
        }
      ],
      "columnBands": [
        {
          "id": "below3",
          "min": 0,
          "max": 2
        },
        {
          "id": "atleast3",
          "min": 3,
          "max": 9
        }
      ],
      "values": [
        [
          0,
          1
        ],
        [
          1,
          2
        ]
      ],
      "min": 0,
      "max": 2,
      "outputBands": [
        {
          "id": "low",
          "min": 0,
          "max": 0
        },
        {
          "id": "somewhat-high",
          "min": 1,
          "max": 1
        },
        {
          "id": "high",
          "min": 2,
          "max": 2
        }
      ]
    }
  ],
  "responseScales": {
    "symptom": {
      "responseOptions": [
        "几乎没有",
        "有时",
        "经常"
      ],
      "en": {
        "responseOptions": [
          "Almost never",
          "Sometimes",
          "Often"
        ]
      }
    },
    "checkbox": {
      "responseOptions": [
        "无",
        "有"
      ],
      "en": {
        "responseOptions": [
          "No",
          "Yes"
        ]
      }
    }
  },
  "defaultResponseScaleId": "symptom",
  "en": {
    "title": "Family Observation of Worker Fatigue Accumulation (2023)",
    "instructions": "Choose one family member who works, and answer from your observations over the past month. For the first 13 symptom items, select a frequency; if a symptom is difficult for you to judge, select Almost never as instructed in the original form. For each of the last nine statements, choose Yes if it applies or No if it does not. All nine may be No.",
    "responseOptions": [
      "Almost never",
      "Sometimes",
      "Often"
    ]
  },
  "minFrameworkVersion": 16,
  "contentHash": "250257fbb8e4f7fcef2360e8d105cb7e9020688940e841ceb3e72d563d9ff2e7"
}