1 sPaCE User Guide 2011 (Bern edition) shorter Psychotherapy and Counselling Evaluation sPaCE is a measure of distress that can be used for screening and outcome and session by session measurement. sPaCE can be used as a global symptom measure. It also has a robust factor structure with the six factors shown above. In practice it has been found that: The two depression scales together with “Functional cognitive problems” and “Apathy” form a scale “Depression Plus” that correlates most highly with depression as measured by the Beck Depression Inventory or the PHQ-9. The two anxiety scales correlate with a cognitive aspect of anxiety. The self-harm depression scale provides some indication of risk or need for priority in treatment. General Anxiety Phobic Anxiety FunctionalCognitive Problems Apathy Self-harm Depression Hopeless Depression Distress