Batzel L W, Dodrill C B, Dubinsky B L, Ziegler R G, Connolly J E, Freeman R D, Farwell J R, Vining E P
Department of Neurological Surgery, University of Washington School of Medicine, Seattle.
Epilepsia. 1991 Mar-Apr;32(2):202-11. doi: 10.1111/j.1528-1157.1991.tb05245.x.
Psychosocial problems in adolescents with epilepsy have been of concern for many years, but have been difficult to assess. This article presents the multicenter development of the Adolescent Psychosocial Seizure Inventory (APSI), an empirically based self-report test patterned after the Washington Psychosocial Seizure Inventory, which is used to evaluate psychosocial problems in adults. After pilot work, 120 adolescents with epilepsy from five centers in North America took the APSI and were interviewed by professionals with respect to adequacy of adjustment in eight psychosocial areas. At least one parent or guardian was also interviewed. Interrater reliability of professional ratings in each area was established. Using an item-by-item, empirically based technique, eight psychosocial scales were developed as well as three validity scales. Reliability of the scales was established by both internal consistency and test-retest procedures. Results for each adolescent are presented in profile form. These results give a visual display of the types and extent of problems that likely would be identified in a detailed professional assessment. It is anticipated that the APSI will be of value in a variety of treatment and research contexts.
青少年癫痫患者的心理社会问题多年来一直备受关注，但却难以评估。本文介绍了青少年心理社会癫痫量表（APSI）的多中心研发情况，该量表是一种基于经验的自陈式测试，仿照用于评估成人心理社会问题的华盛顿心理社会癫痫量表编制。经过前期试验工作，来自北美五个中心的120名青少年癫痫患者接受了APSI测试，并由专业人员就八个心理社会领域的适应状况进行了访谈。至少一名家长或监护人也接受了访谈。确定了各领域专业评分的评分者间信度。采用逐项基于经验的技术，编制了八个心理社会量表以及三个效度量表。通过内部一致性和重测程序确定了量表的信度。每个青少年的结果以剖面图形式呈现。这些结果直观展示了在详细的专业评估中可能会发现的问题类型和程度。预计APSI在各种治疗和研究环境中都将具有价值。
