Dodrill C B, Batzel L W, Queisser H R, Temkin N R
Epilepsia. 1980 Apr;21(2):123-35. doi: 10.1111/j.1528-1157.1980.tb04053.x.
Numerous investigators have identified psychological and social problems among epileptics and in many instances, these appear to be more debilitating than the seizures themselves. However, assessment of these problems has most frequently been done by subjective means and when objective tests have been used, they were almost always developed for and standardized on populations other than epileptics. The development of the Washington Psychosocial Seizure Inventory (WPSI) is presented in this paper. After pilot work, 127 adult epileptics were evaluated for psychosocial problems and they completed the 132-item Inventory. Professional assessment of difficulties was made with respect to family background, emotional adjustment, interpersonal adjustment, vocational adjustment, financial status, adjustment to seizures, and medical management. Finally, an assessment of overall psychosocial functioning was made. Through an item-by-item correlation technique, scales were empirically developed for each of these areas and a profile was produced which gives both the absolute and the relative extents of difficulties for each patient with respect to each area. Potential applications for the WPSI are presented.
众多研究者已确定癫痫患者存在心理和社会问题，而且在很多情况下，这些问题似乎比癫痫发作本身更具致残性。然而，对这些问题的评估大多采用主观方法，即便使用了客观测试，这些测试几乎都是针对癫痫患者以外的人群开发并进行标准化的。本文介绍了华盛顿心理社会癫痫量表（WPSI）的编制情况。经过前期试验工作，对127名成年癫痫患者的心理社会问题进行了评估，他们完成了这份包含132个条目的量表。针对家庭背景、情绪调适、人际调适、职业调适、财务状况、对癫痫发作的调适以及医疗管理等方面的困难进行了专业评估。最后，对整体心理社会功能进行了评估。通过逐条项目相关技术，针对这些领域中的每一个都凭经验编制了量表，并生成了一份概况，给出了每位患者在每个领域的困难的绝对程度和相对程度。文中还介绍了WPSI的潜在应用。
