Tella L M, Fonseca L C, Bertuqui C M
Departamento de Neuropsiquiatria, Faculdade de Ciências Médicas, Pontifícia Universidade Católica de Campinas (PUCCAMP), Brasil.
Arq Neuropsiquiatr. 1995 Mar;53(1):16-22. doi: 10.1590/s0004-282x1995000100003.
Epilepsy has frequently been associated with important psycho-social problems. Washington Psychosocial Seizure Inventory is a inventory developed to identify the psycho-social problems in epilepsy. In this study we applied a WPSI version for a psychosocial evaluation of Brazilian patients: 54 epileptic patients answered a questionnaire in a period of 7 months. The application of WPSI showed difficulties in the scales: adjustment to seizures, financial status, vocational adjustment, emotional and interpersonal adjustment. The scores of problems were lower in the scales of family background, medicine and medical management. Level of schoolarity, employment status, seizure type, duration of epilepsy, control of seizures were factors influencing WPSI results. Difficulties were noticed in the comprehension of some words by the illiterate patients, and in high scores for validity scales. Our initial results were comparable to the literature. However, it should be necessary an adaptation of some language aspects and validity scales, and a further application in a larger number of epileptic patients to validate our WPSI version.
癫痫常常与重要的心理社会问题相关联。华盛顿心理社会癫痫量表是为识别癫痫患者的心理社会问题而编制的量表。在本研究中，我们应用了该量表的一个版本对巴西患者进行心理社会评估：54名癫痫患者在7个月的时间里回答了一份问卷。应用该量表时在一些维度上出现了困难：对癫痫发作的适应、财务状况、职业适应、情绪和人际适应。在家庭背景、药物及医疗管理维度上问题得分较低。受教育程度、就业状况、癫痫发作类型、癫痫病程、癫痫控制情况是影响该量表结果的因素。文盲患者在理解某些词汇方面存在困难，且效度量表得分较高。我们的初步结果与文献报道相当。然而，有必要对该量表的一些语言方面和效度量表进行调整，并在更多癫痫患者中进一步应用以验证我们使用的该量表版本。
