Hosokawa K, Kugoh T, Mino S
Department of Neuropsychiatry, Kagawa Medical School, Japan.
Epilepsia. 1994 Nov-Dec;35(6):1265-70. doi: 10.1111/j.1528-1157.1994.tb01798.x.
No reports of the Washington Psychosocial Seizure Inventory (WPSI) have yet been presented from Asian countries in detail. We performed a multiinstitutional study of this test in 652 Japanese subjects. The mean value of the Lie Scale was high, and only one third of our subjects were under the limit of the original criterion; this has been the biggest obstacle to use of the validity scales of this test in Japan. The profile form of the clinical scales was very similar to those reported from other countries. According to the relation between clinical characteristics and the WPSI scales, seizure frequency showed the strongest influence. In a comparison of whole subjects, mean scores of the clinical scales in Japan remained at an intermediate value or lower. This result was obviously distorted by the high score of the Lie Scale. When comparison was restricted to cases with valid Lie Scale scores, the values of five clinical scales showed high levels. Therefore, Japanese patients among developed countries apparently showed relatively severe levels of problems. We conclude that the WPSI could be a useful examination in Japan to determine reliably the various psychosocial problems of epileptic persons, but use of the Lie Scale according to the original criterion is not practical. Modifications of the limitation may be needed.
目前尚未有来自亚洲国家的关于华盛顿心理社会癫痫量表（WPSI）的详细报告。我们对652名日本受试者进行了这项测试的多机构研究。谎分量表的平均值较高，我们的受试者中只有三分之一低于原始标准的界限；这一直是在日本使用该测试效度量表的最大障碍。临床量表的剖面图与其他国家报告的非常相似。根据临床特征与WPSI量表之间的关系，癫痫发作频率的影响最为强烈。在对所有受试者的比较中，日本临床量表的平均得分处于中等水平或更低。这一结果显然因谎分量表的高分而扭曲。当比较仅限于谎分量表得分有效的病例时，五个临床量表的值显示出较高水平。因此，在发达国家中，日本患者显然表现出相对严重的问题水平。我们得出结论，WPSI在日本可能是一种有用的检查方法，能够可靠地确定癫痫患者的各种心理社会问题，但按照原始标准使用谎分量表并不实际。可能需要对该局限性进行修正。
