Cutoff of the subscales in HSCL-25 has, to our knowledge, not been reported and validated, but depression was reported at a significantly lower level than soma- tization. We also evaluated depression by FIQ, which had a sufficiently low correlation to emo- tional distress to be included in the analysis. No separate contribution of this factor was found. The major predictor of neuropathic symptoms in the present study was emotional distress.