Central sensitization inventory is associated with psychological functioning but not with psychophysical assessment of pain amplification.

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-08-09 DOI:10.1002/ejp.4713
Rafaela Stocker Salbego, Paulo César Rodrigues Conti, Flávia Fonseca Carvalho Soares, Dyna Mara Araújo Oliveira Ferreira, Matheus Herreira-Ferreira, Beatriz Amaral de Lima-Netto, Yuri Martins Costa, Leonardo Rigoldi Bonjardim
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Abstract

Background: The central sensitization inventory (CSI) is a questionnaire that has been widely used as a tool for assessing symptoms associated with sensitization. However, its ability to identify individuals with this phenomenon has recently been questioned. The aim of this study was to assess the correlation of CSI with psychosocial and psychophysical factors in patients with painful TMD diagnosed according to diagnostic criteria for temporomandibular disorders (DC/TMD) and asymptomatic controls, as well as to determine the influence of these variables on the CSI scores variations.

Methods: This cross-sectional study with 77 patients diagnosed with painful TMD according to DC/TMD and 101 asymptomatic controls realized correlations between CSI, WUR, PPT, CPM and psychosocial questionnaires (HADS, PSQI, PCS and PSS). In cases where significant correlations existed, the potential influence of these variables on CSI variation was explored through linear regression analysis.

Results: It has been found that the CSI correlates with psychosocial variables (anxiety, depression, catastrophizing, sleep and stress) (p < 0.0006) regardless of the presence of TMD, and that 68.9% of the variation in CSI scores can be influenced by all these variables (except stress). On the contrary, the CSI does not correlate with psychophysical parameters indicative of pain amplification (wind-up ratio and conditioned pain modulation) (p > 0.320).

Conclusion: CSI is more associated with psychosocial factors than with more robust indicators of probable central sensitization (CS), thus limiting its utility in detecting this phenomenon both in TMD patients and healthy individuals.

Significance statement: The research highlights a noteworthy relationship between the central sensitization inventory and psychological factors, emphasizing their substantial influence on inventory values. This correlation offers crucial insights into mental health markers within the questionnaire. Additionally, the lack of connection with pain amplification implies a necessary re-evaluation of the inventory's diagnostic suitability, especially in cases of painful temporomandibular disorders. Thus, caution is urged in its application for identifying CS in these individuals.

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中枢敏感化清单与心理功能有关,但与疼痛放大的心理物理评估无关。
背景:中枢致敏清单(CSI)是一种调查问卷,已被广泛用作评估与致敏相关症状的工具。然而,近来有人对它识别这种现象的能力提出了质疑。本研究旨在评估根据颞下颌关节紊乱症(DC/TMD)诊断标准确诊的疼痛性 TMD 患者和无症状对照组中 CSI 与心理社会和心理物理因素的相关性,并确定这些变量对 CSI 分数变化的影响:这项横断面研究以 77 名根据 DC/TMD 诊断为疼痛性 TMD 的患者和 101 名无症状对照者为对象,研究了 CSI、WUR、PPT、CPM 和心理社会问卷(HADS、PSQI、PCS 和 PSS)之间的相关性。在存在明显相关性的情况下,通过线性回归分析探讨了这些变量对 CSI 变化的潜在影响:结果:发现 CSI 与心理社会变量(焦虑、抑郁、灾难化、睡眠和压力)相关(p 0.320):结论:CSI 与心理社会因素的相关性大于与可能的中枢敏感化(CS)的更可靠指标的相关性,因此限制了其在检测 TMD 患者和健康人的这一现象方面的实用性:研究强调了中枢敏感性量表与心理因素之间值得注意的关系,强调了心理因素对量表值的重大影响。这种相关性为了解问卷中的心理健康指标提供了重要依据。此外,中枢敏感性量表与疼痛放大之间缺乏联系,这意味着有必要重新评估该量表的诊断适用性,尤其是在颞下颌关节疼痛性疾病的病例中。因此,在应用该问卷识别这些人的 CS 时应谨慎。
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来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
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