Hongfan Yin, Randy Neblett, Yunping Mu, Qing Wu, Yan Li, Changgui Shi, Bingqian Zhu
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引用次数: 0
Abstract
Purpose: To translate the Central Sensitization Inventory from English into simplified Chinese (CSI-sC) and test the psychometric properties of the CSI-sC in patients with chronic pain.
Design: A cross-sectional design was used.
Methods: Cross-cultural adaptation of the CSI-sC was performed following Beaton's guidelines. Using a convenient sampling method, 172 patients with chronic spinal pain and 74 healthy individuals were enrolled. The Visual Analog Scale (VAS), Insomnia Severity Index (ISI), EuroQol Five Dimensions Questionnaire (EQ-5D), and Neck Disability Index (NDI) or Oswestry Disability Index (ODI) were used to measure insomnia, pain, quality of life, and functional status. Associations between CSI-sC with these measures were examined for concurrent and convergent validity assessment. Discriminant validity was confirmed by comparing CSI-sC scores between different groups. Exploratory factor analysis was used for the structural validity assessment. Reliability was assessed by internal consistency and test-retest reliability.
Results: The Cronbach's alpha of the CSI-sC was 0.886. The intra-class correlation coefficient was 0.757. The CSI-sC showed a five-factor structure (57.2% of variances). The CSI-sC was significantly correlated with the ISI (r = 0.625), EQ-5D index (r = -0.363), EQ-5D health score (r = -0.355), VAS (r = 0.290), NDI (r = 0.432) and ODI (r = 0.333). CSI-sC scores were statistically higher in females compared to males (p = .006) and in the patient population compared to healthy controls (p < .001).
Conclusions: The CSI-sC demonstrated good reliability and validity in chronic spinal pain patients.
Clinical implications: This study offers a good tool for the assessment and identification of central sensitization symptomology in clinical nursing practice, which may help optimize the treatment for patients with chronic pain.
期刊介绍:
This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.