Cross-Cultural Adaptation and Validation of the Central Sensitization Inventory Into Simplified Chinese.

IF 1.6 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2025-01-20 DOI:10.1016/j.pmn.2024.12.017
Hongfan Yin, Randy Neblett, Yunping Mu, Qing Wu, Yan Li, Changgui Shi, Bingqian Zhu
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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.

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简体中文中心敏感化量表的跨文化适应与验证。
目的:将中枢致敏量表(CSI-sC)从英文翻译成简体中文,并测试CSI-sC在慢性疼痛患者中的心理测量特性。设计:采用横断面设计。方法:按照Beaton的指导进行CSI-sC的跨文化适应。采用方便的抽样方法,纳入172名慢性脊柱疼痛患者和74名健康个体。采用视觉模拟量表(VAS)、失眠严重程度指数(ISI)、EuroQol五维度问卷(EQ-5D)和颈部残疾指数(NDI)或Oswestry残疾指数(ODI)来衡量失眠、疼痛、生活质量和功能状态。CSI-sC与这些措施之间的关联进行了并发效度评估和收敛效度评估。通过比较不同组间CSI-sC评分,验证判别效度。采用探索性因子分析进行结构效度评估。信度采用内部一致性和重测信度评估。结果:CSI-sC的Cronbach's alpha为0.886。类内相关系数为0.757。CSI-sC呈五因子结构(方差为57.2%)。CSI-sC与ISI (r = 0.625)、EQ-5D指数(r = -0.363)、EQ-5D健康评分(r = -0.355)、VAS (r = 0.290)、NDI (r = 0.432)、ODI (r = 0.333)显著相关。女性患者的CSI-sC评分高于男性(p = 0.006),患者群体的CSI-sC评分高于健康对照组(p < 0.001)。结论:CSI-sC在慢性脊柱痛患者中具有良好的信度和效度。临床意义:本研究为临床护理中中枢致敏症状的评估和识别提供了良好的工具,有助于优化慢性疼痛患者的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
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.
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