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Evaluation of the psychometric properties of the revised short-form McGill pain questionnaire

机译:修订后的简短McGill疼痛问卷的心理计量学评价

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The recently revised version of the Short-Form McGill Pain Questionnaire (SF-MPQ-2) was created to assess both neuropathic and non-neuropathic pain. The current study extends prior research by testing the reliability and validity of the SF-MPQ-2 in a sample of U.S. veteran patients with a range of chronic pain diagnoses. Participants (N = 186) completed the SF-MPQ-2, a sociodemographic questionnaire, the Structured Clinical Interview for the DSM-IV, and self-report pain and psychiatric measures. Pain diagnoses were extracted from the electronic medical record. The SF-MPQ-2 total and scale scores demonstrated good-to-excellent internal consistency. Convergent and discriminant validity were supported, and SF-MPQ-2 total and scale scores increased with number of pain diagnoses and pain severity. Confirmatory factor analyses indicated that a 4-factor model fit the data better than a single-factor model. However, high intercorrelations among the 4 latent constructs were observed, and a second-order global pain construct also emerged. Overall, the SF-MPQ-2 demonstrated excellent reliability and validity in a sample of U.S. veteran patients with chronic neuropathic and non-neuropathic pain. Future psychometric studies of the SF-MPQ-2 should employ longitudinal data to evaluate the ability of scale scores to uniquely predict clinical and health service outcomes. Perspective: This article presents the psychometric properties of a revised version of the SF-MPQ-2. This measure may have great utility as a screening tool in clinical practice and as an outcome measure in clinical trials.
机译:创建了最近修订的《麦吉尔简短形式疼痛问卷》(SF-MPQ-2),以评估神经性和非神经性疼痛。当前的研究通过在具有一系列慢性疼痛诊断的美国退伍军人患者样本中测试SF-MPQ-2的可靠性和有效性,扩展了先前的研究。参与者(N = 186)完成了SF-MPQ-2,社会人口统计学问卷,DSM-IV的结构化临床访谈以及自我报告的疼痛和精神病学测量。从电子病历中提取疼痛诊断。 SF-MPQ-2总分和量表得分显示出良好的内部一致性。支持收敛和判别效度,并且SF-MPQ-2总分和量表评分随着疼痛诊断次数和疼痛严重程度的增加而增加。验证性因素分析表明,四因素模型比单因素模型更适合数据。然而,观察到这四个潜在构造之间的高度相关性,并且还出现了二阶整体疼痛构造。总体而言,SF-MPQ-2在具有慢性神经性和非神经性疼痛的美国退伍军人样本中显示出极好的可靠性和有效性。 SF-MPQ-2的未来心理计量学研究应采用纵向数据来评估量表分数唯一预测临床和卫生服务成果的能力。观点:本文介绍了SF-MPQ-2修订版的心理计量特性。该措施可能在临床实践中作为筛选工具以及在临床试验中作为结果措施具有很大的实用性。

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