Romano Joan M, Turner Judith A, Jensen Mark P
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195 USA Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195 USA Multidisciplinary Pain Center, University of Washington Medical Center, Seattle, WA 98195 USA.
Pain. 1992 Apr;49(1):71-75. doi: 10.1016/0304-3959(92)90190-M.
Assessment of physical and psychosocial dysfunction is recognized as essential in chronic pain patient evaluation. One instrument, the Sickness Impact Profile (SIP), has demonstrated good reliability and validity as a measure of dysfunction among chronic pain patients. An alternate measure, the Chronic Illness Problem Inventory (CIPI), is shorter and more easily scored than the SIP, but as yet has not been applied widely to chronic pain problems. In the present study, 95 chronic low back pain patients completed the SIP, the CIPI, activity diaries, the McGill Pain Questionnaire (MPQ), and the Center for Epidemiologic Studies-Depression scale (CES-D), before participating in a chronic pain treatment study. Overt pain behaviors were also coded from videotapes of a standardized assessment protocol. Seventy-five subjects completed the measures post-treatment. The results indicate that although the SIP and the CIPI are significantly correlated and appear to be measuring similar constructs, there is also substantial unshared variance between them, suggesting that they may tap somewhat different aspects of dysfunction in chronic pain. The CIPI shows promise as a useful alternative measure of dysfunction in chronic low back pain patients, but requires further validation for this purpose.
在慢性疼痛患者评估中，对身体和心理社会功能障碍的评估被认为是至关重要的。一种工具，即疾病影响量表（SIP），已证明作为慢性疼痛患者功能障碍的一种测量方法具有良好的信度和效度。另一种测量方法，即慢性病问题量表（CIPI），比SIP更简短且评分更容易，但尚未广泛应用于慢性疼痛问题。在本研究中，95名慢性下腰痛患者在参与一项慢性疼痛治疗研究之前，完成了SIP、CIPI、活动日记、麦吉尔疼痛问卷（MPQ）以及流行病学研究中心抑郁量表（CES-D）。还从标准化评估方案的录像带中对明显的疼痛行为进行了编码。75名受试者在治疗后完成了这些测量。结果表明，尽管SIP和CIPI显著相关且似乎在测量相似的结构，但它们之间也存在大量未共享的方差，这表明它们可能在慢性疼痛中挖掘功能障碍的不同方面。CIPI有望成为慢性下腰痛患者功能障碍的一种有用替代测量方法，但为此需要进一步验证。
