四种疼痛强度评分量表的效度。

Validity of four pain intensity rating scales.

机构信息

Faculdade de Psicologia e Ciências da Educação da Universidade do Porto, Porto, Portugal Portuguese Foundation for Science and Technology, Lisbon, Portugal Unidade de Investigação em Psicologia e Saúde (Psychology and Health Unit), Lisbon, Portugal Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA.

出版信息

Pain. 2011 Oct;152(10):2399-2404. doi: 10.1016/j.pain.2011.07.005.

Abstract

The Visual Analogue Scale (VAS), Numerical Rating Scale (NRS), Verbal Rating Scale (VRS), and the Faces Pain Scale-Revised (FPS-R) are among the most commonly used measures of pain intensity in clinical and research settings. Although evidence supports their validity as measures of pain intensity, few studies have compared them with respect to the critical validity criteria of responsivity, and no experiment has directly compared all 4 measures in the same study. The current study compared the relative validity of VAS, NRS, VRS, and FPS-R for detecting differences in painful stimulus intensity and differences between men and women in response to experimentally induced pain. One hundred twenty-seven subjects underwent four 20-second cold pressor trials with temperature order counterbalanced across 1°C, 3°C, 5°C, and 7°C and rated pain intensity using all 4 scales. Results showed statistically significant differences in pain intensity between temperatures for each scale, with lower temperatures resulting in higher pain intensity. The order of responsivity was as follows: NRS, VAS, VRS, and FPS-R. However, there were relatively small differences in the responsivity between scales. A statistically significant sex main effect was also found for the NRS, VRS, and FPS-R. The findings are consistent with previous studies supporting the validity of each scale. The most support emerged for the NRS as being both (1) most responsive and (2) able to detect sex differences in pain intensity. The results also provide support for the validity of the scales for use in Portuguese samples.

摘要

视觉模拟评分法(VAS)、数字评分法(NRS)、言语评分法(VRS)和修订面部表情疼痛评分法(FPS-R)是临床和研究环境中最常用于测量疼痛强度的方法。尽管有证据支持它们作为疼痛强度测量的有效性,但很少有研究比较它们在反应性等关键有效性标准方面的差异,也没有实验在同一研究中直接比较所有 4 种方法。本研究比较了 VAS、NRS、VRS 和 FPS-R 在检测疼痛刺激强度差异以及在应对实验性疼痛时男女之间差异方面的相对有效性。127 名受试者接受了 4 次 20 秒冷加压试验,温度顺序在 1°C、3°C、5°C 和 7°C 之间平衡,并使用所有 4 种量表评估疼痛强度。结果表明,每种量表的疼痛强度在温度之间存在统计学上的显著差异,较低的温度导致更高的疼痛强度。反应性的顺序如下:NRS、VAS、VRS 和 FPS-R。然而,各量表之间的反应性差异相对较小。NRS、VRS 和 FPS-R 也存在统计学上显著的性别主效应。这些发现与支持每种量表有效性的先前研究一致。NRS 最能支持其有效性,因为它(1)最敏感,(2)能够检测疼痛强度的性别差异。结果还为在葡萄牙样本中使用这些量表的有效性提供了支持。

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