Knezevic Aleksandar, Neblett Randy, Jeremic-Knezevic Milica, Tomasevic-Todorovic Snezana, Boskovic Ksenija, Colovic Petar, Cuesta-Vargas Antonio
Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Medical Rehabilitation Clinic, Clinical Centre of Vojvodina, Novi Sad, Serbia.
Pain Pract. 2018 Apr;18(4):463-472. doi: 10.1111/papr.12618. Epub 2017 Nov 20.
It has been increasingly recognized that many chronic pain conditions are associated with central sensitization (CS). The Central Sensitization Inventory (CSI) is a potentially useful tool for screening patients whose presenting symptoms are suspected of being related to CS, so that additional diagnostic evaluation can be performed and appropriate treatment can be initiated. The original English version is currently not available in Serbian.
The CSI was translated into Serbian (CSI-Serb) and then psychometrically evaluated in a sample of 363 chronic pain subjects.
The CSI-Serb showed a high degree of internal consistency (Cronbach's α = 0.909), excellent test-retest reliability (intraclass correlation coefficient type 2.1 = 0.947), and a significant goodness of fit test result (χ = 888.44; P < 0.001). A factor analysis confirmed a 4-factor solution, as found by the original authors of the CSI, with all items retained. Higher CSI-Serb scores were associated with higher pain severity and longer pain duration. Total CSI scores distinguished between 3 subject groups with presumably different levels of CS, including fibromyalgia (53.3, SD = 11.2), chronic regional pain only (29.7, SD = 11.6), and a pain-free control group (20.9, SD = 9.1).
The results of the present study indicate strong psychometric properties, including evidence of convergent and discriminant validity, of the CSI-Serb. These results correspond with those of other translated versions of the CSI that have been psychometrically evaluated and published. Due to the current interest in CS, and its relationship with many chronic pain conditions, it is anticipated that the CSI-Serb will benefit Serbian-speaking clinicians in the evaluation of patients with chronic pain conditions.
人们越来越认识到，许多慢性疼痛状况与中枢敏化（CS）有关。中枢敏化量表（CSI）是一种潜在有用的工具，可用于筛查其现有症状被怀疑与中枢敏化有关的患者，以便能够进行进一步的诊断评估并启动适当的治疗。其原始英文版本目前没有塞尔维亚语版本。
将CSI翻译成塞尔维亚语（CSI-Serb），然后在363名慢性疼痛受试者的样本中进行心理测量评估。
CSI-Serb显示出高度的内部一致性（克朗巴哈α系数=0.909）、出色的重测信度（组内相关系数类型2.1=0.947）以及显著的拟合优度检验结果（χ=888.44；P<0.001）。因子分析证实了CSI的原始作者所发现的四因子解决方案，所有项目均被保留。较高的CSI-Serb分数与较高的疼痛严重程度和较长的疼痛持续时间相关。CSI总分区分了3个可能具有不同中枢敏化水平的受试者组，包括纤维肌痛（53.3，标准差=11.2）、仅慢性区域疼痛（29.7，标准差=11.6）和无疼痛对照组（20.9，标准差=9.1）。
本研究结果表明CSI-Serb具有强大的心理测量特性，包括收敛效度和区分效度的证据。这些结果与其他经过心理测量评估并发表的CSI翻译版本的结果一致。由于目前对中枢敏化及其与许多慢性疼痛状况的关系感兴趣，预计CSI-Serb将有助于塞尔维亚语临床医生评估慢性疼痛患者。
