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疼痛恢复力量表在说中文的颞下颌关节紊乱病疼痛患者中的验证

Validation of the Pain Resilience Scale in Chinese-speaking patients with temporomandibular disorders pain.

作者信息

He S L, Wang J H, Ji P

机构信息

College of Stomatology, Chongqing Medical University, Chongqing, China.

Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.

出版信息

J Oral Rehabil. 2018 Mar;45(3):191-197. doi: 10.1111/joor.12591. Epub 2017 Dec 28.

Abstract

To validate the Pain Resilience Scale (PRS) for use in Chinese patients with temporomandibular disorders (TMD) pain. According to international guidelines, the original PRS was first translated and cross-culturally adapted to formulate the Chinese version of PRS (PRS-C). A total of 152 patients with TMD pain were recruited to complete series of questionnaires. Reliability of the PRS-C was investigated using internal consistency and test-retest reliability. Validity of the PRS-C was calculated using cross-cultural validity and convergent validity. Cross-cultural validity was evaluated by examining the confirmatory factor analysis (CFA). And convergent validity was examined through correlating the PRS-C scores with scores of 2 commonly used pain-related measures (the Connor-Davidson Resilience Scale [CD-RISC] and the Tampa Scale for Kinesiophobia for Temporomandibular Disorders [TSK-TMD]). The PRS-C had a high internal consistency (Cronbach's alpha = 0.92) and good test-retest reliability (intra-class correlation coefficient [ICC] = 0.81). The CFA supported a 2-factor model for the PRS-C with acceptable fit to the data. The fit indices were chi-square/DF = 2.21, GFI = 0.91, TLI = 0.97, CFI = 0.98 and RMSEA = 0.08. As regards convergent validity, the PRS-C evidenced moderate-to-good relationships with the CD-RISC and the TSK-TMD. The PRS-C shows good psychometric properties and could be considered as a reliable and valid measure to evaluate pain-related resilience in patients with TMD pain.

摘要

验证疼痛复原力量表(PRS)在中国颞下颌关节紊乱病(TMD)疼痛患者中的适用性。根据国际指南,首先对原始PRS进行翻译和跨文化调适,以制定中文版PRS(PRS-C)。共招募了152例TMD疼痛患者来完成一系列问卷。使用内部一致性和重测信度来研究PRS-C的信度。使用跨文化效度和收敛效度来计算PRS-C的效度。通过验证性因素分析(CFA)评估跨文化效度。通过将PRS-C得分与2种常用的疼痛相关测量工具(康纳-戴维森复原力量表[CD-RISC]和颞下颌关节紊乱病运动恐惧坦帕量表[TSK-TMD])的得分进行相关性分析来检验收敛效度。PRS-C具有较高的内部一致性(Cronbach's α = 0.92)和良好的重测信度(组内相关系数[ICC] = 0.81)。CFA支持PRS-C的二因素模型,该模型与数据拟合良好。拟合指数为卡方/自由度 = 2.21,GFI = 0.91,TLI = 0.97,CFI = 0.98,RMSEA = 0.08。关于收敛效度,PRS-C与CD-RISC和TSK-TMD显示出中度至良好的相关性。PRS-C显示出良好的心理测量学特性,可被视为评估TMD疼痛患者疼痛相关复原力的可靠且有效的测量工具。

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