Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, The Netherlands; Department of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, The Netherlands.
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, The Netherlands.
J Pain. 2020 Mar-Apr;21(3-4):409-417. doi: 10.1016/j.jpain.2019.08.006. Epub 2019 Sep 2.
Depression, anxiety, and somatization influence the recovery of people with musculoskeletal pain. A Delphi study was conducted to reach consensus on the most appropriate self-administered questionnaires to assess these psychosocial factors in people at risk of developing persistent musculoskeletal pain. A multidisciplinary panel of international experts was identified via PubReMiner. The experts (N = 22) suggested 24 questionnaires in Round 1. In Round 2, experts rated the questionnaires on suitability, considering clinimetrics, content, feasibility, personal experiences, and expertise. The highest ranked questionnaires were retained for Round 3, in which the experts made a final assessment of the suitability of the questionnaires. Sensitivity analyses were performed to assess the impact of 1) not all experts having participated in each round, and 2) experts having been involved in relevant questionnaire development. Consensus (ie, ≥75% agreement) was reached for the following questionnaires. For depression: Patient Health Questionnaire-9, Beck Depression Inventory-II, Center for Epidemiological Studies-Depression Scale, and Depression Subscale of the Depression, Anxiety and Stress Scales. In the sensitivity analyses, consensus was also reached for the Depression Subscale of the Hospital Anxiety Depression Scale. For anxiety: Generalized Anxiety Disorder Scale-7, State and Trait Anxiety Inventory, and Pain Anxiety Symptoms Scale. For somatization: no recommendation could be made. PERSPECTIVE: This study generated a short list of preferred questionnaires to assess depression, anxiety, and somatization in people with musculoskeletal pain. Broad implementation of these questionnaires by clinicians and researchers will facilitate easier comparison and pooling of baseline and outcome data. Some of the recommended questionnaires still require validation in this population.
抑郁、焦虑和躯体化会影响肌肉骨骼疼痛患者的康复。为了就评估有持续性肌肉骨骼疼痛风险人群的这些心理社会因素的最合适的自我管理问卷达成共识,开展了一项德尔菲研究。通过 PubReMiner 确定了一个由国际多学科专家组成的小组。在第一轮中,专家(N=22)提出了 24 个问卷。在第二轮中,专家根据临床计量学、内容、可行性、个人经验和专业知识,对问卷的适用性进行了评分。排名最高的问卷保留在第三轮,专家对问卷的适用性进行了最终评估。进行了敏感性分析,以评估以下因素的影响:1)并非所有专家都参与了每一轮;2)专家是否参与了相关问卷的开发。以下问卷达成了共识(即,≥75%的专家意见一致)。用于评估抑郁的问卷:患者健康问卷-9、贝克抑郁量表-II、流行病学研究中心抑郁量表和抑郁、焦虑和压力量表的抑郁量表。在敏感性分析中,医院焦虑抑郁量表的抑郁量表也达成了共识。用于评估焦虑的问卷:广泛性焦虑障碍量表-7、状态和特质焦虑量表和疼痛焦虑症状量表。用于评估躯体化的问卷:没有推荐意见。观点:本研究生成了一份简短的推荐问卷清单,用于评估肌肉骨骼疼痛患者的抑郁、焦虑和躯体化。临床医生和研究人员广泛使用这些问卷,将有助于更轻松地比较和汇总基线和结果数据。其中一些推荐的问卷仍需要在该人群中进行验证。
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