Department of Physiotherapy and Occupational therapy, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa, Jordan.
Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.
Disabil Rehabil. 2022 Dec;44(25):8075-8083. doi: 10.1080/09638288.2021.2006322. Epub 2021 Nov 23.
The Central Sensitization Inventory (CSI) is a tool that aid in identifying symptoms associated with nociplastic pain. The aim of this study is to adapt CSI to Arabic language, and to examine its psychometric properties.
Adaptation process followed recommended guidelines. Participants with self-reported chronic pain completed a web-based survey. The internal consistency was calculated. Test-retest reliability was examined by allowing 7-9 day gap between two rounds of measurements. Convergent validity was examined by measuring the correlation with Pain Catastrophizing Scale (PCS), EQ-VAS, and EQ-5D-3L. Discriminant validity was examined by testing four priori hypotheses. Factor analysis with principal components extraction was conducted.
CSI-Arabic (CSI-Ar) was successfully produced. Its internal consistency and test-retest reliability were excellent (Cronbach's = 0.88 and ICC=0.94). The standard error of measurement and minimal detectable change 95% were 3.45 and 9.57, respectively. CSI total score correlation with PCS, EQ-5D-3L, and EQ-VAS was moderate. The results lend support to the four hypothesis related to discriminant validity. Factor analysis revealed a four-factor structure of CSI-Ar.
CSI-Ar showed an internal consistency, test-retest reliability, and validity that are comparable to similar studies. The results support the use of CSI-Ar in assessing chronic pain in Arabic-speaking population.Implications for rehabilitationCentral sensitization (CS) mechanisms are thought to contribute to chronic pain.Identifying the presence of CS would personalize management.The Central Sensitization Inventory (CSI) is a valid and reliable tool to aid in identifying symptoms associated with CS.The Arabic version of the CSI is valid and reliable to use in Arabic speaking patients suffering from chronic pain.
中央敏化量表（CSI）是一种辅助识别与伤害感受性疼痛相关症状的工具。本研究旨在将 CSI 改编为阿拉伯语，并检验其心理测量学特性。
改编过程遵循了推荐的指南。有自我报告慢性疼痛的参与者完成了一项基于网络的调查。计算了内部一致性。通过在两轮测量之间留出 7-9 天的间隔来检查测试-重测信度。通过测量与疼痛灾难化量表（PCS）、EQ-VAS 和 EQ-5D-3L 的相关性来检验聚合效度。通过检验四个先验假设来检验判别效度。进行了主成分提取的因子分析。
成功产生了 CSI-阿拉伯语（CSI-Ar）。其内部一致性和测试-重测信度均为优秀（Cronbach's α=0.88 和 ICC=0.94）。测量的标准误差和最小可检测变化 95%分别为 3.45 和 9.57。CSI 总分与 PCS、EQ-5D-3L 和 EQ-VAS 的相关性为中度。结果支持与判别效度相关的四个假设。因子分析显示 CSI-Ar 具有四因子结构。
CSI-Ar 表现出与类似研究相当的内部一致性、测试-重测信度和效度。结果支持在阿拉伯语人群中使用 CSI-Ar 评估慢性疼痛。
中央敏化（CS）机制被认为有助于慢性疼痛。确定 CS 的存在将使管理个体化。中央敏化量表（CSI）是一种有效且可靠的工具，可帮助识别与 CS 相关的症状。CSI 的阿拉伯语版本在阿拉伯语患者慢性疼痛中是有效且可靠的。
