Department of Physiotherapy and Rehabilitation, Ankara Medipol University Faculty of Health Science, Ankara.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bingol University, Bingöl, Turkey.
Int J Rehabil Res. 2024 Jun 1;47(2):122-128. doi: 10.1097/MRR.0000000000000617. Epub 2024 Mar 11.
The aim of the study was to assess the psychometric properties of the Turkish version of Central Sensitization Inventory-9 (CSI-9) in patients with chronic musculoskeletal pain. The methodological study included 92 patients with chronic musculoskeletal pain. The original version of the CSI-9 was translated and culturally adapted into Turkish. The internal consistency and test-retest reliability were evaluated with Cronbach's α and the intraclass correlation coefficient (ICC), respectively. The assessment of reproducibility was conducted with the standard error of measurement (SEM) and minimal detectable difference (MDD) values. Convergent validity was explored by correlation analysis between the CSI-9 and Central Sensitization Inventory (CSI-25), Brief Pain Inventory (BPI), and European Quality of Life Survey-5 Dimensions (EQ-5D). The structural validity was assessed with factor analysis. Floor and ceiling effects were also analyzed. We found a very good internal consistency (Cronbach's α of 0.83) and excellent test-retest reliability (ICC of 0.96) of the Turkish CSI-9. The SEM demonstrated a range between 0.19 and 1.12, and the MDD was observed to vary from 1.17 to 1.35. The CSI-9 correlated significantly with the CSI-25 ( r = 0.77, P < 0.001), the pain severity subscale of the BPI ( r = 0.41 to 0.53, P < 0.001), the pain interference subscale of the BPI ( r = 0.21 to 0.58, P = 0.02 to P < 0.001), the EQ-5D ( r = 0.24 to 0.48, P < 0.05), and the EQ-5D visual analog scale ( r = -0.41, P < 0.001). One factor was identified within the CSI-9. Our data suggest that the Turkish CSI-9 is reliable and valid outcome measure for assessing CS in patients with chronic musculoskeletal pain.
本研究旨在评估慢性肌肉骨骼疼痛患者使用土耳其版中枢敏化量表-9（CSI-9）的心理测量特性。该方法学研究纳入了 92 名慢性肌肉骨骼疼痛患者。将 CSI-9 的原始版本翻译成土耳其语，并进行文化适应性调整。采用 Cronbach's α 和组内相关系数（ICC）分别评估内部一致性和重测信度。通过测量误差（SEM）和最小可检测差异（MDD）值评估可重复性。通过 CSI-9 与中枢敏化量表-25（CSI-25）、简明疼痛量表（BPI）和欧洲生活质量调查-5 维度（EQ-5D）之间的相关分析来探讨聚合效度。结构效度采用因子分析进行评估。还分析了地板和天花板效应。我们发现土耳其 CSI-9 具有非常好的内部一致性（Cronbach's α 为 0.83）和极好的重测信度（ICC 为 0.96）。SEM 范围为 0.19 至 1.12，MDD 范围为 1.17 至 1.35。CSI-9 与 CSI-25（r = 0.77，P < 0.001）、BPI 的疼痛严重程度分量表（r = 0.41 至 0.53，P < 0.001）、BPI 的疼痛干扰分量表（r = 0.21 至 0.58，P = 0.02 至 P < 0.001）、EQ-5D（r = 0.24 至 0.48，P < 0.05）和 EQ-5D 视觉模拟量表（r = -0.41，P < 0.001）显著相关。CSI-9 中确定了一个因素。我们的数据表明，土耳其 CSI-9 是一种可靠且有效的测量工具，可用于评估慢性肌肉骨骼疼痛患者的中枢敏化。
