Ramtin Sina, Ngoue Marielle, Ring David, Teunis Teun
Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
Department of Orthopaedic Surgery, University Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA.
J Patient Exp. 2024 Aug 14;11:23743735241273589. doi: 10.1177/23743735241273589. eCollection 2024.
To determine if the Central Sensitization Inventory questionnaire (CSI) functions as a mental health measure among a cross-section of people seeking musculoskeletal specialty care, we asked: (1) What is the association of CSI total score and item groupings identified in factor analysis with mental health measures? and (2) What is the association between specific CSI items that represent each factor well and specific mental health measures? One hundred and fifty-seven adults seeking specialty care for musculoskeletal symptoms completed the CSI, a measure of catastrophic thinking, and 3 measures of distress (symptoms of health anxiety, general anxiety, and depression). Exploratory factor analysis was used to identify item groupings. Exploratory factor analysis identified 4 item groupings (factors): (1) thoughts and feelings (mental health), accounting for 52% of the variation in the CSI, (2) urinary and visual symptoms (15%) (3) body aches (10%), and (4) jaw pain (8.1%). More than half the variation in both the CSI total score (51%) and the thoughts and feelings factor (57%) were accounted for by variation in measures of catastrophic thinking and distress. Specific items that account for large amounts of the variation in the CSI also had notable correlations with mental health measures. The strong relationship between the CSI and thoughts and emotions suggests that the CSI functions largely as a mental health measure. If the concept of central sensitization is to help people get and stay healthy, it will depend on evidence that central sensitization can be measured and quantified distinct from mental health.
为了确定中枢敏化量表问卷（CSI）在寻求肌肉骨骼专科护理的人群中是否可作为一种心理健康测量工具，我们提出了以下问题：（1）CSI总分以及在因子分析中确定的项目分组与心理健康测量工具之间的关联是什么？（2）能够很好代表每个因子的特定CSI项目与特定心理健康测量工具之间的关联是什么？157名因肌肉骨骼症状寻求专科护理的成年人完成了CSI（一种灾难化思维测量工具）以及3种痛苦程度测量工具（健康焦虑症状、一般焦虑症状和抑郁症状）。采用探索性因子分析来确定项目分组。探索性因子分析确定了4个项目分组（因子）：（1）想法和感受（心理健康），占CSI变异的52%，（2）泌尿和视觉症状（15%），（3）身体疼痛（10%），以及（4）颌部疼痛（8.1%）。CSI总分（51%）和想法与感受因子（57%）中超过一半的变异是由灾难化思维和痛苦程度测量工具的变异所导致的。在CSI中占大量变异的特定项目与心理健康测量工具也有显著相关性。CSI与想法和情绪之间的密切关系表明，CSI在很大程度上可作为一种心理健康测量工具。如果中枢敏化的概念要帮助人们保持健康，这将取决于有证据表明中枢敏化能够与心理健康区分开来进行测量和量化。
