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简短疼痛问卷简表在肩袖相关肩部疼痛患者中的信度和效度

Reliability and validity of the Brief Pain Inventory-Short Form in individuals with rotator cuff-related shoulder pain.

作者信息

Law Callum, Wang Sizhong, Mani Ramakrishnan, Chapple Cathy M, Zeng Jiaxu, Ribeiro Daniel Cury

机构信息

School of Physiotherapy, Centre for Health, Activity and Rehabilitation Research (CHARR), University of Otago, Dunedin, New Zealand.

Division of Physiotherapy, School of Health Sciences, College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, UK.

出版信息

Disabil Rehabil. 2025 Apr;47(7):1854-1860. doi: 10.1080/09638288.2024.2387688. Epub 2024 Aug 20.

DOI:10.1080/09638288.2024.2387688
PMID:39164818
Abstract

PURPOSE

To investigate the test-retest reliability and construct validity of the Brief Pain Inventory-Short Form (BPI-SF) in individuals with rotator cuff-related shoulder pain (RCRSP).

METHODS

Sixty-one participants with RCRSP completed the BPI-SF twice with an interval of two to seven days and Shoulder Pain and Disability Index (SPADI) at the initial visit. The BPI-SF pain severity subscale, pain interference subscale, and stand-alone pain severity items were analysed using intraclass correlation coefficients (ICCs) and minimal detectable change at the 95% confidence interval (MDC). The construct validity of BPI-SF was assessed against SPADI using Pearson's correlation.

RESULTS

The BPI-SF pain severity and pain interference subscales presented moderate test-retest reliability (ICC = 0.73, 0.53) and MDC were 2.05 and 2.36. All stand-alone BPI-SF pain severity items presented a moderate reliability (ICC = 0.62, 0.70). BPI-SF interference items presented poor to moderate reliability (ICC = 0.39, 0.68). The correlation coefficients between the BPI-SF and SPADI subscales or total scores were large ( = 0.61, 0.75).

CONCLUSIONS

BPI-SF pain severity and pain interference subscales have a moderate reliability in individuals with RCRSP. BPI-SF pain severity and interference subscales showed high construct validity in individuals with RCRSP. MDC values are useful metrics for interpreting a true change in BPI-SF scores following interventions in individuals with RCRSP.

摘要

目的

探讨简式疼痛问卷-简短形式(BPI-SF)在肩袖相关肩部疼痛(RCRSP)患者中的重测信度和结构效度。

方法

61例RCRSP患者在初次就诊时完成BPI-SF问卷,间隔2至7天后再次完成该问卷,并完成肩部疼痛和功能障碍指数(SPADI)评估。使用组内相关系数(ICC)和95%置信区间的最小可检测变化(MDC)分析BPI-SF疼痛严重程度分量表、疼痛干扰分量表及独立的疼痛严重程度项目。采用Pearson相关性分析评估BPI-SF与SPADI的结构效度。

结果

BPI-SF疼痛严重程度和疼痛干扰分量表呈现出中度重测信度(ICC分别为0.73和0.53),MDC分别为2.05和2.36。所有独立的BPI-SF疼痛严重程度项目呈现出中度信度(ICC分别为0.62和0.70)。BPI-SF干扰项目呈现出从差到中度的信度(ICC分别为0.39和0.68)。BPI-SF与SPADI分量表或总分之间的相关系数较大(分别为0.61和0.75)。

结论

BPI-SF疼痛严重程度和疼痛干扰分量表在RCRSP患者中具有中度信度。BPI-SF疼痛严重程度和干扰分量表在RCRSP患者中显示出较高的结构效度。MDC值是解释RCRSP患者干预后BPI-SF评分真实变化的有用指标。

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