Russell Julia, Hamilton Nancy, Hamilton Jessica
University of Kansas, Lawrence, USA.
Medical Center, University of Kansas, Kansas City, USA.
J Clin Psychol Med Settings. 2025 Apr 21. doi: 10.1007/s10880-025-10077-1.
Pre-surgical psychological evaluations (PSPE) are required during the spinal cord stimulator (SCS) implantation process, but there is no standard protocol for SCS PSPE. In this study, we assessed the concurrent and predictive validity of the Stanford Integrated Pyschosocial Assessment for Transplantation (SIPAT) compared with patient-reported measures and election for SCS implantation. This study used prospectively collected data at the time of PSPE from N = 222 patients at a Midwestern academic medical center. We collected SIPAT scores and Patient-Reported Outcome Measurement Information Systems (PROMIS) scores, and recorded receipt of permanent SCS implantation as a binary (yes/no) outcome. The SIPAT correlated with patient-reported outcomes of Anxiety, Depression, Fatigue, Sleep, and Pain Interference in the expected direction. The SIPAT was a significant predictor of election for permanent SCS implantation when accounting for age and pain diagnosis, such that individuals with higher SIPAT scores were less likely to elect for surgery. Exploratory analyses showed that the SIPAT Patient Readiness subscale and patient-reported Anxiety and Depression PROMIS scales correlated with election for SCS surgery. Results of this study demonstrated validity of the SIPAT in a novel population, patients with chronic pain referred for SCS implantation.
在脊髓刺激器（SCS）植入过程中需要进行术前心理评估（PSPE），但目前尚无SCS PSPE的标准方案。在本研究中，我们评估了斯坦福移植综合心理社会评估（SIPAT）与患者报告的测量结果及SCS植入选择的同时效度和预测效度。本研究前瞻性收集了美国中西部一家学术医疗中心N = 222例患者在PSPE时的数据。我们收集了SIPAT评分和患者报告结局测量信息系统（PROMIS）评分，并将接受永久性SCS植入记录为二元（是/否）结局。SIPAT与患者报告的焦虑、抑郁、疲劳、睡眠和疼痛干扰结局呈预期方向相关。在考虑年龄和疼痛诊断时，SIPAT是永久性SCS植入选择的重要预测指标，即SIPAT评分较高的个体选择手术的可能性较小。探索性分析表明，SIPAT患者准备度子量表以及患者报告的焦虑和抑郁PROMIS量表与SCS手术选择相关。本研究结果证明了SIPAT在一个新的人群——因慢性疼痛转诊接受SCS植入的患者中的效度。
