用于评估复杂性区域疼痛综合征（CRPS）患者体征和症状的汉密尔顿量表的心理测量学评估。

Psychometric evaluation of the Hamilton Inventory to evaluate signs and symptoms in patients with Complex Regional Pain Syndrome (CRPS).

作者信息

Farzad Maryam, Packham Tara, MacDermid Joy, Mohammadi Fatemeh, Hosseini Seyed Ali, Kamrani Reza Shahriar, Shariatzadeh Hooman, Koushan Ali, Kalantar Seyed Hadi, Bakhshi Enayatollah

机构信息

Hand and Upper Limb Center, St. Joseph's Health Center, School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, Ontario, Canada; School of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

出版信息

J Hand Ther. 2025 Apr 23. doi: 10.1016/j.jht.2025.02.004.

BACKGROUND

Complex Regional Pain Syndrome (CRPS) is a debilitating condition with profound physical and psychological impacts, necessitating comprehensive assessment tools for effective evaluation.

PURPOSE

This study aimed to validate the Persian version of the Hamilton Inventory for Complex Regional Pain Syndrome (HI-CRPS) and assess its reliability and validity in individuals diagnosed with CRPS.

STUDY DESIGN

A cross-sectional clinical measurement study evaluated the Persian version of HI-CRPS.

METHODS

A sample of 64 individuals diagnosed with CRPS from pain and hand surgeon clinics completed the Persian versions of the patient-reported (PR-HI-CRPS) and clinicians based (CB-HI-CRPS). Test-retest reliability was assessed after 1 week, and responsiveness was measured after 3 months. Baseline scores, ceiling effects, internal consistency (Cronbach's alpha), and construct validity (correlations with related measures) were examined. Effect sizes and standardized response means (SRM) were calculated to gauge responsiveness.

RESULTS

Baseline scores for PR-HI-CRPS and CB-HI-CRPS were 77.8 and 14.9, respectively. Around 18% of PR-HI-CRPS and 16% of CB-HI-CRPS respondents exhibited ceiling effects. Internal consistency for PR-HI-CRPS (Cronbach's alpha: 0.71-0.91) and CB-HI-CRPS (alpha: 0.90) was satisfactory. PR-HI-CRPS (ICC: 0.86) and CB-HI-CRPS (ICC: 0.97) showed robust test-retest reliability. Construct validity was confirmed by significant correlations between PR-HI-CRPS subscales and related measures (p < 0.01). Structural validity was confirmed by confirmatory factor analysis. PR-HI-CRPS displayed an effect size of 0.79 and a standardized response mean (SRM) of 0.88.

CONCLUSIONS

The Persian version of the HI-CRPS demonstrated satisfactory internal consistency, test-retest reliability, construct validity, and responsiveness. It can be relied upon to assess CRPS symptoms, functional limitations, and psychosocial impacts.

背景

复杂性区域疼痛综合征（CRPS）是一种使人衰弱的病症，对身体和心理有深远影响，因此需要全面的评估工具进行有效评估。

目的

本研究旨在验证波斯语版的复杂性区域疼痛综合征汉密尔顿量表（HI-CRPS），并评估其在被诊断为CRPS的个体中的可靠性和有效性。

研究设计

一项横断面临床测量研究对波斯语版HI-CRPS进行了评估。

方法

从疼痛和手外科诊所选取64名被诊断为CRPS的个体作为样本，完成了患者报告版（PR-HI-CRPS）和临床医生版（CB-HI-CRPS）的波斯语版本。在1周后评估重测信度，在3个月后测量反应度。检查了基线分数、天花板效应、内部一致性（克朗巴哈系数）和结构效度（与相关测量的相关性）。计算效应量和标准化反应均值（SRM）以衡量反应度。

结果

PR-HI-CRPS和CB-HI-CRPS的基线分数分别为77.8和14.9。PR-HI-CRPS约18%的受访者和CB-HI-CRPS约16%的受访者表现出天花板效应。PR-HI-CRPS（克朗巴哈系数：0.71 - 0.91）和CB-HI-CRPS（系数：0.90）的内部一致性良好。PR-HI-CRPS（组内相关系数：0.86）和CB-HI-CRPS（组内相关系数：0.97）显示出较强的重测信度。PR-HI-CRPS分量表与相关测量之间的显著相关性证实了结构效度（p < 0.01）。验证性因子分析证实了结构效度。PR-HI-CRPS的效应量为0.79，标准化反应均值（SRM）为0.88。

结论

波斯语版HI-CRPS表现出令人满意的内部一致性、重测信度、结构效度和反应度。它可用于评估CRPS症状、功能限制和社会心理影响。