Heard Cherish, Hainsworth Keri R, Jastrowski Mano Kristen E
Department of Psychology, College of Arts & Sciences, University of Cincinnati, Cincinnati, OH 45221, USA.
Children's Wisconsin, Milwaukee, WI 53226, USA.
Children (Basel). 2025 Aug 14;12(8):1069. doi: 10.3390/children12081069.
: Chronic pain symptoms can disrupt cognitive processes. Such interruptions may negatively impact one's overall functioning, causing frustration and distress when engaging in important tasks. This experience has been referred to as . To date, only one adult self-report measure of cognitive intrusion of pain exists: the Experience of Cognitive Intrusion of Pain (ECIP). The purpose of the current study was to examine the psychometric properties of the ECIP in a sample of pediatric patients with chronic pain. : The internal consistency reliability, factor structure, and validity of the ECIP were evaluated in a sample (N = 182) of youth ages 11 to 18 who presented to a multidisciplinary chronic pain clinic at a large Midwestern children's hospital in the United States. : Results suggest excellent reliability (α = 0.94). Confirmatory factor analysis results supported a one-factor model, with excellent model fit. The ECIP demonstrated evidence of convergent validity, with moderate and positive correlations with measures of pain-related limitations in functioning, pain symptoms, anxiety, and depression. Regarding discriminant validity evidence, the ECIP was minimally and inversely related to measures of readiness to transition to self-managed care and global health. : Overall, the ECIP demonstrated strong initial reliability and validity evidence for use in pediatric chronic pain. Further research is recommended in more diverse samples and to evaluate the clinical utility of the ECIP.
慢性疼痛症状会扰乱认知过程。这种干扰可能会对一个人的整体功能产生负面影响,在从事重要任务时导致沮丧和痛苦。这种体验被称为 。迄今为止,仅存在一种针对疼痛认知侵扰的成人自我报告测量方法:疼痛认知侵扰体验量表(ECIP)。本研究的目的是在患有慢性疼痛的儿科患者样本中检验ECIP的心理测量特性。:在美国中西部一家大型儿童医院的多学科慢性疼痛诊所就诊的11至18岁青少年样本(N = 182)中,对ECIP的内部一致性信度、因子结构和效度进行了评估。:结果显示出极佳的信度(α = 0.94)。验证性因子分析结果支持单因子模型,模型拟合良好。ECIP显示出收敛效度的证据,与功能方面与疼痛相关的限制、疼痛症状、焦虑和抑郁的测量指标呈中度正相关。关于区分效度的证据,ECIP与向自我管理护理过渡的准备程度和总体健康的测量指标呈最小程度的负相关。:总体而言,ECIP在儿科慢性疼痛中显示出强有力的初始信度和效度证据。建议在更多样化的样本中进行进一步研究,并评估ECIP的临床效用。