Bernstein I H, Jaremko M E, Hinkley B S
Department of Psychology, University of Texas at Arlington, USA.
Spine (Phila Pa 1976). 1995 Apr 15;20(8):956-63. doi: 10.1097/00007632-199504150-00014.
Two studies evaluated the West Haven-Yale Multidimensional Pain Inventory. This 52-item inventory contains 12 scales divided into 3 parts: 1) interference, support, pain severity, self-control, and negative mood; 2) punishing responses, solicitous responses, and distracting responses; and 3) household chores, outdoor work, activities away from home, and social activities.
The objective of study 1 was to investigate the internal structure of the Multidimensional Pain Inventory and its demographic correlates. The objective of study 2 was to explore its external correlates (construct validity).
The Multidimensional Pain Inventory appears promising because of its brevity, scope, ease of administration, and initial results. Despite this, it has attracted very little attention in the orthopedic literature since its introduction nearly a decade ago.
The internal structure was examined using oblique multiple group confirmatory factor analysis. Demographic correlates were examined using discriminant analysis. The external correlates were examined using multiple regression and discriminant analysis.
The items' proposed structure fit well except that two pairs of scales are poorly separated: 1) activities away from home and social activities, and 2) solicitous responses and distracting responses. Correlations with external criteria are meaningful.
The Multidimensional Pain Inventory meets standards of reliability and convergent validity, and it may be an improvement over current psychometric devices used to this same end.
两项研究对韦斯特黑文-耶鲁多维疼痛量表进行了评估。这个包含52个条目的量表有12个分量表，分为三个部分：1）干扰、支持、疼痛严重程度、自我控制和消极情绪；2）惩罚性反应、关切性反应和分散注意力反应；3）家务、户外工作、离家活动和社交活动。
研究1的目的是调查多维疼痛量表的内部结构及其与人口统计学的相关性。研究2的目的是探索其外部相关性（结构效度）。
多维疼痛量表因其简短、涵盖范围广、易于实施以及初步结果而显得很有前景。尽管如此，自近十年前推出以来，它在骨科文献中几乎没有引起关注。
使用斜交多组验证性因素分析来检验内部结构。使用判别分析来检验人口统计学相关性。使用多元回归和判别分析来检验外部相关性。
除了两对分量表区分度较差外，各条目所提议的结构拟合良好：1）离家活动和社交活动，以及2）关切性反应和分散注意力反应。与外部标准的相关性是有意义的。
多维疼痛量表符合信度和收敛效度标准，并且可能比目前用于同一目的的心理测量工具有所改进。
