THE MCGILL PAIN QUESTIONNAIRE RECONSIDERED - CONFIRMING THE FACTOR STRUCTURE AND EXAMINING APPROPRIATE USES
THE MCGILL PAIN QUESTIONNAIRE RECONSIDERED - CONFIRMING THE FACTOR STRUCTURE AND EXAMINING APPROPRIATE USES
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DOI：
10.1016/0304-3959(85)90167-8
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发表时间：
1985-01-01
期刊：
影响因子：
7.4
通讯作者：
SALOVEY, P
中科院分区：
文献类型：
--
作者：
TURK, DC;RUDY, TE;SALOVEY, P
对慢性疼痛患者的理解和心理治疗的一个主要问题是现有评估程序的不足。目前，最常用的工具是麦吉尔疼痛问卷的疼痛分级指数（PRI），旨在评估疼痛的3个组成部分（即，感官、情感和评价）。PRI在许多研究中用于鉴别诊断，描述不同的疼痛患者群体，并确定工具本身的因素组成。迄今为止，没有任何研究适当地测试了先验结构本身。迄今为止，没有研究适当地测试了先验结构的PRI或交叉validatedit.Comparative因素分析程序支持Melzack的假设的三个组成部分的结构的PRI在2个不同的样本疼痛患者从不同的医院。3个组分高度相关。随后的分析表明，PRI的3个组成部分没有显示出足够的判别效度。目前使用3个分量表来建立不同疼痛综合征的鉴别诊断或模式可能导致不适当的分类和治疗决策。仅使用PRI的总评分适用于疼痛评估。
A major problem in the understanding and psychological treatment of chronic pain patients is the inadequacy of available assessment procedures. Currently, the most frequently used instrument is the Pain Rating Index (PRI) of the McGill Pain Questionnaire, designed to assess 3 components of pain (i.e., sensory, affective and evaluative) postulated by the Gate Control Theory. The PRI was used in many studies to make differential diagnoses, to describe different groups of pain patients, and to identify the factor composition of the instrument itself. To date, no study has appropriately tested the a priori structure itself. To date, no study has appropriately tested the a priori structure of the PRI or cross-validated it. Confirmatory factor analytic procedures supported Melzack''s postulated tri-component structure of the PRI in 2 diverse samples of pain patients from different hospitals. The 3 components were highly intercorrelated. Subsequent analyses revealed that the 3 components of the PRI do not display adequate discriminant validity. The current use of 3 subscales to establish differential diagnoses or patterns of different pain syndromes may lead to inappropriate classification and treatment decisions. Use of only the total score of the PRI is appropriate for pain assessment.