Development and validation of the Manchester orofacial pain disability scale
Development and validation of the Manchester orofacial pain disability scale
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DOI：
10.1111/j.1600-0528.2004.00193.x
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发表时间：
2005-04-01
影响因子：
2.3
通讯作者：
Macfarlane, TV
中科院分区：
文献类型：
--
作者：
Aggarwal, VR;Lunt, M;Macfarlane, TV
目的：设计和验证一个自我管理的工具，用于评估口面部疼痛相关的残疾在一般人群。研究方法：32项问卷的开放式访谈参加牙科医院诊所的患者，随后进行了测试，对171个社区的主题与自我报告orofacial疼痛和48个牙科医院的患者。结果：量表的结构效度从三个方面得到验证。首先，报告残疾的水平是更大的牙科医院的病人比社区科目报告口面疼痛。其次，该工具能够检测社区受试者报告的残疾水平差异，这些受试者没有咨询医疗保健专业人员，以及患有急性和慢性疼痛的受试者。第三，在社区疼痛受试者中，残疾评分随着疼痛强度和疼痛持续时间的增加而增加，并且在寻求咨询的受试者中更大。因素分析的结果确定了两个结构：身体和心理残疾，与口面疼痛。身体和心理社会结构的克朗巴赫α评分分别为0.78和0.92，这沿着项目相关值在0.43和0.80之间，证实了内部一致性。结论：因此，我们设计了一个有效的工具来评估社区和诊所环境中的痛苦orofacial条件的影响。
Objective: To design and validate a self-administered instrument for assessing orofacial pain related disability in the general population. Methods: The 32-item questionnaire was developed by open-ended interviews with patients attending dental hospital clinics and was subsequently tested on 171 community subjects with self-reported orofacial pain and 48 dental hospital patients. Results: Construct validity of the instrument was demonstrated in three ways. First, levels of reported disability were greater in dental hospital patients than for community subjects reporting orofacial pain. Secondly, the instrument was able to detect differences in disability levels reported by community subjects who did and did not consult with a healthcare professional and those who had acute and chronic pain. Thirdly, amongst community subjects with pain, disability scores increased with higher pain intensity, pain duration and were greater amongst subjects who had sought a consultation. Results of factor analysis identified two constructs: physical and psychosocial disabilities, associated with orofacial pain. The Cronbach's alpha score was 0.78 and 0.92 for the physical and psychosocial constructs, respectively, and this along with item correlation values between 0.43 and 0.80 confirmed the internal consistency. Conclusion: We have therefore designed a valid instrument for assessing the impact of painful orofacial conditions in both community and clinic settings.