Stability of patient adaptation classifications on the multidimensional pain inventory
Stability of patient adaptation classifications on the multidimensional pain inventory
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DOI：
10.1016/j.pain.2004.01.014
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发表时间：
2004-05-01
期刊：
影响因子：
7.4
通讯作者：
Turk, DC
中科院分区：
文献类型：
--
作者：
Broderick, JE;Junghaenel, DU;Turk, DC
本研究检验了多维疼痛问卷(MPI)在两个女性纤维肌痛综合征患者样本中的适应性分类稳定性。重新测试的结果是三分之一的患者被分配到不同的类别。20名患者在10个月的时间里进行了4次重复MPI评估，其中85%的患者至少改变了一次分类。使用人口统计学变量和疼痛、抑郁、焦虑、印象管理和自欺欺人的测量来预测分类稳定性是不成功的。对每个患者的MPI可变反应量表和集群的适合度指数的检查不能产生足够的预测力。这项研究的含义是，对于相当数量的慢性疼痛患者，MPI分类可能不是稳定的、特征相似的特征。因此，当针对MPI集群进行量身定做的治疗以及将分类改变用作结果衡量标准时，必须谨慎行事。(C)2004年国际疼痛研究协会。爱思唯尔出版，版权所有。
This study examined the adaptational classification stability of the multidimensional pain inventory (MPI) in two samples of female fibromyalgia syndrome patients. Retest resulted in one-third of patients being assigned to a different classification. Twenty patients had four repeated MPI assessments over a 10-month periods 85% of them changed classification at least once. Prediction of classification stability using demographic variables and measures of pain, depression, anxiety, impression management, and self-deception was unsuccessful. Examination of the MPI Variable Response Scale and an index of the goodness of fit of the cluster for each patient did not yield sufficient predictive power. The implication of this study is that for a sizable number of chronic pain patients, MPI classifications may not be stable, trait-like characterizations. As such, caution must be applied when treatment is tailored to MPI clusters and when classification change is used as an outcome measure. (C) 2004 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.