Graded chronic pain scale revised: validation in a Veteran sample.
Graded chronic pain scale revised: validation in a Veteran sample.
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慢性疼痛分级量表修订：在退伍军人样本中进行验证。
DOI：
10.1093/pm/pnad068
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Kerns,RobertD
中科院分区：
文献类型：
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作者：
Taub,Chloe;Gordon,KirshaS;Goulet,Joseph;Lee,Allison;Mayhew,Meghan;VonKorff,Michael;DeBar,Lynn;Kerns,RobertD
慢性疼痛分级量表（GCPS）经常用于疼痛研究和治疗，以分类轻度，麻烦和高影响慢性疼痛。本研究的目的是验证修订版的GCPS（GCPS-R）在美国退伍军人事务部（VA）的医疗样本，以支持其在这一高风险population.MethodsData的使用收集退伍军人（n = 794）通过自我报告（GCPS-R和相关的健康问卷）和电子健康记录提取（人口统计学和阿片类药物处方）。Logistic回归，调整年龄和性别，用于测试疼痛等级的健康指标差异。调整后的比值比（AOR）和95%置信区间（CI）被报告，CI不包括AOR为1，表明差异超过了机会。（过去3个月内，最常或每天出现疼痛）为49.3%：7.1%为轻度慢性疼痛（轻度疼痛强度和对活动的较低干扰）; 23.3%令人烦恼的慢性疼痛（中度至重度疼痛强度和较低干扰）;和21.1%高影响慢性疼痛（较高干扰）。这项研究的结果反映了非VA验证研究的结果;麻烦和高影响之间的差异对于活动限制是一致的，对于心理变量是存在的，但并不完全一致。那些麻烦的慢性疼痛或高影响的慢性疼痛更有可能接受长期阿片类药物治疗相比，那些没有/轻度慢性pain.ConclusionsFindings突出与GCPS-R捕获的分类差异，收敛效度支持使用GCPS-R在美国退伍军人。
ObjectiveThe Graded Chronic Pain Scale (GCPS) is frequently used in pain research and treatment to classify mild, bothersome, and high impact chronic pain. This study’s objective was to validate the revised version of the GCPS (GCPS-R) in a US Veterans Affairs (VA) healthcare sample to support its use in this high-risk population.MethodsData were collected from Veterans (n = 794) via self-report (GCPS-R and relevant health questionnaires) and electronic health record extraction (demographics and opioid prescriptions). Logistic regression, adjusting for age and gender, was used to test for differences in health indicators by pain grade. Adjusted odds ratio (AOR) with 95% confidence intervals (CIs) were reported with CIs not including an AOR of 1 indicating that the difference exceeded chance.ResultsIn this population, the prevalence of chronic pain (pain present most or every day, prior 3 months) was 49.3%: 7.1% with mild chronic pain (mild pain intensity and lower interference with activities); 23.3% bothersome chronic pain (moderate to severe pain intensity with lower interference); and 21.1% high impact chronic pain (higher interference). Results of this study mirrored findings in the non-VA validation study; differences between bothersome and high impact were consistent for activity limitations and present but not fully consistent for psychological variables. Those with bothersome chronic pain or high impact chronic pain were more likely to receive long-term opioid therapy compared to those with no/mild chronic pain.ConclusionsFindings highlight categorical differences captured with the GCPS-R, and convergent validity supports use of the GCPS-R in US Veterans.