THE MODIFIED SOMATIC PERCEPTION QUESTIONNAIRE (MSPQ)

THE MODIFIED SOMATIC PERCEPTION QUESTIONNAIRE (MSPQ)
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DOI:
10.1016/0022-3999(83)90040-5
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发表时间:
1983-01-01
影响因子:
4.7
通讯作者:
MAIN, CJ
MAIN, CJ
中科院分区:
医学3区
文献类型:
--
作者:
MAIN, CJ

文献摘要

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发展一个新的规模来衡量躯体和自主知觉,修改后的躯体知觉问卷或MSPQ的描述。它是专门用于慢性背痛患者的,尽管它对其他慢性疼痛问题的效用目前正在调查中。在对焦虑患者和正常对照组进行试点研究后,对一组项目进行了可靠性检查和平行表格分析。最后的13个项目的规模是来自一个试点研究的102例慢性背痛患者和其结构效度证实了进一步的研究200例背痛患者。在最终版本中纳入了使用量表的性别差异。该量表与Zung抑郁量表和MMPI [明尼苏达多相人格调查表]的前3个临床量表进行比较,并与骨科医生独立评定的临床症状学进行比较。将MSPQ与竖脊肌和二头肌的肌电图读数进行比较,使用麦吉尔疼痛问卷进行疼痛评级,并使用次最大努力止血带试验进行实验性缺血性疼痛。该量表在理解功能残疾方面具有重要意义。其对治疗反应的预测有效性目前正在脊柱融合、化学性核增多症和多学科疼痛项目的研究中进行调查。简单的13项4点自我报告量表易于管理,具有较高的患者依从性,并与抑郁症和不适当的体征和症状的措施相结合,似乎是相当大的承诺,在理解背痛的后遗症,更敏感的比传统的人格结构的措施。
The development of a new scale to measure somatic and autonomic perception, the Modified Somatic Perception Questionnaire or MSPQ is described. It has been derived specifically for use with chronic backache patients, although its utility with other chronic pain problems is currently under investigation. Following pilot studies on anxious patients and normal controls a pool of items was subjected to reliability checks and parallel-form analysis. The final 13 item scale was derived from a pilot study of 102 chronic backache patients and its construct validity confirmed on a further study of 200 backache patients. Sex differences in the use of the scale were intergrated into the final version. The scale was compared with the Zung Depression Inventory and the first 3 clinical scales of the MMPI [Minnesota Multiphasic Personality Inventory] Individual items were compared with clinical symptomatology rated independently by an orthopedic surgeon. The MSPQ was compared with electromyographic readings from the erector spinae muscles and biceps, with the rating of pain using the McGill Pain Questionnaire, and with experimental ischemic pain using the submaximum effort tourniquet test. The scale was of importance in the understanding of functional disability. Its predictive validity in response to treatment is currently under investigation in studies of spinal fusion, chemonucleosis and multidisciplinary pain programs. The simple 13 item 4-point self-report scale is easy to administer, has high patient compliance and, in conjunction with measures of depressive symptomatology and inappropriate signs and symptoms would seem to be of considerable promise in the understanding of the sequelae of backache and much more sensitive than traditional measures of personality structure.