Comparative Ability of the Pain Disability Questionnaire in Predicting Health Outcomes
Comparative Ability of the Pain Disability Questionnaire in Predicting Health Outcomes
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DOI：
10.1111/jabr.12059
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发表时间：
2016-06-01
影响因子：
--
通讯作者：
Jones, Stephanie
中科院分区：
文献类型：
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作者：
Lippe, Ben;Gatchel, Robert J.;Jones, Stephanie
由于慢性疼痛造成了巨大的个人和社会成本，通过生物心理社会模型识别和理解疼痛相关残疾的努力在解决疼痛相关健康结果方面变得越来越重要。本研究试图比较疼痛失能问卷与其他已建立的健康和疼痛相关结果指标的预测能力。样本包括254名通过跨学科慢性疼痛管理诊所寻求治疗的成年慢性疼痛患者。参与者在基线和治疗后时间点接受一系列评估，包括疼痛残疾问卷和其他健康和疼痛相关结果的既定措施（例如，NIH PROMIS措施）。结果显示疼痛失能问卷与其他研究测量的效度趋同。层次回归分析揭示了疼痛残疾问卷测量的疼痛相关残疾与一系列生物心理社会结果之间的显著关联。疼痛残疾问卷得分，作为分类严重性水平，在预测健康相关因素方面表现出良好的判别能力。这些发现支持疼痛失能问卷的临床应用，与其他已建立的疼痛和健康结果测量方法相比，它是一种经验支持的健康相关结果预测器。
As chronic pain contributes to tremendous personal and societal costs, efforts at identifying and understanding pain-related disability via the biopsychosocial model have become increasingly important in addressing pain-related health outcomes. This study attempted to compare the predictive ability of the Pain Disability Questionnaire against other established measures in terms of health and pain-related outcomes. The sample consisted of 254 adult chronic pain patients seeking treatment through an interdisciplinary chronic pain management clinic. Participants were administered a battery of assessments including the Pain Disability Questionnaire and other established measures of health and pain-related outcomes (e.g., NIH PROMIS measures) at baseline and post-treatment time points. Results demonstrated convergent validity between the Pain Disability Questionnaire and the other study measures. Hierarchical regression analyses revealed significant associations between pain-related disability as measured by the Pain Disability Questionnaire and a range of biopsychosocial outcomes. Pain Disability Questionnaire scores, as placed in categorical severity levels, demonstrated good discriminative abilities in terms of predicting health-related factors. These findings support the clinical use of the Pain Disability Questionnaire as an empirically supported predictor of health-related outcomes as compared with other established measures of pain and health outcomes.