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The Central Sensitization Inventory Measures Thoughts and Emotions.

Sina Ramtin1, Marielle Ngoue1, David Ring1

  • 1Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, USA.

Journal of Patient Experience
|August 16, 2024
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Summary

The Central Sensitization Inventory questionnaire (CSI) largely functions as a mental health measure, correlating significantly with catastrophic thinking and distress in patients with musculoskeletal symptoms.

Keywords:
Central Sensitization Inventoryanxietycross-sectionalemotionsfactor analysismental healththoughts

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Area of Science:

  • Psychology
  • Rheumatology
  • Clinical Measurement

Background:

  • The Central Sensitization Inventory (CSI) is used in musculoskeletal care.
  • Its function as a distinct measure of central sensitization versus mental health is unclear.

Purpose of the Study:

  • To evaluate if the CSI functions as a mental health measure in patients seeking musculoskeletal care.
  • To determine the association between CSI scores and mental health indicators.

Main Methods:

  • 157 adults with musculoskeletal symptoms completed the CSI, a catastrophic thinking measure, and 3 distress measures.
  • Exploratory factor analysis identified CSI item groupings.

Main Results:

  • Factor analysis revealed 4 CSI groupings: thoughts/feelings (52%), urinary/visual symptoms (15%), body aches (10%), and jaw pain (8.1%).
  • CSI total score (51%) and the thoughts/feelings factor (57%) were significantly associated with catastrophic thinking and distress.
  • Specific CSI items strongly correlated with mental health measures.

Conclusions:

  • The CSI's strong correlation with thoughts and emotions suggests it primarily functions as a mental health measure.
  • Quantifying central sensitization distinctly from mental health is crucial for its clinical utility.