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Cross-Cultural Adaptation and Validation of the Central Sensitization Inventory Into Simplified Chinese
Hongfan Yin1, Randy Neblett2, Yunping Mu3
1School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Summary
The simplified Chinese Central Sensitization Inventory (CSI-sC) is a reliable and valid tool for assessing central sensitization symptoms in chronic pain patients. This new instrument aids in clinical nursing practice for better patient treatment.
Area of Science:
- Pain Management
- Psychometrics
- Cross-cultural Adaptation
Background:
- Central sensitization is a key factor in chronic pain conditions.
- A validated instrument is needed to assess central sensitization in Chinese-speaking populations.
- The Central Sensitization Inventory (CSI) is a widely used English tool.
Purpose of the Study:
- Translate the CSI into simplified Chinese (CSI-sC).
- Evaluate the psychometric properties of the CSI-sC in Chinese patients with chronic pain.
- Establish CSI-sC as a reliable and valid measure for clinical use.
Main Methods:
- Cross-cultural adaptation of the CSI following Beaton's guidelines.
- Cross-sectional study with 172 chronic spinal pain patients and 74 healthy controls.
- Assessed reliability (Cronbach's alpha, ICC) and validity (concurrent, convergent, discriminant, structural) using various scales (VAS, ISI, EQ-5D, NDI/ODI).
Main Results:
- CSI-sC demonstrated high reliability (Cronbach's alpha = 0.886, ICC = 0.757).
- Exploratory factor analysis revealed a five-factor structure.
- Significant correlations were found between CSI-sC and measures of pain, insomnia, quality of life, and disability.
Conclusions:
- The CSI-sC is a reliable and valid instrument for assessing central sensitization in Chinese patients with chronic pain.
- This tool can aid in identifying central sensitization symptomology in clinical nursing.
- The CSI-sC may help optimize treatment strategies for chronic pain management.
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