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疼痛焦虑症状尺度:初步开发和评估4项和8项简短表格

Kevin E Vowles¹, Eric S Kruger², Robert W Bailey³

¹School of Psychology, Queen's University Belfast and Belfast Centre for Pain Rehabilitation, Belfast City Hospital, National Health Service (NHS), Belfast, Northern Ireland, UK.

The journal of pain

|August 13, 2023

概括

这项研究使用物件响应理论 (IRT) 开发了疼痛焦虑症状量表 (PASS) 的更短版本. 在临床环境中,建议使用4项PASS (PASS-4) 来有效测量与疼痛相关的焦虑.

科学领域:

心理学心理学心理学
临床心理学临床心理学
心理测量心理测量心理测量

背景情况:

与慢性疼痛相关的焦虑增加了痛苦和残疾.
准确测量与疼痛相关的焦虑对于有效的疼痛管理至关重要.
已建立的疼痛焦虑症状尺度 (PASS) 有20项和4个子尺度版本.

研究的目的:

使用物件响应理论 (IRT) 开发20项疼痛焦虑症状量表 (PASS-20) 的更短,更有效的版本.
评估新的缩写版本 (PASS-4和PASS-8) 的心理测量特性和临床实用性.

主要方法:

项目响应理论 (IRT) 应用于缩短20项 PASS 在慢性疼痛个体的大样本 (N=2,669) 中.
创建了两个版本:PASS-4 (每个子级一个项目) 和PASS-8 (每个子级两个项目).
补充分析包括项目趋同,因子不变性和与疼痛相关结果的标准有效性测试.

主要成果:

两种缩短版本 (PASS-4和PASS-8) 都显示出足够的心理测量特性.
PASS-4在不同样本中显示出更高的项目收率和更强的因子不变性.
在预测与疼痛相关的结果方面,PASS-4解释了PASS-20解释的83%,PASS-8解释的92%的差异.

结论:

4项疼痛焦虑症状量表 (PASS-4) 是一种心理测量上健全且有效的衡量方法,用于评估与疼痛相关的焦虑.
建议在需要简要评估与疼痛相关的焦虑时使用PASS-4.
这两种缩短版本都保持了原始尺度的可靠性和有效性,支持它们在临床实践中的使用.

关键词:

与疼痛相关的恐惧与疼痛相关的恐惧.慢性疼痛是一种慢性疼痛.项目响应理论是物品响应理论.疼痛焦虑症状尺度疼痛焦虑症状尺度心理测量是指心理测量.

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