避免耐力快速屏幕问卷的解释:使用高影响性慢性疼痛患者的认知访谈进行的定性研究
Line Marie Saugmann Razniak1, Henrik Bjarke Vægter2,3, Andrea Aagaard1
1Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
The Clinical journal of pain
|January 8, 2026
概括
这项研究发现,丹麦避免耐力快速查 (AE-FS) 中的三个项目对慢性疼痛患者有问题. 为了在未来的研究中更好地解释和验证,建议进行修订.
科学领域:
- 疼痛管理 疼痛管理
- 心理测量 心理测量 心理测量
- 临床心理学 临床心理学
背景情况:
- 避免耐力快速屏幕 (AE-FS) 是一种用于评估与疼痛相关的恐惧和避免行为的工具.
- 了解患者对评估工具的解释对于慢性疼痛患者的准确诊断和治疗规划至关重要.
研究的目的:
- 评估患者对丹麦版AE-FS的理解.
- 识别导致解释问题的特定项目,并了解它们背后的原因.
- 为了提高临床实用性,为AE-FS的潜在修订提供信息.
主要方法:
- 使用三步测试-面试协议进行认知访谈,对34名高影响性慢性疼痛患者进行了采访.
- 用编码分析分析了采访成绩单,以评估响应与项目意图的一致性.
- 反思性主题分析确定了不一致反应的原因和混因素.
主要成果:
- 三个项目 (1,4和6) 被确定为有问题的,其中项目1和4显示了大量不一致的响应.
- 不一致的主要原因是项目表述.
- 在所有AE-FS项目中发现了七个不同的混因素.
结论:
- 该研究强调了丹麦慢性疼痛队列中特定AE-FS项目的潜在解释困难.
- 第4项的解释需要谨慎,因为潜在的社会可取性偏见会影响答案.
- 建议包括重新制定第6项和删除第1项,等待未来的验证研究.
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