Cross-cultural Adaptation and Validity of the Spanish Central Sensitization Inventory

Overview

Journal Springerplus

Date 2016 Nov 8

PMID 27818875

Citations 49

Authors

Antonio Ignacio Cuesta-Vargas

Cristina Roldan-Jimenez

Randy Neblett

Robert J Gatchel

Affiliations

Soon will be listed here.

Abstract

Purposing: The Central Sensitization Inventory (CSI) is a new patient-reported instrument, which measures symptoms related to Central Sensitivity Syndromes and Central Sensitization. The aim of this study was to translate the CSI into Spanish, and then to perform a psychometric validation, including a factor analysis to reveal the underlying structure.

Methods: In this two-stage psychometric study participated 395 subjects with various chronic pain conditions and that were recruited from two Primary Care Centres. The CSI was cross-culturally adapted to Spanish through double forward and backward translations. The psychometric properties were then evaluated with analyses of construct validity, factor structure and internal consistency. One subgroup (n = 45) determined test-retest reliability at 7 days.

Results: The Spanish Version of CSI demonstrated high internal consistency (α = 0.872) and test-retest reliability (r = 0.91). Factor structure was one-dimensional and supported construct validity.

Conclusions: The psychometric properties of the Spanish version were found to be strong, with high test-retest reliability and internal consistency, with similar psychometric properties to the English language version. Unlike the English version, however, a one factor solution was found to be a best fit for the Spanish version.

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References

Muniz J, Elosua P, Hambleton R . [International Test Commission Guidelines for test translation and adaptation: second edition]. Psicothema. 2013; 25(2):151-7. DOI: 10.7334/psicothema2013.24. View

Ahles T, Khan S, Yunus M, Spiegel D, MASI A . Psychiatric status of patients with primary fibromyalgia, patients with rheumatoid arthritis, and subjects without pain: a blind comparison of DSM-III diagnoses. Am J Psychiatry. 1991; 148(12):1721-6. DOI: 10.1176/ajp.148.12.1721. View

Yunus M . Fibromyalgia and overlapping disorders: the unifying concept of central sensitivity syndromes. Semin Arthritis Rheum. 2007; 36(6):339-56. DOI: 10.1016/j.semarthrit.2006.12.009. View

Terwee C, Bot S, de Boer M, van der Windt D, Knol D, Dekker J . Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2006; 60(1):34-42. DOI: 10.1016/j.jclinepi.2006.03.012. View

Kindler L, Bennett R, Jones K . Central sensitivity syndromes: mounting pathophysiologic evidence to link fibromyalgia with other common chronic pain disorders. Pain Manag Nurs. 2011; 12(1):15-24. PMC: 3052797. DOI: 10.1016/j.pmn.2009.10.003. View

Lydiard R, Fossey M, Marsh W, Ballenger J . Prevalence of psychiatric disorders in patients with irritable bowel syndrome. Psychosomatics. 1993; 34(3):229-34. DOI: 10.1016/S0033-3182(93)71884-8. View

Cuesta-Vargas A, Gonzaleaz-Sanchez M, Farasyn A . Development of a Spanish version of the "Backache Index". J Back Musculoskelet Rehabil. 2010; 23(3):105-10. DOI: 10.3233/BMR-2010-0256. View

Mayer T, Neblett R, Cohen H, Howard K, Choi Y, Williams M . The development and psychometric validation of the central sensitization inventory. Pain Pract. 2011; 12(4):276-85. PMC: 3248986. DOI: 10.1111/j.1533-2500.2011.00493.x. View

Doward L, McKenna S . Defining patient-reported outcomes. Value Health. 2004; 7 Suppl 1:S4-8. DOI: 10.1111/j.1524-4733.2004.7s102.x. View

10.

Neblett R, Hartzell M, Mayer T, Cohen H, Gatchel R . Establishing Clinically Relevant Severity Levels for the Central Sensitization Inventory. Pain Pract. 2016; 17(2):166-175. DOI: 10.1111/papr.12440. View

11.

Heinricher M, Tavares I, Leith J, Lumb B . Descending control of nociception: Specificity, recruitment and plasticity. Brain Res Rev. 2009; 60(1):214-25. PMC: 2894733. DOI: 10.1016/j.brainresrev.2008.12.009. View

12.

Neblett R, Hartzell M, Cohen H, Mayer T, Williams M, Choi Y . Ability of the central sensitization inventory to identify central sensitivity syndromes in an outpatient chronic pain sample. Clin J Pain. 2014; 31(4):323-32. DOI: 10.1097/AJP.0000000000000113. View

13.

Neblett R, Cohen H, Choi Y, Hartzell M, Williams M, Mayer T . The Central Sensitization Inventory (CSI): establishing clinically significant values for identifying central sensitivity syndromes in an outpatient chronic pain sample. J Pain. 2013; 14(5):438-45. PMC: 3644381. DOI: 10.1016/j.jpain.2012.11.012. View

14.

Rief W, Hessel A, Braehler E . Somatization symptoms and hypochondriacal features in the general population. Psychosom Med. 2001; 63(4):595-602. DOI: 10.1097/00006842-200107000-00012. View

15.

Tracey I, Dunckley P . Importance of anti- and pro-nociceptive mechanisms in human disease. Gut. 2004; 53(11):1553-5. PMC: 1774272. DOI: 10.1136/gut.2004.046110. View

16.

Kregel J, Vuijk P, Descheemaeker F, Keizer D, van der Noord R, Nijs J . The Dutch Central Sensitization Inventory (CSI): Factor Analysis, Discriminative Power, and Test-Retest Reliability. Clin J Pain. 2015; 32(7):624-30. DOI: 10.1097/AJP.0000000000000306. View

17.

Garratt A . Patient reported outcome measures in trials. BMJ. 2009; 338:a2597. DOI: 10.1136/bmj.a2597. View