Central sensitization in breast cancer survivors

Cuesta-Vargas, Antonio; Roldán-Jiménez, Cristina; Pajares, Bella; Alba, Emilio

doi:10.1111/jabr.12120

Cited by 6 publications

(10 citation statements)

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“…BCS experience a variety of nonorganic symptoms, which can be explained by the phenomenon of CS and which is related to a poor health‐related quality of life and high costs of care 2–5,26 …”

Section: Discussionmentioning

confidence: 99%

“…CS symptoms assessment in BCS is essential in clinical and research settings. In this context, validated PROMS may be useful to identify and assess the CS symptoms, and monitor their progress in BCS 5,6,12 . Different elements, such as the measurement properties and feasibility of an instrument, and the population where the instrument will be used should be considered to decide which instrument is the best for assessing CS 27 …”

Section: Discussionmentioning

confidence: 99%

“…CS has been identified in patients with various medical conditions, such as low back pain, fibromyalgia, and post‐cancer pain 5,8–10 . Validated measures may be useful for evaluating the CS symptoms and monitoring their progress in BCS 5,10 . One of the most widely used instruments to identify symptoms that may be related to CS is the Central Sensitization Inventory (CSI) 11 .…”

Section: Introductionmentioning

confidence: 99%

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Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors

et al. 2021

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Introduction One of the most widely used instruments to identify symptoms that may be related to central sensitization is the Central Sensitization Inventory (CSI). Although this instrument has been translated and validated in Spanish patients with chronic musculoskeletal pain, no psychometric analysis has been carried out in breast cancer survivors. The aim of this study was to perform a psychometric analysis of the Spanish version of the Central Sensitization Inventory (CSI‐Sp) in Spanish breast cancer survivors. Materials and Methods A validation study was carried out in 183 breast cancer survivors. A psychometric analysis of internal consistency, factor structure, and test‐retest reliability of the CSI‐Sp was performed. Internal consistency was determined using Cronbach’s alpha. Test‐retest reliability was evaluated using the Intraclass Correlation Coefficient (ICC) Type 2.1. Exploratory factor analysis was used to determine the internal structure of the questionnaire. Results The internal consistency was high (α = 0.91). The test‐retest reliability was satisfactory with excellent values (ICC 2.1 = 0.95). The exploratory factor analysis yielded a one factor structure explaining the 33.88% of total variance. Conclusions The CSI‐Sp has demonstrated to be a psychometrically strong measure for assessing central sensitization symptoms in breast cancer survivors based on internal consistency, test‐retest reliability, and structural validity. Further studies that analyze other measurement properties in different Spanish clinical populations are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors

et al. 2021

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“…Central sensitization is often related to diseases such as rheumatoid arthritis [8], osteoarthritis [8, 9], temporomandibular joint complaints [8, 10], fibromyalgia [8, 11], neck pain [12], headache [8], neuropathic pain [8], musculoskeletal complaints [8, 13], postoperative pain [8, 14], complex regional pain syndrome [8], visceral pain [8], cancer pain [15], and low back pain [16, 17].…”

Section: Introductionmentioning

confidence: 99%

Translation and cross-cultural adaptation of the Polish Central Sensitization Inventory

Turczyn¹,

Kosińska²,

Janikowska-Hołoweńko³

et al. 2019

Reumatologia

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Objectives The Central Sensitization Inventory (CSI) is a new, simple clinimetric instrument intended to help doctors who deal with pain of unclear origin. It may be particularly useful when there is a large component of neuropathic pain and to assess non-specific symptoms associated with the phenomenon of central sensitization known under the common name of the central sensitization syndrome. The aim of this study is to perform translation of the CSI into Polish, its cultural adaptation and its preparation for further validation. The proposed adaptation of the scale may be applied both at the clinical level and at the level of primary care. Material and methods The CSI translation process took place in several stages. Firstly, the text of the questionnaire was translated from English to Polish by five independent translators. Secondly, the optimal version of the text was determined and, at the third stage, it was submitted to a linguist in order to assess it in the context of the idiomatic and semantic clarity. Thirdly, the translation was passed on to a native speaker who verified the congruence of the Polish translation with its original version. At a later stage, the effect of translating the scale and its usefulness were discussed by a group of experts in order to adapt a cultural tool. The final step was to provide it to be completed and evaluated by twenty anonymous patients with the aim of pre-assessing the level of its understanding. Results The final result of the undertaken activities is the Polish version of the CSI ready for validation. Conclusions After the multistage preparation and thorough verification of the Polish questionnaire at conceptual, empirical, semantic and idiomatic levels, necessary due to numerous cultural and linguistic differences, the Polish translation of the CSI seems to be a product ready for further validation and introduction to clinical practice.

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“…Secondly, the psychiatric condition and sleep quality of the patients were evaluated with only yes/no questions, not inventories based on numerical scales. Another common feature of these diseases is that there is a considerable overlap between their accompanying key symptoms, such as fatigue, myalgias, sleep disorders, and depression, which has led researchers to consider CSS, a state in which the central nervous system amplifies sensory input across many organ systems and causes a myriad of symptoms [ 33 ]. In light of the findings obtained from this study, NCBP, whose etiology has not yet been fully elucidated, has similar key symptoms to the other components of CSS.…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbances and non-cyclical breast pain: where to break the vicious cycle?

Basım

Tolu

2021

Sleep Breath

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Purpose This study aimed to assess the sleep quality of patients with the complaint of non-cyclical breast pain (NCBP), compare them to a healthy control group, and analyze the interrelationship of sleep quality with pain, anxiety, depression, and quality of life. Methods This cross-sectional study was conducted in consecutive women presenting to the general surgery clinic between May 2020 and December 2020. Patients diagnosed with NCBP formed one group for study and 44 receiving routine wellwoman care formed the control group. Evaluations were undertaken using the Nottingham Health Profile (NHP), short-form McGill Pain Questionnaire (SF-MPQ), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI).Results Of 160 consecutive patients, 116 were diagnosed with NCBP and 44 controls. Poor sleep quality (PSQI > 5) was present in 59% (n = 69) of the women with NCBP and 38% (n = 17) of the controls (p = 0.018). According to PSQI global score, overall sleep quality was significantly lower in the NCBP group compared to the control group (p < 0.007). Sleep latency, sleep duration, and daytime dysfunction were the major components determining the PSQI global score (p = 0.004, p = 0.004, and p < 0.001, respectively). The correlation matrix revealed a statistically significant correlation between the HAD-A, HAD-D, and SF-MSQ and NHP subgroups and PSQI global score in the NCBP group (p < 0.001) whereas this significant correlation was detected with only the NHP subgroups among the controls. Conclusions A considerable proportion of NCBP patients, regardless of sensory or affective characteristics and trajectory of pain, experience significant sleep disturbances. Further studies should be conducted to evaluate the existence of central sensitization syndrome in NCBP patients to determine the required pharmacological treatment.

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Central sensitization in breast cancer survivors

Cited by 6 publications

References 50 publications

Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors

Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors

Translation and cross-cultural adaptation of the Polish Central Sensitization Inventory

Sleep disturbances and non-cyclical breast pain: where to break the vicious cycle?

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