Convergent and Discriminant Validity of the Serbian Version of the Central Sensitization Inventory

Knežević, Aleksandar; Neblett, Randy; Čolović, Petar; Jeremić-Knežević, Milica; Ignjatović, Vojislava Bugarski; Klasnja, Aleksandar; Pantelinac, Slobodan; Pjević, M

doi:10.1111/papr.12900

Cited by 13 publications

(14 citation statements)

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“…Compared to the localized pain group, the multisite group scored significantly higher on the CSI-FI. Associations have been found between CSI scores and similar symptom reporting in other previous studies [27,33,34]. The results of the present study provide further evidence of discriminant validity of the CSI.…”

Section: Discussionsupporting

confidence: 89%

“…Published results from previous cultural adaptations and validations suggest that the CSI is a reliable, valid, and consistent measure [32]. Previous studies have shown good discriminative ability of the CSI to distinguish between chronic pain subjects and control subjects without pain [32][33][34]. Associations have been found between CSI scores and other validated patient-reported measures of CS-related symptoms, including depression symptoms, kinesiophobia, perceived disability, health-related quality of life, and sleep problems [26,27,30,33] Due to rationale linking chronic pain syndromes and fibromyalgia with postural control instability, it was hypothesized that there may be a potential relationship between higher CSI scores and postural control instability on a force plate.…”

Section: Introductionmentioning

confidence: 96%

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Cross-cultural adaptation and validation of the Finnish version of the central sensitization inventory and its relationship with dizziness and postural control

et al. 2021

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Background Central Sensitization (CS) involves dysfunction in neurophysiological mechanisms that increase neuronal responses to both noxious and non-noxious stimuli in the central nervous system. The Central Sensitization Inventory (CSI) is considered the leading patient-reported outcome measure for assessing CS-related symptoms. The aim of this study was to translate and cross-culturally adapt the CSI into Finnish (CSI-FI) and to evaluate its psychometric properties. Methods Translation and cross-cultural validation of the CSI was conducted according to established guidelines. The validation sample was 229 subjects, including 42 pain free controls and 187 subjects with chronic musculoskeletal pain. The CSI-FI was evaluated for internal consistency, test-retest reliability, exploratory factor analysis with maximum likelihood extraction, relationship with subject-reported outcome measures [Tampa scale of kinesiophobia (TSK), the Depression scale (DEPS), 5-level EQ-5D version (EQ-5 L-5D), Roland-Morris Disability Questionnaire (RMDQ), and Pain and Sleep Questionnaire Three-Item Index (PSQ-3)], pain history, subjective symptoms of dizziness, and CS-related diagnoses on CSI part B. Furthermore, we studied the ability of the CSI-FI to distinguish pain free controls, subjects with chronic pain in a single body area, and subjects with multisite chronic pain. In addition, we studied the relationship of CSI-FI scores with postural control on a force plate. Results The CSI-FI demonstrated good internal consistency (0.884) and excellent test-retest reliability (0.933) with a 7 ± 1 day gap between test administrations. Exploratory factor analysis with maximum likelihood extraction yielded a one factor solution. Fair to good correlations were found between the CSI-FI and the TSK, DEPS, EQ-5 L-5D, RMDQ, and PSQ-3. Subjective symptoms of dizziness correlated better with CSI-FI scores than any of the CS-related diagnoses on CSI part B. Total CSI-FI scores successfully distinguished between pain free controls, subjects with chronic pain in a single body area, and subjects with multisite chronic pain. The multisite pain group reported significantly more dizziness symptoms than the other two groups. Force plate measurements showed no relationship between postural control and CSI-FI scores. Conclusion The CSI-FI translation was successfully cross-culturally adapted and validated into Finnish. CSI-FI psychometric properties and scores were all in acceptable levels and in line with previous CSI validations. The CSI-FI appears to be a valid and reliable instrument for assessing CS-related symptomology in Finnish-speaking populations.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 96%

Cross-cultural adaptation and validation of the Finnish version of the central sensitization inventory and its relationship with dizziness and postural control

et al. 2021

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“…Also, the HC group differed significantly from all pain groups except the RCP group, which was believed to most likely have lower levels of CS. These finding are supported by Knezevic et al [ 64 ], who found similar results in FMS, multiple pain sites, and localized pain subgroups.…”

Section: Discussionsupporting

confidence: 81%

“…The PCS correlated to a small degree with the CSI-GE. This was unexpected as we believed that the concept of catastrophizing is an amplifying factor for CS, and previous CSI studies have reported higher correlations with the PCS [ 60 , 64 ]. Correlations with pain sensitivity and intensity were low.…”

Section: Discussionmentioning

confidence: 75%

Cross-cultural adaptation and validation of the German Central Sensitization Inventory (CSI-GE)

Klute

Laekeman

Kuss

et al. 2021

BMC Musculoskelet Disord

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Background The Central Sensitization Inventory (CSI) is a screening tool designed to detect symptoms related to Central Sensitization (CS) and Central Sensitivity Syndromes (CSS) by measuring the degree of related phenomena. The objective of this study was to create a German, culturally-adapted version of the CSI and to test its psychometric properties. Methods A German version of the CSI (CSI-GE) was developed, culturally-adapted, and pretested for comprehensibility. The psychometric properties of the resulting version were validated in a clinical study with chronic pain and pain-free control subjects. To assess retest reliability, the CSI-GE was administered twice to a subgroup of patients. Structural validity was tested using factor analyses. To investigate construct validity a hypotheses testing approach was used, including (1) correlations between the CSI-GE and several other well-established questionnaires as well as (2) an investigation of the CSI-GE discriminative power between different subgroups of participants believed to have different degrees of CS. Results The CSI-GE showed excellent reliability, including high test-retest characteristics. Factor analyses confirmed a bi-factor dimensionality as has been determined previously. Analysing construct validity 6 out of 11 hypotheses (55%) were met. CSI-GE scores differentiated between subgroups according to expectations. Correlations between CSI-GE scores and other questionnaires suggested that none of the correlated constructs was identical, but there was overlap with other questionnaires based on symptom load. Several correlations did not fit with our current understanding of CS. Conclusion The CSI-GE appears to be a reliable tool for measuring CS/CSS-related symptomatology. Whether this implies that the CSI-GE measures the degree of CS within an individual subject remains unknown. The resulting score should be interpreted cautiously until further clarification of the construct.

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“…We used the ODI in the present study because it is one of the few available disability questionnaires available in the Serbian language. However, though it has been used in previous studies that included non-spinal pain patients population [ 7 , 18 , 49 , 50 , 51 ], the ODI was designed for patients with low back pain [ 22 , 23 ]. Less than half of our study subjects reported low back pain.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Functional Status of Patients with Chronic Pain—Cross Cultural Adaptation and Psychometric Properties of the Serbian Version of the Pain Disability Questionnaire

Knežević

Čolović

Jeremić-Knežević

et al. 2021

IJERPH

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The Pain Disability Questionnaire (PDQ) has established itself as a leading patient-reported outcome measure for assessing both mental and physical components of pain-related disability. The current study aimed to translate the PDQ into Serbian and validate its psychometric properties. Following a standard translation process, a total of 554 chronic pain patients (average age 55.37 ± 12.72 years; 375 (67.5%) females) completed the PDQ-Serb, Oswestry Disability Index (ODI), Short Form-36 (SF-36), pain intensity rating and a six-minute walk test (6MWT). Responsiveness was examined in a subsample of 141 patients who completed an inpatient rehabilitation program. The internal consistency of the PDQ-Serb was excellent (Cronbach α = 0.92) and test-retest reliability was favorable (ICC = 0.87). Factor analyses found a bifactor model to be the best fit (CFI = 0.97: TLI = 0.96: RMSEA = 0.05; SRMR = 0.03). Statistically significant Pearson’s coefficient correlations (p < 0.001) were found between the PDQ-Serb and ODI (r = 0.786), SF-36 Physical Components summary (r = −0.659), SF-36 Mental Components summary (r = −0.493), pain intensity rating (r = 0.572), and 6MWT (r = −0.571). Significant post-treatment improvements following inpatient rehabilitation were found with the PDQ-Serb (p < 0.001; effect size 0.431) and other clinical variables (p < 0.001; effect sizes from 0.367 to 0.536). The PDQ-Serb was shown to be a reliable and valid self-report instrument for the evaluation of pain-related disability.

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Convergent and Discriminant Validity of the Serbian Version of the Central Sensitization Inventory

Cited by 13 publications

References 63 publications

Cross-cultural adaptation and validation of the Finnish version of the central sensitization inventory and its relationship with dizziness and postural control

Cross-cultural adaptation and validation of the Finnish version of the central sensitization inventory and its relationship with dizziness and postural control

Cross-cultural adaptation and validation of the German Central Sensitization Inventory (CSI-GE)

Assessing the Functional Status of Patients with Chronic Pain—Cross Cultural Adaptation and Psychometric Properties of the Serbian Version of the Pain Disability Questionnaire

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