Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component

Pérez, Concepción; Gálvez, R.; Huelbes, Silvia; Insausti, J.; Bouhassira, Didier; Díaz, Silvia García; Rejas, Javier

doi:10.1186/1477-7525-5-66

Cited by 178 publications

(198 citation statements)

References 24 publications

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“…It is also suggested that the exclusion of a neutral point will draw the respondent to make a decision one way or the other. The more recent scientific studies have used this type of scale demonstrating that by eliminating a neutral level provides a better measure of the intensity of participants' attitudes or opinions' (see for example Perez et al, 2007) …”

Section: Methodsmentioning

confidence: 99%

Communication, Commitment & Trust: Exploring the Triad

Zeffane¹,

Tipu²,

Ryan³

2011

IJBM

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Despite growing interest on the issues of communication, trust and commitment, studies examining the interplay between all of these three variables are lacking. This paper attempts to address this gap. It draws on survey data involving 244 employees from a medium-size food processing organization operating in NSW (Australia). The study explored relationships between communication, trust and commitment. Trust was measured by a six-items composite scale assessing overall beliefs in good intentions of organization participants as well as the degree of faith/trust in various actors in the organization, including co-workers and managers at various levels of the hierarchy. Correlation analysis revealed that perceived effectiveness of communication between management and employees, commitment & pride in working for the company and trust were significantly interrelated. However, the relationship between Trust and Communication was the strongest, with commitment also showing a significant relation to Trust. On the other hand, the relationship between commitment and communication was relatively weaker. The results demonstrate the importance of effective communication within organizations as it relates to trust and organizational commitment. In particular, the study shows that trust and commitment do not just happen; they are forged and maintained through effective communication. Implications for management practice and future research are discussed. Keywords: Trust, Communication effectiveness, Organizational commitment, LoyaltyThis paper explores the relative impact of communication effectiveness, job satisfaction and participation on trust climate, including trust in managers. It draws on survey data involving 244 employees from a medium-size food processing organization operating in NSW (Australia). The study explored factors that are most likely to affect trust climate. Trust climate was measured by a six-items composite scale assessing overall beliefs in good intentions of organization participants as well as the degree of faith/trust in various actors in the organization, including co-workers and managers at various levels of the hierarchy. Regression analysis revealed that perceived effectiveness of communication between management and employees and commitment & pride in working for the company were overwhelmingly the most influential factors affecting the likelihood of trust

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Section: Methodsmentioning

confidence: 99%

Communication, Commitment & Trust: Exploring the Triad

Zeffane¹,

Tipu²,

Ryan³

2011

IJBM

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“…The SF-McGill questionnaire 14 identified severe scores for the descriptors of 'hot-burning' , 'aching' , 'tender' , 'tiring-exhausting' , 'fearful' , 'punishing-cruel' during the previous week, while pain adjectives such as 'sharp' , 'gnawing' , 'heavy' , 'sickening' were also present and rated as moderate. Application of the Spanish version of the DN4 questionnaire 15 indicated the presence of below-level NP (7/10), which was described as 'burning' , 'cold pain' , 'tingling' , 'pins and needles' with 'numbness' , and which was accompanied by hypoaesthesia to touch and pinprick (left L5 AIS sensory testing point). Interestingly, the DN4 questionnaire failed to detect NP at the level of SCI based on descriptors, although touch hypoaesthesia was detected for this pain subtype.…”

Section: Resultsmentioning

confidence: 99%

Sensory function after cavernous haemangioma: a case report of thermal hypersensitivity at and below an incomplete spinal cord injury

et al. 2012

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Study design: Case report of a 42-year-old woman with non-evoked pain diagnosed with a cavernous C7-Th6 spinal haemangioma. Objectives: To assess the effect of intramedullary haemorrhage (IH) on nociception and neuropathic pain (NP) at and below an incomplete spinal cord injury (SCI). Setting: Sensorimotor Function Group, Hospital Nacional de Parapléjicos de Toledo (HNPT). Methods: T2*-susceptibility weighted image (SWI) magnetic resonance imaging (MRI) of spinal haemosiderin and a complete pain history were performed 8 months following initial dysaesthesia complaint. Thermal pain thresholds were assessed with short 1 s stimuli, while evidence for central sensitization was obtained with psychophysical electronic Visual Analogue Scale rating of tonic 10 s 3 1C and 48 1C stimuli, applied at and below the IH. Control data were obtained from 10 healthy volunteers recruited from the HNPT. Results: Non-evoked pain was present within the Th6 dermatome and lower legs. T2*-SWI MRI imaging detected extensive haemosiderin-rich IH (C7-Th5/6 spinal level). Cold allodynia was detected below the IH (left L5 dermatome) with short thermal stimuli. Tonic thermal stimuli applied to the Th6, Th10 and C7 dermatomes revealed widespread heat and cold allodynia. Conclusion: NP was diagnosed following IH, corroborated by an increase in below-level cold pain threshold with at-and below-level cold and heat allodynia. Psychophysical evidence for at-and below-level SCI central sensitization was obtained with tonic thermal stimuli. Early detection of IH could lead to better management of specific NP symptoms, an appreciation of the role of haemorrhage as an aggravating SCI physical factor, and the identification of specific spinal pathophysiological pain mechanisms.

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“…Ainsi, une mauvaise utilisation des outils peut conduire à biaiser les résultats d'enquêtes épidémiologiques en population générale [7]. Enfin, il a été montré que la sensibilité et la spécificité des outils de dépistage étaient moindres en cas de douleur faible (< 4/10) [36]. [9].…”

Section: Limites Des Outils De Dépistageunclassified

Diagnostic et évaluation clinique des douleurs neuropathiques : quel est l’intérêt des nouveaux outils ?

Attal

2010

Douleur analg

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DOSSIER Diagnostic et évaluation clinique des douleurs neuropathiques : quel est l'intérêt des nouveaux outils ? Screening and assessment of neuropathic pain: what is the relevance of pain quality measures? N. Attal Reçu le 15 février 2010 ; accepté le 2 mars 2010 © Springer-Verlag France 2010Résumé Les douleurs neuropathiques (DN) peuvent être secondaires à une grande variété de lésions nerveuses péri-phériques ou centrales. Malgré cette diversité, ces douleurs présentent en commun un certain nombre de caractéristiques cliniques permettant de les différencier des douleurs d'autres origines. Cette revue fait le point sur les avancées cliniques récentes concernant le dépistage et l'évaluation clinique des DN. Ces avancées concernent le développement d'outils de dépistage de ces douleurs ayant permis notamment la réali-sation récente d'études épidémiologiques en population générale, ainsi que le développement de questionnaires d'évaluation, dont un des principaux objectifs est de faciliter la prédiction des profils symptomatiques de répondeurs aux traitements des DN.Mots clés Douleur neuropathique · Questionnaire · Évaluation · DN4 · NPSI Abstract Neuropathic pain is caused by a large variety of peripheral or central neuropathic lesions. Despite such heterogeneity, neuropathic pain syndromes share clinical characteristics that may help differentiate them from other forms of chronic pain states. This review focuses on pain quality diagnostic and assessment tools specifically developed for neuropathic pain. These clinical tools have been particularly helpful to conduct epidemiological studies of neuropathic pain and should contribute to enhance the prediction of responder profiles to treatments in clinical trials of neuropathic pain.Keywords Neuropathic pain · Questionnaire · Assessment · DN4 · NPSI N. Attal (*) Inserm, U987, centre d'évaluation et de traitement de la douleur,

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Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component

Abstract: Background: This study assesses the validity and reliability of the Spanish version of DN4 questionnaire as a tool for differential diagnosis of pain syndromes associated to a neuropathic (NP) or somatic component (non-neuropathic pain, NNP).

Cited by 178 publications

References 24 publications

Communication, Commitment & Trust: Exploring the Triad

Communication, Commitment & Trust: Exploring the Triad

Sensory function after cavernous haemangioma: a case report of thermal hypersensitivity at and below an incomplete spinal cord injury

Diagnostic et évaluation clinique des douleurs neuropathiques : quel est l’intérêt des nouveaux outils ?

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