CENTRAL SENSITIZATION INVENTORY SCORES IN PATIENTS WITH NEUROPATHIC PAIN COMPARED TO HEALTHY SUBJECTS

D. Popović, Nemanja Ninić, Larisa Vojnović, Dušica Simić Panić, Aleksandar Knežević
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Abstract

Central sensitization inventory (CSI) was design as a tool for evaluation of the symptoms that have been found to be related to central sensitization (CS). The aim of this research was to examine differences in CSI scores between subjects with painful lumbosacral radiculopathy (PLSR). This study included 33 subjects with PLSR (mean age 54.12 ± 9.43 years, 6 (18.2%) women) and 30 healthy subjects (mean age 50.87 ± 5.64 years, 12 (40%) women). The Serbian version of the Central Sensitization Inventory (CSI) was used to examine the degree symptoms related to CS. In order to evaluate the emotional status, we used the Serbian version of the Depression, Anxiety, Stress Scale (DASS 21). The obtained results showed a significantly higher value of the CSI score in subjects with neuropathic pain (t =- 7.690, p = 0.000). Statistically significantly worse DASS 21 values in subjects with neuropathic pain in all 3 subscales: depression subscale (t =-2.437, p = 0.018), anxiety subscale (t =- 3.597, p = 0.001), stress subscale (t =-3.982 p = 0.000). The degree of expression of symptoms related to CS determined, as well as the degree of anxiety, depression and stress is significantly higher in subjects with PLSR compared to the group of healthy subjects. This should be kept in mind when designing a treatment plan for individuals with PLSR. Acta Medica Medianae 2023;62(3):xx-xx.
与健康受试者相比,神经病理性疼痛患者的中枢敏感化清单得分
中枢敏化量表(CSI)是用来评估与中枢敏化(CS)有关的症状的工具。本研究旨在探讨腰骶部疼痛性根性病变(PLSR)患者的 CSI 评分差异。研究对象包括 33 名腰骶部痛症患者(平均年龄为 54.12 ± 9.43 岁,女性 6 名,占 18.2%)和 30 名健康患者(平均年龄为 50.87 ± 5.64 岁,女性 12 名,占 40%)。塞尔维亚版的中枢敏感性量表(CSI)用于检查与 CS 有关的症状程度。为了评估情绪状况,我们使用了塞尔维亚版抑郁、焦虑、压力量表(DASS 21)。结果显示,神经病理性疼痛受试者的 CSI 得分值明显更高(t =- 7.690,p = 0.000)。据统计,神经病理性疼痛患者的 DASS 21 值在所有 3 个分量表中都明显较低:抑郁分量表(t =-2.437,p =0.018)、焦虑分量表(t =-3.597,p =0.001)、压力分量表(t =-3.982 p =0.000)。与健康受试者组相比,PLSR 受试者与 CS 相关的症状表现程度以及焦虑、抑郁和压力程度明显更高。在为 PLSR 患者设计治疗方案时应牢记这一点。Medianae 医学杂志 2023; 62(3):xx-xx.
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