Assessing Child Pain-Related Injustice Appraisals: A Discriminant Content Analysis Study

IF 3.5 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2025-02-28 DOI:10.1002/ejp.70005

F. Daenen, F. Baert, D. Van Ryckeghem, Z. Trost, T. Vervoort

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引用次数: 0

Abstract

Background

Child pain-related injustice appraisals, associated with adverse pain-related functioning, are commonly assessed using the Injustice Experience Questionnaire (IEQ). However, the IEQ was initially developed for adults. Recent qualitative phenomenological work highlighted pain-related injustice themes among children that are seemingly not captured by the IEQ. Furthermore, research in adults and children has shown strong associations between the IEQ and both pain catastrophising and disability. These issues raise concerns regarding the content validity and discriminant content validity of the IEQ for paediatric populations. This study assessed the content validity and discriminant content validity of the IEQ items and a set of novel items generated through previous qualitative work.

Methods

Content and discriminant content validity of the items was assessed by 96 adult judges rating items as measuring child injustice appraisals, as well as measuring competing constructs: pain catastrophising, disability and negative affect. Wilcoxon signed-rank tests were applied to assess content and discriminant content validity.

Results

Four of 12 IEQ items displayed content validity as well as discriminant content validity against pain catastrophising and disability. Eight of 13 newly generated items displayed content validity as well as discriminant content validity against pain catastrophising and disability. Only two of all 25 items displayed discriminant content validity against negative affect.

Conclusions

This study revealed the IEQ to lack discriminant content validity for use in a paediatric context. An item pool was created to assess child pain-related injustice appraisals, displaying both content validity and discriminant content validity against the competing constructs of pain catastrophising and disability.

Significance Statement

The current study both reveals issues in applying the IEQ to assess child pain-related injustice appraisals and advances research on child pain-related injustice appraisals by providing an item pool displaying both content validity and discriminant content validity against the competing constructs of child pain catastrophising and child disability.

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评估儿童疼痛相关的不公正评价：一项判别性内容分析研究

儿童疼痛相关的不公正评价与不良疼痛相关功能相关，通常使用不公正体验问卷（IEQ）进行评估。然而，IEQ最初是为成年人开发的。最近的定性现象学工作强调了儿童中与疼痛相关的不公正主题，这些主题似乎没有被IEQ捕获。此外，对成人和儿童的研究表明，IEQ与疼痛灾难和残疾之间存在很强的联系。这些问题引起了对儿科人群IEQ内容效度和区别性内容效度的关注。本研究评估了IEQ项目的内容效度和区别内容效度，以及一组通过以往定性工作产生的新项目。方法采用96名成人评委评定儿童不公正评价量表的内容效度和判别效度，以及测量疼痛灾难、残疾和消极影响等竞争构念。采用Wilcoxon符号秩检验评估内容和判别内容效度。结果12个IEQ项目中有4个具有内容效度，同时具有疼痛灾难和残疾的判别效度。13个新生成的项目中有8个显示了内容效度以及针对疼痛灾难和残疾的区别性内容效度。在所有25个项目中，只有两个项目对负面情绪表现出区别内容效度。结论：本研究揭示了IEQ缺乏在儿科环境中使用的判别内容效度。建立了一个项目库来评估儿童疼痛相关的不公正评价，显示内容效度和区别性内容效度，以对抗疼痛灾难和残疾的竞争构念。本研究揭示了应用IEQ评估儿童疼痛相关不公正评价的问题，并通过提供一个显示内容效度和区别性内容效度的题库，在儿童疼痛灾难化和儿童残疾的竞争构式中推进了儿童疼痛相关不公正评价的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.