Psychometric evaluation of the Hamilton Inventory to evaluate signs and symptoms in patients with Complex Regional Pain Syndrome (CRPS).

IF 2.1 4区 医学 Q2 ORTHOPEDICS
Maryam Farzad, Tara Packham, Joy MacDermid, Fatemeh Mohammadi, Seyed Ali Hosseini, Reza Shahriar Kamrani, Hooman Shariatzadeh, Ali Koushan, Seyed Hadi Kalantar, Enayatollah Bakhshi
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Abstract

Background: Complex Regional Pain Syndrome (CRPS) is a debilitating condition with profound physical and psychological impacts, necessitating comprehensive assessment tools for effective evaluation.

Purpose: This study aimed to validate the Persian version of the Hamilton Inventory for Complex Regional Pain Syndrome (HI-CRPS) and assess its reliability and validity in individuals diagnosed with CRPS.

Study design: A cross-sectional clinical measurement study evaluated the Persian version of HI-CRPS.

Methods: A sample of 64 individuals diagnosed with CRPS from pain and hand surgeon clinics completed the Persian versions of the patient-reported (PR-HI-CRPS) and clinicians based (CB-HI-CRPS). Test-retest reliability was assessed after 1 week, and responsiveness was measured after 3 months. Baseline scores, ceiling effects, internal consistency (Cronbach's alpha), and construct validity (correlations with related measures) were examined. Effect sizes and standardized response means (SRM) were calculated to gauge responsiveness.

Results: Baseline scores for PR-HI-CRPS and CB-HI-CRPS were 77.8 and 14.9, respectively. Around 18% of PR-HI-CRPS and 16% of CB-HI-CRPS respondents exhibited ceiling effects. Internal consistency for PR-HI-CRPS (Cronbach's alpha: 0.71-0.91) and CB-HI-CRPS (alpha: 0.90) was satisfactory. PR-HI-CRPS (ICC: 0.86) and CB-HI-CRPS (ICC: 0.97) showed robust test-retest reliability. Construct validity was confirmed by significant correlations between PR-HI-CRPS subscales and related measures (p < 0.01). Structural validity was confirmed by confirmatory factor analysis. PR-HI-CRPS displayed an effect size of 0.79 and a standardized response mean (SRM) of 0.88.

Conclusions: The Persian version of the HI-CRPS demonstrated satisfactory internal consistency, test-retest reliability, construct validity, and responsiveness. It can be relied upon to assess CRPS symptoms, functional limitations, and psychosocial impacts.

汉密尔顿量表评估复杂局部疼痛综合征(CRPS)患者体征和症状的心理测量学评价。
背景:复杂局部疼痛综合征(CRPS)是一种具有深刻生理和心理影响的衰弱性疾病,需要综合评估工具进行有效评估。目的:本研究旨在验证波斯语版本的复杂局部疼痛综合征汉密尔顿量表(HI-CRPS),并评估其在诊断为CRPS的个体中的信度和效度。研究设计:一项评估波斯版HI-CRPS的横断面临床测量研究。方法:从疼痛和手外科诊所诊断为CRPS的64例患者完成了波斯语版本的患者报告(PR-HI-CRPS)和临床医生报告(CB-HI-CRPS)。1周后评估重测信度,3个月后测量反应性。对基线评分、上限效应、内部一致性(Cronbach’s alpha)和结构效度(与相关测量的相关性)进行了检验。计算效应量和标准化反应均值(SRM)来衡量反应性。结果:PR-HI-CRPS和CB-HI-CRPS的基线评分分别为77.8分和14.9分。约18%的PR-HI-CRPS受访者和16%的CB-HI-CRPS受访者表现出天花板效应。PR-HI-CRPS (Cronbach's alpha: 0.71-0.91)和CB-HI-CRPS (alpha: 0.90)的内部一致性令人满意。PR-HI-CRPS (ICC: 0.86)和CB-HI-CRPS (ICC: 0.97)具有稳健的重测信度。PR-HI-CRPS子量表与相关测量值之间呈显著相关(p < 0.01),证实了结构效度。采用验证性因子分析验证结构效度。PR-HI-CRPS的效应量为0.79,标准化反应均值(SRM)为0.88。结论:波斯语版的HI-CRPS具有令人满意的内部一致性、重测信度、构念效度和反应性。它可用于评估CRPS症状、功能限制和社会心理影响。
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来源期刊
Journal of Hand Therapy
Journal of Hand Therapy 医学-外科
CiteScore
3.50
自引率
10.00%
发文量
65
审稿时长
19.2 weeks
期刊介绍: The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.
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