自闭症成人疼痛意识量表(PAS)的开发和验证:一项混合方法研究。

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
Merry Kalingel Levi PhD , Yelena Granovsky , Irit Weissman-Fogel , Tami Bar Shalita , Tseela Hoffman , Eynat Gal
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引用次数: 0

摘要

本研究旨在开发和验证疼痛意识量表(PAS),一种新的自我报告问卷,旨在评估自闭症成人的疼痛意识。采用混合方法,通过文献综述、专家咨询和对9名自闭症成年人(5名女性,平均年龄= 29.1,SD= 7.9)的认知访谈,制定了PAS。然后对59名自闭症患者(24名女性,平均年龄26.8岁,SD=7.4)和73名神经正常成人(19名女性,平均年龄27.8岁,SD=6.7)进行问卷调查。主轴因子分析揭示了四个不同的子量表:疼痛识别、疼痛表征、非语言疼痛沟通和语言疼痛沟通。PAS在所有子量表上表现出良好的内部一致性(Cronbach's α=0.71-0.92)和较强的结构效度,自闭症成年人的得分显著高于神经正常成年人的总分和四个子量表中的三个(p < 0.001)。PAS与多伦多述情障碍量表-20 (TAS-20)总分之间的显著相关性支持了收敛效度(ρ= 0.69, p< 0.01)。PAS提供了一个可靠和有效的工具来评估自闭症成人的疼痛意识困难。视角:这篇文章介绍了疼痛意识量表(PAS),一种心理测量学上有效的自闭症成人疼痛意识的测量方法。PAS可以增强临床评估和加深对自闭症疼痛处理差异的理解,为临床和基础科学研究提供相关的潜在机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and validation of the Pain Awareness Scale (PAS) for autistic adults: A mixed-methods study
This study aimed to develop and validate the Pain Awareness Scale (PAS), a novel self-report questionnaire designed to assess pain awareness in autistic adults. Using a mixed-methods approach, the PAS was developed through literature review, expert consultation, and cognitive interviews with nine autistic adults (5 females, mean age= 29.1, SD= 7.9). The questionnaire was then administered to 59 autistic (24 females, mean age=26.8, SD=7.4) and 73 neurotypical adults (19 females, mean age=27.8, SD=6.7). Principal Axis Factoring revealed four distinct subscales: Pain Recognition, Pain Characterization, Nonverbal Pain Communication, and Verbal Pain Communication. The PAS demonstrated good internal consistency across all subscales (Cronbach's α=0.71–0.92) and strong construct validity, with autistic adults scoring significantly higher than neurotypical adults’ total score and on three out of four subscales (p < 0.001). Convergent validity was supported by significant correlations between the PAS and the Toronto Alexithymia Scale-20 (TAS-20) total scores (ρ= 0.69, p< 0.01). The PAS offers a reliable and valid tool for assessing pain awareness difficulties in autistic adults.

Perspective

This article introduces the Pain Awareness Scale (PAS), a psychometrically validated measure of pain awareness in autistic adults. The PAS may enhance clinical assessment and deepen understanding of pain processing differences in autism, offering insight into underlying mechanisms relevant for both clinical and basic science research.
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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