基于ICD-11慢性疼痛分类对中文简版SF-MPQ-2的信效度检验*

RELIABILITY AND VALIDITY TEST OF CHINESE VERSION SF-MPQ-2 BASED ON ICD-11 CHRONIC PAIN CLASSIFICATION

摘要:

目的：在国际疾病分类(International Classification of Disease, ICD)11版首次收录慢性疼痛并进行了分类背景下,对SF-MPQ-2(Short-form McGill Pain Questionnaire-2, SF-MPQ-2)进行中文翻译,并利用样本人群对其进行信效度检验。方法：研究团队与北京师范大学社会发展与公共政策学院共同进行了英文版SF-MPQ-2量表的翻译、回译及文化调试。分别运用相关分析、信度分析、主成分分析和验证性因子分析,对中文简版麦吉尔疼痛问卷-2的信度和效度进行评价。结果：按ICD-11七大类慢性疼痛进行评估,在评估慢性内脏疼痛时,中文简版麦吉尔疼痛问卷-2四个维度和整个量表的ICC(Intraclass Correlation Coefficient, ICC)值分别为0.909,0.973,0.988,0.952和0.927,且两次评估的Cronbach"s alpha系数都大于0.8。通过主成分分析提取了4个公共因子,同预想的中文简版麦吉尔疼痛问卷-2维度一致,分别为：持续性疼痛、阵发性疼痛、神经病理性疼痛、对情绪的影响。4个公共因子的累计方差贡献率是73.55%,且每个条目在相应因子上的载重负荷均大于0.4；评估神经病理性疼痛时,中文简版麦吉尔疼痛问卷-2四个维度的Cronbach"s alpha值分别为0.357、0.629、0.517和0.505；针对慢性头痛和颌面部疼痛,其四个维度的Cronbach"s alpha值依次为0.668、0.527、0.542及0.549；在评估慢性肌肉骨骼疼痛时,其四个维度的Cronbach"s alpha系数分别为0.465、0.656、0.494及0.576。结论：中文简版麦吉尔疼痛问卷-2更适于评估慢性内脏疼痛,建议针对ICD-11不同分类的慢性疼痛分别研制特异性的评估量表。

Abstract:

Objective: Under the background that chronic pain was first included in the 11th edition of the International Classification of Diseases (ICD), Short-form McGill Pain Questionnaire-2 (SF-MPQ-2) was translated into Chinese, and its reliability and validity were tested by sample group. Methods: The research team, together with the School of Social Development and Public Policy of Beijing Normal University, conducted the translation, back-translation and cultural debugging of the English version of SF-MPQ-2 scale. The reliability and validity of the Chinese version of SF-MPQ-2 (SF-MPQ-2-CN) were evaluated by correlation analysis, reliability analysis, principal component analysis and confirmatory factor analysis. Results: According to the seven categories of chronic pain according to ICD-11, Intraclass Correlation Coefficient ( ICC) values for the four dimensions and the whole scale were 0.909, 0.973, 0.988, 0.952 and 0.927 respectively, and the Cronbach"s alpha coefficients of the two assessments were higher than 0.8. Four components (continuous, intermittent, neuropathic, and affective) were extracted by principal component analysis, which were consistent with the predicted SF-MPQ-2-CN. The cumulative variance contribution rate of the four components was 73.55%, and the loading of each factor on the corresponding factors was higher than 0.4. When assessing neuropathic pain, the Cronbach"s alpha values for the four dimensions of the SF-MPQ-2-CN were 0.357, 0.629, 0.517 and 0.505, respectively. For headache and orofacial pain, the Cronbach"s alpha values for the four dimensions were 0.668, 0.527, 0.542and 0.549, respectively. As for Chronic musculoskeletal pain, the Cronbach"s alpha values were respectively 0.465, 0.656, 0.494 and 0.576. Conclusion: The SF-MPQ-2-CN was more suitable for evaluating chronic visceral pain. It was suggested that specific scales should be developed for different classifications of chronic pain in ICD-11.