Graded Chronic Pain Scale: Validation of 1-Month Reference Frame.


Journal

The Clinical journal of pain
ISSN: 1536-5409
Titre abrégé: Clin J Pain
Pays: United States
ID NLM: 8507389

Informations de publication

Date de publication:
22 11 2021
Historique:
received: 04 05 2021
accepted: 02 11 2021
pubmed: 23 11 2021
medline: 3 2 2022
entrez: 22 11 2021
Statut: epublish

Résumé

The 1-month Graded Chronic Pain Scale (GCPS) commonly used in clinical studies has never been validated. This study compares the GCPS 1-month with the 6 months version for reliability and validity. The Validation Project included 521 participants with at least one temporomandibular disorder for cross-sectional data and 74 participants for test-retest data. Internal reliability, stability, and construct validity were used for testing the 1-month version. Comparisons were made between the 2 versions for characteristic pain intensity (CPI), interference, and chronic pain grade (CPG). For GCPS 1-month, internal consistency for pain intensity and interference was high (Cronbach α=0.87 and 0.94, respectively), and temporal stability was high for CPI (intraclass correlation coefficient [ICC]=0.91), interference (ICC=0.85), and CPG (weighted κ=0.88). ICC or κ between the 2 versions was 0.78 (CPI), 0.66 (interference), and 0.69 (CPG); high-impact pain, in contrast, was 0.50. Construct validity exhibited higher correlations with predictor variables for 1-month version attributes of CPI, interference, and CPG. Modified Bland-Altman plots indicated that both versions measure CPI well. Overall, reliability of the 1-month GCPS is equal to or better than the 6-months version for pain intensity, disability days, pain interference, CPG, and high-impact pain. However, consistency between versions is lower for measures of disability days and interference, and for the derived measures of CPG and high-impact pain; highly skewed distributions and increasing disagreement in reported status over the time periods affect the measures of function. Therefore, we recommend that GCPS-1 month only be used to calculate pain intensity and pain interference.

Identifiants

pubmed: 34803153
doi: 10.1097/AJP.0000000000001005
pii: 00002508-202202000-00007
pmc: PMC8727576
mid: NIHMS1756347
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119-131

Subventions

Organisme : NIDCR NIH HHS
ID : U01 DE013331
Pays : United States

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

This research was funded by National Institutes of Health (NIH/NIDCR) [grant number U01-DE013331], Minneapolis, MN. The authors declare no conflict of interest.

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Auteurs

Sonia Sharma (S)

Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY.
Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.

Michael A Kallen (MA)

Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Richard Ohrbach (R)

Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY.

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