CONSTRUCT-VALIDITY OF PRACTICAL QUESTIONNAIRES FOR ASSESSING DISABILITY OF LOW-BACK-PAIN

被引:24
作者
MILLARD, RW [1 ]
JONES, RH [1 ]
机构
[1] UNIV ROCHESTER,MED CTR,DEPT PSYCHIAT,ROCHESTER,NY 14642
关键词
Disability evaluation; Low-back pain; Psychometrics;
D O I
10.1097/00007632-199107000-00026
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Four practical questionnaires used for assessing disability associated with chronic low-back pain were investigated. Comparison of findings among 93 patients disclosed a moderate level of agreement (r = 0.44-0.63) between the scales, providing limited evidence that a single construct is being measured by each. The questionnaires were more strongly related to each other than to psychosocial scales, which suggests that findings are distinguishable from distress. However, higher distress was significantly associated with greater reports of disability. This was most discernible in the form of more enduring characteristics that may reflect neuroticism. These findings allow modest support for the construct validity of the four questionnaires and suggest a need for caution with their use because persistently negative affect may be a biasing factor.
引用
收藏
页码:835 / 838
页数:4
相关论文
共 21 条
[1]  
Bergner M., Bobbitt R.A., Carter W.B., Gilson B.S., The Sickness Impact Profile: Development and final revision of a health status measure, Med Care, 19, pp. 787-805, (1981)
[2]  
Brown G.K., Nicassio P.M., Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients, Pain, 31, pp. 53-65, (1987)
[3]  
Costa P.T., Mc Crae R.R., Neuroticism, somatic complaints, and disease: Is the bark worse than the bite?, J Pers, 55, (1987)
[4]  
Deyo R.A., Measuring the functional status of patients with low back pain, Arch Phys Med Rehabil, 69, pp. 1044-1053, (1988)
[5]  
Deyo R.A., Comparative validity of the Sickness Impact Profile and shorter scales for functional assessment in low-back pain, Spine, 11, pp. 951-954, (1986)
[6]  
Evans J.H., Kagan A., The development of a functional rating scale to measure the treatment outcome of chronic spinal patients, Spine, 11, pp. 277-281, (1986)
[7]  
Kurtzke J.F., Rating neurological impairment in multiple sclerosis, Neurology, 33, pp. 1444-1452, (1983)
[8]  
Lawton M.P., The functional assessment of elderly people, J am Geriatr Soc, 19, pp. 465-481, (1971)
[9]  
Mahoney F.I., Barthel D.W., Functional evaluation: The Barthel index, Md Med J, 14, pp. 61-65, (1965)
[10]  
Mayer T.G., Gatchel R.J., Mayer H., Et al., A prospective two-year study of functional restoration in industrial low back injury: An objective assessment procedure, JAMA, 258, pp. 1763-1767, (1988)