Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain

Abstract Background Central sensitization is an amplification of neuronal signaling within the central nervous system. The Central Sensitization Inventory was introduced in 2012. A Polish version of the CSI (CSI-Pol) was developed in 2019, but it was not psychometrically validated. The aim of this s...

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Main Authors: Barbara Kosińska, Beata Tarnacka, Paweł Turczyn, Grażyna Gromadzka, Małgorzata Malec-Milewska, Dorota Janikowska-Hołowenko, Randy Neblett
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Neurology
Subjects:
Online Access:https://doi.org/10.1186/s12883-021-02510-3
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author Barbara Kosińska
Beata Tarnacka
Paweł Turczyn
Grażyna Gromadzka
Małgorzata Malec-Milewska
Dorota Janikowska-Hołowenko
Randy Neblett
author_facet Barbara Kosińska
Beata Tarnacka
Paweł Turczyn
Grażyna Gromadzka
Małgorzata Malec-Milewska
Dorota Janikowska-Hołowenko
Randy Neblett
author_sort Barbara Kosińska
collection DOAJ
description Abstract Background Central sensitization is an amplification of neuronal signaling within the central nervous system. The Central Sensitization Inventory was introduced in 2012. A Polish version of the CSI (CSI-Pol) was developed in 2019, but it was not psychometrically validated. The aim of this study was to validate the CSI-Pol in a sample of Polish-speaking patients with chronic spinal pain and compare them with a group of healthy control subjects. Methods The CSI-Pol was administered to 151 patients with chronic spinal pain recruited from two centers. It was re-administered 7 days later. The psychometric properties were then evaluated, including test-retest reliability, construct validity, factor structure and internal consistency. We correlated the CSI-Pol with functional scales, depression and social support scales and compared CSI-Pol scores in the clinical subjects with 30 healthy control subjects recruited from medical staff and their families. Results The CSI-Pol demonstrated excellent internal consistency (Cronbach’s α =0,933) and test-retest reliability (Intraclass Correlation Coefficients - ICC =0.96), as well as significant positive associations with other patient-reported scales, including the Neck Disability Index (r = 0.593), Revised Oswestry Low Back Pain Disability Questionnaire (r = 0.422), and other measures of functional and depressive states. An exploratory factor analysis resulted in a 4-factor model. CSI-Pol scores in the clinical sample (35.27 ± 17.25) were significantly higher than the control sample (23.3 ± 8.9). Conclusion The results of this study suggest that the CSI-Pol may be a useful clinical tool for assessing central sensitization related symptoms and guiding appropriate treatment in Polish-speaking patients with spinal pain.
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spelling doaj.art-6716e11d73b04b01bd96616582f62a792022-12-21T23:19:09ZengBMCBMC Neurology1471-23772021-12-0121111310.1186/s12883-021-02510-3Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal painBarbara Kosińska0Beata Tarnacka1Paweł Turczyn2Grażyna Gromadzka3Małgorzata Malec-Milewska4Dorota Janikowska-Hołowenko5Randy Neblett6Department of Neurology and Stroke, District HospitalDepartment of Rehabilitation, Medical University of WarsawDepartment of Rehabilitation, Medical University of WarsawCollegium Medicum, Faculty of Medicine, Cardinal Stefan Wyszynski UniversityDepartment of Anesthesiology and Intensive Care, Medical Center for Postgraduate EducationPomorskie Centrum Reumatologiczne im. dr Jadwigi Titz – KoskoPRIDE Research FoundationAbstract Background Central sensitization is an amplification of neuronal signaling within the central nervous system. The Central Sensitization Inventory was introduced in 2012. A Polish version of the CSI (CSI-Pol) was developed in 2019, but it was not psychometrically validated. The aim of this study was to validate the CSI-Pol in a sample of Polish-speaking patients with chronic spinal pain and compare them with a group of healthy control subjects. Methods The CSI-Pol was administered to 151 patients with chronic spinal pain recruited from two centers. It was re-administered 7 days later. The psychometric properties were then evaluated, including test-retest reliability, construct validity, factor structure and internal consistency. We correlated the CSI-Pol with functional scales, depression and social support scales and compared CSI-Pol scores in the clinical subjects with 30 healthy control subjects recruited from medical staff and their families. Results The CSI-Pol demonstrated excellent internal consistency (Cronbach’s α =0,933) and test-retest reliability (Intraclass Correlation Coefficients - ICC =0.96), as well as significant positive associations with other patient-reported scales, including the Neck Disability Index (r = 0.593), Revised Oswestry Low Back Pain Disability Questionnaire (r = 0.422), and other measures of functional and depressive states. An exploratory factor analysis resulted in a 4-factor model. CSI-Pol scores in the clinical sample (35.27 ± 17.25) were significantly higher than the control sample (23.3 ± 8.9). Conclusion The results of this study suggest that the CSI-Pol may be a useful clinical tool for assessing central sensitization related symptoms and guiding appropriate treatment in Polish-speaking patients with spinal pain.https://doi.org/10.1186/s12883-021-02510-3PainCentral sensitizationCSI-polValidation
spellingShingle Barbara Kosińska
Beata Tarnacka
Paweł Turczyn
Grażyna Gromadzka
Małgorzata Malec-Milewska
Dorota Janikowska-Hołowenko
Randy Neblett
Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
BMC Neurology
Pain
Central sensitization
CSI-pol
Validation
title Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
title_full Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
title_fullStr Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
title_full_unstemmed Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
title_short Psychometric validation of the Polish version of the Central Sensitization Inventory in subjects with chronic spinal pain
title_sort psychometric validation of the polish version of the central sensitization inventory in subjects with chronic spinal pain
topic Pain
Central sensitization
CSI-pol
Validation
url https://doi.org/10.1186/s12883-021-02510-3
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