Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain

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Lo Martire, RiccardoHögskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet (author)

Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain

Article/chapterEnglish2020

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2019-09-13
Ovid Technologies (Wolters Kluwer Health),2020
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LIBRIS-ID:oai:DiVA.org:uu-423079
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-423079URI
https://doi.org/10.1097/j.pain.0000000000001700DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-170705URI
https://urn.kb.se/resolve?urn=urn:nbn:se:du-31009URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:144680252URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Funding Agencies|Swedish Research CouncilSwedish Research Council [Vetenskapsradet: 2015-02512]; Swedish Research Council for Health, Working Life and WelfareSwedish Research CouncilSwedish Research Council for Health Working Life & Welfare (Forte) [FORTE: 2017-00177]
Recent research has highlighted a need for the psychometric evaluation of instruments targeting core domains of the pain experience in chronic pain populations. In this study, the measurement properties of Short Form-36 Health Survey (SF-36),EuroQol 5-dimensions (EQ-5D) and Hospital Anxiety and Depression Scale (HADS) were analyzed within the item response-theory framework based on data from 35,908 patients. To assess the structural validity of these instruments, the empirical representations of several conceptually substantiated latent structures were compared in a cross-validation procedure. The most structurally sound representations were selected from each questionnaire and their internal consistency reliability computed as a summary of their precision. Finally, questionnaire scores were correlated with each other to evaluate their convergent and discriminant validity. Our results supported that SF-36 is an acceptable measure of 2 independent constructs of physical and mental health. By contrast, although the approach to summarize the health-related quality of life construct of EQ-5D as a unidimensional score was valid, its low reliability rendered practical model implementation of doubtful utility. Finally, rather than being separated into 2 subscales of anxiety and depression, HADS was a valid and reliable measure of overall emotional distress. In support of convergent and discriminant validity, correlations between questionnaires showed that theoretically similar traits were highly associated, whereas unrelated traits were not. Our models can be applied to score SF-36 and HADS in chronic pain patients, but we recommend against using the EQ-5D model due to its low reliability. These results are useful for researchers and clinicians involved in chronic pain populations because questionnaires' properties determine their discriminating ability in patient status assessment.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Chronic pain
Construct validity
EuroQol 5-Dimensions
Factor analysis
Hospital anxiety and depression scale
Internal consistency
Item response theory
Latent variable modeling
RAND-36
Short Form-36 Health Survey
Structural equation modeling
Structural validity
Health and Welfare

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Äng, BjörnKarolinska Institutet,Högskolan Dalarna,Uppsala universitet,Centrum för klinisk forskning Dalarna,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, Alfred Nobels Alle 23, S-14183 Huddinge, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden,Karolinska Inst, Sweden; Dalarna Univ, Sweden; Uppsala Univ, Sweden,Medicinsk vetenskap,Karolinska Institutet; Center for Clinical Research Dalarna - Uppsala University, Falun(Swepub:du)bja (author)
Gerdle, BjörnLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)bjoge88 (author)
Vixner, LindaHögskolan Dalarna,Medicinsk vetenskap(Swepub:du)lvi (author)
Högskolan DalarnaMedicinsk vetenskap (creator_code:org_t)

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In:Pain: Ovid Technologies (Wolters Kluwer Health)161:1, s. 83-950304-39591872-6623

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