中文版简版McGill疼痛问卷-2的制定与多中心验证*李君1冯艺1△韩济生2樊碧发3王家双4魏星4刘慧5银燕5吴大胜6刘娜6宫小文6金毅7刘红军7张达颖8章勇8林建9槐洪波9傅志俭10赵序利10杜冬萍11徐永明11阎龙涛3毛鹏3(1北京大学人民医院麻醉和疼痛医学科,北京100044;2北京大学神经科学研究所,北京100191;3中日友好医院疼痛科,北京100029;4广州红十字医院疼痛科,广州510220;5华西医院疼痛科,成都610041;6吉林省人民医院疼痛科,长春130021;7南京军区总医院疼痛科,南京210002;8南昌大学第一附属医院疼痛科,南昌330006;9南京鼓楼医院疼痛科,南京210008;10山东省立医院疼痛科,济南250014;11上海第六人民医院疼痛科,上海200233)(注:4-11作者单位的顺序按单位拼音首字母排序)*基金项目:辉瑞制药有限公司研究者发起研究基金(WS538356)△通讯作者:冯艺,Email:yifeng65@sina.com摘要目的:制定并验证中文版简版McGill疼痛问卷-2(Short-formMcGillPainQuestionnaire-2,SF-MPQ-2)。方法:1.制定中文版SF-MPQ-2:经正向翻译和逆向翻译得出初步中文版SF-MPQ-2,再经预实验和专家讨论后得出最终的中文版本。2.验证中文版SF-MPQ-2:共10家研究中心参与研究;每个中心随机采用神经病理性疼痛患者7例,伤害感受性疼痛患者7例。入选的患者自行填写SF-MPQ-2。3.分析量表的信度(使用Cronbach’sα系数和Guttman分半系数分析组内一致性)和效度(表面效度、结构效度,包括因子分析、Spearman相关系数)。结果:中文版SF-MPQ-2的表面效度好。中文版SF-MPQ-2的信度(Cronbach’sα系数和Guttman分半系数均大于0.7)和结构效度好(共提取出4个公共因子,累计方差贡献率为52.631%;各条目的因子负荷在相应的公共因子中都大于0.40;除1个条目外其他各条目与所属维度之间Spearman秩相关系数均大于0.40)。结论:中文为母语的患者可以使用本研究制定并验证的中文版SF-MPQ-2全面评估包括神经病理性疼痛在内的疼痛情况。关键词:疼痛评估,神经病理性疼痛;量表;MPQ;MPQ-2;SF-MPQ-2MULTI-CENTEREDLINGUISTICADAPTATIONANDVALIDATIONOFSHORT-FORMMCGILLPAINQUESTIONNAIRE-2LIJun△,FENGYi,HANJi-Sheng,FANBi-Fa,WANGJia-Shuang,WEIXing,LIUHui,YINYan,WUDa-Sheng,LIUNa,GONGXiao-Wen,JINYi,LIUHong-Jun,ZHANGDa-Ying,ZHANGYong,LINJian,HUAIHong-Bo,FUZhi-Jian,ZHAOXu-Li,DUDong-Ping,XUYong-Ming,YANLong-Tao,MAOPeng(△DepartmentofAnesthesiologyandAnalgesia,People’sHospitalofPekingUniversity,Beijing100044)AbstractObjective:ToachievealinguisticadaptationandvalidationofChineseversionofShort-formMcGillPainQuestionnaire-2(SF-MPQ-2).Methods:Twoforwardtranslationsweremadefollowedbycomparisonandreconciliationofthetranslations.Comparisonofthetwobackwardtranslationswiththeoriginalversionwasmadeforfurthervalidation.Pilottestingandpainspecialist’evaluationswerealsorequired.Atotalof140patientswereenrolledintencentersthroughoutChina,70neuropathicpainpatientsand70nociceptivepainpatientsrespectively.Reliability(Cronbach’sαcoefficientsandGuttmansplit-halfcoefficients)andvalidity(facevalidityandstructurevalidityincludingfactoranalysisandSpearmancorrelationcoefficients)ofSF-MPQ-2weredetermined.Results:ChineseversionofSF-MPQ-2hadagoodreliability(Cronbach’salphacoefficientsandGuttmansplit-halfcoefficientsweregreaterthan0.7).ValidityoftheChineseversionofSF-MPQ-2washigh.Fourcommonfactorswereextracted.Thecontributionrateofaccumulativetotalofvarianceofthefourfactorswas52.631%.Thedimensionalfactorloadingofeachitemwasgreaterthan0.40.Thespearman'srankcorrelationcoefficientsoftheitemsweregreaterthan0.40exceptforoneitem.Conclusion:TheChineseversionsofSF-MPQ-2developedandvalidatedbythisstudycanbeusedtoevaluatebothneuropathicpainandnon-neuropathicpaininpatientswhosenativelanguage...