2023 Fiscal Year Final Research Report
Development of Japanese version of the multidimensional evaluation scale for patient impression change for non-cancer pain
Project/Area Number |
21K16564
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 55050:Anesthesiology-related
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Research Institution | Keio University |
Principal Investigator |
Wakaizumi Kenta 慶應義塾大学, 医学部(信濃町), 講師 (00528862)
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Project Period (FY) |
2021-04-01 – 2024-03-31
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Keywords | 患者心象変化の多面的評価尺度(MPIC) / 慢性痛 (Chronic pain) / 学際的痛み医療 / 確証的因子分析 / 構成概念妥当性 / 基準連関妥当性 / 内的整合性 / 再検査信頼性 |
Outline of Final Research Achievements |
To date, data collection has been completed on 55 subjects, and a confirmatory factor analysis of a one-factor model was performed on eight items of the Multidimensional Evaluation Scale for Patient Impression Change. The average variance extracted for convergent validity was 0.586, Cronbach's α for internal consistency was 0.917, and the intraclass correlation coefficient for test-retest reliability was 0.755. Correlation coefficients with external criteria such as pain intensity, degree of physical disability, and negative emotions such as depression and anxiety were also sufficiently high to demonstrate validity and reliability. We plan to increase the number of cases to the planned number of enrolled patients and publish the results in a scientific paper.
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Free Research Field |
学際的痛み医療
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Academic Significance and Societal Importance of the Research Achievements |
慢性痛は日常生活の活動度を低下させるだけでなく、抑うつや不安などの気分障害や睡眠障害も引き起こす。臨床の痛み医療は、痛みの軽減だけでなくその他の随伴症状の改善も治療目標とされる。それにも関わらず、痛み医療の臨床において気分や睡眠などを含めた多面的な治療目標を一括して評価する方法は確立されておらず、診察時の問診によりそれぞれ個別に評価されている場合がほとんどである。本研究の成果により、MPICの妥当性と信頼性が科学的に検証され、痛み医療の多面的な側面を一元的に評価できる手法が確立できる。それにより、慢性痛に苦しむ多くの患者にとって有益な痛み医療が発展することが期待できる。
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