The Korean Journal of Pain

  • 제30권3호
  • /
  • Pages.197-206
  • /
  • 2017
  • /
  • 2005-9159(pISSN)
  • /
  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
권호 표지
DOI QR코드

DOI QR Code

Hindi version of short form of douleur neuropathique 4 (S-DN4) questionnaire for assessment of neuropathic pain component: a cross-cultural validation study

  • Gudala, Kapil (Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research) ;
  • Ghai, Babita (Department of Anesthesia and Intensive care, Post Graduate Institute of Medical Education and Research) ;
  • Bansal, Dipika (Clinical Research Unit, Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research)
  • 투고 : 2016.10.19
  • 심사 : 2017.06.23
  • 발행 : 2017.07.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Pain with neuropathic characteristics is generally more severe and associated with a lower quality of life compared to nociceptive pain (NcP). Short form of the Douleur Neuropathique en 4 Questions (S-DN4) is one of the most used and reliable screening questionnaires and is reported to have good diagnostic properties. This study was aimed to cross-culturally validate the Hindi version of the S-DN4 in patients with various chronic pain conditions. Methods: The S-DN4 is already translated into the Hindi language by Mapi Research Trust. This study assessed the psychometric properties of the Hindi version of the S-DN4 including internal consistency and test-retest reliability after 3 days' post-baseline assessment. Diagnostic performance was also assessed. Results: One hundred sixty patients with chronic pain, 80 each in the neuropathic pain (NeP) present and NeP absent groups, were recruited. Patients with NeP present reported significantly higher S-DN4 scores in comparison to patients in the NeP absent group (mean (SD), 4.7 (1.7) vs. 1.8 (1.6), P < 0.01). The S-DN4 was found to have an AUC of 0.88 with adequate internal consistency (Cronbach's ${\alpha}=0.80$) and a test-retest reliability (ICC = 0.92) with an optimal cut-off value of 3 (Youden's index = 0.66, sensitivity and specificity of 88.7% and 77.5%). The diagnostic concordance rate between clinician diagnosis and the S-DN4 questionnaire was 83.1% (kappa = 0.66). Conclusions: Overall, the Hindi version of the S-DN4 has good internal consistency and test-retest reliability along with good diagnostic accuracy.

키워드

참고문헌

  1. Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO, Griffin JW, et al. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology 2008; 70: 1630-5. https://doi.org/10.1212/01.wnl.0000282763.29778.59
  2. Hiyama A, Watanabe M, Katoh H, Sato M, Sakai D, Mochida J. Evaluation of quality of life and neuropathic pain in patients with low back pain using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire. Eur Spine J 2015; 24: 503-12. https://doi.org/10.1007/s00586-014-3723-y
  3. Freynhagen R, Baron R. The evaluation of neuropathic components in low back pain. Curr Pain Headache Rep 2009; 13: 185-90. https://doi.org/10.1007/s11916-009-0032-y
  4. Yamashita T, Takahashi K, Yonenobu K, Kikuchi S. Prevalence of neuropathic pain in cases with chronic pain related to spinal disorders. J Orthop Sci 2014; 19: 15-21. https://doi.org/10.1007/s00776-013-0496-9
  5. Torrance N, Smith BH, Bennett MI, Lee AJ. The epidemiology of chronic pain of predominantly neuropathic origin. Results from a general population survey. J Pain 2006; 7: 281-9. https://doi.org/10.1016/j.jpain.2005.11.008
  6. Bouhassira D, Lanteri-Minet M, Attal N, Laurent B, Touboul C. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain 2008; 136: 380-7. https://doi.org/10.1016/j.pain.2007.08.013
  7. Freynhagen R, Baron R, Gockel U, Tolle TR. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin 2006; 22: 1911-20. https://doi.org/10.1185/030079906X132488
  8. Boureau F, Doubrere JF, Luu M. Study of verbal description in neuropathic pain. Pain 1990; 42: 145-52. https://doi.org/10.1016/0304-3959(90)91158-F
  9. Dubuisson D, Melzack R. Classification of clinical pain descriptions by multiple group discriminant analysis. Exp Neurol 1976; 51: 480-7. https://doi.org/10.1016/0014-4886(76)90271-5
  10. Bennett MI, Attal N, Backonja MM, Baron R, Bouhassira D, Freynhagen R, et al. Using screening tools to identify neuropathic pain. Pain 2007; 127: 199-203. https://doi.org/10.1016/j.pain.2006.10.034
  11. Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 2005; 114: 29-36. https://doi.org/10.1016/j.pain.2004.12.010
  12. Harifi G, Ouilki I, El Bouchti I, Ouazar MA, Belkhou A, Younsi R, et al. Validity and reliability of the Arabic adapted version of the DN4 questionnaire (Douleur Neuropathique 4 Questions) for differential diagnosis of pain syndromes with a neuropathic or somatic component. Pain Pract 2011; 11: 139-47. https://doi.org/10.1111/j.1533-2500.2010.00399.x
  13. Chatila N, Pereira B, Maarrawi J, Dallel R. Validation of a new Arabic version of the neuropathic pain diagnostic questionnaire (DN4). Pain Pract 2017; 17: 78-87. https://doi.org/10.1111/papr.12419
  14. van Seventer R, Vos C, Giezeman M, Meerding WJ, Arnould B, Regnault A, et al. Validation of the Dutch version of the DN4 diagnostic questionnaire for neuropathic pain. Pain Pract 2013; 13: 390-8. https://doi.org/10.1111/papr.12006
  15. De Andres J, Perez-Cajaraville J, Lopez-Alarcon MD, Lopez-Millan JM, Margarit C, Rodrigo-Royo MD, et al. Cultural adaptation and validation of the painDETECT scale into Spanish. Clin J Pain 2012; 28: 243-53. https://doi.org/10.1097/AJP.0b013e31822bb35b
  16. Sykioti P, Zis P, Vadalouca A, Siafaka I, Argyra E, Bouhassira D, et al. Validation of the Greek version of the DN4 diagnostic questionnaire for neuropathic pain. Pain Pract 2015; 15: 627-32. https://doi.org/10.1111/papr.12221
  17. Padua L, Briani C, Truini A, Aprile I, Bouhassira D, Cruccu G, et al. Consistence and discrepancy of neuropathic pain screening tools DN4 and ID-Pain. Neurol Sci 2013; 34: 373-7. https://doi.org/10.1007/s10072-012-1011-3
  18. Kim HJ, Park JH, Bouhassira D, Shin JH, Chang BS, Lee CK, et al. Validation of the Korean version of the DN4 diagnostic questionnaire for neuropathic pain in patients with lumbar or lumbar-radicular pain. Yonsei Med J 2016; 57: 449-54. https://doi.org/10.3349/ymj.2016.57.2.449
  19. Madani SP, Fateh HR, Forogh B, Fereshtehnejad SM, Ahadi T, Ghaboussi P, et al. Validity and reliability of the persian (Farsi) version of the DN4 (Douleur Neuropathique 4 Questions) questionnaire for differential diagnosis of neuropathic from non-neuropathic pains. Pain Pract 2014; 14: 427-36.
  20. Santos JG, Brito JO, de Andrade DC, Kaziyama VM, Ferreira KA, Souza I, et al. Translation to Portuguese and validation of the Douleur Neuropathique 4 questionnaire. J Pain 2010; 11: 484-90. https://doi.org/10.1016/j.jpain.2009.09.014
  21. Perez C, Galvez R, Huelbes S, Insausti J, Bouhassira D, Diaz S, et al. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Health Qual Life Outcomes 2007; 5: 66. https://doi.org/10.1186/1477-7525-5-66
  22. Unal-Cevik I, Sarioglu-Ay S, Evcik D. A comparison of the DN4 and LANSS questionnaires in the assessment of neuropathic pain: validity and reliability of the Turkish version of DN4. J Pain 2010; 11: 1129-35. https://doi.org/10.1016/j.jpain.2010.02.003
  23. Chaudakshetrin P, Prateepavanich P, Chira-Adisai W, Tassanawipas W, Leechavengvongs S, Kitisomprayoonkul W. Cross-cultural adaptation to the Thai language of the neuropathic pain diagnostic questionnaire (DN4). J Med Assoc Thai 2007; 90: 1860-5.
  24. Cruccu G, Truini A. Tools for assessing neuropathic pain. PLoS Med 2009; 6: e1000045. https://doi.org/10.1371/journal.pmed.1000045
  25. Li J, Feng Y, Han J, Fan B, Wu D, Zhang D, et al. Linguistic adaptation, validation and comparison of 3 routinely used neuropathic pain questionnaires. Pain Physician 2012; 15: 179-86.

피인용 문헌

  1. Chronic neuropathic pain negatively associated with employment retention of cancer survivors: evidence from a national French survey pp.1932-2267, 2017, https://doi.org/10.1007/s11764-017-0650-z
  2. Validation of Complete Hindi Version of Douleur Neuropathique 4 Questionnaire for Assessment of Neuropathic Pain vol.27, pp.None, 2017, https://doi.org/10.25259/ijpc_340_20