Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish

Reciprocal relationships between chronic musculoskeletal pain and various sleep disturbances are well established. The Pain and Sleep Questionnaire three-item index (PSQ-3) is a concise, valid, and reliable patient-reported outcome measure (PROM) that directly evaluates how sleep is affected by chro...

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Autores principales: Jani Mikkonen, Ville Leinonen, Hannu Luomajoki, Diego Kaski, Saana Kupari, Mika Tarvainen, Tuomas Selander, Olavi Airaksinen
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spelling oai:doaj.org-article:1d18051052294e0d8f0519ecdc4df0ef2021-11-11T17:32:31ZCross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish10.3390/jcm102148872077-0383https://doaj.org/article/1d18051052294e0d8f0519ecdc4df0ef2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4887https://doaj.org/toc/2077-0383Reciprocal relationships between chronic musculoskeletal pain and various sleep disturbances are well established. The Pain and Sleep Questionnaire three-item index (PSQ-3) is a concise, valid, and reliable patient-reported outcome measure (PROM) that directly evaluates how sleep is affected by chronic low back pain (CLBP). Translation and cross-cultural validation of The Pain and Sleep Questionnaire three-item index Finnish version (PSQ-3-FI) were conducted according to established guidelines. The validation sample was 229 subjects, including 42 pain-free controls and 187 subjects with chronic musculoskeletal pain. Our aims were to evaluate internal consistency, test–retest reliability, measurement error, structural validity, convergent validity, and discriminative validity and, furthermore, to study the relationships between dizziness, postural control on a force plate, and objective sleep quality metrics and total PSQ-3-FI score. The PSQ-3-FI demonstrated good internal consistency, excellent test–retest reliability, and small measurement error. Confirmatory factor analysis confirmed acceptable fit indices to a one-factor model. Convergent validity indicated fair to good correlation with pain history and well-established pain-related PROMs. The PSQ-3-FI total score successfully distinguished between the groups with no pain, single-site pain, and multisite pain. A higher prevalence of dizziness, more impaired postural control, and a general trend towards poorer sleep quality were observed among subjects with higher PSQ-3-FI scores. Postural control instability was more evident in eyes-open tests. The Finnish PSQ-3 translation was successfully cross-culturally adapted and validated. The PSQ-3-FI appears to be a valid and reliable PROM for the Finnish-speaking CLBP population. More widespread implementation of PSQ-3 would lead to better understanding of the direct effects of pain on sleep.Jani MikkonenVille LeinonenHannu LuomajokiDiego KaskiSaana KupariMika TarvainenTuomas SelanderOlavi AiraksinenMDPI AGarticlepainchronic low back painsleepquestionnairecross-cultural validationpatient-reported outcome measureMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4887, p 4887 (2021)
institution DOAJ
collection DOAJ
language EN
topic pain
chronic low back pain
sleep
questionnaire
cross-cultural validation
patient-reported outcome measure
Medicine
R
spellingShingle pain
chronic low back pain
sleep
questionnaire
cross-cultural validation
patient-reported outcome measure
Medicine
R
Jani Mikkonen
Ville Leinonen
Hannu Luomajoki
Diego Kaski
Saana Kupari
Mika Tarvainen
Tuomas Selander
Olavi Airaksinen
Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
description Reciprocal relationships between chronic musculoskeletal pain and various sleep disturbances are well established. The Pain and Sleep Questionnaire three-item index (PSQ-3) is a concise, valid, and reliable patient-reported outcome measure (PROM) that directly evaluates how sleep is affected by chronic low back pain (CLBP). Translation and cross-cultural validation of The Pain and Sleep Questionnaire three-item index Finnish version (PSQ-3-FI) were conducted according to established guidelines. The validation sample was 229 subjects, including 42 pain-free controls and 187 subjects with chronic musculoskeletal pain. Our aims were to evaluate internal consistency, test–retest reliability, measurement error, structural validity, convergent validity, and discriminative validity and, furthermore, to study the relationships between dizziness, postural control on a force plate, and objective sleep quality metrics and total PSQ-3-FI score. The PSQ-3-FI demonstrated good internal consistency, excellent test–retest reliability, and small measurement error. Confirmatory factor analysis confirmed acceptable fit indices to a one-factor model. Convergent validity indicated fair to good correlation with pain history and well-established pain-related PROMs. The PSQ-3-FI total score successfully distinguished between the groups with no pain, single-site pain, and multisite pain. A higher prevalence of dizziness, more impaired postural control, and a general trend towards poorer sleep quality were observed among subjects with higher PSQ-3-FI scores. Postural control instability was more evident in eyes-open tests. The Finnish PSQ-3 translation was successfully cross-culturally adapted and validated. The PSQ-3-FI appears to be a valid and reliable PROM for the Finnish-speaking CLBP population. More widespread implementation of PSQ-3 would lead to better understanding of the direct effects of pain on sleep.
format article
author Jani Mikkonen
Ville Leinonen
Hannu Luomajoki
Diego Kaski
Saana Kupari
Mika Tarvainen
Tuomas Selander
Olavi Airaksinen
author_facet Jani Mikkonen
Ville Leinonen
Hannu Luomajoki
Diego Kaski
Saana Kupari
Mika Tarvainen
Tuomas Selander
Olavi Airaksinen
author_sort Jani Mikkonen
title Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
title_short Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
title_full Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
title_fullStr Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
title_full_unstemmed Cross-Cultural Adaptation, Reliability, and Psychophysical Validation of the Pain and Sleep Questionnaire Three-Item Index in Finnish
title_sort cross-cultural adaptation, reliability, and psychophysical validation of the pain and sleep questionnaire three-item index in finnish
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/1d18051052294e0d8f0519ecdc4df0ef
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