مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

Measuring function in children with chronic pain: Investigating the validity, reliability, and factor structure of the child and parent versions of the Function Disability Inventory (FDI) in the population of children with chronic pain and their parents

نوع مقاله : مقاله پژوهشی

نویسندگان
Soheila Ghomian 1
Mohammad Reza Shaeiri 2
Samira Masoumian 3
Tahere Malek Zadeh 4
Neda Nuri 5
1 Ph.D in clinical psychology, Faculty of Humanities, Shahed University, Tehran, Iran.
2 Ph.D. in clinical psychology, Associate professor of clinical psychology, Faculty of Humanities, Shahed University, Tehran, Iran.
3 Ph.D. in clinical psychology, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
4 MSc. In. general psychology, Tabriz University, Tabriz, Iran.
5 BA. in clinical psychology, Islamic Azad University, Roudhen Branch, Roudhen, Iran.
10.22038/jfmh.2022.21000
چکیده
Introduction: This study aimed to investigate the validity, reliability, and factor structure of the child and parent versions of The Function Disability Inventory (FDI) in the children with chronic pain and their parents.
 Materials and Methods: The sample consists of 112 pairs of children (7-12 years) and parents selected through convenient sampling from child hospitals in Tehran in 2017 to 2018. The Function Disability Inventory (FDI), KIDScreen, Child Behavior Checklist (CBCL), Youth Self Report (YSR), and Visual Analogous Scale (VAS) were implemented. The data were analyzed using Pearson's correlation and exploratory and confirmatory factor analysis were used to obtain the findings.
 Results: The reliability results of FDI showed that the Cronbach's alpha of the child and parent versions were 0.89 and 0.90, respectively, which indicates high alpha coefficients. Also, many run twice correlations of child and parent versions obtained in a significant and acceptable range (0.53 to 0.93). Also, the convergent and divergent validity of the parent version showed that the parent version has a negative correlation with the quality of life subscales (-0.08 to -0.20) and with the CBCL subscales (0.30 to 0.35) and also the visual similarity scale (0.15), has a positive and significant correlation. The exploratory factor analysis identified four factors in the child's version and three factors in the parent's version, and in the confirmation factor analysis, the fitting of these new factors were confirmed.
 Conclusion: Function Disability Inventory has proper psychometric features in the population of children with chronic pain and their parents.
کلیدواژه‌ها
Chronic pain
Functional disability
Reliability
Validity
  1. Farid M, Rahimi C, Mohammadi N. [Prediction of pain based on personality characteristics, anxiety and depression in patients with chronic pain]. Scientific research quarterly journal of Lorestan University of Medical Sciences 2018; 20(2): 76-85. (Persian)
  2. Alavi B, Makundi B, Asgari P, Moradi Manesh F. [The effectiveness of group play therapy on hope, adaptation and response to pain in children with cancer]. Journal of Islamic studies in the field of health 2019; 4(4): 27-38. (Persian)
  3. Merskey H, Bogduk N. Classification of chronic pain: description of chronic pain syndromes and definitions of pain terms. Pain Suppl 1986; 3: S1-226.
  4. Barghun R, Demhari F, Azizi M. [Investigating the effectiveness of mindfulness-based therapy on psychological well-being and reducing pain symptoms in children with chronic diseases]. Journal of thought and behavior in clinical psychology 2019; 14: 37-48. (Persian)
  5. Hester NO, Foster RL, Kristensen K. Measurement of pain in children: Generalizability and validity of the pain ladder and the poker chip tool. In: Tyler DC, Krane EJ. (editors). Advances in pain research and therapy. New York: Raven; 1979: 79-84.
  6. Huskisson EC. Measurement of pain. Lancet 1974; 2(9): 1127-31.
  7. Jay SM, Ozolins M, Elliott CH, Caldwell S. Assessment of children's distress during painful medical procedures. Health Psychol 1983; 2: 133-47.
  8. Eland JM. Minimizing pain associated with prekindergarten intramuscular injections. Issues Comp Pediatr Nurs 1981; 5: 361-72.
  9. Long AC, Palermo TM, Manees AM. Brief report: Using actigraphy to compare physical activity levels in adolescents with chronic pain and healthy adolescents. J Pediatr Psychol 2008; 33(6): 660-65.
  10. Claar RL, Walker LS. Functional assessment of pediatric pain patients: Psychometric properties of the functional disability inventory. Pain 2006; 121(1-2): 77-84.
  11. Walker LS, Heflinger CA. Quality of life predictors of outcome in pediatric abdominal pain patients: Findings at initial assessment and 5-year follow-up. In: Drotar D. (editor). Measuring health-related quality of life in children and adolescents. Mahwah, NJ: Lawrence Erlbaum; 1998 :237-52.
  12. Kashikar-Zuck S, Vaught MH, Goldschneider KR, Graham TB, Miller JC. Depression, coping and functional disability in juvenile primary fibromyalgia syndrome. J Pain 2002; 3(5): 412-9.
  13. Lewandowski AS, Palermo TM, Peterson CC. Age-dependent relationships among pain, depressive symptoms, and functional disability in youth with recurrent headaches. Headache 2006; 46(4): 656-62.
  14. Logan DE, Scharff L. Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of moderating effects on the pathway from pain to disability. J Pediatr Psychol 2005; 30(8): 698-707.
  15. Palermo TM, Riley CA, Mitchell BA. Daily functioning and quality of life in children with sickle cell disease pain: Relationship with family and neighborhood socioeconomic distress. J Pain 2008; 9(9): 833-40.
  16. Lynch AM, Kashikar-Zuck S, Goldschneider KR, Jones BA. Psychosocial risks for disability in children with chronic back pain. J Pain 2006; 7(4): 244-51.
  17. Guite JW, Logan DE, McCue R, Sherry DD, Rose JB. Parental beliefs and worries regarding adolescent chronic pain. Clin J Pain 2009; 25(3): 223-32.
  18. Guite JW, Logan DE, Sherry DD, Rose JB. Adolescent self-perception: associations with chronic musculoskeletal pain and functional disability. J Pain 2007; 8(5): 379-86.
  19. Logan DE, Guite JW, Sherry DD, Rose JB. Adolescent-parent relationships in the context of adolescent chronic pain conditions. Clin J Pain 2006; 22(6): 576-83.
  20. Eccleston C, Malleson PN, Clinch J, Connell H, Sourbut C. Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy. Arch Dis Child 2003; 88(10): 881-5.
  21. Kashikar-Zuck S, Swain NF, Jones BA, Graham TB. Efficacy of cognitive behavioral intervention for juvenile primary fibromyalgia syndrome. J Rheumatol 2005; 32(8): 1594-602.
  22. Reid GJ, Lang BA, McGrath PJ. Primary juvenile fibromyalgia: psychological adjustment, family functioning, coping, and functional disability. Arthritis Rheum 1997; 40(4): 752-60.
  23. Lynch-Jordan AM, Kashikar-Zuck S, Crosby LE, Lopez WL, Smolyansky BH, Parkins IS, et al. Applying quality improvement methods to implement a measurement system for chronic pain related disability. J Pediatr Psychol 2010; 35(1): 32-41.
  24. Kashikar-Zuck S, Flowers SR, Claar RL, Guite JW, Logan DE, Lynch-Jordan AM, et al. Clinical utility and validity  of  the Functional Disability Inventory among a multicenter sample of youth with chronic pain. Pain 2011; 152(7): 1600-7.
  25. Walker LS, Greene JW. The functional disability inventory: Measuring a neglected dimension of child health status. J Pediatr Psychol 1991; 16(1): 39-58.
  26. Nik-Azin A, Naeinian MR, Shairi MR. [Validity and reliability of Health Related Quality of Life Questionnaire “KIDSCREEN-27” in a sample of Iranian students]. Iranian journal of psychiatry and clinical psychology 2013; 18(4): 310-21. (Persian)
  27. Minaei A. [Manual of school-age forms of Achenbach System of Empirically Based Assessment (ASEBA)]. Research on exceptional children 2006; 19: 529. (Persian)
  28. Wicksell RK, Melin L, Lekander M, Olsson GL. Evaluating the effectiveness of exposure and acceptance strategies to improve functioning and quality of life in longstanding pediatric pain – a randomized controlled trial. Pain 2009; 141(3): 248-57.
  29. Palermo TM, Lewandowski AS, Long AC, Burant CJ. Validation of a self-report questionnaire version of the Child Activity Limitations Interview (CALI): The CALI-21. Pain 2008; 139(3): 644-52.
  30. Huguet A, Eccleston C, Miró J, Gauntlett-Gilbert J. Young people making sense of pain: Cognitive appraisal, function, and pain in 8–16 year old children. Eur J Pain 2009; 13(7): 751-9.
  31. Kashikar-Zuck S, Goldschneider KR, Powers SW, Vaught MH, Hershey AD. Depression and functional disability in chronic pediatric pain. Clin J Pain 2001; 17(4): 341-9.
  32. Powers SW, Gilman DK, Hershey AD. Headache and psychological functioning in children and adolescents. Headache 2006; 46(9): 1404-15.
  33. Khayyer Gh, Manshaei Gh. [Effectiveness of child-centered mindfulness therapy on pain self-efficacy and pain anxiety in children with rheumatism]. Quarterly journal of health psychology 2021; 10(2): 85-100. (Persian)
  34. Rostami H, Ahmadi A, Nouri A, Andalib R. [Model of the relationship between anxiety, stress and depression with pain perception with the mediating role of resilience in patients with chronic pain in a military hospital]. Scientific journal of military psychology 2021; 13: 39-63. (Persian)
  35. Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges. J Postgrad Med 2019; 131(7): 438-44.
  36. Ashuri A, Ebrahimi MA, Ghasemipour Y. [Comparison of cognitive distortion and quality of life in patients with chronic pain, non-chronic pain and normal people]. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences 2019; 62(5): 1723-32. (Persian)
مجله اصول بهداشت روانی
دوره 24، شماره 5
مهر و آبان 1401
صفحه 323-331