Development of the Sensory Hypersensitivity Scale (SHS): a self-report tool for assessing sensitivity to sensory stimuli
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Sensory hypersensitivity is one manifestation of the central sensitization that may underlie conditions such as fibromyalgia and chronic fatigue syndrome. We conducted five studies designed to develop and validate the Sensory Hypersensitive Scale (SHS); a 25-item self-report measure of sensory hypersensitivity. The SHS assesses both general sensitivity and modality-specific sensitivity (e.g. touch, taste, and hearing). 1202 participants (157 individuals with chronic pain) completed the SHS, which demonstrated an adequate overall internal reliability (Cronbach’s alpha) of 0.81, suggesting the tool can be used as a cross-modality assessment of sensitivity. SHS scores demonstrated only modest correlations (Pearson’s r) with depressive symptoms (0.19) and anxiety (0.28), suggesting a low level of overlap with psychiatric complaints. Overall SHS scores showed significant but relatively modest correlations (Pearson’s r) with three measures of sensory testing: cold pain tolerance (−0.34); heat pain tolerance (−0.285); heat pain threshold (−0.271). Women reported significantly higher scores on the SHS than did men, although gender-based differences were small. In a chronic pain sample, individuals with fibromyalgia syndrome demonstrated significantly higher SHS scores than did individuals with osteoarthritis or back pain. The SHS appears suitable as a screening measure for sensory hypersensitivity, though additional research is warranted to determine its suitability as a proxy for central sensitization.
KeywordsSensory hypersensitivity Scale development Central sensitivity Validity Reliability Quantitative sensory testing
Sensory Hypersensitivity Scale
Highly Sensitive Person
Central nervous system
Sensory perception quotient
Adult/Adolescent Sensory Profile
The authors would like to acknowledge Maureen Donohue for her valued insight and guidance while editing this manuscript. Study 5 was funded by a Grant from the NIDA (K23 DA031808).
Compliance with ethical standards
Conflict of interest
Eric A. Dixon, Grant Benham, John A. Sturgeon, Sean Mackey, Kevin A. Johnson, and Jarred Younger declare that they have no conflict of interest.
Human and animal rights and Informed consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of the 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the BDI-II. San Antonio: Psychological Corporation.Google Scholar
- Blumenstiel, K., Gerhardt, A., Rolke, R., Bieber, C., Tesarz, J., Friederich, H. C., et al. (2011). Quantitative sensory testing profiles in chronic back pain are distinct from those in fibromyalgia. Clinical Journal of Pain, 27, 682–690. doi: 10.1097/AJP.0b013e3182177654 CrossRefPubMedGoogle Scholar
- Brown, C., & Dunn, W. (2002). Adolescent-adult sensory profile: User’s manual. Therapy Skill Builders.Google Scholar
- Corrêa, J. B., Costa, L. O. P., de Oliveira, N. T. B., Sluka, K. A., & Liebano, R. E. (2015). Central sensitization and changes in conditioned pain modulation in people with chronic nonspecific low back pain: A case–control study. Experimental Brain Research, 233(8), 2391–2399.CrossRefPubMedGoogle Scholar
- Dunn, W. (1999). The sensory profile. San Antonio, TX: Psychological Corporation.Google Scholar
- Fernández-de-las-Peñas, C., Galán-del-Río, F., Ortega-Santiago, R., Jiménez-García, R., Arendt-Nielsen, L., & Svensson, P. (2010). Bilateral thermal hyperalgesia in trigeminal and extra-trigeminal regions in patients with myofascial temporomandibular disorders. Experimental Brain Research, 202, 171–179. doi: 10.1007/s00221-009-2121-x CrossRefPubMedGoogle Scholar
- Geisser, M. E., Strader Donnell, C., Petzke, F., Gracely, R. H., Clauw, D. J., & Williams, D. A. (2008). Comorbid somatic symptoms and functional status in patients with fibromyalgia and chronic fatigue syndrome: sensory amplification as a common mechanism. Psychosomatics, 49, 235–242. doi: 10.1176/appi.psy.49.3.235 CrossRefPubMedGoogle Scholar
- Muthén, L. K., & Muthén, B. O. (2007). Mplus: Statistical analysis with latent variables; User’s guide; [Version 5]. Los Angeles: Muthén & Muthén.Google Scholar
- Racine, M., Tousignant-Laflamme, Y., Kloda, L. A., Dion, D., Dupuis, G., & Choinière, M. (2012). A systematic literature review of 10 years of research on sex/gender and pain perception–Part 2: Do biopsychosocial factors alter pain sensitivity differently in women and men? Pain, 153, 619–635. doi: 10.1016/j.pain.2011.11.026 CrossRefPubMedGoogle Scholar
- Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y) ("self-evaluation questionnaire").Google Scholar
- Spielberger, C. D., & Sydeman, S. J. (1994). State-trait anxiety inventory and state-trait anger expression inventory. In The use of psychological tests for treatment planning and outcome assessment, pp. 292–321.Google Scholar