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Journal of Behavioral Medicine

, Volume 39, Issue 3, pp 537–550 | Cite as

Development of the Sensory Hypersensitivity Scale (SHS): a self-report tool for assessing sensitivity to sensory stimuli

  • Eric A. DixonEmail author
  • Grant Benham
  • John A. Sturgeon
  • Sean Mackey
  • Kevin A. Johnson
  • Jarred Younger
Article

Abstract

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.

Keywords

Sensory hypersensitivity Scale development Central sensitivity Validity Reliability Quantitative sensory testing 

Abbreviations

SHS

Sensory Hypersensitivity Scale

HSP

Highly Sensitive Person

CNS

Central nervous system

SPQ

Sensory perception quotient

AASP

Adult/Adolescent Sensory Profile

Notes

Acknowledgments

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.

Supplementary material

10865_2016_9720_MOESM1_ESM.docx (18 kb)
Supplementary material 1 (DOCX 17 kb)

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Eric A. Dixon
    • 1
    Email author
  • Grant Benham
    • 2
  • John A. Sturgeon
    • 1
  • Sean Mackey
    • 1
  • Kevin A. Johnson
    • 1
  • Jarred Younger
    • 1
    • 3
  1. 1.Department of Anesthesia, Division of Pain ManagementStanford University School of MedicinePalo AltoUSA
  2. 2.Department of Psychological ScienceUniversity of Texas Rio Grande ValleyEdinburgUSA
  3. 3.Department of Psychology, Department of Anesthesiology and RheumatologyUniversity of Alabama at BirminghamBirminghamUSA

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