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Psychometric features of Neuropathic Pain Symptom Inventory in Iranian people with Parkinson’s disease

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Abstract

Objective

Neuropathic pain is a type of pain reported in people with Parkinson’s disease. There are various scales to evaluate the characteristics of this kind of pain. The purpose of this study was to investigate the psychometric properties of the Neuropathic Pain Symptom Inventory (NPSI), a specific scale that measures neuropathic pain in Iranian people with Parkinson’s disease.

Method

Four hundred forty-seven individuals with Parkinson’s disease were recruited in the study. Acceptability, internal consistency (Cronbach’s alpha), and test-retest reliability (intraclass correlation coefficient, ICC) of NPSI were calculated. Dimensionality was examined through exploratory factor analysis. For convergent validity, correlations of NPSI with Douleur Neuropathic 4, Brief Pain Inventory, King’s Pain Parkinson disease Scale, and Visual Analog Scale-Pain were used. Discriminative validity and sensitivity to change between On- and Off- medication states were analyzed.

Results

A marked floor effect was observed for this scale (64.2%). Cronbach’s alpha and ICC were 0.90 and 0.87, respectively. Items of NPSI were placed in 4 factors. A moderate to the strong association (rs = 0.55 to 0.85) between NPSI and other scales was obtained. The results of discriminative validity and sensitivity to change indicate the ability of NPSI to show differences between medication states.

Conclusion

The results of this study suggest that NPSI has acceptable reliability, validity, and sensitivity to change, indicating that this scale is suitable for measuring neuropathic pain in Iranian people with Parkinson’s disease.

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Data availability

The data used to support the findings of this study are included within the article.

References

  1. Beiske A, Loge JH, Rønningen A, Svensson E (2009) Pain in Parkinson’s disease: prevalence and characteristics. PAIN® 141(1–2):173–177

    Article  CAS  Google Scholar 

  2. Gallagher DA, Lees AJ, Schrag A (2010) What are the most important nonmotor symptoms in patients with Parkinson's disease and are we missing them? Mov Disord 25(15):2493–2500

    Article  Google Scholar 

  3. Quittenbaum BH, Grahn B (2004) Quality of life and pain in Parkinson’s disease: a controlled cross-sectional study. Parkinsonism Relat Disord 10(3):129–136

    Article  Google Scholar 

  4. Marsala SZ, Tinazzi M, Vitaliani R, Recchia S, Fabris F, Marchini C et al (2011) Spontaneous pain, pain threshold, and pain tolerance in Parkinson’s disease. J Neurol 258(4):627–633

    Article  Google Scholar 

  5. Brefel-Courbon C, Payoux P, Thalamas C, Ory F, Quelven I, Chollet F, Montastruc JL, Rascol O (2005) Effect of levodopa on pain threshold in Parkinson's disease: a clinical and positron emission tomography study. Mov Disord 20(12):1557–1563

    Article  Google Scholar 

  6. Slaoui T, Mas-Gerdelat A, Ory-Magne F, Rascol O, Brefel-Courbon C (2007) Levodopa modifies pain thresholds in Parkinson’s disease patients. Rev Neurol 163(1):66–71

    Article  CAS  Google Scholar 

  7. Mylius V, Engau I, Teepker M, Stiasny-Kolster K, Schepelmann K, Oertel WH, Lautenbacher S, Moller JC (2009) Pain sensitivity and descending inhibition of pain in Parkinson’s disease. J Neurol Neurosurg Psychiatry 80(1):24–28

    Article  CAS  Google Scholar 

  8. Geroin C, Gandolfi M, Bruno V, Smania N, Tinazzi M (2016) Integrated approach for pain management in Parkinson disease. Curr Neurol Neurosci Rep 16(4):28

    Article  Google Scholar 

  9. Ha AD, Jankovic J (2012) Pain in Parkinson’s disease. Mov Disord 27(4):485–491

    Article  Google Scholar 

  10. Treede R-D, Jensen TS, Campbell JN, Cruccu G, Dostrovsky J, Griffin J et al (2008) Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology. 70(18):1630–1635

    Article  CAS  Google Scholar 

  11. Moreno C, Hernández-Beltrán N, Munévar D, Gutiérrez-Alvarez A (2012) Central neuropathic pain in Parkinson’s disease. Neurología 27(8):500–503

    Article  CAS  Google Scholar 

  12. Brefel-Courbon C, Ory-Magne F, Thalamas C, Payoux P, Rascol O (2013) Nociceptive brain activation in patients with neuropathic pain related to Parkinson’s disease. Parkinsonism Relat Disord 19(5):548–552

    Article  Google Scholar 

  13. Rana A, Khan T, Galange P, Khan A, Yousuf M (2012) Effects of pain on activities of daily living and functioning in Parkinson’s disease patients. Transl Neurosci 3(4):328–333

    Article  Google Scholar 

  14. Rana AQ, Kabir A, Jesudasan M, Siddiqui I, Khondker S (2013) Pain in Parkinson’s disease: analysis and literature review. Clin Neurol Neurosurg 115(11):2313–2317

    Article  Google Scholar 

  15. Bouhassira D, Attal N, Fermanian J, Alchaar H, Gautron M, Masquelier E, Rostaing S, Lanteri-Minet M, Collin E, Grisart J, Boureau F (2004) Development and validation of the neuropathic pain symptom inventory. Pain. 108(3):248–257

    Article  Google Scholar 

  16. Padua L, Briani C, Jann S, Nobile-Orazio E, Pazzaglia C, Morini A, Mondelli M, Ciaramitaro P, Cavaletti G, Cocito D, Fazio R, Santoro L, Galeotti F, Carpo M, Plasmati R, Benedetti L, Schenone A, Marchettini P, Cruccu G (2009) Validation of the Italian version of the neuropathic pain symptom inventory in peripheral nervous system diseases. Neurol Sci 30(2):99–106

    Article  Google Scholar 

  17. Villoria J, Rodríguez M, Berro MJ, Stern A, Sánchez-Magro I (2011) Psychometric validation of the neuropathic pain symptom inventory for its use in Spanish. J Pain Symptom Manag 42(1):134–146

    Article  Google Scholar 

  18. Sommer C, Richter H, Rogausch JP, Frettlöh J, Lungenhausen M, Maier C (2011) A modified score to identify and discriminate neuropathic pain: a study on the German version of the neuropathic pain symptom inventory (NPSI). BMC Neurol 11(1):104

    Article  Google Scholar 

  19. de Andrade DC, Ferreira KA, Nishimura CM, Yeng LT, Batista AF, De Sá K et al (2011) Psychometric validation of the Portuguese version of the neuropathic pain symptoms inventory. Health Qual Life Outcomes 9(1):107

    Article  Google Scholar 

  20. Godefroy O, Fickl A, Roussel M, Auribault C, Bugnicourt JM, Lamy C, Canaple S, Petitnicolas G (2011) Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation. Stroke. 42(6):1712–1716

    Article  Google Scholar 

  21. Razavi D, Delvaux N, Farvacques C, Robaye E (1990) Screening for adjustment disorders and major depressive disorders in cancer in-patients. Br J Psychiatry 156(1):79–83

    Article  CAS  Google Scholar 

  22. Morris S, Morris ME, Iansek R (2001) Reliability of measurements obtained with the timed “up & go” test in people with Parkinson disease. Phys Ther 81(2):810–818

    Article  CAS  Google Scholar 

  23. Aaronson N, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M et al (1992) International quality of life assessment (IQOLA) project. Qual Life Res 1(5):349–351

    Article  CAS  Google Scholar 

  24. Chaudhuri KR, Rizos A, Trenkwalder C, Rascol O, Pal S, Martino D, Carroll C, Paviour D, Falup-Pecurariu C, Kessel B, Silverdale M, Todorova A, Sauerbier A, Odin P, Antonini A, Martinez-Martin P, on behalf of EUROPAR and the IPMDS Non Motor PD Study Group (2015) King's Parkinson's disease pain scale, the first scale for pain in PD: an international validation. Mov Disord 30(12):1623–1631

    Article  Google Scholar 

  25. Majedi H, Dehghani SS, Soleyman-Jahi S, Meibodi SAE, Mireskandari SM, Hajiaghababaei M et al (2017) Validation of the Persian version of the Brief Pain Inventory (BPI-P) in chronic pain patients. J Pain Symptom Manag 54(1):132–138 e2

    Article  Google Scholar 

  26. Madani SP, Fateh HR, Forogh B, Fereshtehnejad SM, Ahadi T, Ghaboussi P, Bouhassira D, Raissi GR (2014) Validity and reliability of the Persian (Farsi) version of the DN 4 (Douleur Neuropathique 4 Questions) questionnaire for differential diagnosis of neuropathic from non-neuropathic pains. Pain Pract 14(5):427–436

    PubMed  Google Scholar 

  27. Tomlinson CL, Stowe R, Patel S, Rick C, Gray R, Clarke CE (2010) Systematic review of levodopa dose equivalency reporting in Parkinson’s disease. Mov Disord 25(15):2649–2653

    Article  Google Scholar 

  28. Piedmont RL (2014) Inter-item correlations. Encyclopedia of quality of life and well-being research. 3303–4

  29. van Bloemendaal M, Kokkeler AM, van de Port IG (2012) The shuttle walk test: a new approach to functional walking capacity measurements for patients after stroke? Arch Phys Med Rehabil 93(1):163–166

    Article  Google Scholar 

  30. Rooney R (2006) Statistical evidence in medical trials: what do the data really tell us? Stephen D. Simon. OUP, 2006.£ 65. ISBN 0 19 856760 X. Oxford University Press

  31. Gibbons JD, Chakraborti S (2011) Nonparametric statistical inference. Springer

  32. Pintér D, Forjaz MJ, Martinez-Martin P, Rodriguez-Blazquez C, Ayala A, Juhász A et al (2019) Which scale best detects treatment response of tremor in parkinsonism? J Parkinsons Dis (Preprint):1–8

  33. Demetriou C, Ozer BU, Essau CA (2014) Self-report questionnaires. The encyclopedia of clinical psychology. 1–6

  34. Antonini A, Tinazzi M, Abbruzzese G, Berardelli A, Chaudhuri K, Defazio G et al (2018) Pain in Parkinson’s disease: facts and uncertainties. Eur J Neurol 25(7):917–e69

    Article  CAS  Google Scholar 

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Acknowledgments

The authors thank the patients for making this study possible through their participation. The authors are also grateful to Dr. Bouhassira Didier for the kind assistance and insightful comments. The authors are also appreciative of Mr. Taati and Ms. Aghaeipour for the kind support.

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Correspondence to Maryam Mehdizadeh.

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The study has been approved by the Student Research Committee of Iran University of Medical Sciences with the ethical code IR.IUMS.rec.1395.95.04-193-30127.

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Taghizadeh, G., Rodriguez-Blazquez, C., Joghataei, M.T. et al. Psychometric features of Neuropathic Pain Symptom Inventory in Iranian people with Parkinson’s disease. Neurol Sci 42, 3233–3239 (2021). https://doi.org/10.1007/s10072-020-04941-1

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  • DOI: https://doi.org/10.1007/s10072-020-04941-1

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