Factor Structure of the Children's Depression Inventory in a Multisite Sample of Children and Adolescents With Chronic Pain

JOURNAL OF PAIN

卷:14

Article

Logan, Deirdre E.^1,2,3  Claar, Robyn Lewis^1,2,3  Guite, Jessica W.^4,5  Kashikar-Zuck, Susmita^6,7  Lynch-Jordan, Anne^6,7  Palermo, Tanya M.^8,9,10  Wilson, Anna C.^11,12,13  Zholo, Chuan^8,9,10 

[1] Childrens Hosp, Dept Anesthesiol Perioperat & Pain Med, Div Pain Med, Boston, MA 02115 USA

[2] Childrens Hosp, Dept Psychiat, Boston, MA 02115 USA

[3] Harvard Univ, Sch Med, Boston, MA USA

[4] Childrens Hosp Philadelphia, Dept Anesthesiol & Crit Care Med, Philadelphia, PA 19104 USA

[5] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[6] Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Behav Med & Clin Psychol, Cincinnati, OH 45229 USA

[7] Univ Cincinnati, Coll Med, Cincinnati, OH USA

[8] Univ Washington, Sch Med, Dept Anesthesiol, Seattle, WA 98195 USA

[9] Univ Washington, Sch Med, Dept Pediat, Seattle, WA 98195 USA

[10] Univ Washington, Sch Med, Dept Psychiat, Seattle, WA 98195 USA

[11] Oregon Hlth & Sci Univ, Dept Pediat, Portland, OR 97201 USA

[12] Oregon Hlth & Sci Univ, Dept Anesthesiol, Portland, OR 97201 USA

[13] Oregon Hlth & Sci Univ, Dept Perioperat Med, Portland, OR 97201 USA

关键词: Assessment;    chronic pain;    depression;    pediatric;   

DOI  :  10.1016/j.jpain.2013.01.777

来源: Elsevier

【 摘 要 】

This study examined the factor structure of the Children's Depression Inventory (CDI) among children and adolescents with chronic pain using exploratory and confirmatory factor analysis in a large, multisite sample of treatment-seeking youth. Participants included 1,043 children and adolescents (ages 8-18) with a range of chronic pain complaints who presented for initial evaluation at 1 of 3 tertiary care pediatric chronic pain clinics across the United States. They completed the CDI and reported on pain intensity and functional disability. Factor analysis was conducted using a 2-step (exploratory and confirmatory) approach. Results supported a 5-factor model for the CDI with good fit to the data. The distribution and item-total correlations of the somatic items (eg, pain complaints, fatigue) were explored in this sample. Results indicate that the CDI is a useful tool for assessing depressive symptoms in youth with chronic pain, but some caution is warranted in interpreting the clinical significance of scores in light of the overlap of specific symptoms common to both pain and depression. Perspective: The CDI can be considered a valid tool for assessing mood symptoms in children with chronic pain. Caution is encouraged when interpreting the clinical significance of scores due to symptom overlap between chronic pain and depression. (C) 2013 by the American Pain Society

【 授权许可】

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