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Abstract：
To determine if the Central Sensitization Inventory questionnaire (CSI) functions as a mental health measure among a cross-section of people seeking musculoskeletal specialty care, we asked: (1) What is the association of CSI total score and item groupings identified in factor analysis with mental health measures? and (2) What is the association between specific CSI items that represent each factor well and specific mental health measures? One hundred and fifty-seven adults seeking specialty care for musculoskeletal symptoms completed the CSI, a measure of catastrophic thinking, and 3 measures of distress (symptoms of health anxiety, general anxiety, and depression). Exploratory factor analysis was used to identify item groupings. Exploratory factor analysis identified 4 item groupings (factors): (1) thoughts and feelings (mental health), accounting for 52% of the variation in the CSI, (2) urinary and visual symptoms (15%) (3) body aches (10%), and (4) jaw pain (8.1%). More than half the variation in both the CSI total score (51%) and the thoughts and feelings factor (57%) were accounted for by variation in measures of catastrophic thinking and distress. Specific items that account for large amounts of the variation in the CSI also had notable correlations with mental health measures. The strong relationship between the CSI and thoughts and emotions suggests that the CSI functions largely as a mental health measure. If the concept of central sensitization is to help people get and stay healthy, it will depend on evidence that central sensitization can be measured and quantified distinct from mental health.
摘要：
为了确定中央敏感库存问卷（CSI）是否在寻求肌肉骨骼专业护理的人群中充当心理健康指标，我们问：（1）在因素分析中确定的CSI总分和项目组与心理健康措施之间的关联是什么？（2）很好地代表每个因素的特定CSI项目与特定心理健康措施之间的关联是什么？一百五十七个寻求肌肉骨骼症状专业护理的成年人完成了CSI，一种灾难性思维的措施，和3种困扰措施(健康焦虑的症状，一般焦虑,和抑郁症）。探索性因素分析用于确定项目组。探索性因素分析确定了4个项目组(因素):(1)思想和感受(心理健康)，占CSI变化的52%，（2）泌尿和视觉症状（15％）（3）身体疼痛（10％），和（4）下颌疼痛（8.1％）。CSI总分（51％）和思想和情感因素（57％）的变化中，有一半以上是由灾难性思维和困扰措施的变化引起的。占CSI变化量很大的特定项目与心理健康指标也有显着的相关性。CSI与思想和情绪之间的紧密关系表明，CSI在很大程度上是一种心理健康衡量标准。如果中央敏感化的概念是帮助人们获得并保持健康，这将取决于证据，即中枢致敏可以被测量和量化，与心理健康不同。
