Evaluation of Psychometric and Linguistic Properties of the Italian Adolescent Pain Assessment Scales: A Systematic Review

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Abstract

Introduction: Adolescents’ pain experiencesare complex and multidimensional, and evaluatingpain only from a sensory and affectivepoint of view may be in many instances limitingand inadequate; this is the reason why it isof paramount importance to identify the toolswhich can better assess the pain experienced byyoung patients. A person-oriented approach ishighly encouraged, as it may better investigatethe cognitive and behavioral development typicalof this age group. The aim of this reviewpaper is to describe the available tools which areable to adequately assess pain intensity in adolescents,in particular those validated in Italian.Methods: We conducted a systematic reviewusing four databases: CINAHL, PsycINFO,PubMed and Cochrane, and selected all thearticles published between January 1970 andNovember 2017. We selected all the papersreporting the validation process of pain assessmenttools specifically tailored for adolescentpatients (age range 10–18 years) and based onpsychometric and linguistic parameters, andfocused especially on the tools available inItalian and able to measure acute and chronicpain.Results: The results of our investigation haverevealed the existence of 40 eligible tools, 17 ofwhich are monodimensional and the remaining23 multidimensional, more specifically tailoredto assess both acute and chronic pain. Some ofthe instruments (26) were self-reports whileothers were classified as behavioral (13) and/ormixed. Only one tool turned out to be suitablefor fragile adolescents, while six adopted aperson-oriented approach that better emphasizedthe cognitive and behavioral process typicalof the adolescent population. None of themhas ever been validated in Italian.Conclusion: Valid and reliable psychometrictools specifically organized to provide a culturaland linguistic evaluation of the patient areindeed the most recommended instruments toassess the intensity of the pain experienced bythe patient, as they may provide useful information to implement a health policyaimed at identifying the best assistanceprograms.
Lingua originaleEnglish
Numero di pagine28
RivistaPain and Therapy
Stato di pubblicazionePublished - 2018

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