Fibromyalgia & musculoskeletal pain

Validation of a questionnaire for central nervous system aspects of joint pain: the CAP questionnaire

Rheumatology (Oxford)Published Questionnaire validation study

Authors' conclusion

Central aspects of pain are reliably measured by the CAP questionnaire across a range of painful musculoskeletal conditions, and is a changeable state.

Study context

Population
Participants with joint pain in the Investigating Musculoskeletal Health and Wellbeing survey (58% female, median age 71 years)
Participants
3,579 participants
Comparison
OA vs Back pain vs FM
  • OAn = 1,158
  • Back painn = 1,292
  • FMn = 177
Outcome
CAP questionnaire validation
Methodological detailssurvey-based, factor analysis, paper vs electronic administration reliability (Intraclass Correlation Coefficient (ICC)), 4-year score stability (Friedman test)
  • Survey-based
  • Factor analysis
  • Paper vs electronic administration reliability (ICC)
  • 4-year score stability (Friedman test)

Performance

As reported in the abstract

Reliability (ICC, paper vs electronic administration), 95% CI 0.84-0.92

0.89

Widespread pain threshold across the three subgroups: painful sites on the manikin

≥10/26

Correlation of total CAP score with pain severity and quality (r)

0.50-0.72

Further findings

Score stability over 4 years in people with knee pain

Stable at the group level, but significant temporal heterogeneity within individual participants

Original publication

Validation of a questionnaire for central nervous system aspects of joint pain: the CAP questionnaire. Rheumatology (Oxford). Published 18 June 2024. doi:10.1093/rheumatology/keae342

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