Psychometric properties of the Stress and Crisis Inventory (SCI-93) in females with fibromyalgia and chronic widespread pain

Ericsson, Anna; Nyström, Curt; Mannerkorpi, Kaisa

doi:10.3109/08039488.2014.915580

Cited by 8 publications

(10 citation statements)

References 16 publications

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“…For TAS-20, there is strong support for the generalizability of the three-factor structure across languages and cultures [ 37 ]. The SCI-93 appears to reflect well symptoms of ANS dysregulation according to previous research [ 39 ], but has not previously been used to explore MUPS.…”

Section: Discussionmentioning

confidence: 99%

“…The Stress and Crisis Inventory-93 (SCI-93) was designed to assess the severity of symptoms that are primarily related to the autonomous nervous system (ANS) [ 39 ]. Therefore, mainly information of MUPS caused by dysfunction of the ANS can be gathered by SCI-93.…”

Section: Methodsmentioning

confidence: 99%

“…The scale consists of 35 statements rated from 0 to 4 [ 39 , 40 ]. SCI-93 has shown satisfactory validity and test–retest reliability in a Swedish primary care setting [ 39 ], but since there are no previous studies of MUPS assessment using SCI-93, there is no recommended cut-off for MUPS discrimination available. In a Swedish population sample mean (SD) SCI - 93 was for men/women 27.7 (±11.0)/30.2 (±12.0) [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

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Psychoeducation against depression, anxiety, alexithymia and fibromyalgia: a pilot study in primary care for patients on sick leave

Melin

Svensson

Thulesius

2018

Scandinavian Journal of Primary Health Care

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Objectives: Feasibility testing of a psychoeducational method -The Affect School and Script Analyses (ASSA) – in a Swedish primary care setting. Exploring associations between psychological, and medically unexplained physical symptoms (MUPS). Design: Pilot study. Setting: Three Swedish primary care centers serving 20,000 people. Intervention: 8 weekly 2-hour sessions with a 5–7 participant group led by two instructors - followed by 10 individual hour-long sessions. Subjects: Thirty-six patients, 29 women (81%), on sick-leave due to depression, anxiety, or fibromyalgia. Outcome measures: Feasibility in terms of participation rates and expected improvements of psychological symptoms and MUPS, assessed by self-report instruments pre-, one-week post-, and 18 months post-intervention. Regression coefficients between psychological symptoms and MUPS. Results: The entire 26-hour psychoeducational intervention was completed by 30 patients (83%), and 33 patients (92%) completed the 16-hour Affect School. One-week post-intervention median test score changes were significantly favorable for 27 respondents, with p < .05 after correction for multiple testing for 9 of 11 measures (depression, anxiety, alexithymia, MUPS, general health, self-affirmation, self-love, self-blame, and self-hate); 18 months post intervention the results remained significantly favorable for 15 respondents for 7 of 11 measures (depression, alexithymia, MUPS, general health, self-affirmation, self-love, and self-hate). Conclusions: A psychoeducational method previously untested in primary care for mostly women patients on sick-leave due to depression, anxiety, or fibromyalgia had >80% participation rates, and clear improvements of self-assessed psychological symptoms and MUPS. The ASSA intervention thus showed adequate feasibility in a Swedish primary care setting.Key Points A pilot study of a psychoeducational intervention – The Affect School and Script Analyses (ASSA) – was performed in primary care • The intervention showed feasibility for patients on sick-leave due to depression, anxiety, or fibromyalgia • 92% completed the 8 weeks/16 hours Affect School and 83% completed the entire 26-hour ASSA intervention • 9 of 11 self-reported measures improved significantly one-week post intervention • 7 of 11 self-reported measures improved significantly 18 months post-intervention

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Psychoeducation against depression, anxiety, alexithymia and fibromyalgia: a pilot study in primary care for patients on sick leave

Melin

Svensson

Thulesius

2018

Scandinavian Journal of Primary Health Care

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“…The mean score for SCI-93 at baseline was 36 (SD 21) ( table 2 ), which indicates an increased level of clinical stress symptoms in the group, compared with the reference values. 32 33 Signs and symptoms in patients with chronic pain are suggested to be associated with prolonged stress, 62 but measurement of clinical stress symptoms is not standard in the clinical assessment of patients with CLBP. Therefore, the SCI-93 could provide valuable information for predicting later activity limitation for these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, questionnaires assessing symptoms severity might stimulate the patient’s motivation in using active coping strategies to alleviate their stress responses. 32 Stress reduction interventions have shown to improve pain acceptance. 63 However, if pain acceptance might mediate the association of stress, physical activity and disability need further investigation.…”

Section: Discussionmentioning

confidence: 99%

Predictors for future activity limitation in women with chronic low back pain consulting primary care: a 2-year prospective longitudinal cohort study

et al. 2017

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ObjectivesTo assess if body function, activity, participation, health-related quality of life and lifestyle behavioural factors can predict activity limitation in women with chronic low back pain (CLBP) in primary healthcare (PHC) 2 years later.DesignA 2-year prospective longitudinal cohort study within PHC.SettingsPHC in southwestern Sweden.ParticipantsThe cohort comprised 130 women with CLBP attending PHC at baseline 2004–2005 and were reassessed after 2 years.MeasuresThe dependent outcome variable was self-reported activity limitation (Roland Morris disability questionnaire (RMDQ)) at 2-year follow-up. Independent predictors at baseline were age, body mass index, smoking, alcohol consumption, sleep quantity and quality, leisure time physical activity, a questionnaire of clinical manifestation of stress (Stress and Crises Inventory (SCI-93)), pain localisation, pain intensity, fatigue, anxiety, depression, RMDQ, work status, private social support, health-related quality of life and measures of physical performance specified as 6 min walk test (6MWT) and hand grip strength. Relation between baseline predictors and variation in later self-reported activity limitation (RMDQ) was analysed using multivariate linear regression.ResultsNinety-five per cent (n=123/130) were followed up after 2 years. The participants were middle-aged (mean 45 (SD 10) years), mostly educated >9 years (88%; 108/123), mainly living with another adult (76%; 93/122) and born in Sweden (90%; 111/123). Seventy-nine per cent (97/123) were categorised as having work ability at baseline. The final prognostic model including 6MWT, SCI-93 and RMDQ at baseline explained 54% of the variance in self-reported activity limitation (RMDQ) at the 2-year follow-up.ConclusionsLower physical performance, more severe clinical stress symptoms and more severe activity limitation predicted activity limitation after 2 years in women with CLBP within PHC. The results can give guidance for interventional trials aiming to improve physical capacity and decrease stress. The impact of the interaction between prognostic factors and interventions on activity limitation needs further investigation.

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Patient-reported outcome measures for the assessment of stress in neurological patients: An integrative review

Sairanen,

Virtanen,

Hämäläinen

et al. 2024

International Journal of Nursing Studies Advances

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Psychometric properties of the Stress and Crisis Inventory (SCI-93) in females with fibromyalgia and chronic widespread pain

Abstract: The SCI-93 demonstrated satisfactory known-group validity and test-retest reliability. The instrument appears to reflect well the severity of autonomous symptoms.

Cited by 8 publications

References 16 publications

Psychoeducation against depression, anxiety, alexithymia and fibromyalgia: a pilot study in primary care for patients on sick leave

Psychoeducation against depression, anxiety, alexithymia and fibromyalgia: a pilot study in primary care for patients on sick leave

Predictors for future activity limitation in women with chronic low back pain consulting primary care: a 2-year prospective longitudinal cohort study

Patient-reported outcome measures for the assessment of stress in neurological patients: An integrative review

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