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. Author manuscript; available in PMC: 2020 Mar 1.
Published in final edited form as: Pediatr Blood Cancer. 2018 Nov 4;66(3):e27538. doi: 10.1002/pbc.27538

TABLE 3.

Discriminant Validity: area under the curve (AUC) for screening tool total scores and psychosocial subscale scores against reference standard cases

Reference standards Case definition Total scores,
AUC (95% CI)
Psychosocial subscale scores, AUC (95% CI)
High pain frequency Pain frequency ≥ 15 days/month .82 (.71 - .93)*** .81 (.68 - .93)***
SCD Pain Burden Days ≥ many .83 (.74 - .92)*** .82 (.71 - .93)***
Persistent pain duration Duration ≥ 6 months .63 (.50 - .77) .65 (.52 - .78)*
Moderate to severe disability FDI ≥ 13 .93 (.87 - .98)*** .86 (.78 - .95)***
High pain interference Pain Interference T-score ≥ 65 .80 (.68 - .93)*** .80 (.66 - .94)***
High inpatient admissions Admissions for pain ≥ 3 .74 (.62 - .86)** .77 (.66 - .89)***
High ED visits ED visits for pain ≥ 3 .69 (.55 - .82)* .67 (.53 - .82)*
Elevated depressive symptoms CDI T-score ≥ 65 .76 (.63 - .88)*** .69 (.53 - .85)*
High pain catastrophizing PCS-C ≥ 26 .75 (.64 - .86)*** .72 (.60 - .84)***
High pain-related fear FOPQ ≥ 51 .83 (.73 - .92)*** .80 (.70 - .90)***
Psychosocial distress index (CDI, PCS, FOPQ) Case on two or more psychosocial variables .78 (.67 - .89)*** .76 (.64 - .88)***

Note: FDI = Functional Disability Inventory; ED = emergency department; CDI = Children’s Depression Inventory-2; PCS-C = Pain Catastrophizing Scale for Children; FOPQ = Fear of Pain Questionnaire.

Psychosocial variables include depressive symptoms, catastrophizing, and fear of pain

*

p < .05,

**

p < .01,

***

p < .001