TABLE 3.
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