Reliability and validity of the Japanese version of Pain Disability Index

PLoS One. 2022 Sep 12;17(9):e0274445. doi: 10.1371/journal.pone.0274445. eCollection 2022.

Abstract

This study evaluated the reliability and validity of a Japanese version of Pain Disability Index (PDI). Analyses were conducted on a 7-item version (PDI-J) and a 5-item (PDI-5-J version of the PDI). Using a web-based survey system, we recruited 300 individuals with chronic low back pain (lasting ≥3 months) and 300 individuals with chronic daily headache (lasting ≥15 days per month for 3 months) aged 20-64 years. Analyses revealed a one-factor with goodness-of-fit indices assessed by confirmatory factor analysis. For concurrent validity, we calculated Pearson's correlation coefficients among the PDI-J, PDI-5-J, Pain Disability Assessment Scale, Pain numerical rating scale, and revised version of Short-Form McGill Pain Questionnaire. Internal consistency was evaluated by Cronbach's α, and test-retest reliability was assessed with intraclass correlations (ICCs) in 100 of 600 participants a week after the first response. Both Japanese adaptations of the PDI demonstrated good concurrent validity and reliability (Cronbach's α was 0.89 for PDI-J in chronic low back pain or chronic daily headache, and 0.94 and 0.93 for PDI-5-J in chronic low back pain and chronic daily headache, respectively). The PDI-J and PDI-5-J showed were highly correlated (r = 0.98). ICCs were 0.67 and 0.59 for the PDI-J and 0.59 and 0.63 for the PDI-5-J in chronic low back pain and chronic daily headache, respectively. In conclusion, these two PDI versions can be potentially used for evaluating pain-related interference with daily activities among the Japanese general population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Disability Evaluation
  • Headache Disorders*
  • Humans
  • Japan
  • Low Back Pain* / diagnosis
  • Reproducibility of Results

Grants and funding

This research was supported by Japan Society for the Promotion of Science (JSPS) Grants-in-Aid for Scientific Research (KAKENHI) Grant-in-Aid for Early-Career Scientists (Grant Number 21K18100), and was funded by the Ministry of Health, Labor and Welfare Scientific Research Grant (Grant Number 19FG1001). This research was also supported by JSPS Overseas Research Fellowships (to K.Y.).