We conducted a systematic review of pain assessment tools suitable for community-dwelling older adults. For this work, we conceptualized existing psychometric tools as falling under the following domains: a) pain intensity/characteristics; b) pain-related interference/disability; c) coping strategies; d) pain beliefs/attitudes/cognitions; e) pain-related fear and anxiety; and f) pain-specific emotional distress. Multi-dimensional and condition-specific tools were also considered. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology for systematic reviews of patient-reported outcome measures guided the evaluation of measurement properties, quality of evidence ratings, and recommendations for each measure. A search of Medline, PsycINFO, Web of Science, and the Cumulative Index of Nursing and Allied Health Literature, yielded a total of 21,755 records. Of these, 120 studies, focusing on 57 psychometric tools, were included in this review and categorized into the aforementioned pain assessment domains. The availability of psychometric studies with older adult populations was insufficient for most tools and the quality of evidence ranged from very low to high. Only a small number of tools met the criteria for a strong or tentative recommendation favoring their use. We identified gaps that should be addressed in future research.

中文翻译：

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老年人疼痛的心理测量评估：评估工具的系统评价


我们对适用于社区老年人的疼痛评估工具进行了系统评价。在这项工作中，我们将现有的心理测量工具概念化为以下领域：a） 疼痛强度/特征;b） 与疼痛相关的干扰/残疾;c） 应对策略;d） 痛苦信念/态度/认知;e） 与疼痛相关的恐惧和焦虑;f） 疼痛特异性的情绪困扰。还考虑了多维和特定条件的工具。基于 COnsensus 的健康测量仪器选择标准 （COSMIN） 方法，用于对患者报告的结果测量进行系统评价，指导测量特性、证据评级质量和每项测量的建议的评估。对 Medline、PsycINFO、Web of Science 以及 Cumulative Index of Nursing and Allied Health Literature 的检索，共得到 21,755 条记录。其中，120 项研究，侧重于 57 种心理测量工具，被纳入本综述，并归类为上述疼痛评估领域。对于大多数工具来说，针对老年人群的心理测量研究的可用性不足，证据质量从极低到高不等。只有少数工具符合支持其使用的强烈或试探性建议的标准。我们确定了未来研究中应解决的差距。