{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:31:40Z","timestamp":1773012700981,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP17H05108"],"award-info":[{"award-number":["JP17H05108"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To assess the clinical validity and reliability of the Neonatal Pain, Agitation, and Sedation Scale (N\u2010PASS) for acute pain in infants with illnesses treated in the neonatal intensive care unit (NICU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data of 32 infants were collected. NICU nurses measured pain and distress scores using the Japanese version of the N\u2010PASS (henceforth, N\u2010PASS\u2010J) at baseline and during skin puncture. To determine internal consistency, discriminant validity, and convergent validity, we calculated Cronbach's alpha, conducted a one\u2010way repeated measures ANOVA, and examined correlation coefficients with established pain measurement tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data were collected for 122 scenes: 61 at baseline and 61 at the time of the skin puncture. The median (IQR) gestational age of participants was 32 (29\u201337) weeks, and corrected gestational age at measurement was 33 (30\u201337) weeks. Cronbach's alpha for the five N\u2010PASS\u2010J items was 0.93. Pain and distress scores were significantly higher at the time of blood collection than at rest (mean\u2009\u00b1\u2009SD) (baseline: 0.3\u2009\u00b1\u20090.6; skin puncture: 5.2\u2009\u00b1\u20092.4,\n                      <jats:italic>F<\/jats:italic>\n                      (1, 120)\u2009=\u2009232.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). The correlation coefficient between the distress scores and the Face Scale for Pain Assessment Preterm Infant score was 0.91.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The N\u2010PASS\u2010J is a dependable and valid instrument for assessing acute pain in infants with illness treated in the NICU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70315","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T07:56:07Z","timestamp":1770105367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reliability and validity of Japanese version of Neonatal Pain, Agitation, and Sedation Scale for acute pain in infants"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2300-5528","authenticated-orcid":false,"given":"Mari","family":"Murakami","sequence":"first","affiliation":[{"name":"Graduate School of Biomedical &amp; Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0356-259X","authenticated-orcid":false,"given":"Mio","family":"Ozawa","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical &amp; Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumiko","family":"Monjo","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mako","family":"Ago","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Faculty of Medicine, Shimane University  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitomi","family":"Takata","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asumi","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nao","family":"Taoda","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazue","family":"Kazumori","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Shimane University Hospital  Izumo\u2010shi Shimane Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9129-4379","authenticated-orcid":false,"given":"Saori","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical &amp; Health Sciences Hiroshima University  Minami\u2010ku Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.01.014"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.757"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt.13.61"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00030"},{"issue":"4","key":"e_1_2_10_6_1","first-page":"1","article-title":"Neonatal pain in very preterm infants: Long\u2010term effects on brain, neurodevelopment and pain reactivity","volume":"4","author":"Grunau RE","year":"2013","journal-title":"Rambam Maimonides Med J"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2018.07.013"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13810"},{"issue":"1","key":"e_1_2_10_9_1","first-page":"71","article-title":"Multiprofessional\u2010family consensus and evidence\u2010based guidelines for neonatal pain management 3rd edition, 2025: Summary report","volume":"31","author":"Ozawa M","year":"2025","journal-title":"J Japan Acad Neonatal Nurs"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.3351"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211861"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015\u20104271"},{"key":"e_1_2_10_13_1","unstructured":"National Association of Neonatal Nurses.Newborn pain assessment and management guideline for practice.2012."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2009.185"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372\u2010020\u201000840\u20107"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12222"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012\u20102346"},{"key":"e_1_2_10_18_1","unstructured":"OzawaM.Japanese version of the Neonatal Pain Agitation & Sedation Scale. X University Institutional Repository.2025October 7 [Cited 2025 November 21]. Available from:https:\/\/hiroshima.repo.nii.ac.jp\/records\/2041239(in Japanese)."},{"issue":"1","key":"e_1_2_10_19_1","first-page":"19","article-title":"Verification of reliability and validity of a face scale for pain assessment of preterm infants (FSPAPI)","volume":"16","author":"Abe A","year":"2010","journal-title":"Jpn J Neonatal Nurs"},{"issue":"1","key":"e_1_2_10_20_1","first-page":"11","article-title":"Development of a face scale for pain assessment of preterm infants (FSPAPI): Computerized quantitative analysis of upper facial motion","volume":"16","author":"Yokoo K","year":"2010","journal-title":"Jpn J Neonatal Nurs"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12699"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2023.06.010"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002046"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000521"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006275.pub4"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000894"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2022.07.002"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000968"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70315","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70315","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:14:55Z","timestamp":1773008095000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ped.70315"],"URL":"https:\/\/doi.org\/10.1111\/ped.70315","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70315"}}