Validation of the Pain-Related Catastrophizing Thoughts Scale
DOI:
https://doi.org/10.5935/0104-7795.20080001Keywords:
Pain Catastrophising Scale, Psychological Tests, Psychometrics, PainAbstract
This study aims at assessing the reliability and validity of the Catastrophizing Thoughts sub-scale of the Pain Related Self-Statement Scale in a Brazilian population with chronic pain. Method: Data were collected from a convenience sample of 311 patients with chronic pain. The psychometric properties of the Catastrophizing Thoughts sub-scale were assessed by analyzing the reliability and validity of this tool. Results: The Catastrophizing Thoughts Scale mean score for this population was 2.38 (SD = 1.8). Cronbach alpha coefficient was 0.89, and the split-half correlation (Pearson) was 0.74, indicating adequate internal consistency and correlation between halves. The main component analysis indicated the existence of 2 components (hopelessness and rumination). Discriminant and criterion validity were also adequate. Significant correlations were found between the Catastrophizing scale and disability, pain intensity and pain site. Among the studied variables, catastrophizing was the strongest predictor of disability, even higher than pain intensity. Conclusion: Altogether, these results showed that the Catastrophizing sub-scale has good psychometric properties when used in a Brazilian chronic pain patient sample and the contribution of catastrophizing to physical disability. The results of this study were consistent with those previously published in the literature.
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References
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333.
van Leeuwen MT, Blyth FM, March LM, Nicholas MK, Cousins MJ. Chronic pain and reduced work effectiveness: the hidden cost to Australian employers. Eur J Pain. 2006;10(2):161-6.
Skevington SM. Psychology of pain. London: Wiley, 1995.
Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148-56.
Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27(5):E109-20.
Turk DC, Okifuji A. Psychological factors in chronic pain: evolution and revolution. J Consult Clin Psychol. 2002;70(3):678-90.
Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52-64.
Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5(4):195-211.
Jensen MP, Turner JA, Romano JM. Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. J Consult Clin Psychol. 2001;69(4):655-62.
Rosenstiel AK, Keefe FJ. The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain. 1983;17(1):33-44.
Sullivan MJL, Bishop SR, Pivik J. The Pain Catastrophising Scale: development and validation. Psychol Assess. 1995;7(4):524-32.
Flor H, Birbaumer N, Schugens MM, Lutzenberger W. Symptom-specific psychophysiological responses in chronic pain patients. Psychophysiology. 1992;29(4):452-60.
Flor H, Behle DJ, Birbaumer N. Assessment of pain-related cognitions in chronic pain patients. Behav Res Ther. 1993;31(1):63-73.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32.
Nicholas MK, Asghari A. Investigating acceptance in adjustment to chronic pain: is acceptance broader than we thought? Pain. 2006;124(3):269-79.
Roland M, Morris R. A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine. 1983;8(2):141-4.
Asghari A, Nicholas MK. Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain. 2001;94(1):85-100.
Robinson JP. Disability evaluation in painful conditions. In: Turk DC, Melzack R, editors. Handbook of pain assessment. 2nd ed. New York: Guilford Press; 2001. p. 248-72.
Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine. 2000;25(24):3115-24. Erratum in: Spine 2001;26(7):847.
Sardá Junior JJ, Nicholas MK, Pimenta CAM, Asghari A, Corrêa CF, Oswaldo JJ, et al. Validade e fidedignidade do Questionário Roland Morris de incapacidade em uma populaçao de brasileiros com dor crônica [resumo]. Rev Dor Pes Clin Ter. 2006;7(supl):7. [Apresentado no 7º Congresso Brasileiro de Dor; 2006; Gramado, RS].
Tabachnick BG, Fidell LS. Using Multivariate Statistics. Boston: Allyn & Bacon; 2001.
Jensen MP. Questionnaire validation: a brief guide for readers of the research literature. Clin J Pain. 2003;19(6):345-52.
Turner JA, Jensen MP, Warms CA, Cardenas DD. Catastrophizing is associated with pain intensity, psychological distress, and pain-related disability among individuals with chronic pain after spinal cord injury. Pain. 2002;98(1-2):127-34.
Chibnall JT, Tait RC. Confirmatory factor analysis of the Pain Catastrophizing Scale in African American and Caucasian Workers' Compensation claimants with low back injuries. Pain. 2005;113(3):369-75.
Sullivan MJ, Lynch ME, Clark AJ. Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions. Pain. 2005;113(3):310-5.
Turner JA, Jensen MP, Romano JM. Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain? Pain. 2000;85(1-2):115-25.
Michael ES, Burns JW. Catastrophizing and pain sensitivity among chronic pain patients: moderating effects of sensory and affect focus. Ann Behav Med. 2004;27(3):185-94.
Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
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