Spanish Version of the Pain Vigilance and Awareness QuestionnairePsychometric Properties in a Sample of Women with Fibromyalgia

  1. Martínez Narváez-Cabeza de Vaca, Pilar
  2. Miró Morales, Elena
  3. Sánchez Gómez, Ana Isabel
  4. Lami Hernández, María José
  5. Prados García, Germán
  6. Ávila Varela, Daniela
Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2014

Volumen: 17

Páginas: 1-8

Tipo: Artículo

DOI: 10.1017/SJP.2014.108 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

Excessive attention to pain is a common psychological characteristic among people who suffer from chronic pain. The Pain Vigilance and Awareness Questionnaire (PVAQ) is an internationally accepted tool to assess this feature, although there is no validated version of this measure for Spanish people with fibromyalgia. Since this pain syndrome mainly affects women, the aim of this study was to determine the psychometric properties of the PVAQ in Spanish women with fibromyalgia. A group of 242 women diagnosed with fibromyalgia aged between 20 and 66 years participated in the study. The goodness of fit of several structures of the PVAQ reported in previous studies was compared via confirmatory factor analysis. A two-factor solution (active vigilance and passive awareness) of the 9-item shortened version (PVAQ-9) was identified as the most appropriate (RMSEA = .08, NNFI = .96, CFI = .97, GFI = .87). It showed good reliability (internal consistency a = .82), convergent validity and divergent validity (p < .01). The optimal cutoff point for identifying fibromyalgia women with worse daily functioning was a score of 24.5, with a sensitivity of .71 and a specificity of .75. The relevance of vigilance to pain for clinical research in fibromyalgia is discussed.

Referencias bibliográficas

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th Ed. Rev.). Washington, DC: American Psychiatric Association.
  • Bennett R. M., Bushmakin A. G., Cappelleri J. C., Zlateva G., & Sadosky A. B. (2009). Minimal clinically important difference in the Fibromyalgia Impact Questionnaire. Journal of Rheumatology, 36, 1304-1311. http://dx.doi.org/10.3899/jrheum.081090
  • Branco J. C., Bannwarth B., Failde I., Abello Carbonell J., Blotman F., Spaeth M., Matucci-Cerinic, M. (2010). Prevalence of fbromyalgia: A survey in fve European countries. Arthritis and Rheumatism, 39, 448-453. http://dx.doi.org/10.1016/j.semarthrit.2008.12.003
  • Burckhardt C. S., Clark S. R., & Bennett R. M. (1991). The Fibromyalgia Impact Questionnaire: Development and validation. Journal of Rheumatology, 18, 728-733.
  • Carleton R. N., Richter A. A., & Asmundson G. J. (2011). Attention modifcation in persons with fbromyalgia: A double blind, randomized clinical trial. Cognitive Behaviour Therapy, 40, 279-290. http://dx.doi.org/10.1080/16506073.2011.616218
  • Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd Ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  • Crombez G., Van Damme S., & Eccleston C. (2005). Hypervigilance to pain: An experimental and clinical analysis. Pain, 116, 4-7. http://dx.doi.org/10.1016/j.pain.2005.03.035
  • Dehghani M., Sharpe L., & Nicholas M. K. (2004). Modifcation of attentional biases in chronic pain patients: A preliminary study. European Journal of Pain, 8, 585-594. http://dx.doi.org/10.1016/j.ejpain.2004.02.003
  • Elomaa M. M., Williams A. C. C., & Kalso E. A. (2009). Attention management as a treatment for chronic pain. European Journal of Pain, 13, 1062-1067. http://dx.doi.org/10.1016/j.ejpain.2008.12.002
  • Esteve R., Ramírez-Maestre C., & López-Martínez A. E. (2013). Empirical evidence of the validity of the Spanish version of the Pain Vigilance Awareness Questionnaire. International Journal of Behavioral Medicine, 20, 59-68. http://dx.doi.org/10.1007/s12529-011-9216-z
  • First M. B., Spitzer R. L., Gibbon M., & Williams J. B. W. (1999). Entrevista clínica estructurada para los trastornos del eje I del DSM-IV (SCID-I) [Structured clinical interview for DSM-IV axis I disorders (SCID-I)] Barcelona, Spain:Masson.
  • García-Campayo J., Rodero R., Alda M., Sobradiel N., Montero J., & Moreno S. (2008). Validación de la versión española de la Escala de la Catastrofzación ante el Dolor en la fbromialgia [Validation of the Spanish version of the Pain Catastrophizing Scale in fbromyalgia]. Medicina Clínica, 131, 487-492. http://dx.doi.org/10.1157/13127277
  • Garland E. L., & Howard M. O. (2013). Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain. Psychotherapy and Psychosomatics, 82, 311-318. http://dx.doi.org/10.1159/000348868
  • Goubert L., Crombez G., & Van Damme S. (2004). The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: A structural equations approach. Pain, 107, 234-241. http://dx.doi.org/10.1016/j.pain.2003.11.005
  • Kerr C. E., Sacchet M. D., Lazar S. W., Moore C. I., & Jones S. R. (2013). Mindfulness starts with the body: Somatosensory attention and top-down modulation of cortical alpha rhythms in mindfulness meditation. Frontiers in Human Neuroscience, 7, 12. http://dx.doi.org/10.3389/fnhum.2013.00012
  • Lázaro C., Caseras X., Whizar-Lugo V. M., Wenk R., Baldioceda F., Bernal R., Baños J. E. (2001). Psychometric properties of a Spanish version of the McGill Pain Questionnaire on several Spanish-speaking countries. Clinical Journal of Pain, 17, 365-374. http://dx.doi.org/10.1097/00002508-200112000-00012
  • Leeuw M., Goossens M. E. J. B., Linton S. J., Crombez G., Boersma K., & Vlaeyen J. W. S. (2007). The fear-avoidance model of musculoskeletal pain: Current state of scientifc evidence. Journal of Behavior Medicine, 30, 77-94. http://dx.doi.org/10.1007/s10865-006-9085-0
  • Martínez M. P., Sánchez A. I., Miró E., Medina A., & Lami M. J. (2011). The relationship between the fear-avoidance model of pain and personality traits in fbromyalgia patients. Journal of Clinical Psychology in Medical Settings, 18, 380-391. http://dx.doi.org/10.1007/s10880-011-9263-2
  • McCracken L. M. (1997). "Attention" to pain in persons with chronic pain: A behavioral approach. Behavior Therapy, 28, 271-284. http://dx.doi.org/10.1016/S0005-7894(97)80047-0
  • McCracken L. M. (2007). A contextual analysis of attention to chronic pain: What the patient does with their pain might be more important than their awareness or vigilance alone. Journal of Pain, 8, 230-236. http://dx.doi.org/10.1016/j.jpain.2006.08.004
  • McCracken L. M., & Dhingra L. (2002). A short version of the Pain Anxiety Symptoms Scale (PASS-20): Preliminary development and validity. Pain Research and Management, 7, 45-50.
  • McWilliams L. A., & Asmundson G. J. G. (2001). Assessing individual differences in attention to pain: Psychometric properties of the Pain Vigilance and Awareness Questionnaire modifed for a non-clinical pain sample. Personality and Individual Differences, 31, 239-246. http://dx.doi.org/10.1016/S0191-8869(00)00132-X
  • Melzack R. (1987). The short-form McGill Pain Questionnaire. Pain, 30, 191-197. http://dx.doi.org/10.1016/0304-3959(87)91074-8
  • Nunnally J. C., & Bernstein I. J. (1995). Psychometric theory (3rd Ed.). New York, NY: McGraw Hill.
  • Paller C. J., Campbell C. M., Edwards R. R., & Dobs A. S. (2009). Sex-based differences in pain perception and treatment. Pain Medicine, 10, 289-299. http://dx.doi.org/10.1111/j.1526-4637.2008.00558.x
  • Pincus T., Smeets R. J. E. M., Simmonds M. J., & Sullivan M. J. L. (2010). The fear avoidance model disentangled: Improving the clinical utility of the fear avoidance model. Clinical Journal of Pain, 26, 739-746. http://dx.doi.org/10.1097/AJP.0b013e3181f15d45
  • Ramírez-Maestre C., Esteve R., & López A. E. (2012). The role of optimism and pessimism in chronic pain patients adjustment. The Spanish Journal of Psychology, 15, 286-294. http://dx.doi.org/10.5209/rev-SJOP.2012.v15.n1.37335
  • Rivera J., & González T. (2004). The Fibromyalgia Impact Questionnaire: A validated Spanish version to assess the health status in women with fbromyalgia. Clinical and Experimental Rheumatology, 22, 554-560.
  • Roelofs J., Peters M. L., McCracken L., & Vlaeyen J. W. (2003). The Pain Vigilance and Awareness Questionnaire (PVAQ): Further psychometric evaluation in fbromyalgia and other chronic pain syndromes. Pain, 101, 299-306. http://dx.doi.org/10.1016/S0304-3959(02)00338-X
  • Roelofs J., Peters M. L., Muris P., & Vlaeyen J. W. S. (2002). Dutch version of the Pain Vigilance and Awareness Questionnaire: Validation and reliability in a pain-free population. Behaviour Research and Therapy, 40, 1081-1090. http://dx.doi.org/10.1016/S0005-7967(02)00008-6
  • Sánchez A. I., Martínez M. P., Miró E., & Medina A. (2011). Predictors of the pain perception and self-effcacy for pain control in patients with fbromyalgia. The Spanish Journal of Psychology, 14, 366-373. http://dx.doi.org/10.5209/rev-SJOP.2011.v14.n1.33
  • Sicras-Mainar A., Blanca-Tamayo M., Navarro-Artieda R., & Rejas-Gutiérrez J. (2009). Perfl de uso de recursos y costes en pacientes que demandan atención por fbromialgia o trastorno de ansiedad generalizada en el ámbito de la atención primaria de salud [Use of resources and costs profle in patients with fbromyalgia or generalized anxiety disorder in primary care settings]. Atención Primaria, 41, 77-84. http://dx.doi.org/10.1016/j.aprim.2008.09.008
  • Stevens J. P. (2002). Applied multivariate statistics for the social sciences (4th Ed.). Mahwah, NJ: Lawrence Earlbaum Associates.
  • Sullivan M. J. L., Bishop S. R., & Pivik J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7, 524-532. http://dx.doi.org/10.1037//1040-3590.7.4.524
  • Thompson B. (2004). Exploratory and confrmatory factor analysis: Understanding concepts and applications. Washington, DC: American Psychological Association.
  • Thorndike R. L. (1982). Applied psychometrics. Boston, MA: Houghton-Miffin.
  • Vallejo M. A., Rivera J., Esteve-Vives J., Rodríguez-Muñoz M. F., & Grupo ICAF (2012). Uso del cuestionario Hospital Anxiety and Depression Scale (HADS) para evaluar la ansiedad y la depresión en pacientes con fbromialgia [Use of the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression in fbromyalgia patients]. Revista de Psiquiatría y Salud Mental, 5, 107-114. http://dx.doi.org/10.1016/j.rpsm.2012.01.003
  • Van Damme S., Legrain V., Vogt J., & Crombez G. (2010). Keeping pain in mind: A motivational account of attention to pain. Neurosciences and Biobehavioral Reviews, 34, 204-213. http://dx.doi.org/10.1016/j.neubiorev.2009.01.005
  • Vlaeyen J. W. S., & Linton S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317-332. http://dx.doi.org/10.1016/S0304-3959(99)00242-0
  • Wolfe F., Clauw D. J., Fitzcharles M. A., Goldenberg D. L., Katz R. S., Mease P., Yunus M. B. (2010). The American College of Rheumatology preliminary diagnostic criteria for fbromyalgia and measurement of symptom severity. Arthritis Care and Research, 62, 600-610. http://dx.doi.org/10.1002/acr.20140
  • Wolfe F., Smythe H. A., Yunus M. B., Bennet R. M., Bombardier C., Goldenberg D. L., Sheon R. P. (1990). The American College of Rheumatology 1990 criteria for the classifcation of fbromyalgia. Report of the Multicenter Criteria Committee. Arthritis and Rheumatism, 33, 160-172. http://dx.doi.org/10.1002/art.1780330203
  • Wong W. S., McCracken L. M., & Fielding R. (2011). Factorial validity and reliability of the Chinese version of the Pain Vigilance and Awareness Questionnaire (ChPVAQ) in a sample of Chinese patients with chronic pain. Pain Medicine, 12, 1018-1025. http://dx.doi.org/10.1111/j.1526-4637.2011.01169.x
  • Zigmond A. S., & Snaith R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x
Fuente de los datos: Dialnet