Rafic Hariri School of Nursing American University of Beirut, Beirut, Lebanon.
Faculty of Health Sciences University of Balamand, Al-Kurah, Balamand, Lebanon.
Pain Res Manag. 2024 Jul 29;2024:7361038. doi: 10.1155/2024/7361038. eCollection 2024.
The Pain Resilience Scale (PRS), which measures behavioral perseverance and the ability to regulate emotions and cognition despite ongoing pain, lacks an Arabic version.
This study aimed to translate, culturally adapt, and validate an Arabic version of the Pain Resilience Scale (PRS-A) among Lebanese adults.
Phase 1 involved translation and cross-cultural adaptation of the PRS into Arabic. Phase 2 examined the reliability and validity of the PRS-A. A convenience sample of 154 Lebanese adults with chronic musculoskeletal pain completed the PRS-A and self-report measures of pain catastrophizing, pain self-efficacy, pain intensity and interference, depression and anxiety, and quality of life.
The PRS-A yielded a two-factor structure with factor 1 representing "cognitive/affective positivity" and factor 2 representing "behavioral perseverance," accounting for 41.93% and 15.15% of the variance in pain resilience, respectively. Total PRS-A score ( = 33.20 and SD = 9.90) showed significant correlations with pain catastrophizing ( = 27.65, SD = 13.03, and = -0.52), pain self-efficacy (median = 9.00, IQR = 4, and rho = 0.61), pain intensity ( = 4.50, SD = 2.25, and = -0.28), pain interference ( = 4.30, SD = 2.89, and = -0.56), physical ( = 34.95, SD = 9.52, and = 0.34) and mental ( = 40.08, SD = 12.49, and = 0.58) health functioning, anxiety (median = 7.00, IQR = 7, and rho = -0.57), and depression (median = 4.00, IQR = 6, and rho = -0.58). PRS-A subscale was also significantly related to all measures except pain intensity, which was correlated with cognitive/affective positivity ( = -0.33) but not behavioral perseverance ( = -0.09). Cronbach's alpha for the PRS-A was 0.87.
The PRS-A demonstrated validity and acceptable reliability among Arab-speaking individuals with chronic musculoskeletal pain, suggesting its potential utility for assessing pain resilience within this population.
疼痛弹性量表（PRS）用于衡量在持续疼痛的情况下行为的坚持性和调节情绪与认知的能力，但它缺乏阿拉伯语版本。
本研究旨在翻译、跨文化适应并验证黎巴嫩成年人的阿拉伯语版疼痛弹性量表（PRS-A）。
第 1 阶段涉及将 PRS 翻译成阿拉伯语并进行跨文化适应性调整。第 2 阶段考察了 PRS-A 的信度和效度。154 名黎巴嫩慢性肌肉骨骼疼痛患者的便利样本完成了 PRS-A 以及疼痛灾难化、疼痛自我效能、疼痛强度和干扰、抑郁和焦虑以及生活质量的自我报告测量。
PRS-A 产生了一个两因素结构，第 1 个因素代表“认知/情感积极性”，第 2 个因素代表“行为坚持性”，分别解释了疼痛弹性的 41.93%和 15.15%的变异。PRS-A 总分（ = 33.20，SD = 9.90）与疼痛灾难化（ = 27.65，SD = 13.03， = -0.52）、疼痛自我效能（中位数 = 9.00，IQR = 4，rho = 0.61）、疼痛强度（ = 4.50，SD = 2.25， = -0.28）、疼痛干扰（ = 4.30，SD = 2.89， = -0.56）、身体（ = 34.95，SD = 9.52， = 0.34）和精神（ = 40.08，SD = 12.49， = 0.58）健康功能、焦虑（中位数 = 7.00，IQR = 7，rho = -0.57）和抑郁（中位数 = 4.00，IQR = 6，rho = -0.58）呈显著相关。PRS-A 分量表与除疼痛强度外的所有测量指标均显著相关，而疼痛强度仅与认知/情感积极性（ = -0.33）相关，而与行为坚持性（ = -0.09）无关。PRS-A 的克朗巴赫 α 系数为 0.87。
PRS-A 在患有慢性肌肉骨骼疼痛的阿拉伯语人群中表现出有效性和可接受的可靠性，表明其在该人群中评估疼痛弹性的潜在效用。
