Gedin Filip, Hellerström Andreas, Blome Sebastian, Jensen Karin, Andreasson Anna, Lalouni Maria
Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, D3, 17165, Solna, Stockholm, Sweden.
Division of Psychobiology and Epidemiology, Department of Psychology, Stockholm University, Stockholm, Sweden.
Sci Rep. 2025 Jul 11;15(1):25112. doi: 10.1038/s41598-025-09044-5.
The aim of this study was to evaluate the psychometric properties and construct validity of the PrePain questionnaire in both the general population and a long-term pain population. The PrePain questionnaire is an 11-item self-administered tool that assesses current pain intensity, long-term pain history, and attitudes, emotions, and behaviors related to pain using a visual analog scale (VAS). This non-randomized observational study included 200 participants: 100 individuals with long-term pain and 100 without. Participants were recruited from a specialist pain rehabilitation clinic and via social media. The study involved baseline and follow-up assessments using the PrePain questionnaire, the Short Health Anxiety Inventory (SHAI-14), and the Coping Strategies Questionnaire (CSQ). Statistical analyses included Spearman correlation for test-retest reliability, sign rank-test for sensitivity to change, Cronbach's α for internal consistency, principal component analysis for subscale analysis, and mixed-effects linear regression for test of criterion validity. A total of 187 participants completed the study. The PrePain questionnaire demonstrated acceptable face validity and moderate test-retest reliability (coefficients ranging from 0.58 to 0.73). Internal consistency was α = 0.63. Principal component analysis suggested a two or three-factor solution. Criterion validity was supported by significant correlations between PrePain items and SHAI-14 and CSQ catastrophizing, except for the pain sensitivity item. No significant changes were observed in the clinical group between baseline and follow-up assessments. The resuts provide preliminary evidence for the reliability of The PrePain questionnaire and its validity for assessing attitudes, emotions, and behaviors related to pain in both clinical and non-clinical populations. Further research is needed to explore its sensitivity to change and utility in clinical practice.
本研究旨在评估PrePain问卷在普通人群和长期疼痛人群中的心理测量特性及结构效度。PrePain问卷是一个包含11个条目的自填式工具，使用视觉模拟量表（VAS）评估当前疼痛强度、长期疼痛史以及与疼痛相关的态度、情绪和行为。这项非随机观察性研究纳入了200名参与者：100名长期疼痛患者和100名无疼痛者。参与者从一家专业疼痛康复诊所和通过社交媒体招募。该研究涉及使用PrePain问卷、简短健康焦虑量表（SHAI - 14）和应对策略问卷（CSQ）进行基线和随访评估。统计分析包括用于重测信度的Spearman相关性分析、用于变化敏感性的符号秩检验、用于内部一致性的Cronbach's α分析、用于子量表分析的主成分分析以及用于效标效度检验的混合效应线性回归分析。共有187名参与者完成了研究。PrePain问卷表现出可接受的表面效度和中等的重测信度（系数范围为0.58至0.73）。内部一致性为α = 0.63。主成分分析表明存在两因素或三因素解决方案。除疼痛敏感性条目外，PrePain问卷条目与SHAI - 14及CSQ灾难化之间的显著相关性支持了效标效度。在临床组的基线和随访评估之间未观察到显著变化。这些结果为PrePain问卷的可靠性及其在临床和非临床人群中评估与疼痛相关的态度、情绪和行为的效度提供了初步证据。需要进一步研究以探索其对变化的敏感性及其在临床实践中的效用。
