Dalton Jo Ann, Feuerstein Michael, Carlson John, Roghman Klaus
University of North Carolina School of Nursing, Chapel Hill, NC 27599 USA Center for Occupational Rehabilitation, University of Rochester Medical Center, Rochester, NY 14618 USA University of Rochester Medical Center, Rochester, NY 14642 USA.
Pain. 1994 Apr;57(1):95-107. doi: 10.1016/0304-3959(94)90113-9.
Although a number of self-report indices that measure intensity and psychosocial components of the pain experience are available, these measures do not assess the range of cognitive, behavioral, and physiological reactions frequently associated with pain. This paper describes the initial determination of the psychometric properties of the Biobehavioral Pain Profile (BPP) developed to measure these reactions. The BPP is a 41-item self-report scale tested in a sample of 617 subjects with chronic recurrent pain, chronic non-malignant pain or chronic malignant pain. Kaiser's measure of sampling adequacy was 0.918. Factor analysis revealed 6 theoretically meaningful factors: Environmental Influences, Loss of Control, Health Care Avoidance, Past and Current Experience, Physiological Responsivity, and Thoughts of Disease Progression. Cronbach's alpha scores for the specific subscales ranged from r = 0.77 to r = 0.94. Test-retest reliability for the scales ranged from 0.57 to 0.73. Low correlations among the BPP and general indices of fear, depression, anxiety, body consciousness and social desirability are reported. The BPP appears to provide a unique composite assessment of self-report of behavioral, physiological, and cognitive reactions to pain experienced by individuals with a wide range of pain problems.
尽管有许多用于测量疼痛体验的强度和心理社会成分的自我报告指标，但这些指标并未评估经常与疼痛相关的认知、行为和生理反应范围。本文描述了为测量这些反应而开发的生物行为疼痛概况（BPP）心理测量特性的初步测定。BPP是一个包含41个条目的自我报告量表，在617名患有慢性复发性疼痛、慢性非恶性疼痛或慢性恶性疼痛的受试者样本中进行了测试。Kaiser抽样适当性度量值为0.918。因子分析揭示了6个具有理论意义的因子：环境影响、失控感、医疗回避、过去和当前经历、生理反应性以及疾病进展想法。特定子量表的Cronbach's alpha分数范围为r = 0.77至r = 0.94。量表的重测信度范围为0.57至0.73。报告显示BPP与恐惧、抑郁、焦虑、身体意识和社会期望的一般指标之间的相关性较低。BPP似乎为广泛疼痛问题患者对疼痛的行为、生理和认知反应的自我报告提供了独特的综合评估。
