Screening psychological factors in pelvic pain: Validation of the pelvic pain psychological screening questionnaire (3PSQ)

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
K. Jane Chalmers , Leanne Slater , Karen Crudden , Ebony Ryan , Rachelle Symons , Stephanie Dwyer , Nadine Yassin , Alanna Barwood , Laura Yammouni , Judith Thompson , Mark J. Catley
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Abstract

The Pelvic Pain Psychological Screening Questionnaire (3PSQ) was developed to assess psychological distress in people with persistent pelvic pain. This study aimed to investigate its psychometric properties and determine its convergent validity with seven existing measures of psychological distress. People with pelvic pain, with or without a formal diagnosis, were recruited via social media, health professional referral, and word of mouth to complete an online survey. Rasch analysis was conducted to investigate unidimensionality, targeting, response category functioning and item bias. Correlational analysis was then used to establish its relationship with existing measures. Data was available for 761 participants, predominantly female (93.3%), and the 3PSQ was shown to represent a unidimensional scale that well-targeted the sample and has negligible floor and ceiling effects. The response categories functioned as expected and minimal item bias was detected. The 3PSQ demonstrated moderate to strong relationships with the Pain Anxiety Symptom Scale (r =.76), Pain Catastrophizing Scale (r =.83), Pain Self-Efficacy Questionnaire (r = -.66), Pain Vigilance & Awareness Questionnaire (r =.57), Patient Health Questionnaire 4 (r =.64), Perceived Stress Scale (r =.42) and Whiteley Index (ρ =.55). These findings suggest the 3PSQ can be used as a valid measure of psychological distress in people with PPP and, at the individual item level, identify factors that warrant further investigation. Future research could explore the 3PSQ’s relevance in culturally and linguistically diverse, male and non-binary populations.

Perspective

The Pelvic Pain Psychological Screening Questionnaire (3PSQ) is a psychometrically sound measure of psychological distress and shows significant correlation with existing psychological measures. This tool could potentially guide clinicians’ decision making when working with people with persistent pelvic pain.
盆腔疼痛心理因素筛查:盆腔疼痛心理筛查问卷(3PSQ)的验证。
盆腔疼痛心理筛查问卷(3PSQ)是为了评估持续盆腔疼痛患者的心理困扰。本研究旨在探讨其心理测量特性,并确定其与现有七种心理困扰测量的收敛效度。有或没有正式诊断的骨盆疼痛患者通过社交媒体、健康专业人员推荐和口口相传来完成一项在线调查。采用Rasch分析对单维度性、目标性、反应类别功能和项目偏差进行了调查。然后使用相关分析来建立其与现有措施的关系。761名参与者的数据可用,主要是女性(93.3%),3PSQ被证明代表了一个一维量表,很好地针对样本,具有可忽略的下限和上限效应。反应类别的功能与预期一致,并且检测到最小的项目偏差。3PSQ与疼痛焦虑症状量表(r = 0.76)、疼痛灾难化量表(r = 0.83)、疼痛自我效能问卷(r = - 0.66)、疼痛警觉与意识问卷(r = 0.57)、患者健康问卷4 (r = 0.64)、感知压力量表(r = 0.42)和Whiteley指数(r = 0.55)呈中至强相关。这些发现表明,3PSQ可以作为PPP患者心理困扰的有效测量方法,并且在个体项目水平上,确定值得进一步调查的因素。未来的研究可以探索3PSQ在文化和语言多样性、男性和非二元人群中的相关性。视角:骨盆疼痛心理筛查问卷(3PSQ)是一种心理测量学上可靠的心理困扰测量方法,与现有的心理测量方法有显著的相关性。该工具可以潜在地指导临床医生在治疗持续性骨盆疼痛患者时做出决策。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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