评估慢性疼痛中的述情障碍:多伦多述情障碍量表-20和珀斯述情障碍问卷的心理测量特性。

IF 3.1 Q2 NEUROSCIENCES
Pain Reports Pub Date : 2024-12-09 eCollection Date: 2025-02-01 DOI:10.1097/PR9.0000000000001204
Rachel V Aaron, David A Preece, Lauren C Heathcote, Stephen T Wegener, Claudia M Campbell, Chung Jung Mun
{"title":"评估慢性疼痛中的述情障碍:多伦多述情障碍量表-20和珀斯述情障碍问卷的心理测量特性。","authors":"Rachel V Aaron, David A Preece, Lauren C Heathcote, Stephen T Wegener, Claudia M Campbell, Chung Jung Mun","doi":"10.1097/PR9.0000000000001204","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Alexithymia is elevated in chronic pain and relates to poor pain-related outcomes. However, despite concerns from other clinical populations, the psychometric properties of alexithymia measures have not been rigorously established in chronic pain.</p><p><strong>Objective: </strong>This study examined the psychometric properties of the Toronto Alexithymia Scale-20 Item (TAS-20) and the Perth Alexithymia Questionnaire (PAQ) in adults with chronic pain.</p><p><strong>Methods: </strong>An online sample of adults with chronic pain across the United States (N = 1453) completed the TAS-20, PAQ, and related questionnaires at baseline, 3-month follow-up, and 12-month follow-up.</p><p><strong>Results: </strong>Both measures showed good temporal stability, convergent validity (with emotion regulation scores), divergent validity (with depression and anxiety scores), and criterion validity. Some concerns were raised about the TAS-20: the original 3-factor structure showed a poor model fit; the Externally Oriented Thinking subscale of the TAS-20 had poor factor loadings and unacceptable internal consistency; and, we identified several TAS-20 items that may slightly inflate the predictive validity of the TAS-20 on pain-related outcomes. The original 5-factor structure of the PAQ showed a good fit; each PAQ subscale had good factor loadings and excellent internal consistency.</p><p><strong>Conclusions: </strong>Both the TAS-20 and PAQ had psychometric strengths. Our data raised some concern for the use of TAS-20 subscales; the PAQ may be a psychometrically stronger option, particularly for investigators interested in alexithymia subscale analysis in people with chronic pain.</p>","PeriodicalId":52189,"journal":{"name":"Pain Reports","volume":"10 1","pages":"e1204"},"PeriodicalIF":3.1000,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631001/pdf/","citationCount":"0","resultStr":"{\"title\":\"Assessing alexithymia in chronic pain: psychometric properties of the Toronto Alexithymia Scale-20 and Perth Alexithymia Questionnaire.\",\"authors\":\"Rachel V Aaron, David A Preece, Lauren C Heathcote, Stephen T Wegener, Claudia M Campbell, Chung Jung Mun\",\"doi\":\"10.1097/PR9.0000000000001204\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Alexithymia is elevated in chronic pain and relates to poor pain-related outcomes. However, despite concerns from other clinical populations, the psychometric properties of alexithymia measures have not been rigorously established in chronic pain.</p><p><strong>Objective: </strong>This study examined the psychometric properties of the Toronto Alexithymia Scale-20 Item (TAS-20) and the Perth Alexithymia Questionnaire (PAQ) in adults with chronic pain.</p><p><strong>Methods: </strong>An online sample of adults with chronic pain across the United States (N = 1453) completed the TAS-20, PAQ, and related questionnaires at baseline, 3-month follow-up, and 12-month follow-up.</p><p><strong>Results: </strong>Both measures showed good temporal stability, convergent validity (with emotion regulation scores), divergent validity (with depression and anxiety scores), and criterion validity. Some concerns were raised about the TAS-20: the original 3-factor structure showed a poor model fit; the Externally Oriented Thinking subscale of the TAS-20 had poor factor loadings and unacceptable internal consistency; and, we identified several TAS-20 items that may slightly inflate the predictive validity of the TAS-20 on pain-related outcomes. The original 5-factor structure of the PAQ showed a good fit; each PAQ subscale had good factor loadings and excellent internal consistency.</p><p><strong>Conclusions: </strong>Both the TAS-20 and PAQ had psychometric strengths. Our data raised some concern for the use of TAS-20 subscales; the PAQ may be a psychometrically stronger option, particularly for investigators interested in alexithymia subscale analysis in people with chronic pain.</p>\",\"PeriodicalId\":52189,\"journal\":{\"name\":\"Pain Reports\",\"volume\":\"10 1\",\"pages\":\"e1204\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-12-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631001/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/PR9.0000000000001204\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/PR9.0000000000001204","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0

摘要

述情障碍在慢性疼痛中升高,并与疼痛相关的不良预后有关。然而,尽管其他临床人群的担忧,述情障碍措施的心理测量特性尚未严格建立在慢性疼痛。目的:探讨成人慢性疼痛患者的多伦多述情量表20 (TAS-20)和珀斯述情问卷(PAQ)的心理测量特征。方法:对美国各地患有慢性疼痛的成人(N = 1453)进行在线抽样,在基线、3个月随访和12个月随访时完成TAS-20、PAQ和相关问卷调查。结果:两种测量方法均具有良好的时间稳定性、收敛效度(情绪调节分数)、发散效度(抑郁和焦虑分数)和标准效度。对TAS-20提出了一些担忧:原来的三因子结构显示出较差的模型拟合;TAS-20的外向型思维分量表因子负荷较差,内部一致性不理想;并且,我们确定了几个可能略微夸大TAS-20对疼痛相关结果的预测效度的TAS-20项目。原PAQ的5因子结构具有较好的拟合性;各PAQ子量表因子负荷良好,内部一致性良好。结论:TAS-20和PAQ均具有心理测量优势。我们的数据对TAS-20量表的使用提出了一些担忧;PAQ可能是心理测量学上更强的选择,特别是对于对慢性疼痛患者述情障碍亚量表分析感兴趣的研究人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Assessing alexithymia in chronic pain: psychometric properties of the Toronto Alexithymia Scale-20 and Perth Alexithymia Questionnaire.

Assessing alexithymia in chronic pain: psychometric properties of the Toronto Alexithymia Scale-20 and Perth Alexithymia Questionnaire.

Assessing alexithymia in chronic pain: psychometric properties of the Toronto Alexithymia Scale-20 and Perth Alexithymia Questionnaire.

Introduction: Alexithymia is elevated in chronic pain and relates to poor pain-related outcomes. However, despite concerns from other clinical populations, the psychometric properties of alexithymia measures have not been rigorously established in chronic pain.

Objective: This study examined the psychometric properties of the Toronto Alexithymia Scale-20 Item (TAS-20) and the Perth Alexithymia Questionnaire (PAQ) in adults with chronic pain.

Methods: An online sample of adults with chronic pain across the United States (N = 1453) completed the TAS-20, PAQ, and related questionnaires at baseline, 3-month follow-up, and 12-month follow-up.

Results: Both measures showed good temporal stability, convergent validity (with emotion regulation scores), divergent validity (with depression and anxiety scores), and criterion validity. Some concerns were raised about the TAS-20: the original 3-factor structure showed a poor model fit; the Externally Oriented Thinking subscale of the TAS-20 had poor factor loadings and unacceptable internal consistency; and, we identified several TAS-20 items that may slightly inflate the predictive validity of the TAS-20 on pain-related outcomes. The original 5-factor structure of the PAQ showed a good fit; each PAQ subscale had good factor loadings and excellent internal consistency.

Conclusions: Both the TAS-20 and PAQ had psychometric strengths. Our data raised some concern for the use of TAS-20 subscales; the PAQ may be a psychometrically stronger option, particularly for investigators interested in alexithymia subscale analysis in people with chronic pain.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信