Psychometric Properties of the Persian Version of the Chronic Pain Acceptance Questionnaire in Patients with Chronic Pain in Isfahan, Tehran, and Yazd, Iran
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Background: Acceptance and commitment therapy (ACT) is one of the evidence-based therapies for chronic pain. One of the measuring tools used in this approach is the Chronic Pain Acceptance Questionnaire (CPAQ). The aim of the present study was to determine the psychometric properties of the CPAQ in a sample of patients with chronic pain in Isfahan, Tehran, and Yazd, Iran.
Methods: This was a cross-sectional, methodological study. The statistical population included all Iranian patients with chronic pain. The sample consisted of 228 patients with chronic pain; the patients were simultaneously selected from medical centers affiliated to Isfahan University of Medical Sciences, Baqiyatallah Hospital in Tehran, and the Medical Clinics in Yazd. To determine the validity of the CPAQ, the Pain Disability Index (PDI), Pain Catastrophizing Scale (PCS), Pain Anxiety Syndrome Scale (PASS-20), and Satisfaction with Life Scale (SWLS) were used. SPSS software and correlation analysis methods, confirmatory factor analysis, and Cronbach's alpha were used.
Results: The reliability of the CPAQ was determined to be 0.79 using Cronbach's alpha method, and its validity was confirmed through inverse correlation with the scores of the PDI (-0.319), PCS (-0.228), PASS (-0.355), and SWLS (0.19); all correlation coefficients were significant (P < 0.01).
Conclusion: The validity and reliability of the CPAQ in Iranian patients with chronic pain have been confirmed. Thus, it can be used as a research tool for the measurement of acceptance index and commitment therapy outcome in Iranian patients.
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Akmaz, H. E., Uyar, M., Kuzeyli, Y. Y., & Akin, K. E. (2018). Validity and Reliability of the Turkish Chronic Pain Acceptance Questionnaire. Balkan.Med J, 35(3), 238-244. doi:10.4274/balkanmedj.2016.1998 [doi]. Retrieved from PM:29843496
Anvari, M. H., Ebrahimi, A., Taher Neshatdoost, H., Afshar, H., & Abedi, A. (2014). The effectiveness of group-based acceptance and commitment therapy on pain-related anxiety, acceptance of pain and pain intensity in patients with chronic pain. J Isfahan Med Sch, 32(295), 1156-1165.
Bernini, O., Pennato, T., Cosci, F., & Berrocal, C. (2010). The psychometric properties of the chronic pain acceptance questionnaire in Italian patients with chronic pain. J Health Psychol, 15(8), 1236-1245. doi:1359105310365576 [pii];10.1177/1359105310365576 [doi]. Retrieved from PM:20522505
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur.J Pain, 10(4), 287-333. doi:S1090-3801(05)00086-8 [pii];10.1016/j.ejpain.2005.06.009 [doi]. Retrieved from PM:16095934
Caraceni, A., & Portenoy, R. K. (1999). An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. International Association for the Study of Pain. Pain, 82(3), 263-274. doi:00006396-199909010-00006 [pii];10.1016/S0304-3959(99)00073-1 [doi]. Retrieved from PM:10488677
Cheung, M. N., Wong, T. C., Yap, J. C., & Chen, P. P. (2008). Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Cantonese-speaking Chinese patients. J Pain, 9(9), 823-832. doi:S1526-5900(08)00546-4 [pii];10.1016/j.jpain.2008.04.005 [doi]. Retrieved from PM:18632309
Cho, S., Heiby, E. M., McCracken, L. M., Moon, D. E., & Lee, J. H. (2012). Psychometric properties of a Korean version of the Chronic Pain Acceptance Questionnaire in chronic pain patients. Qual Life.Res, 21(6), 1059-1064. doi:10.1007/s11136-011-0010-9 [doi]. Retrieved from PM:21927915
Ghaffari, M., Alipour, A., Jensen, I., Farshad, A. A., & Vingard, E. (2006). Low back pain among Iranian industrial workers. Occup Med (Lond.), 56(7), 455-460. doi:kql062 [pii];10.1093/occmed/kql062 [doi]. Retrieved from PM:16837536
Gureje, O., Von, K. M., Kola, L., Demyttenaere, K., He, Y., Posada-Villa, J. et al. (2008). The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. Pain, 135(1-2), 82-91. doi:S0304-3959(07)00251-5 [pii];10.1016/j.pain.2007.05.005 [doi]. Retrieved from PM:17570586
Huijer, H. A., Fares, S., & French, D. J. (2017). The Development and Psychometric Validation of an Arabic-Language Version of the Pain Catastrophizing Scale. Pain Res Manag, 2017, 1472792. doi:10.1155/2017/1472792 [doi]. Retrieved from PM:28190958
Mason, V. L., Mathias, B., & Skevington, S. M. (2008). Accepting low back pain: is it related to a good quality of life? Clin J Pain, 24(1), 22-29. doi:10.1097/AJP.0b013e318156d94f [doi];00002508-200801000-00005 [pii]. Retrieved from PM:18180632
McCracken, L. M. (1998). Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74(1), 21-27. doi:00006396-199801010-00004 [pii];10.1016/S0304-3959(97)00146-2 [doi]. Retrieved from PM:9514556
McCracken, L. M., & Dhingra, L. (2002). A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity. Pain Res Manag, 7(1), 45-50. doi:10.1155/2002/517163 [doi]. Retrieved from PM:16231066
McCracken, L. M., & Eccleston, C. (2003). Coping or acceptance: what to do about chronic pain? Pain, 105(1-2), 197-204. doi:S0304395903002021 [pii];10.1016/s0304-3959(03)00202-1 [doi]. Retrieved from PM:14499436
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107(1-2), 159-166. doi:S0304395903004299 [pii];10.1016/j.pain.2003.10.012 [doi]. Retrieved from PM:14715402
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2005). Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behav Res Ther, 43(10), 1335-1346. doi:S0005-7967(04)00247-5 [pii];10.1016/j.brat.2004.10.003 [doi]. Retrieved from PM:16086984
McCracken, L. M., & Eccleston, C. (2005). A prospective study of acceptance of pain and patient functioning with chronic pain. Pain, 118(1-2), 164-169. doi:S0304-3959(05)00414-8 [pii];10.1016/j.pain.2005.08.015 [doi]. Retrieved from PM:16203093
McCracken, L. M., MacKichan, F., & Eccleston, C. (2007). Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. Eur.J Pain, 11(3), 314-322. doi:S1090-3801(06)00070-X [pii];10.1016/j.ejpain.2006.05.004 [doi]. Retrieved from PM:16762571
Mohammadzadeh, F., Faghihzadeh, S., Asadi-Lari, M., vaez Mahdavi, M. R., Kheradmand, J., Noorbala, A. et al. (2015). A Fairly Comprehensive Survey of Chronic Pain in Iranian Population: Prevalence, Risk Factors, and Impact on Daily Life. Health Scope, 4(3), e25467.
Monticone, M., Ferrante, S., Rocca, B., Nava, T., Parini, C., & Cerri, C. (2013). Chronic pain acceptance questionnaire: confirmatory factor analysis, reliability, and validity in Italian subjects with chronic low back pain. Spine.(Phila.Pa.1976.), 38(13), E824-E831. doi:10.1097/BRS.0b013e3182917299 [doi]. Retrieved from PM:23524871
Nilges, P., Koster, B., & Schmidt, C. O. (2007). [Pain acceptance - concept and validation of a German version of the chronic pain acceptance questionnaire]. Schmerz., 21(1), 57. doi:10.1007/s00482-006-0508-1 [doi]. Retrieved from PM:17111168
Ojala, T., Piirainen, A., Sipila, K., Suutama, T., & Hakkinen, A. (2013). Reliability and validity study of the Finnish version of the Chronic Pain Acceptance Questionnaire (CPAQ). Disabil Rehabil., 35 (4), 306-314. doi:10.3109/09638288.2012.694572 [doi]. Retrieved from PM:22726109
Pavot, W., Diener, E., Colvin, C. R., & Sandvik, E. (1991). Further validation of the Satisfaction with Life Scale: evidence for the cross-method convergence of well-being measures. J Pers Assess, 57(1), 149-161. doi:10.1207/s15327752jpa5701_17 [doi]. Retrieved from PM:1920028
Reneman, M. F., Dijkstra, A., Geertzen, J. H., & Dijkstra, P. U. (2010). Psychometric properties of Chronic Pain Acceptance Questionnaires: a systematic review. Eur.J Pain, 14(5), 457-465. doi:S1090-3801(09)00175-X [pii];10.1016/j.ejpain.2009.08.003 [doi]. Retrieved from PM:19819172
Rodero, B., Garcia-Campayo, J., Casanueva, B., del Hoyo, Y. L., Serrano-Blanco, A., & Luciano, J. V. (2010). Validation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health Qual Life.Outcomes., 8, 37. doi:1477-7525-8-37 [pii];10.1186/1477-7525-8-37 [doi]. Retrieved from PM:20385016
Rovner, G. S., Arestedt, K., Gerdle, B., Borsbo, B., & McCracken, L. M. (2014). Psychometric properties of the 8-item Chronic Pain Acceptance Questionnaire (CPAQ-8) in a Swedish chronic pain cohort. J Rehabil.Med, 46(1), 73-80. doi:10.2340/16501977-1227 [doi]. Retrieved from PM:24036958
Soer, R., Koke, A. J., Vroomen, P. C., Stegeman, P., Smeets, R. J., Coppes, M. H. et al. (2013). Extensive validation of the pain disability index in 3 groups of patients with musculoskeletal pain. Spine.(Phila.Pa.1976.), 38(9), E562-E568. doi:10.1097/BRS.0b013e31828af21f [doi]. Retrieved from PM:23388675
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 524-532. doi:doi:10.1037/1040-3590.7.4.524.
Treede, R. D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R. et al. (2015). A classification of chronic pain for ICD-11. Pain, 156(6), 1003-1007. doi:10.1097/j.pain.0000000000000160 [doi];00006396-201506000-00006 [pii]. Retrieved from PM:25844555
Vowles, K. E., McCracken, L. M., & Eccleston, C. (2007). Processes of change in treatment for chronic pain: the contributions of pain, acceptance, and catastrophizing. Eur.J Pain, 11(7), 779-787. doi:S1090-3801(07)00003-1 [pii];10.1016/j.ejpain.2006.12.007 [doi]. Retrieved from PM:17303452
Wicksell, R. K., Olsson, G. L., & Melin, L. (2009). The Chronic Pain Acceptance Questionnaire (CPAQ)-further validation including a confirmatory factor analysis and a comparison with the Tampa Scale of Kinesiophobia. Eur.J Pain, 13(7), 760-768. doi:S1090-3801(08)00200-0 [pii];10.1016/j.ejpain.2008.09.003 [doi]. Retrieved from PM:18926744
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