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Assessing psychological flexibility in patients with chronic pain: the Korean adaptation of the Brief Pain Response Inventory

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Abstract

Purpose

This study investigated the psychometric properties of the Korean version of the Brief Pain Response Inventory (K-BPRI) regarding patients with chronic pain.

Methods

This study employed a retrospective survey design. One hundred sixty-four Korean patients with chronic pain participated in the study. Construct validity was assessed using confirmatory factor analysis and Pearson correlation. Internal consistency reliability, test–retest reliability, and measurement error were examined using Cronbach’s α, the inter-item correlation coefficients, and the item-total correlation coefficients; the intra-class correlation coefficient; and the standard error of measurements, respectively.

Results

Confirmatory factory analysis showed the best fit to the data for the adjusted two-factor structure of the K-BPRI. The K-BPRI demonstrated good internal consistency and test–retest reliability. Measurement errors for the K-BPRI and subscale scores were standard error of measurements = 5.74, 5.63, and 10.26, respectively, and minimum detectable change = 15.86, 15.56, and 28.35, respectively. Weak-to-moderate negative correlations were observed between the K-BPRI and the numerical rating scale for pain intensity and the Hospital Anxiety Depression Scale, and moderately positive correlations were observed between the K-BPRI and Short Form-12.

Conclusion

This study provided evidence for the psychometric properties of the K-BPRI, suggesting that it can be a brief and efficient instrument for measuring psychological flexibility in coping with chronic pain.

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Abbreviations

ACT:

Acceptance and commitment therapy

BPRI:

Brief Pain Response Inventory

CPAQ:

Chronic Pain Acceptance Questionnaire

K-BPRI:

Korean version of Brief Pain Response Inventory

MDC:

Minimal detectable change

PCPs:

Patients with chronic pain

PIPS:

Psychological Inflexibility in Pain Scale

SEM:

Standard error of measurements

References

  1. McCracken, L. M., MacKichan, F., & Eccleston, C. (2007). Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. European Journal of Pain, 11, 314–322.

    Article  PubMed  Google Scholar 

  2. Vowles, K. E., Wetherell, J. L., & Sorrell, J. T. (2009). Targeting acceptance, mindfulness, and values-based action in chronic pain: Findings of two preliminary trials of an outpatient group-based intervention. Cognitive and Behavioral Practice, 16, 49–58.

    Article  Google Scholar 

  3. Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for prevention science. Prevention Science, 9, 139–152.

    Article  PubMed  PubMed Central  Google Scholar 

  4. McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107, 159–166.

    Article  PubMed  Google Scholar 

  5. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

    Google Scholar 

  6. Wicksell, R. K., Renöfält, J., Olsson, G. L., Bond, F. W., & Melin, L. (2008). Avoidance and cognitive fusion—Central components in pain related disability? Development and preliminary validation of the psychological inflexibility in pain scale (PIPS). European Journal of Pain, 12, 491–500.

    Article  PubMed  Google Scholar 

  7. McCracken, L. M., Vowles, K. E., & Zhao-O’Brien, J. (2010). Further development of an instrument to assess psychological flexibility in people with chronic pain. Journal of Behavioral Medicine, 33, 346–354.

    Article  PubMed  Google Scholar 

  8. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.

    Article  CAS  PubMed  Google Scholar 

  9. Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.

    Article  PubMed  Google Scholar 

  10. Muthén, L. K., & Muthén, B. O. (2002). How to use a Monte Carlo study to decide on sample size and determine power. Structural Equation Modeling, 4, 599–620.

    Article  Google Scholar 

  11. Walter, S. D., Eliasziw, M., & Donner, A. (1998). Sample size and optimal designs for reliability studies. Statistics in Medicine, 17, 101–110.

    Article  CAS  PubMed  Google Scholar 

  12. Maneesriwongul, W., & Dixon, J. K. (2004). Instrument translation process: a methods review. Journal of Advanced Nursing, 48, 175–186.

    Article  PubMed  Google Scholar 

  13. Han, C. W., Lee, E. J., Iwaya, T., Kataoka, H., & Kohzuki, M. (2004). Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea. The Tohoku Journal of Experimental Medicine, 203, 189–194.

    Article  PubMed  Google Scholar 

  14. Oh, S. M., Min, K. J., & Park, D. B. (1999). A comparison of normal, depressed and anxious groups: A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289–296.

    Google Scholar 

  15. Salkind, N. J. (Ed.). (2010). Encyclopedia of research design (Vol. 2). Thousand Oaks: Sage.

    Google Scholar 

  16. McCracken, L. M., Eccleston, C., & Bell, L. (2005). Clinical assessment of behavioral coping responses: results from a brief inventory. European Journal of Pain, 9, 69–78.

    Article  PubMed  Google Scholar 

  17. Hasenbring, M. I., Hallner, D., Klasen, B., Streitlein-Böhme, I., Willburger, R., & Rusche, H. (2012). Pain-related avoidance versus endurance in primary care patients with subacute back pain: Psychological characteristics and outcome at a 6-month follow-up. Pain, 153, 211–217.

    Article  PubMed  Google Scholar 

  18. Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2010). Psychological flexibility as a mediator of improvement in acceptance and commitment therapy for patients with chronic pain following whiplash. European Journal of Pain, 14, 1–11.

    Article  Google Scholar 

  19. Steiger, J. H. (1990). Structural model evaluation and modification: An internal estimation approach. Multivariate Behavioral Research, 25, 173–180.

    Article  CAS  PubMed  Google Scholar 

  20. Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238–246.

    Article  CAS  PubMed  Google Scholar 

  21. McCracken, L. M., & Dhingra, L. (2002). A short version of the pain anxiety symptoms scale (PASS-20): Preliminary development and validity. Pain Research and Management, 7, 45–50.

    Article  PubMed  Google Scholar 

  22. Iverson, G. L. (2001). Psychometric properties of the British Columbia major depression inventory. Canadian Psychology, 42, 49.

    Article  Google Scholar 

  23. Bergner, M., Bobbit, R. A., & Carter, W. B. (1981). The sickness impact profile: Development and final revision of a health status measure. Medical Care, 29, 787–805.

    Article  Google Scholar 

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Acknowledgments

This work was supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2014S1A5A8017708).

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Correspondence to Sungkun Cho.

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Han, K., Kim, D. & Cho, S. Assessing psychological flexibility in patients with chronic pain: the Korean adaptation of the Brief Pain Response Inventory. Qual Life Res 26, 229–233 (2017). https://doi.org/10.1007/s11136-016-1350-2

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