Skip to main content

Advertisement

Log in

Reliability and validity of Mee-Bunney Psychological Pain Assessment Scale Turkish version

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

In this study, we aimed to investigate the validity and reliability of the Turkish version of the Mee Bunney Psychological Pain Assessment Scale (MBPPAS), which questions the frequency, intensity and acute period of psychological pain. We also aimed to investigate whether psychological pain allows measuring acute suicidal behavior; and whether there were different levels of psychological pain in suicide-related disorders. The study included 73 patients with major depressive disorder, 50 patients with bipolar disorder and 77 healthy controls. MBPPAS, Beck Depression Inventory, Beck Scale for Suicidal Ideation, Beck Hopelessness Scale, Physical Pain Scale, and Psychache Scale were filled by the participants. In the internal consistency, the Cronbach’s alpha coefficient was found to be 0.95 and the item-total score correlation coefficients were between 0.51 and 0.89. Explanatory factor analysis showed that the scale was loaded under the single factor, which had an eigenvalue of 7.02, explaining 70.23% of the total variance. Factor loads of the items were found between 0.57 and 0.92. Discriminant function analysis showed that the scale classified the patient group and the healthy group, also the patients with and without suicide attempt, and each group was classified as successfully when the three groups were considered together. Besides the fact that the Turkish version of the scale is valid and reliable, it has been shown that it can be useful (partially) in the studies conducted with patients in the acute phase and in distinguishing disorders from each other in suicide-related entities such as mood disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Acar, T. (2014). Ölçek geliştirmede geçerlik kanıtları: çapraz geçerlik, sınıflama ve sıralama geçerliği uygulaması. Kuram ve Uygulamada Eğitim Bilimleri, 14, 1–11.

    Google Scholar 

  • Aleman, A., & Denys, D. (2014). A road map for suicide research and prevention. Nature, 509, 421–423.

    PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

    Google Scholar 

  • Baldessarini, R., Undurraga, J., Vázquez, G., Tondo, L., Salvatore, P., Ha, K., et al. (2012). Predominant recurrence polarity among 928 adult international bipolar I disorder patients. Acta Psychiatrica Scandinavica, 125, 293–302.

    PubMed  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1984). Internal consistencies of the original and revised Beck depression inventory. Journal of Clinical Psychology, 40(6), 1365–1367.

    PubMed  Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42(6), 861–865.

    PubMed  Google Scholar 

  • Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47(2), 343–352.

    PubMed  Google Scholar 

  • Bunney, W., Kleinman, A., Pellmar, T., & Goldsmith, S. (2002). Reducing suicide: A national imperative. Washington, DC: National Academies Press.

    Google Scholar 

  • Champely, S., Ekstrom, C., Dalgaard, P., Gill, J., Weibelzahl, S., Anandkumar, A., ... & De Rosario, M. H. (2018). Package ‘pwr’. R package version, 1–2.

  • Demirkol, M. E., Güleç, H., Çakmak, S., Namli, Z., Güleç, M., Güçlü, N., et al. (2018). Reliability and validity study of the Turkish version of the Psychache scale. Anatolian Journal of Psychiatry, 19(1), 14–20.

    Google Scholar 

  • Dennehy, E. B., Marangell, L. B., Allen, M. H., Chessick, C., Wisniewski, S. R., & Thase, M. E. (2011). Suicide and suicide attempts in the systematic treatment enhancement program for bipolar disorder (STEP-BD). Journal of Affective Disorders, 133, 423–427.

    PubMed  PubMed Central  Google Scholar 

  • Erkus, A. (2003). Psikometri üzerine yazılar: Ölçme ve psikolojinin tarihsel kökenleri, güvenirlik, geçerlik, madde analizi, tutumlar: Bileşenleri ve ölçülmesi. Ankara: Türk Psikologlar Derneği Yayınları.

    Google Scholar 

  • Fishbain, D. A., Cutler, R., Rosomoff, H. L., & Rosomoff, R. S. (1997). Chronic pain-associated depression: Antecedent or consequence of chronic pain? A review. The Clinical Journal of Pain, 13, 116–137.

    PubMed  Google Scholar 

  • Gvion, Y., Horresh, N., Levi-Belz, Y., Fischel, T., Treves, I., Weiser, M., David, H. S., Stein-Reizer, O., & Apter, A. (2014). Aggression–impulsivity, mental pain, and communication difficulties in medically serious and medically non-serious suicide attempters. Comprehensive Psychiatry, 55, 40–50.

    PubMed  Google Scholar 

  • Hisli, N. (1988). Beck Depresyon Envanterinin gecerliligi uzerine bir calisma (a study on the validity of Beck depression inventory). Psikoloji Dergisi, 6, 118–122.

    Google Scholar 

  • Holden, R. R., Mehta, K., Cunningham, E. J., & McLeod, L. D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science, 33, 224–232.

    Google Scholar 

  • Holma, K. M., Haukka, J., Suominen, K., Valtonen, H. M., Mantere, O., Melartin, T. K., Sokero, T. P., Oquendo, M. A., & Isometsä, E. T. (2014). Differences in incidence of suicide attempts between bipolar I and II disorders and major depressive disorder. Bipolar Disorders, 16, 652–661.

    PubMed  Google Scholar 

  • Jobes, D. A., & Drozd, J. F. (2004). The CAMS approach to working with suicidal patients. Journal of Contemporary Psychotherapy, 34, 73–85.

    Google Scholar 

  • Kaiser, H. F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141–151.

    Google Scholar 

  • Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy, 8, 114–129.

    Google Scholar 

  • Kross, E., Berman, M. G., Mischel, W., Smith, E. E., & Wager, T. D. (2011). Social rejection shares somatosensory representations with physical pain. Proceedings of the National Academy of Sciences, 108, 6270–6275.

    Google Scholar 

  • Li, H., Xie, W., Luo, X., Fu, R., Shi, C., Ying, X., Wang, N., Yin, Q., & Wang, X. (2014). Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes. Suicide and Life-threatening Behavior, 44, 78–88.

    PubMed  Google Scholar 

  • Mann, J. J. (2003). Neurobiology of suicidal behaviour. Nature Reviews. Neuroscience, 4, 819–828.

    PubMed  Google Scholar 

  • Mee, S., Bunney, B. G., Reist, C., Potkin, S. G., & Bunney, W. E. (2006). Psychological pain: A review of evidence. Journal of Psychiatric Research, 40, 680–690.

    PubMed  Google Scholar 

  • Mee, S., Bunney, B. G., Bunney, W. E., Hetrick, W., Potkin, S. G., & Reist, C. (2011). Assessment of psychological pain in major depressive episodes. Journal of Psychiatric Research, 45, 1504–1510.

    PubMed  Google Scholar 

  • Montemarano, V., Troister, T., Lambert, C. E., & Holden, R. R. (2018). A four-year longitudinal study examining psychache and suicide ideation in elevated-risk undergraduates: A test of Shneidman's model of suicidal behavior. Journal of Clinical Psychology, 74(10), 1820–1832.

    PubMed  Google Scholar 

  • Narrow, W. E., Regier, D. A., Rae, D. S., Manderscheid, R. W., & Locke, B. Z. (1993). Use of services by persons with mental and addictive disorders: Findings from the National Institute of Mental Health epidemiologic catchment area program. Archives of General Psychiatry, 50, 95–107.

    PubMed  Google Scholar 

  • Olié, E., Guillaume, S., Jaussent, I., Courtet, P., & Jollant, F. (2010). Higher psychological pain during a major depressive episode may be a factor of vulnerability to suicidal ideation and act. Journal of Affective Disorders, 120, 226–230.

    PubMed  Google Scholar 

  • Oquendo, M. A., & Baca-Garcia, E. (2014). Suicidal behavior disorder as a diagnostic entity in the DSM-5 classification system: Advantages outweigh limitations. World Psychiatry, 13, 128–130.

    PubMed  PubMed Central  Google Scholar 

  • Orbach, I., Stein, D., Shani-Sela, M., & Har-Even, D. (2001). Body attitudes and body experiences in suicidal adolescents. Suicide and Life-threatening Behavior, 31, 237–249.

    PubMed  Google Scholar 

  • Orbach, I., Mikulincer, M., Gilboa-Schechtman, E., & Sirota, P. (2003). Mental pain and its relationship to suicidality and life meaning. Suicide and Life-threatening Behavior, 33, 231–241.

    PubMed  Google Scholar 

  • Ozcelik, H. S., Ozdel, K., Bulut, S. D., & Orsel, S. (2015). The reliability and validity of the Turkish version of the Beck scale for suicide ideation (Turkish BSSI). Bulletin of Clinical Psychopharmacology, 25(2), 141–150.

    Google Scholar 

  • Pompili, M. (2018). The increase of suicide rates: The need for a paradigm shift. The Lancet, 392, 474–475.

    Google Scholar 

  • Pompili, M., Lester, D., Leenaars, A. A., Tatarelli, R., & Girardi, P. (2008). Psychache and suicide: A preliminary investigation. Suicide and Life-threatening Behavior, 38, 116–121.

    PubMed  Google Scholar 

  • Ribeiro, J., Franklin, J., Fox, K. R., Bentley, K., Kleiman, E. M., Chang, B., et al. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: A meta-analysis of longitudinal studies. Psychological Medicine, 46, 225–236.

    PubMed  Google Scholar 

  • Roy, A., Sarchiopone, M., & Carli, V. (2009). Gene-environment interaction and suicidal behavior. The Journal of Psychiatric Practice, 15, 282–288.

    PubMed  Google Scholar 

  • Seber, G., Dilbaz, N., Kaptanoğlu, C., & Tekin, D. (1993). Umutsuzluk ölçeği: Geçerlilik ve güvenirliği. Kriz Dergisi, 1, 139–142.

    Google Scholar 

  • Shneidman, E. S. (1987). A psychological approach to suicide. In G. R. VandenBos & B. K. Bryant (Eds.), Master lectures series. Cataclysms, crises, and catastrophes: Psychology in action (pp. 147–183). Washington, DC: American Psychological Association. https://doi.org/10.1037/11106-004.

    Chapter  Google Scholar 

  • Shneidman, E. S. (1993). Commentary: Suicide as psychache. Journal of Nervous and Mental Disease, 181(3), 145–147.

    PubMed  Google Scholar 

  • Shneidman, E. S. (1996). The suicidal mind. New York: Oxford University Press.

    Google Scholar 

  • Shneidman, E. S. (1998). Further reflections on suicide and psychache. Suicide and Life-threatening Behavior, 28, 245–250.

    PubMed  Google Scholar 

  • Troister, T., & Holden, R. R. (2010). Comparing psychache, depression, and hopelessness in their associations with suicidality: A test of Shneidman’s theory of suicide. Personality and Individual Differences, 49(7), 689–693.

    Google Scholar 

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600.

    PubMed  PubMed Central  Google Scholar 

  • Verrocchio, M. C., Carrozzino, D., Marchetti, D., Andreasson, K., Fulcheri, M., & Bech, P. (2016). Mental pain and suicide: A systematic review of the literature. Frontiers in Psychiatry, 7, 108.

    PubMed  PubMed Central  Google Scholar 

  • World Health Organization. (2018). National suicide prevention strategies: Progress, examples and indicators. Geneva: WHO.

    Google Scholar 

  • Wu, A. D., Li, Z., & Zumbo, B. D. (2007). Decoding the meaning of factorial invariance and updating the practice of multi-group confirmatory factor analysis. Practical Assessment, Research and Evaluation, 12(3), 1–26.

    Google Scholar 

Download references

Acknowledgments

We wish to thank Christopher Reist and Steve Mee for the permission and sharing their experiments.

Author information

Authors and Affiliations

Authors

Contributions

[Finding the subject: LT, HG, MED; Literature review: LT, HG, MED, MYG, SAÖ, MZE; Conducting research: MED, LT, MOK, KU; Applying Scales: MED; Statistical Analysis: HG, LT, MED; Writing the manuscript: MED, HG, LT, MYG, SAÖ, KU, MOK, MZE; Review the manuscript: LT, HG, MED] All authors read and approved the final version of the manuscript.

Corresponding author

Correspondence to Lut Tamam.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Demirkol, M.E., Güleç, H., Tamam, L. et al. Reliability and validity of Mee-Bunney Psychological Pain Assessment Scale Turkish version. Curr Psychol 39, 1181–1188 (2020). https://doi.org/10.1007/s12144-019-00400-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-019-00400-z

Keywords

Navigation