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The Pain Anxiety Symptoms Scale: Psychometric properties in a community sample

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Abstract

This study investigated the factor structure and psychometric properties of the Pain Anxiety Symptoms Scale (PASS). The PASS assesses four components of pain-related anxiety: cognitive, fear, escapelavoidance, and physiological. Confirmatory factor analyses provided support for both the one-factor and the four-factor structures reported for samples of clinic-referred pain patients. The alpha coefficients were high for the PASS subscales. Significant gender differences were obtained on the PASS total and subscale scores. Convergent and divergent validity estimates of the PASS were also assessed. Results may be used to evaluate the responses of clinic-referred pain patients.

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References

  • Derogatis, L. R. (1992).The Brief Symptom Inventory (BSI): Administration, Scoring and Procedures Manual II, Clinical Psychometric Research, Townson, MD.

    Google Scholar 

  • Hollon, S. D., and Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an Automatic Thoughts Questionnaire.Cognit. Ther. Res. 4: 383–397.

    Google Scholar 

  • Hursey, T. S., Oliver, K. C., and McGruder, A. K. (1992). The Fear of Pain Questionnaire: Reliability and validity in recurrent tension headache sufferers. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Boston.

  • Joreskog, K., and Sorbom, D. (1990).LISREL 7: Estimation of Linear Structural Equation Systems, Scientific Software, Mooresville, IN.

    Google Scholar 

  • McCracken, L. M., Zayfert, C., and Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain.Pain 50: 67–73.

    PubMed  Google Scholar 

  • McCracken, L. M., Gross, R. T., Sorg, P. J., and Edmands, T. (1993a). Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety.Behav. Res. Ther. 31: 647–652.

    PubMed  Google Scholar 

  • McCracken, L. M., Zayfert, C., and Gross, R. T. (1993b). The Pain Anxiety Symptoms Scale (PASS): A multimodal measure of pain-specific anxiety symptoms.Behav. Ther. 16: 183–184.

    Google Scholar 

  • McNeil, D. W., Rainwater, A. J., and Aljazireh, L. (1986). Development of a methodology to measure fear of pain. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Chicago.

  • Osman, A., Bunger, S., Osman, J. R., and Fisher, L. (1993). The Inventory of Negative Thoughts in Response to Pain: Factor structure and psychometric properties in a college sample.J. Behav. Med. 16: 219–224.

    PubMed  Google Scholar 

  • Schwartz, G. E., Davidson, R. J., and Goleman, D. J. (1978). Patterning of cognitive and somatic processes in the self-regulations of anxiety: Effects of medication versus exercise.Psychosom. Med. 40: 321–328.

    PubMed  Google Scholar 

  • Turk, D. C., and Rudy, T. E. (1992). Cognitive factors and persistent pain: A glimpse into Pandora's box.Cognit. Ther. Res. 16: 99–122.

    Google Scholar 

  • Wallston, K. A., Wallston, B. S., and DeVellis, R. (1978). Development of the Multidimensional Health Locus of Control (MHLC) Scales.Health Educ. Monogr. 6: 160–170.

    PubMed  Google Scholar 

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Osman, A., Barrios, F.X., Osman, J.R. et al. The Pain Anxiety Symptoms Scale: Psychometric properties in a community sample. J Behav Med 17, 511–522 (1994). https://doi.org/10.1007/BF01857923

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  • DOI: https://doi.org/10.1007/BF01857923

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