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Spanish Version of the Pain Vigilance and Awareness Questionnaire: Psychometric Properties in a Sample of Women with Fibromyalgia

Published online by Cambridge University Press:  08 January 2015

M. Pilar Martínez ,
Elena Miró ,
Ana I. Sánchez ,
María J. Lami ,
Germán Prados  and
Daniela Ávila
M. Pilar Martínez*
Affiliation:
Universidad de Granada (Spain)
Elena Miró
Affiliation:
Universidad de Granada (Spain)
Ana I. Sánchez
Affiliation:
Universidad de Granada (Spain)
María J. Lami
Affiliation:
Universidad de Granada (Spain)
Germán Prados
Affiliation:
Hospital Universitario Virgen de las Nieves (Spain)
Daniela Ávila
Affiliation:
Universidad de Granada (Spain)
*
*Correspondence concerning this article should be addressed to M. Pilar Martínez. Departamento de Personalidad, Evaluación y Tratamiento Psicológico. Facultad de Psicología. Campus Universitario de Cartuja. 18071. Granada (Spain). E-mail: mnarvaez@ugr.es
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Abstract

Excessive attention to pain is a common psychological characteristic among people who suffer from chronic pain. The Pain Vigilance and Awareness Questionnaire (PVAQ) is an internationally accepted tool to assess this feature, although there is no validated version of this measure for Spanish people with fibromyalgia. Since this pain syndrome mainly affects women, the aim of this study was to determine the psychometric properties of the PVAQ in Spanish women with fibromyalgia. A group of 242 women diagnosed with fibromyalgia aged between 20 and 66 years participated in the study. The goodness of fit of several structures of the PVAQ reported in previous studies was compared via confirmatory factor analysis. A two-factor solution (active vigilance and passive awareness) of the 9-item shortened version (PVAQ-9) was identified as the most appropriate (RMSEA = .08, NNFI = .96, CFI = .97, GFI = .87). It showed good reliability (internal consistency α = .82), convergent validity and divergent validity (p < .01). The optimal cutoff point for identifying fibromyalgia women with worse daily functioning was a score of 24.5, with a sensitivity of .71 and a specificity of .75. The relevance of vigilance to pain for clinical research in fibromyalgia is discussed.

Keywords

painfibromyalgiavigilancereliabilityvalidity
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 17 , 2014 , E105
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

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References

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4 th Ed. Rev.). Washington, DC: American Psychiatric Association.Google Scholar
Bennett, R. M., Bushmakin, A. G., Cappelleri, J. C., Zlateva, G., & Sadosky, A. B. (2009). Minimal clinically important difference in the Fibromyalgia Impact Questionnaire. Journal of Rheumatology, 36, 1304–1311. http://dx.doi.org/10.3899/jrheum.081090 Google Scholar
Branco, J. C., Bannwarth, B., Failde, I., Abello Carbonell, J., Blotman, F., Spaeth, M., … Matucci-Cerinic, , , M. (2010). Prevalence of fibromyalgia: A survey in five European countries. Arthritis and Rheumatism, 39, 448–453. http://dx.doi.org/10.1016/j.semarthrit.2008.12.003 CrossRefGoogle ScholarPubMed
Burckhardt, C. S., Clark, S. R., & Bennett, R. M. (1991). The Fibromyalgia Impact Questionnaire: Development and validation. Journal of Rheumatology, 18, 728–733.Google ScholarPubMed
Carleton, R. N., Richter, A. A., & Asmundson, G. J. (2011). Attention modification in persons with fibromyalgia: A double blind, randomized clinical trial. Cognitive Behaviour Therapy, 40, 279–290. http://dx.doi.org/10.1080/16506073.2011.616218 Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2 nd Ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Crombez, G., Van Damme, S., & Eccleston, C. (2005). Hypervigilance to pain: An experimental and clinical analysis. Pain, 116, 4–7. http://dx.doi.org/10.1016/j.pain.2005.03.035 CrossRefGoogle ScholarPubMed
Dehghani, M., Sharpe, L., & Nicholas, M. K. (2004). Modification of attentional biases in chronic pain patients: A preliminary study. European Journal of Pain, 8, 585–594. http://dx.doi.org/10.1016/j.ejpain.2004.02.003 Google Scholar
Elomaa, M. M., Williams, A. C. C., & Kalso, E. A. (2009). Attention management as a treatment for chronic pain. European Journal of Pain, 13, 1062–1067. http://dx.doi.org/10.1016/j.ejpain.2008.12.002 Google Scholar
Esteve, R., Ramírez-Maestre, C., & López-Martínez, A. E. (2013). Empirical evidence of the validity of the Spanish version of the Pain Vigilance Awareness Questionnaire. International Journal of Behavioral Medicine, 20, 59–68. http://dx.doi.org/10.1007/s12529-011-9216-z CrossRefGoogle ScholarPubMed
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1999). Entrevista clínica estructurada para los trastornos del eje I del DSM-IV (SCID-I) [Structured clinical interview for DSM-IV axis I disorders (SCID-I)] Barcelona, Spain: Masson.Google Scholar
García-Campayo, J., Rodero, R., Alda, M., Sobradiel, N., Montero, J., & Moreno, S. (2008). Validación de la versión española de la Escala de la Catastrofización ante el Dolor en la fibromialgia [Validation of the Spanish version of the Pain Catastrophizing Scale in fibromyalgia]. Medicina Clínica, 131, 487–492. http://dx.doi.org/10.1157/13127277 Google Scholar
Garland, E. L., & Howard, M. O. (2013). Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain. Psychotherapy and Psychosomatics, 82, 311–318. http://dx.doi.org/10.1159/000348868 Google Scholar
Goubert, L., Crombez, G., & Van Damme, S. (2004). The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: A structural equations approach. Pain, 107, 234–241. http://dx.doi.org/10.1016/j.pain.2003.11.005 Google Scholar
Kerr, C. E., Sacchet, M. D., Lazar, S. W., Moore, C. I., & Jones, S. R. (2013). Mindfulness starts with the body: Somatosensory attention and top-down modulation of cortical alpha rhythms in mindfulness meditation. Frontiers in Human Neuroscience, 7, 12. http://dx.doi.org/10.3389/fnhum.2013.00012 Google Scholar
Lázaro, C., Caseras, X., Whizar-Lugo, V. M., Wenk, R., Baldioceda, F., Bernal, R., … Baños, J. E. (2001). Psychometric properties of a Spanish version of the McGill Pain Questionnaire on several Spanish-speaking countries. Clinical Journal of Pain, 17, 365–374. http://dx.doi.org/10.1097/00002508-200112000-00012 Google Scholar
Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007). The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence. Journal of Behavior Medicine, 30, 77–94. http://dx.doi.org/10.1007/s10865-006-9085-0 Google Scholar
Martínez, M. P., Sánchez, A. I., Miró, E., Medina, A., & Lami, M. J. (2011). The relationship between the fear-avoidance model of pain and personality traits in fibromyalgia patients. Journal of Clinical Psychology in Medical Settings, 18, 380–391. http://dx.doi.org/10.1007/s10880-011-9263-2 Google Scholar
McCracken, L. M. (1997). “Attention” to pain in persons with chronic pain: A behavioral approach. Behavior Therapy, 28, 271–284. http://dx.doi.org/10.1016/S0005-7894(97)80047-0 Google Scholar
McCracken, L. M. (2007). A contextual analysis of attention to chronic pain: What the patient does with their pain might be more important than their awareness or vigilance alone. Journal of Pain, 8, 230–236. http://dx.doi.org/10.1016/j.jpain.2006.08.004 Google Scholar
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.CrossRefGoogle Scholar
McWilliams, L. A., & Asmundson, G. J. G. (2001). Assessing individual differences in attention to pain: Psychometric properties of the Pain Vigilance and Awareness Questionnaire modified for a non-clinical pain sample. Personality and Individual Differences, 31, 239–246. http://dx.doi.org/10.1016/S0191-8869(00)00132-X Google Scholar
Melzack, R. (1987). The short-form McGill Pain Questionnaire. Pain, 30, 191–197. http://dx.doi.org/10.1016/0304-3959(87) 91074–8 CrossRefGoogle ScholarPubMed
Nunnally, J. C., & Bernstein, I. J. (1995). Psychometric theory (3 rd Ed.). New York, NY: McGraw Hill.Google Scholar
Paller, C. J., Campbell, C. M., Edwards, R. R., & Dobs, A. S. (2009). Sex-based differences in pain perception and treatment. Pain Medicine, 10, 289–299. http://dx.doi.org/10.1111/j.1526-4637.2008.00558.x Google Scholar
Pincus, T., Smeets, R. J. E. M., Simmonds, M. J., & Sullivan, M. J. L. (2010). The fear avoidance model disentangled: Improving the clinical utility of the fear avoidance model. Clinical Journal of Pain, 26, 739–746. http://dx.doi.org/10.1097/AJP.0b013e3181f15d45 Google Scholar
Ramírez-Maestre, C., Esteve, R., & López, A. E. (2012). The role of optimism and pessimism in chronic pain patients adjustment. The Spanish Journal of Psychology, 15, 286–294. http://dx.doi.org/10.5209/rev_SJOP.2012.v15.n1.37335 Google Scholar
Rivera, J., & González, T. (2004). The Fibromyalgia Impact Questionnaire: A validated Spanish version to assess the health status in women with fibromyalgia. Clinical and Experimental Rheumatology, 22, 554–560.Google Scholar
Roelofs, J., Peters, M. L., McCracken, L., & Vlaeyen, J. W. (2003). The Pain Vigilance and Awareness Questionnaire (PVAQ): Further psychometric evaluation in fibromyalgia and other chronic pain syndromes. Pain, 101, 299–306. http://dx.doi.org/10.1016/S0304-3959(02)00338-X Google Scholar
Roelofs, J., Peters, M. L., Muris, P., & Vlaeyen, J. W. S. (2002). Dutch version of the Pain Vigilance and Awareness Questionnaire: Validation and reliability in a pain-free population. Behaviour Research and Therapy, 40, 1081–1090. http://dx.doi.org/10.1016/S0005-7967(02)00008-6 Google Scholar
Sánchez, A. I., Martínez, M. P., Miró, E., & Medina, A. (2011). Predictors of the pain perception and self-efficacy for pain control in patients with fibromyalgia. The Spanish Journal of Psychology, 14, 366–373. http://dx.doi.org/10.5209/rev_SJOP.2011.v14.n1.33 Google Scholar
Sicras-Mainar, A., Blanca-Tamayo, M., Navarro-Artieda, R., & Rejas-Gutiérrez, J. (2009). Perfil de uso de recursos y costes en pacientes que demandan atención por fibromialgia o trastorno de ansiedad generalizada en el ámbito de la atención primaria de salud [Use of resources and costs profile in patients with fibromyalgia or generalized anxiety disorder in primary care settings]. Atención Primaria, 41, 77–84. http://dx.doi.org/10.1016/j.aprim.2008.09.008 Google Scholar
Stevens, J. P. (2002). Applied multivariate statistics for the social sciences (4 th Ed.). Mahwah, NJ: Lawrence Earlbaum Associates.Google Scholar
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7, 524–532. http://dx.doi.org/10.1037//1040-3590.7.4.524 Google Scholar
Thompson, B. (2004). Exploratory and confirmatory factor analysis: Understanding concepts and applications. Washington, DC: American Psychological Association.Google Scholar
Thorndike, R. L. (1982). Applied psychometrics. Boston, MA: Houghton-Mifflin.Google Scholar
Vallejo, M. A., Rivera, J., Esteve-Vives, J., Rodríguez-Muñoz, M. F., & Grupo, ICAF (2012). Uso del cuestionario Hospital Anxiety and Depression Scale (HADS) para evaluar la ansiedad y la depresión en pacientes con fibromialgia [Use of the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression in fibromyalgia patients]. Revista de Psiquiatría y Salud Mental, 5, 107–114. http://dx.doi.org/10.1016/j.rpsm.2012.01.003 CrossRefGoogle ScholarPubMed
Van Damme, S., Legrain, V., Vogt, J., & Crombez, G. (2010). Keeping pain in mind: A motivational account of attention to pain. Neurosciences and Biobehavioral Reviews, 34, 204–213. http://dx.doi.org/10.1016/j.neubiorev.2009.01.005 Google Scholar
Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317–332. http://dx.doi.org/10.1016/S0304-3959(99)00242-0 Google Scholar
Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., … Yunus, M. B. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care and Research, 62, 600–610. http://dx.doi.org/10.1002/acr.20140 Google Scholar
Wolfe, F., Smythe, H. A., Yunus, M. B., Bennet, R. M., Bombardier, C., Goldenberg, D. L., … Sheon, R. P. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis and Rheumatism, 33, 160–172. http://dx.doi.org/10.1002/art.1780330203 Google Scholar
Wong, W. S., McCracken, L. M., & Fielding, R. (2011). Factorial validity and reliability of the Chinese version of the Pain Vigilance and Awareness Questionnaire (ChPVAQ) in a sample of Chinese patients with chronic pain. Pain Medicine, 12, 1018–1025. http://dx.doi.org/10.1111/j.1526-4637.2011.01169.x Google Scholar
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x CrossRefGoogle ScholarPubMed