A bifactor structural model of the Hungarian Pain Catastrophizing Scale and latent classes of a clinical sample

Abstract

Pain catastrophizing is an exaggerated cognitive-affective response to actual or anticipated pain, usually measured by the Pain Catastrophizing Scale (PCS). Our study aimed to test the bifactor measurement model of the Hungarian PCS and to identify a catastrophizing risk group with a clinically meaningful cut-off score.The data of 404 chronic spine-related (neck, back and low-back) pain patients (mean age: 58.61 (SD ¼ 14.34)) were used in our cross-sectional study. Besides pain-related and demographic data, pain catastrophizing and depressive symptoms were measured with questionnaires. Confirmatory factor analyses confirmed that the bifactor model outperformed the other tested measurement models, and the general catastrophizing factor was responsible for 81.5% of the explained variance. Using latent class analysis, we found that even moderately elevated pain catastrophizing score was related to more depressive symptoms and higher perceived pain intensity, and 22 score could be used as a cut-off score. Our results support the concept of global pain catastrophizing and the validity of the Hungarian PCS. Further studies are needed to evaluate the bifactor structure of this scale and the predictive value of the proposed cut-off score.

Validation of pain catastrophizing scale on breast cancer survivor

“…23,39 However, one item (item12) showed crossloading in the three factors, being a 12-item scale different compared with the validated version in Spanish population 15,16 with a 13-item version and with the original scale with a 14-item version. 22,38 Despite the threedimensional scale structure shown in the present study, some studies have found a bi-dimensional model for this questionnaire, 24,40 and the differences between different models of the questionnaire have been studied due to the problem of the questionnaire to discriminating distinctions about factors. 41 Values for internal consistency were excellent, ranging from 0.91 to 0.92 42 for each of the factors.…”

Validity and reliability of the Hungarian version of the Pain Self-efficacy Questionnaire among women with endometriosis and chronic pelvic pain

“…Higher scores indicate a higher level of pain catastrophizing. The Hungarian version of PCS 34 , has demonstrated good internal consistency.…”

“…Endometriosis is a chronic, progressive, in ammatory gynecological disease that affects more than 70 million women worldwide. In the United States 11% of women and approximately every 10th woman worldwide and in Hungary suffer from endometriosis 34 . Additionally, it occurs among 40-50% of women with pelvic pain, 20% of women with infertility, 50% and 70% of women suffering from dysmenorrhea and dyspareunia 5 6 .…”