Psychometric Evaluation of the Pain Anxiety Symptoms Scale (PASS) in Chronic Pain Patients

Roelofs, Jeffrey; McCracken, Lance M.; Peters, Madelon L.; Crombez, Geert; Breukelen, Gerard van

doi:10.1023/b:jobm.0000019850.51400.a6

Cited by 160 publications

(119 citation statements)

References 22 publications

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“…However, our rationale for using these 3 scales to assess hypervigilance stems from evidence that hypervigilance is an attentional style being enhanced in conditions of fearavoidance and threat and from findings of substantial and significant correlations between these questionnaires. [22][23][24][25] By including these 3 scales to assess the explicit form of hypervigilance, we aimed at using a multimethod approach.…”

Section: Dot-probe Task (Implicit Form Of Hypervigilance)mentioning

confidence: 99%

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

Lautenbacher

Huber²,

Kunz³

et al. 2009

The Clinical Journal of Pain

107

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Objectives: Pain hypervigilance-a strong attentional bias toward pain-is thought to accompany chronic pain and modulate pain management. Its usefulness as predisposing factor for the development and maintenance of pain has been discussed. The aim of our study was to demonstrate the predictive power of hypervigilance for the development of acute postoperative pain.Methods: Fifty-four young male patients were assessed 1 day before surgery (correction of chest malformation) on a range of psychologic predictors. These predictors included the assessment of hypervigilance (questionnaires as the Pain Catastrophizing Scale, Pain Anxiety Symptom Scale, the Pain Vigilance and Awareness Questionnaire, and the dot-probe task) and affective state, experimental pain sensitivity, and cortisol reactivity. Acute postoperative pain was assessed by ratings of pain intensity 1 week postsurgery and through the amount of analgesics [patientcontrolled epidural analgesia (PCEA)] requested during the first days after surgery.Results: Pain intensity was significantly explained (17% explained variance) by hypervigilance, whereas PCEA performance was not (10%). Adding all other predictors led to a significant increase of explained variance (35%) for pain ratings and a nonsignificant increase (19%) for PCEA. A more parsimonious solution with only heat pain threshold added led to a significant increase in explained variance (30%) for pain intensity. Hypervigilance was only moderately correlated with the other predictors.Discussion: Hypervigilance proved to be a powerful predictor of subjective acute postoperative pain, but was less useful with regard to the amount of requested analgesics. The overlap with other psychologic predictors (affective state, experimental pain sensitivity, and cortisol reactivity) is sufficiently small to consider hypervigilance a promising supplement in psychologic predictor research.

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Section: Dot-probe Task (Implicit Form Of Hypervigilance)mentioning

confidence: 99%

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

Lautenbacher

Huber²,

Kunz³

et al. 2009

The Clinical Journal of Pain

107

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“…The PASS has demonstrated adequate internal consistency, test-retest reliability, and concurrent validity across a variety of clinical pain samples [19,20,26].…”

Section: Pain Anxiety Symptoms Scalementioning

confidence: 99%

The relationship between pain-related fear and lumbar flexion during natural recovery from low back pain

Thomas

France

2007

Eur Spine J

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Pain-related fear has been associated with avoidance behavior and increased risk for chronic low back pain; however, few studies have examined how pain-related fear relates specifically to motion of the spine following an acute episode of back pain. Thirty-six participants with a recent episode of low back pain were recruited from the general population using a combination of fliers and radio advertisements. To explore the natural recovery from low back pain we recruited individuals who were not seeking medical care. Participants performed a forward bending task at 3, 6, and 12 weeks following onset of low back pain. Three-dimensional joint motions of the spine and hip were recorded using an electromagnetic tracking device. Initial assessments of low back pain and pain-related fear were then correlated with joint excursions observed during each forward bending. Lumbar motion was inversely related to pain-related fear, but not low back pain, at all three testing sessions. In contrast, hip motion was inversely related to pain at all three testing sessions but was not related to fear. These findings suggest that pain-related fear results in avoidance behavior that specifically limits or restricts motion of the lumbar spine.

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“…A shorter 20-item version of the PASS has been developed [7]. Subsequent studies have demonstrated that the four-factor structure and adequate psychometric characteristics of the PASS are retained in the PASS-20 across clinical [7][8][9] and nonclinical samples [10].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of a Korean Version of the Pain Anxiety Symptoms Scale-20 in Chronic Pain Patients

et al. 2010

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Psychometric Evaluation of the Pain Anxiety Symptoms Scale (PASS) in Chronic Pain Patients

Cited by 160 publications

References 22 publications

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

The relationship between pain-related fear and lumbar flexion during natural recovery from low back pain

Psychometric Properties of a Korean Version of the Pain Anxiety Symptoms Scale-20 in Chronic Pain Patients

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