Article ID Journal Published Year Pages File Type
2734720 Journal of Pain and Symptom Management 2011 9 Pages PDF
Abstract

ContextPain beliefs as indexed by the Survey of Pain Attitudes (SOPA) have been consistently shown to predict pain adjustment outcomes in Western populations. However, its utility in non-Western populations is unclear.ObjectivesWe evaluated the construct and predictive validity of the Chinese version of the 14-item SOPA (ChSOPA-14) in a sample of Chinese patients with chronic pain.MethodsA total of 208 Chinese patients with chronic musculoskeletal pain completed the ChSOPA-14, the Chronic Pain Grade questionnaire, the Pain Catastrophizing Scale, the Center for Epidemiological Studies-Depression Scale, and measures of sociodemographic characteristics.ResultsExcept Medical Cure, all ChSOPA-14 scales were significantly correlated with validity criterion measures (all P < 0.05) in expected directions. The present Chinese sample scored the highest on the Medical Cure scale (mean = 2.98, standard deviation [SD] = 1.05) but the lowest on the Disability scale (mean = 1.75, SD = 1.67). Results of hierarchical multiple regression analyses showed that the ChSOPA-14 scales predicted concurrent depression (F(7,177) = 14.51, P < 0.001) and pain disability (F(7,180) = 8.77, P < 0.001). Pain Control (stdβ [standardized beta coefficient] = −0.13; 95% confidence interval [CI]: −3.41, −0.13; P < 0.05) and Emotion (stdβ = 29; 95% CI: 1.76, 5.02; P < 0.001) emerged as significant independent predictors of concurrent depression whereas Disability (stdβ = 0.19; 95% CI: 1.33, 7.88; P < 0.01), Emotion (stdβ = 16; 95% CI: 0.08, 7.59; P < 0.05), and Solicitude (stdβ = −0.14; 95% CI: −7.05, −0.04; P < 0.05) significantly associated with concurrent disability.ConclusionThe findings offer preliminary evidence for the construct and concurrent predictive validity of the ChSOPA-14. This makes available a suitable instrument for chronic pain in the Chinese population and will facilitate future cross-cultural research on pain beliefs.

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