Skip to main content
Top
Published in: Quality of Life Research 10/2023

Open Access 26-05-2023 | Fibromyalgia

Classification of pain intensity with the pain beliefs and perceptions inventory (PBPI) and the pain catastrophizing scales (PCS)

Authors: Angel Blanch, Sílvia Solé

Published in: Quality of Life Research | Issue 10/2023

Login to get access

Abstract

Purpose

The pain beliefs and perceptions inventory (PBPI) and the pain catastrophizing scales (PCS) characterize beliefs or distress dimensions of the pain experience. It is relatively unknown, however, to what degree the PBPI and the PCS are well suited to classifying pain intensity.

Methods

This study applied a receiver operating characteristic (ROC) approach to these instruments against the criterion of a visual analogue scale (VAS) of pain intensity with fibromyalgia and chronic back pain patients (n = 419).

Results

The largest areas under the curve (AUC) were moderate and limited to the constancy subscale (71%) and total score (70%) of the PBPI and to the helplessness subscale (75%) and total score (72%) of the PCS. The best cut-off scores for the PBPI and PCS were better off at detecting true negatives than true positives, with larger specificity than sensitivity values.

Conclusion

Whereas, the PBPI and PCS are certainly useful instruments to evaluate diverse pain experiences, they may be inappropriate to classify intensity. The PCS performs marginally better than the PBPI for classifying pain intensity.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ramírez-Maestre, C., Esteve, R., Ruiz-Párraga, G., Gómez-Pérez, L., & López-Martínez, A. E. (2017). The key role of pain catastrophizing in the disability of patients with acute back pain. International Journal of Behavioral Medicine, 24(2), 239–248.CrossRefPubMed Ramírez-Maestre, C., Esteve, R., Ruiz-Párraga, G., Gómez-Pérez, L., & López-Martínez, A. E. (2017). The key role of pain catastrophizing in the disability of patients with acute back pain. International Journal of Behavioral Medicine, 24(2), 239–248.CrossRefPubMed
2.
go back to reference Wheeler, C. H. B., Williams, A. C. C., & Morley, S. J. (2019). Meta-analysis of the psychometric properties of the pain catastrophizing scale and associations with participant characteristics. Pain, 160(9), 1946–1953.CrossRefPubMed Wheeler, C. H. B., Williams, A. C. C., & Morley, S. J. (2019). Meta-analysis of the psychometric properties of the pain catastrophizing scale and associations with participant characteristics. Pain, 160(9), 1946–1953.CrossRefPubMed
3.
go back to reference Condello, C., Piano, V., Dadam, D., Pinessi, L., & Lantéri-Minet, M. (2015). Pain beliefs and perceptions inventory: A cross-sectional study in chronic and episodic migraine. Headache: The Journal of Head and Face Pain, 55, 136–148.CrossRef Condello, C., Piano, V., Dadam, D., Pinessi, L., & Lantéri-Minet, M. (2015). Pain beliefs and perceptions inventory: A cross-sectional study in chronic and episodic migraine. Headache: The Journal of Head and Face Pain, 55, 136–148.CrossRef
4.
go back to reference Williams, D. A., Robinson, M. E., & Geisser, M. E. (1994). Pain beliefs: Assessment and utility. Pain, 59, 71–78.CrossRefPubMed Williams, D. A., Robinson, M. E., & Geisser, M. E. (1994). Pain beliefs: Assessment and utility. Pain, 59, 71–78.CrossRefPubMed
5.
go back to reference Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7(4), 524–532.CrossRef Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7(4), 524–532.CrossRef
6.
go back to reference Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Merrifield, T., & Grittmann, L. (2000). The Pain catastrophizing scale: Further psychometric evaluation with adult samples. Journal of Behavioral Medicine, 23(4), 351–365.CrossRefPubMed Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Merrifield, T., & Grittmann, L. (2000). The Pain catastrophizing scale: Further psychometric evaluation with adult samples. Journal of Behavioral Medicine, 23(4), 351–365.CrossRefPubMed
7.
go back to reference Wong, W. S., Williams, D. A., Mak, K. H., & Fielding, R. (2011). Assessing attitudes toward and beliefs about pain among Chinese patients with chronic pain: Validity and reliability of the Chinese version of the pain beliefs and perceptions inventory (ChPBPI). Journal of Pain and Symptom Management, 42(2), 308–318.CrossRefPubMed Wong, W. S., Williams, D. A., Mak, K. H., & Fielding, R. (2011). Assessing attitudes toward and beliefs about pain among Chinese patients with chronic pain: Validity and reliability of the Chinese version of the pain beliefs and perceptions inventory (ChPBPI). Journal of Pain and Symptom Management, 42(2), 308–318.CrossRefPubMed
8.
go back to reference Yap, J. C., Lau, J., Chen, P. P., Gin, T., Wong, T., Chan, I., Chu, J., & Wong, E. (2008). Validation of the chinese pain catastrophizing scale (HK-PCS) in patients with chronic pain. Pain Medicine, 9(2), 186–195.CrossRefPubMed Yap, J. C., Lau, J., Chen, P. P., Gin, T., Wong, T., Chan, I., Chu, J., & Wong, E. (2008). Validation of the chinese pain catastrophizing scale (HK-PCS) in patients with chronic pain. Pain Medicine, 9(2), 186–195.CrossRefPubMed
9.
go back to reference Lami, M. J., Martínez, M. P., Miró, E., & Sánchez, A. I. (2013). Versión Española de la “Escala de catastrofización del dolor”: Estudio psicométrico en mujeres sanas [Spanish version of the Pain Catastrophizing Scale: Psychometric study in healthy women]. Behavioral Psychology, 21(1), 137–156. Lami, M. J., Martínez, M. P., Miró, E., & Sánchez, A. I. (2013). Versión Española de la “Escala de catastrofización del dolor”: Estudio psicométrico en mujeres sanas [Spanish version of the Pain Catastrophizing Scale: Psychometric study in healthy women]. Behavioral Psychology, 21(1), 137–156.
10.
go back to reference Meyer, K., Sprott, H., & Mannion, A. F. (2008). Cross-cultural adaptation, reliability, and validity of the German version of the pain catastrophizing scale. Journal of Psychosomatic Research, 64(5), 469–478.CrossRefPubMed Meyer, K., Sprott, H., & Mannion, A. F. (2008). Cross-cultural adaptation, reliability, and validity of the German version of the pain catastrophizing scale. Journal of Psychosomatic Research, 64(5), 469–478.CrossRefPubMed
11.
go back to reference Herda, C. A., Siegeris, K., & Basler, H. D. (1994). The pain beliefs and perceptions inventory: Further evidence for a 4-factor structure. Pain, 57(1), 85–90.CrossRefPubMed Herda, C. A., Siegeris, K., & Basler, H. D. (1994). The pain beliefs and perceptions inventory: Further evidence for a 4-factor structure. Pain, 57(1), 85–90.CrossRefPubMed
12.
go back to reference Monticone, M., Ferrante, S., Ferrari, S., Foti, C., Mugnai, R., Pillastrini, P., Rocca, B., & Vanti, C. (2014). The Italian version of the pain beliefs and perceptions inventory: Cross-cultural adaptation, factor analysis, reliability and validity. Quality of Life Research, 23, 1789–1795.CrossRefPubMed Monticone, M., Ferrante, S., Ferrari, S., Foti, C., Mugnai, R., Pillastrini, P., Rocca, B., & Vanti, C. (2014). The Italian version of the pain beliefs and perceptions inventory: Cross-cultural adaptation, factor analysis, reliability and validity. Quality of Life Research, 23, 1789–1795.CrossRefPubMed
13.
go back to reference Monticone, M., Baiardi, P., Ferrari, S., Foti, C., Mugnai, R., Pillastrini, P., Rocca, B., & Vanti, C. (2012). Development of the Italian version of the Pain Catastrophising Scale (PCS-I): Cross-cultural adaptation, factor analysis, reliability, validity and sensitivity to change. Quality of Life Research, 21(6), 1045–1050.CrossRefPubMed Monticone, M., Baiardi, P., Ferrari, S., Foti, C., Mugnai, R., Pillastrini, P., Rocca, B., & Vanti, C. (2012). Development of the Italian version of the Pain Catastrophising Scale (PCS-I): Cross-cultural adaptation, factor analysis, reliability, validity and sensitivity to change. Quality of Life Research, 21(6), 1045–1050.CrossRefPubMed
14.
go back to reference Azevedo, L. F., Sampaio, R., Dias, C. C., Romao, J., Lemos, L., Agualusa, L., Vaz-Serra, S., Patto, T., Costa-Pereira, A., & Castro-Lopes, J. M. (2017). Portuguese version of the pain beliefs and perceptions inventory: A multicenter validation study. Pain Practice, 17(6), 808–819.CrossRefPubMed Azevedo, L. F., Sampaio, R., Dias, C. C., Romao, J., Lemos, L., Agualusa, L., Vaz-Serra, S., Patto, T., Costa-Pereira, A., & Castro-Lopes, J. M. (2017). Portuguese version of the pain beliefs and perceptions inventory: A multicenter validation study. Pain Practice, 17(6), 808–819.CrossRefPubMed
15.
go back to reference Sehn, F., Chachamovich, E., Vidor, L. P., Dall-Agnol, L., de Souza, I. C., Torres, I. L., Fregni, F., & Caumo, W. (2012). Cross-cultural adaptation and validation of the Brazilian Portuguese version of the pain catastrophizing scale. Pain Medicine, 13(11), 1425–1435.CrossRefPubMed Sehn, F., Chachamovich, E., Vidor, L. P., Dall-Agnol, L., de Souza, I. C., Torres, I. L., Fregni, F., & Caumo, W. (2012). Cross-cultural adaptation and validation of the Brazilian Portuguese version of the pain catastrophizing scale. Pain Medicine, 13(11), 1425–1435.CrossRefPubMed
16.
go back to reference Savannah, K., Wygant, D. B., Umlauf, R. L., & Marek, R. J. (2022). Factor structure and validity of the inventory of depression and anxiety symptoms-II (IDAS-II) in a chronic back pain treatment-seeking sample. Psychological Assessment, 34(1), 3–9.CrossRef Savannah, K., Wygant, D. B., Umlauf, R. L., & Marek, R. J. (2022). Factor structure and validity of the inventory of depression and anxiety symptoms-II (IDAS-II) in a chronic back pain treatment-seeking sample. Psychological Assessment, 34(1), 3–9.CrossRef
17.
go back to reference Boonstra, A. M., Stewart, R. E., Köke, A. J., Oosterwijk, R. F., Swaan, J. L., Schreurs, K. M., & Schiphorstreuper, H. R. (2016). Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: Variability and influence of sex and catastrophizing. Frontiers in Psychology, 7, 1466.CrossRefPubMedPubMedCentral Boonstra, A. M., Stewart, R. E., Köke, A. J., Oosterwijk, R. F., Swaan, J. L., Schreurs, K. M., & Schiphorstreuper, H. R. (2016). Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: Variability and influence of sex and catastrophizing. Frontiers in Psychology, 7, 1466.CrossRefPubMedPubMedCentral
18.
go back to reference Williams, D. A., & Thorn, B. E. (1989). An empirical assessment of pain beliefs. Pain, 36, 351–358.CrossRefPubMed Williams, D. A., & Thorn, B. E. (1989). An empirical assessment of pain beliefs. Pain, 36, 351–358.CrossRefPubMed
19.
go back to reference Wewers, M. E., & Lowe, N. K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing and Health, 13, 227–236.CrossRefPubMed Wewers, M. E., & Lowe, N. K. (1990). A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing and Health, 13, 227–236.CrossRefPubMed
20.
go back to reference Boonstra, A. M., Schiphorst Preuper, H. R., Balk, G. A., & Stewart, R. E. (2014). Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain, 155(12), 2545–2550.CrossRefPubMed Boonstra, A. M., Schiphorst Preuper, H. R., Balk, G. A., & Stewart, R. E. (2014). Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain, 155(12), 2545–2550.CrossRefPubMed
21.
go back to reference Pintea, S., & Moldovan, R. (2009). The receiver-operating characteristic (ROC) analysis: Fundamentals and applications in clinical psychology. Journal of Cognitive and Behavioral Psychotherapies, 9(1), 49–66. Pintea, S., & Moldovan, R. (2009). The receiver-operating characteristic (ROC) analysis: Fundamentals and applications in clinical psychology. Journal of Cognitive and Behavioral Psychotherapies, 9(1), 49–66.
22.
go back to reference Robin, X., Turck, N., Hainard, A., Tiberti, N., Lisacek, F., Sanchez, J. C., & Müller, M. (2011). pROC: An open-source package for R and S+ to analyze and compare ROC curves. BMC Bioinformatics, 12, 77.CrossRefPubMedPubMedCentral Robin, X., Turck, N., Hainard, A., Tiberti, N., Lisacek, F., Sanchez, J. C., & Müller, M. (2011). pROC: An open-source package for R and S+ to analyze and compare ROC curves. BMC Bioinformatics, 12, 77.CrossRefPubMedPubMedCentral
24.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioural sciences. Lawerence Erlbaum Associates Inc. Cohen, J. (1988). Statistical power analysis for the behavioural sciences. Lawerence Erlbaum Associates Inc.
25.
26.
go back to reference Serrat, M., Almirall, M., Musté, M., Sanabria-Mazo, J. P., Feliu-Soler, A., Méndez-Ulrich, J. L., Luciano, J. V., & Sanz, A. (2020). Effectiveness of a multicomponent treatment for fibromyalgia based on pain neuroscience education, exercise therapy, psychological support, and nature exposure (NAT-FM): A Pragmatic randomized controlled trial. Journal of Clinical Medicine, 9(10), 3348.CrossRefPubMedPubMedCentral Serrat, M., Almirall, M., Musté, M., Sanabria-Mazo, J. P., Feliu-Soler, A., Méndez-Ulrich, J. L., Luciano, J. V., & Sanz, A. (2020). Effectiveness of a multicomponent treatment for fibromyalgia based on pain neuroscience education, exercise therapy, psychological support, and nature exposure (NAT-FM): A Pragmatic randomized controlled trial. Journal of Clinical Medicine, 9(10), 3348.CrossRefPubMedPubMedCentral
27.
go back to reference Wijma, A. J., van Wilgen, C. P., Meeus, M., & Nijs, J. (2016). Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. Physiotherapy Theory and Practice, 32(5), 368–384.CrossRefPubMed Wijma, A. J., van Wilgen, C. P., Meeus, M., & Nijs, J. (2016). Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. Physiotherapy Theory and Practice, 32(5), 368–384.CrossRefPubMed
Metadata
Title
Classification of pain intensity with the pain beliefs and perceptions inventory (PBPI) and the pain catastrophizing scales (PCS)
Authors
Angel Blanch
Sílvia Solé
Publication date
26-05-2023
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 10/2023
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03444-8

Other articles of this Issue 10/2023

Quality of Life Research 10/2023 Go to the issue