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01-01-2021 | Knee Osteoarthritis | Original Article

Measurement properties of Pain Catastrophizing Scale in patients with knee osteoarthritis

Authors: Wei Jie Ong, Yu Heng Kwan, Zhui Ying Lim, Julian Thumboo, Seng Jin Yeo, William Yeo, Steven B. Wong, Ying Ying Leung

Published in: Clinical Rheumatology | Issue 1/2021

Abstract

Objectives

Pain catastrophizing impacts symptoms and outcomes for knee osteoarthritis (OA). We evaluated the internal consistency, content, construct and structure validity of the Pain Catastrophizing Scale (PCS) in patients with knee OA.

Methods

We evaluated content validity of PCS via cognitive interviews. We then recruited patients with knee OA enlisted for knee replacement (KR) surgery in a Singapore tertiary referral hospital for cross-sectional validation evaluation of PCS. Data was collected 2 weeks prior to KR. Analyses was guided by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) framework for internal consistency, construct validity and structure validity.

Results

Adequate content validity was confirmed from 10 patients in cognitive interviews. 675 (70.4% female, mean (standard deviation, SD) age = 65.52 (6.84) years) were included (91.7% total KR, 8.3% unicompartmental KR) in the cross-sectional study. The mean (SD) PCS score was 12.65 (10.55), with 0.14% and 8.63% ceiling and floor effects, respectively. PCS demonstrates high internal consistency (Cronbach’s alpha = 0.94). Construct validity was demonstrated by fulfilment of seven out of seven (100%) a priori hypotheses. PCS was strongly correlated with anxiety and depression, and moderately correlated with physical functioning and mental health domains of the short form 36 health survey (SF-36). Sensitivity analyses between Chinese and non-Chinese subgroups are generally consistent. From confirmatory factor analysis, the PCS model showed good fit for a second-order, three-factor structure (CFI = 0.965, TLI = 0.950, SRMR = 0.031).

Conclusions

This study supports internal consistency, construct validity and structural validity of PCS as a measure of pain catastrophizing in knee OA patients.

Key points

• The PCS is validated for measuring pain catastrophizing in knee OA patients, for evaluation of possible link to post-KR surgery satisfaction outcomes and other purposes.

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Vos T, Flaxman AD, Naghavi M et al (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet 380:2163–2196. https://doi.org/10.1016/S0140-6736(12)61729-2CrossRefPubMedPubMedCentral

Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Jt Surg - Ser A 89:780–785. https://doi.org/10.2106/JBJS.F.00222CrossRef

Neogi T (2013) The epidemiology and impact of pain in osteoarthritis. Osteoarthr Cartil 21:1145–1153. https://doi.org/10.1016/j.joca.2013.03.018CrossRef

Malfait AM, Schnitzer TJ (2013) Towards a mechanism-based approach to pain management in osteoarthritis. Nat Rev Rheumatol 654–64

Fu K, Robbins SR, McDougall JJ (2018) Osteoarthritis: the genesis of pain. Rheumatol (United Kingdom) 57:iv43–iv50. https://doi.org/10.1093/rheumatology/kex419CrossRef

Birch S, Stilling M, Mechlenburg I, Hansen TB (2017) Effectiveness of a physiotherapist delivered cognitive-behavioral patient education for patients who undergoes operation for total knee arthroplasty: a protocol of a randomized controlled trial. BMC Musculoskelet Disord. https://doi.org/10.1186/s12891-017-1476-6

Forsythe ME, Dunbar MJ, Hennigar AW, Sullivan MJL, Gross M (2008) Prospective relation between catastrophizing and residual pain following knee arthroplasty: two-year follow-up. Pain Res Manag 13:335–341. https://doi.org/10.1155/2008/730951CrossRefPubMedPubMedCentral

Wylde V, Palmer S, Learmonth ID, Dieppe P (2013) The association between pre-operative pain sensitisation and chronic pain after knee replacement: an exploratory study. Osteoarthr Cartil 21:1253–1256. https://doi.org/10.1016/j.joca.2013.05.008CrossRef

Fingleton C, Smart K, Moloney N, Fullen BM, Doody C (2015) Pain sensitization in people with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthr Cartil 23:1043–1056. https://doi.org/10.1016/j.joca.2015.02.163CrossRef

10.

Baert IAC, Lluch E, Mulder T, Nijs J, Noten S, Meeus M (2016) Does pre-surgical central modulation of pain influence outcome after total knee replacement? A systematic review. Osteoarthr Cartil 24:213–223. https://doi.org/10.1016/j.joca.2015.09.002CrossRef

11.

Sullivan M, Bishop S, Pivik J (1995) The pain catastrophizing scale: development and validation. Psychol Assess 7:524–532. https://doi.org/10.1037/1040-3590.7.4.524CrossRef

12.

McCracken LM, Morley S (2014) The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management. J Pain 15:221–234. https://doi.org/10.1016/j.jpain.2013.10.014CrossRefPubMed

13.

Pavlin DJ, Sullivan MJL, Freund PR, Roesen K (2005) Catastrophizing: a risk factor for postsurgical pain. Clin J Pain 21:83–90. https://doi.org/10.1097/00002508-200501000-00010CrossRefPubMed

14.

Rayahin JE, Chmiel JS, Hayes KW, Almagor O, Belisle L, Chang AH, Moisio K, Zhang Y, Sharma L (2014) Factors associated with pain experience outcome in knee osteoarthritis. Arthritis Care Res (Hoboken) 66:1828–1835. https://doi.org/10.1002/acr.22402CrossRef

15.

Witvrouw E, Pattyn E, Almqvist KF, Crombez G, Accoe C, Cambier D, Verdonk R (2009) Catastrophic thinking about pain as a predictor of length of hospital stay after total knee arthroplasty: a prospective study. Knee Surg Sports Traumatol Arthrosc 17:1189–1194CrossRefPubMed

16.

Edwards RR, Haythornthwaite JA, Smith MT, Klick B, Katz JN (2009) Catastrophizing and depressive symptoms as prospective predictors of outcomes following total knee replacement. Pain Res Manag 14:307–311. https://doi.org/10.1155/2009/273783CrossRefPubMedPubMedCentral

17.

Burns LC, Ritvo SE, Ferguson MK et al (2015) Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review. J Pain Res:21–32

18.

Van Damme S, Crombez G, Bijttebier P et al (2002) A confirmatory factor analysis of the Pain Catastrophizing Scale: invariant factor structure across clinical and non-clinical populations. Pain 96:319–324. https://doi.org/10.1016/S0304-3959(01)00463-8CrossRefPubMed

19.

Mohd Din FH, Hoe VCW, Chan CK, Muslan MA (2015) Cultural adaptation and psychometric assessment of Pain Catastrophizing Scale among young healthy Malay-speaking adults in military settings. Qual Life Res 24:1275–1280. https://doi.org/10.1007/s11136-014-0850-1CrossRefPubMed

20.

Riddle DL, Keefe FJ, Nay WT, McKee D, Attarian DE, Jensen MP (2011) Pain coping skills training for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty: a quasi-experimental study. Arch Phys Med Rehabil 92:859–865. https://doi.org/10.1016/j.apmr.2011.01.003CrossRefPubMedPubMedCentral

21.

Xu X, Wei X, Wang F et al (2015) Validation of a simplified Chinese version of the Pain Catastrophizing Scale and an exploration of the factors predicting catastrophizing in pain clinic patients. Pain Physician 18:1059–1072

22.

Statistics SD of (2011) Census of population 2010. Statistical release 1, demographic characteristics, education, language and religion / Singapore Department of Statistics. Dept. of Statistics, Ministry of Trade and Industry, Singapore

23.

Groll DL, To T, Bombardier C, Wright JG (2005) The development of a comorbidity index with physical function as the outcome. J Clin Epidemiol 58:595–602. https://doi.org/10.1016/j.jclinepi.2004.10.018CrossRefPubMed

24.

Sullivan M, Bishop S, Pivik J (1995) The pain catastrophizing scale: user manual. Psychol Assess 7:524–532. https://doi.org/10.1037/1040-3590.7.4.524CrossRef

25.

Bellamy N (2005) The WOMAC knee and hip osteoarthritis indices: development, validation, globalization and influence on the development of the AUSCAN hand osteoarthritis indices. Clin Exp Rheumatol 23:S148–S153. https://doi.org/10.1097/01.prs.0000436796.74305.38CrossRefPubMed

26.

Ware JE, Gandek B (1998) Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 51:903–912. https://doi.org/10.1016/S0895-4356(98)00081-XCrossRefPubMed

27.

Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.xCrossRefPubMed

28.

Nicholas MK (2007) The pain self-efficacy questionnaire: taking pain into account. Eur J Pain 11:153–163. https://doi.org/10.1016/j.ejpain.2005.12.008CrossRefPubMed

29.

Lubben JE (1988) Assessing social networks among elderly populations. Fam Community Heal 11:42–52. https://doi.org/10.1097/00003727-198811000-00008CrossRef

30.

Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HCW (2010) The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 19:539–549. https://doi.org/10.1007/s11136-010-9606-8CrossRefPubMedPubMedCentral

31.

Cho S, Kim HY, Lee JH (2013) Validation of the Korean version of the Pain Catastrophizing Scale in patients with chronic non-cancer pain. Qual Life Res 22:1767–1772. https://doi.org/10.1007/s11136-012-0308-2CrossRefPubMed

32.

Yap JC, Lau J, Chen PP, 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 Med 9:186–195. https://doi.org/10.1111/j.1526-4637.2007.00307.xCrossRefPubMed

33.

McWilliams LA, Kowal J, Wilson KG (2015) Development and evaluation of short forms of the Pain Catastrophizing Scale and the pain self-efficacy questionnaire. Eur J Pain (United Kingdom) 19:1342–1349. https://doi.org/10.1002/ejp.665CrossRef

34.

Cohen J (1992) A power primer. Psychol Bull 112:155–159. https://doi.org/10.1037/0033-2909.112.1.155CrossRefPubMed

35.

Prinsen CAC, Mokkink LB, Bouter LM, Alonso J, Patrick DL, de Vet HCW, Terwee CB (2018) COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res 27:1147–1157. https://doi.org/10.1007/s11136-018-1798-3CrossRefPubMedPubMedCentral

36.

Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6:1–55. https://doi.org/10.1080/10705519909540118CrossRef

37.

Cole JC, Motivala SJ, Khanna D, Lee JY, Paulus HE, Irwin MR (2005) Validation of single-factor structure and scoring protocol for the health assessment questionnaire-disability index. Arthritis Care Res 53:536–542. https://doi.org/10.1002/art.21325CrossRef

38.

Leung YY, Ang LW, Thumboo J, Wang R, Yuan JM, Koh WP (2014) Cigarette smoking and risk of total knee replacement for severe osteoarthritis among Chinese in Singapore - the Singapore Chinese health study. Osteoarthr Cartil 22:764–770. https://doi.org/10.1016/j.joca.2014.03.013CrossRef

39.

Huang Y, Lee M, Chong HC et al (2017) Reasons and factors behind post-total knee arthroplasty dissatisfaction in an asian population. Ann Acad Med Singap 46:303–309PubMed

40.

Leung YY, Lim Z, Fan Q, Wylde V, Xiong S, Yeo SJ, Lo NN, Chong HC, Yeo W, Tan MH, Chakraborty B, Bak-Siew Wong S, Thumboo J (2019) Pre-operative pressure pain thresholds do not meaningfully explain satisfaction or improvement in pain after knee replacement: a cohort study. Osteoarthr Cartil 27:49–58. https://doi.org/10.1016/j.joca.2018.09.003CrossRef

41.

Ko Y, Narayanasamy S, Wee HL, Lo NN, Yeo SJ, Yang KY, Yeo W, Chong HC, Thumboo J (2011) Health-related quality of life after total knee replacement or unicompartmental knee arthroplasty in an urban Asian population. Value Heal 14:322–328. https://doi.org/10.1016/j.jval.2010.08.005CrossRef

42.

Osman A, Barrios FX, Kopper BA, Hauptmann W, Jones J, O'Neill E (1997) Factor structure, reliability, and validity of the pain catastrophizing scale. J Behav Med 20:589–605. https://doi.org/10.1023/A:1025570508954CrossRefPubMed

43.

Osman A, Barrios FX, Gutierrez PM, Kopper BA, Merrifield T, Grittmann L (2000) The pain catastrophizing scale: further psychometric evaluation with adult samples. J Behav Med 23:351–365. https://doi.org/10.1023/A:1005548801037CrossRefPubMed

44.

Craner JR, Sperry JA, Evans MM (2016) The relationship between pain catastrophizing and outcomes of a 3-week comprehensive pain rehabilitation program. Pain Med (United States) 17:2026–2035. https://doi.org/10.1093/pm/pnw070CrossRef

45.

Schütze R, Rees C, Smith A et al (2018) How can we best reduce pain catastrophizing in adults with chronic noncancer pain? A Systematic Review and Meta-Analysis. J, Pain

46.

Tan DJA, Sultana R, Han NLR, Sia ATH, Sng BL (2018) Investigating determinants for patient satisfaction in women receiving epidural analgesia for labour pain: a retrospective cohort study. BMC Anesthesiol 18:50. https://doi.org/10.1186/s12871-018-0514-8CrossRefPubMedPubMedCentral

47.

Chan A, Malhotra C, Do YK, Malhotra R, Østbye T (2011) Self reported pain severity among multiethnic older Singaporeans: does adjusting for reporting heterogeneity matter? Eur J Pain 15:1094–1099. https://doi.org/10.1016/j.ejpain.2011.05.006CrossRefPubMed

48.

Fabian LA, McGuire L, Goodin BR, Edwards RR (2011) Ethnicity, catastrophizing, and qualities of the pain experience. Pain Med 12:314–321. https://doi.org/10.1111/j.1526-4637.2010.01015.xCrossRefPubMed

49.

Xu GG, Sathappan SS, Jaipaul J et al (2008) A review of clinical pathway data of 1663 total knee arthroplasties in a tertiary institution in Singapore. Ann Acad Med Singap 37:924–928PubMed

Title: Measurement properties of Pain Catastrophizing Scale in patients with knee osteoarthritis
Authors: Wei Jie Ong
Yu Heng Kwan
Zhui Ying Lim
Julian Thumboo
Seng Jin Yeo
William Yeo
Steven B. Wong
Ying Ying Leung
Publication date: 01-01-2021
Publisher: Springer International Publishing
Keywords: Knee Osteoarthritis
Knee Osteoarthritis
Published in: Clinical Rheumatology / Issue 1/2021
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-020-05163-8

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