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Quality of Life Research
Published in: Quality of Life Research 1/2014

01-02-2014

Exploratory and confirmatory factor analysis of the PROMIS pain quality item bank

Authors: Dennis A. Revicki, Karon F. Cook, Dagmar Amtmann, Neesha Harnam, Wen-Hung Chen, Francis J. Keefe

Published in: Quality of Life Research | Issue 1/2014

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Abstract

Purpose

The assessment of pain sensation and quality is a key component in understanding the experience of individuals with chronic pain. This study evaluated the factor structure of the patient-reported outcome measurement information system (PROMIS) pain quality item bank.

Methods

As part of the PROMIS project, we developed a pool of 37 pain quality items, based on a review of existing pain questionnaires and development of new items. A web-based survey was designed and completed by 845 members of the general population and 967 individuals with different types of chronic pain. Exploratory factor analysis (EFA) was conducted on a random split-half sample of the data to examine the factor structure of the 37 PROMIS pain quality items in the general population and in a chronic pain sample. A confirmatory factor analysis was conducted in the holdout sample.

Results

The EFA of the pain quality items resulted in comparable six-factor solutions for the general and chronic pain samples: (1) pulling/tugging pain; (2) tingling/numbness pain; (3) sharp/stabbing pain; (4) dull/aching pain; (5) pounding/pulsing pain; and (6) affective pain. The confirmatory factor analysis in the holdout sample supported this factor structure.

Conclusions

Further research is needed to evaluate the psychometric characteristics of the derived scales based on their factor scores.
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Literature
1.
Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., et al. (2005). Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain, 113(1–2), 9–19.PubMedCrossRef
2.
Price, D. D., Harkins, S. W., & Baker, C. (1987). Sensory-affective relationships among different types of clinical and experimental pain. Pain, 28(3), 297–307.PubMedCrossRef
3.
Jensen, M. P. (2003). The validity and reliability of pain measures for use in clinical trials in adults. In Presented at the second meeting of the initiative on methods, measurement, and pain assessment in clinical trials (IMMPACT-II).
4.
Price, D. D. (1999). Psychological mechanisms of pain and analgesia. Seattle: IASP Press.
5.
Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1(3), 277–299.PubMedCrossRef
6.
Melzack, R., & Katz, J. (2001). The McGill Pain Questionnaire: Appraisal and current status. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (2nd ed., pp. 659–692). New York: Guilford Press.
7.
8.
9.
Dworkin, R. H., Turk, D. C., Revicki, D. A., Harding, G., Coyne, K. S., Peirce-Sandner, S., et al. (2009). Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain, 144(1–2), 35–42.PubMedCrossRef
10.
Clark, W. C., Kuhl, J. P., Keohan, M. L., Knotkova, H., Winer, R. T., & Griswold, G. A. (2003). Factor analysis validates the cluster structure of the dendrogram underlying the multidimensional affect and pain survey (MAPS) and challenges the a priori classification of the descriptors in the McGill Pain Questionnaire (MPQ). Pain, 106(3), 357–363.PubMedCrossRef
11.
Jensen, M. P., Gammaitoni, A. R., Olaleye, D. O., Oleka, N., Nalamachu, S. R., & Galer, B. S. (2006). The pain quality assessment scale: Assessment of pain quality in carpal tunnel syndrome. Journal of Pain, 7(11), 823–832.PubMedCrossRef
12.
Byrne, M., Troy, A., Bradley, L. A., Marchisello, P. J., Geisinger, K. F., Van der Heide, L. H., et al. (1982). Cross-validation of the factor structure of the McGill Pain Questionnaire. Pain, 13(2), 193–201.PubMedCrossRef
13.
Crockett, D. J., Prkachin, K. M., Craig, K. D., & Greenstein, H. (1986). Social influences on factored dimensions of the McGill Pain Questionnaire. Journal of Psychosomatic Research, 30(4), 461–469.PubMedCrossRef
14.
Hasegawa, M., Hattori, S., Mishima, M., Matsumoto, I., Kimura, T., Baba, Y., et al. (2001). The McGill Pain Questionnaire, Japanese version, reconsidered: Confirming the theoretical structure. Pain Research and Management, 6(4), 173–180.PubMed
15.
Lowe, N. K., Walker, S. N., & MacCallum, R. C. (1991). Confirming the theoretical structure of the McGill Pain Questionnaire in acute clinical pain. Pain, 46(1), 53–60.PubMedCrossRef
16.
Masedo, A. I., & Esteve, R. (2000). Some empirical evidence regarding the validity of the Spanish version of the McGill Pain Questionnaire (MPQ-SV). Pain, 85(3), 451–456.PubMedCrossRef
17.
Mystakidou, K., Parpa, E., Tsilika, E., Kalaidopoulou, O., Georgaki, S., Galanos, A., et al. (2002). Greek McGill Pain Questionnaire: Validation and utility in cancer patients. Journal of Pain and Symptom Management, 24(4), 379–387.PubMedCrossRef
18.
Reading, A. E. (1982). A comparison of the McGill Pain Questionnaire in chronic and acute pain. Pain, 13(2), 185–192.PubMedCrossRef
19.
20.
Griswold, G. A., & Clark, W. C. (2005). Item analysis of cancer patient responses to the multidimensional affect and pain survey demonstrates high inter-item consistency and discriminability and determines the content of a short form. Journal of Pain, 6(2), 67–74.PubMedCrossRef
21.
22.
Reeve, B. B., Hays, R. D., Bjorner, J. B., Cook, K. F., Crane, P. K., Teresi, J. A., et al. (2007). Psychometric evaluation and calibration of health-related quality of life item banks: Plans for the patient-reported outcomes measurement information system (PROMIS). Medical Care, 45(5 Suppl 1), S22–S31. doi:10.​1097/​01.​mlr.​0000250483.​85507.​04.PubMedCrossRef
23.
Liu, H., Cella, D., Gershon, R., Shen, J., Morales, L. S., Riley, W., et al. (2010). Representativeness of the patient-reported outcomes measurement information system internet panel. Journal of Clinical Epidemiology, 63(11), 1169–1178. doi:10.​1016/​j.​jclinepi.​2009.​11.​021.
24.
25.
Gorsuch, R. L. (1983). Factor analysis. Hillside, NJ: Lawrence Erlbaum.
26.
Muthén, L. K., & Muthén, B. (2004). Mplus user’s guide (3rd ed.). Los Angeles, CA: Muthén & Muthén.
27.
Victor, T. W., Jensen, M. P., Gammaitoni, A. R., Gould, E. M., White, R. E., & Galer, B. S. (2008). The dimensions of pain quality: Factor analysis of the Pain Quality Assessment Scale. Clinical Journal of Pain, 24(6), 550–555. doi:10.​1097/​AJP.​0b013e31816b1058​.PubMedCrossRef
28.
29.
30.
Dworkin, R. H., Corbin, A. E., Young, J. P, Jr., Sharma, U., LaMoreaux, L., Bockbrader, H., et al. (2003). Pregabalin for the treatment of postherpetic neuralgia: A randomized, placebo-controlled trial. Neurology, 60(8), 1274–1283.PubMedCrossRef
31.
Rowbotham, M., Harden, N., Stacey, B., Bernstein, P., & Magnus-Miller, L. (1998). Gabapentin for the treatment of postherpetic neuralgia: A randomized controlled trial. Journal of the American Medical Association, 280(21), 1837–1842.PubMedCrossRef
Metadata
Title
Exploratory and confirmatory factor analysis of the PROMIS pain quality item bank
Authors
Dennis A. Revicki
Karon F. Cook
Dagmar Amtmann
Neesha Harnam
Wen-Hung Chen
Francis J. Keefe
Publication date
01-02-2014
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 1/2014
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0467-9

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