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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Research

Validity and reliability of the Spanish version of the 10-item CD-RISC in patients with fibromyalgia

Authors: Blanca Notario-Pacheco, Vicente Martínez-Vizcaíno, Eva Trillo-Calvo, Mari Cruz Pérez-Yus, Dolores Serrano-Parra, Javier García-Campayo

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

No resilience scale has been validated in Spanish patients with fibromyalgia. The aim of this study was to evaluate the validity and reliability of the 10-item CD-RISC in a sample of Spanish patients with fibromyalgia.

Methods

Design: Observational prospective multicenter study. Sample: Patients with diagnoses of fibromyalgia recruited from primary care settings (N = 208). Instruments: In addition to sociodemographic data, the following questionnaires were administered: Pain Visual Analogue Scale (PVAS), the 10-item Connor-Davidson Resilience scale (10-item CD-RISC), the Fibromyalgia Impact Questionnaire (FIQ), the Hospital Anxiety and Depression Scale (HADS), the Pain Catastrophizing Scale (PCS), the Chronic Pain Acceptance Questionnaire (CPAQ), and the Mindful Attention Awareness Scale (MAAS).

Results

Regarding construct validity, the factor solution in the Principal Component Analysis (PCA) was considered adequate, so the KMO test had a value of 0.91, and the Barlett’s test of sphericity was significant (χ 2 = 852.8; gl = 45; p < 0.001). Only one factor showed an eigenvalue greater than 1, and it explained 50.4% of the variance. PCA and Confirmatory Factor Analysis (CFA) results did not show significant differences between groups. The 10-item CD-RISC scale demonstrated good internal consistency (Cronbach’s alpha = 0.88) and test-retest reliability (r = 0.89 for a six-week interval). The 10-item CD-RISC score was significantly correlated with all of the other psychometric instruments in the expected direction, except for the PVAS (−0.115; p = 0.113).

Conclusions

Our study confirms that the Spanish version of the 10-item CD-RISC shows, in patients with fibromyalgia, acceptable psychometric properties, with a high level of reliability and validity.
Appendix
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Literature
1.
Van Houdenhove B, Egle U, Luyten P: The role of life stress in fibromyalgia. Curr Rheumatol Rep 2005, 7: 365–370. 10.1007/s11926-005-0021-zCrossRefPubMed
2.
Carbonell-Abelló J: Fibromyalgia. Med Clin (Barc) 2005, 125: 778–779. 10.1016/S0025-7753(05)72188-6CrossRef
3.
Berger A, Dukes E, Martin S, Edelsberg J, Oster G: Characteristics and healthcare costs of patients with fibromyalgia syndrome. Int J Clin Pract 2007, 61: 1498–1508. 10.1111/j.1742-1241.2007.01480.xPubMedCentralCrossRefPubMed
4.
Thompson JM, Luedtke CA, Oh TH, Shah ND, Long KH, King S, Branda M, Swanson R: Direct medical costs in patients with fibromyalgia: cost of illness and impact of a brief multidisciplinary treatment program. Am J Phys Med Rehabil 2011, 90: 40–46. 10.1097/PHM.0b013e3181fc7ff3CrossRefPubMed
5.
Sanchez RJ, Uribe C, Li H, Alvir J, Deminski M, Chandran A, Palacio A: Longitudinal evaluation of health care utilization and costs during the first three years after a new diagnosis of fibromyalgia. Curr Med Res Opin 2011, 27: 663–671. 10.1185/03007995.2010.550605CrossRefPubMed
6.
Berger A, Sadosky A, Dukes EM, Edelsberg J, Zlateva G, Oster G: Patterns of healthcare utilization and cost in patients with newly diagnosed fibromyalgia. Am J Manag Care 2010, 16: S126-S137.PubMed
7.
Edwards RR, Bingham CO, Bathon J, Haythornthwaite JA: Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis Rheum 2006, 55: 325–332. 10.1002/art.21865CrossRefPubMed
8.
Zautra AJ, Hamilton NA, Burke HM: Comparison of stress responses in women with two types of chronic pain: fibromyalgia and osteoarthritis. Cogn Ther Res 1999, 23: 209–230. 10.1023/A:1018735413411CrossRef
9.
Zautra AJ, Fasman R, Reich JW, Harakas P, Johnson LM, Olmsted ME, Davis MC: Fibromyalgia: evidence for deficits in positive affect regulation. Psychosom Med 2005, 67: 147–155. 10.1097/01.psy.0000146328.52009.23PubMedCentralCrossRefPubMed
10.
11.
Rutter M: Resilience in the face of adversity: protective factors and resistance to psychiatric disorders. Br J Psych 1985, 147: 598–611. 10.1192/bjp.147.6.598CrossRef
12.
Caspi A, Sugden K, Moffitt TE, Taylor A, Craig IW, Harrington H, McClay J, Mill J, Martin J, Braithwaite A, Poulton R: Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 2003, 301: 386–389. 10.1126/science.1083968CrossRefPubMed
13.
Gervai J, Nemoda Z, Lakatos K, Ronai Z, Toth I, Ney K, Sasvari-Szekely M: Transmission disequilibrium tests confirm the link between DRD4 gene polymorphism and infant attachment. Am J Med Genet B Neuropsychiatr Genet 2005, 132B: 126–130. 10.1002/ajmg.b.30102CrossRefPubMed
14.
Campbell-Sills L, Stein MB: Psychometric analysis and refinement of the connor-davidson resilience scale (CD-RISC): validation of a 10-item measure of resilience. J Trauma Stress 2007, 20: 1019–1028. 10.1002/jts.20271CrossRefPubMed
15.
Hardt J, Rutter M: Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry 2004, 45: 260–273. 10.1111/j.1469-7610.2004.00218.xCrossRefPubMed
16.
Connor K, Davidson J: Development of a new resilience scale: the connor-davidson resilience scale (CD-RISC). Depres Anxiety 2003, 18: 76–82. 10.1002/da.10113CrossRef
17.
Fredrickson BL, Tugade MM, Waugh CE, Larkin GR: What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on september 11th, 2001. J Pers Soc Psychol 2003, 84: 365–376.PubMedCentralCrossRefPubMed
18.
Tugade MM, Fredrickson BL, Barrett LF: Psychological resilience and positive emotional granularity: examining the benefits of positive emotions on coping and health. J Pers 2004, 72: 1161–1190. 10.1111/j.1467-6494.2004.00294.xPubMedCentralCrossRefPubMed
19.
Tugade MM, Fredrickson BL: Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol 2004, 86: 320–333.PubMedCentralCrossRefPubMed
20.
Ong AD, Bergeman CS, Bisconti TL, Wallace KA: Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol 2006, 91: 730–749.CrossRefPubMed
21.
Zautra A, Smith B, Affleck G, Tennen H: Examinations of chronic pain and affect relationships: applications of a dynamic model of affect. J Consult Clin Psychol 2001, 69: 786–795.CrossRefPubMed
22.
Walker EA, Keegan D, Gardner G, Sullivan M, Katon WJ, Bernstein D: Psychosocial factors in fibromyalgia compared with rheumatoid arthritis.1. Psychiatric diagnoses and functional disability. Psychosom Med 1997, 59: 565–571.CrossRefPubMed
23.
Davis MC, Zautra AJ, Reich JW: Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis. Ann Behav Med 2001, 23: 215–226. 10.1207/S15324796ABM2303_9CrossRefPubMed
24.
Parrish BP, Zautra AJ, Davis MC: The role of positive and negative interpersonal events on daily fatigue in women with fibromyalgia, rheumatoid arthritis, and osteoarthritis. Health Psychol 2008, 27: 694–702.PubMedCentralCrossRefPubMed
25.
Kratz AL, Davis MC, Zautra AJ: Pain acceptance moderates the relation between pain and negative affect in female osteoarthritis and fibromyalgia patients. Ann Behav Med 2007, 33: 291–301. 10.1007/BF02879911PubMedCentralCrossRefPubMed
26.
Ong AD, Zautra AJ, Reid MC: Psychological resilience predicts decreases in pain catastrophizing through positive emotions. Psychol Aging 2010, 25: 516–523.PubMedCentralCrossRefPubMed
27.
Karoly P, Ruehlman LS: Psychological “resilience” and its correlates in chronic pain: findings from a national community sample. Pain 2006, 123: 90–97. 10.1016/j.pain.2006.02.014CrossRefPubMed
28.
Smith BW, Zautra AJ: Vulnerability and resilience in women with arthritis: test of a two-factor model. J Consult Clin Psychol 2008, 76: 799–810.CrossRefPubMed
29.
Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M: Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Arthritis Rheum 2009, 61: 216–224. 10.1002/art.24276CrossRefPubMed
30.
Rossy LA, Buckelew SP, Dorr N, Hagglund KJ, Thayer JF, McIntosh MJ, Hewett JE, Johnson JC: A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med 1999, 21: 180–191. 10.1007/BF02908299CrossRefPubMed
31.
Hadhazy VA, Ezzo J, Creamer P, Berman BM: Mind-body therapies for the treatment of fibromyalgia. A systematic review. J Rheumatol 2000, 27: 2911–2918.PubMed
32.
van Koulil S, Effting M, Kraaimaat FW, van Lankveld W, van Helmond T, Cats H, van Riel PL, de Jong AJ, Haverman JF, Evers AW: Cognitive-behavioural therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions. Ann Rheum Dis 2007, 66: 571–581. 10.1136/ard.2006.054692PubMedCentralCrossRefPubMed
33.
Rooks DS, Gautam S, Romeling M, Cross ML, Stratigakis D, Evans B, Goldenberg DL, Iversen MD, Katz JN: Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Arch Intern Med 2007, 167: 2192–2200. 10.1001/archinte.167.20.2192CrossRefPubMed
34.
Alda M, Luciano JV, Andrés E, Serrano-Blanco A, Rodero B, del Hoyo YL, Roca M, Moreno S, Magallón R, García-Campayo J: Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: a randomised controlled trial. Arthritis Res Ther 2011, 13: R173. 10.1186/ar3496PubMedCentralCrossRefPubMed
35.
Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67: 361–370. 10.1111/j.1600-0447.1983.tb09716.xCrossRefPubMed
36.
Herrero MJ, Blanch J, Peri JM, De Pablo J, Pintor L, Bulbena A: A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. Gen Hosp Psychiatry 2003, 25: 277–283. 10.1016/S0163-8343(03)00043-4CrossRefPubMed
37.
Block J, Kremen AM: IQ and ego-resiliency: conceptual and empirical connections and separateness. J Pers Soc Psychol 1996, 70: 349–361.CrossRefPubMed
38.
Wagnild GM, Young HM: Development and psychometric evaluation of the resilience scale. J Nurs Meas 1993, 1: 165–178.PubMed
39.
Ramírez-Maestre C, Esteve R, López AE: The path to capacity: resilience and spinal chronic pain. Spine (Phila Pa 1976) 2012, 37: E251-E258. 10.1097/BRS.0b013e31822e93abCrossRef
40.
Ruiz-Párraga GT, López-Martínez AE, Gómez-Pérez L: Factor structure and psychometric properties of the resilience scale in a spanish chronic musculoskeletal pain sample. J Pain 2012, 13: 1090–1098. 10.1016/j.jpain.2012.08.005CrossRefPubMed
41.
Catalano D, Chan F, Wilson L, Chiu CY, Muller VR: The buffering effect of resilience on depression among individuals with spinal cord injury: a structural equation model. Rehabil Psychol 2011, 56: 200–211.CrossRefPubMed
42.
Notario-Pacheco B, Solera-Martínez M, Serrano-Parra MD, Bartolomé-Gutiérrez R, García-Campayo J, Martínez-Vizcaíno V: Reliability and validity of the Spanish version of the 10-item connor-davidson resilience scale (10-item CD-RISC) in young adults. Health Qual Life Outcomes 2011, 9: 63. 10.1186/1477-7525-9-63PubMedCentralCrossRefPubMed
43.
Dolores Serrano-Parra M, Garrido-Abejar M, Notario-Pacheco B, Bartolomé-Gutiérrez R, Solera-Martínez M, Martínez-Vizcaíno V: Validity of the connor-davidson resilience scale (10 items) in a population of elderly. Enferm Clin 2013, 23: 14–21. 10.1016/j.enfcli.2012.11.006CrossRefPubMed
44.
Wang L, Shi Z, Zhang Y, Zhang Z: Psychometric properties of the 10-item connor-davidson resilience scale in Chinese earthquake victims. Psychiatry Clin Neurosci 2010, 64: 499–504. 10.1111/j.1440-1819.2010.02130.xCrossRefPubMed
45.
Garcia Campayo J, Rodero B, Alda M, Sobradiel N, Montero J, Moreno S: Validation of the Spanish version of the pain catastrophizing scale in fibromyalgia. Med Clin 2008, 131: 487–492. 10.1157/13127277CrossRef
46.
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P: The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 1990, 33: 160–172. 10.1002/art.1780330203CrossRefPubMed
47.
Mas AJ, Carmona L, Valverde M, Ribas B, Group ES: Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population: results from a nationwide study in Spain. Clin Exp Rheumatol 2008, 26: 519–526.PubMed
48.
Burckhardt CS, Clark SR, Bennett RM: The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991, 18: 728–733.PubMed
49.
Rivera J, González T: The fibromyalgia impact questionnaire: a validated Spanish version to assess the health status in women with fibromyalgia. Clin Exp Rheumatol 2004, 22: 554–560.PubMed
50.
Sullivan MJL, Bishop SR, Pivik J: The pain catastrophizing scale: development and validation. Psychol Assess 1995, 7: 524–532.CrossRef
51.
Sriwatanakul K, Kelvie W, Lasagna L, Calimlim JF, Weis OF, Mehta G: Studies with different types of visual analog scales for measurement of pain. Clin Pharmacol Ther 1983, 34: 234–239. 10.1038/clpt.1983.159CrossRefPubMed
52.
McCracken LM: Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain 1998, 74: 21–27. 10.1016/S0304-3959(97)00146-2CrossRefPubMed
53.
Rodero B, García-Campayo J, Casanueva B, del Hoyo YL, Serrano-Blanco A, Luciano JV: Validation of the Spanish version of the chronic pain acceptance questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health Qual Life Outcomes 2010, 8: 37. 10.1186/1477-7525-8-37PubMedCentralCrossRefPubMed
54.
Brown KW, Ryan RM: The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 2003, 84: 822–848.CrossRefPubMed
55.
Cebolla A, Luciano JV, DeMarzo MP, Navarro-Gil M, Campayo JG: Psychometric properties of the Spanish version of the mindful attention awareness scale (MAAS) in patients with fibromyalgia. Health Qual Life Outcomes 2013, 11: 6. 10.1186/1477-7525-11-6PubMedCentralCrossRefPubMed
56.
Campbell-Sills L, Forde DR, Stein MB: Demographic and childhood environmental predictors of resilience in a community sample. J Psychiatr Res 2009, 43: 1007–1012. 10.1016/j.jpsychires.2009.01.013CrossRefPubMed
57.
Hu L, Bentler P: Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 1999, 6: 1–55. 10.1080/10705519909540118CrossRef
58.
Hays RD, Anderson R, Revicki D: Psychometric considerations in evaluating health-related quality of life measures. Qual Life Res 1993, 2: 441–449. 10.1007/BF00422218CrossRefPubMed
59.
Middel B, van Sonderen E: Statistical significant change versus relevant or important change in (quasi) experimental design: some conceptual and methodological problems in estimating magnitude of intervention-related change in health services research. Int J Integr Care 2002, 2: e15.PubMedCentralPubMed
60.
Brettschneider C, König HH, Herzog W, Kaufmann C, Schaefert R, Konnopka A: Validity and responsiveness of the EQ-5D in assessing and valuing health status in patients with somatoform disorders. Health Qual Life Outcomes 2013, 11: 3. 10.1186/1477-7525-11-3PubMedCentralCrossRefPubMed
61.
Taylor R, Kirby B, Burdon D, Caves R: The assessment of recovery in patients after myocardial infarction using three generic quality-of-life measures. J Cardiopulm Rehabil 1998, 18: 139–144. 10.1097/00008483-199803000-00007CrossRefPubMed
62.
Hsueh IP, Lin JH, Jeng JS, Hsieh CL: Comparison of the psychometric characteristics of the functional Independence measure, 5 item barthel index, and 10 item barthel index in patients with stroke. J Neurol Neurosurg Psychiatry 2002, 73: 188–190. 10.1136/jnnp.73.2.188PubMedCentralCrossRefPubMed
63.
Cohen J: Statistical Power Analysis for the Behavioral Sciences. New York: Academic; 1988.
64.
García-Campayo J, Rodero B, del Hoyo YL, Luciano JV, Alda M, Gili M: Validation of a Spanish language version of the pain self-perception scale in patients with fibromyalgia. BMC Musculoskelet Disord 2010, 11: 255. 10.1186/1471-2474-11-255PubMedCentralCrossRefPubMed
65.
Evers AW, Zautra A, Thieme K: Stress and resilience in rheumatic diseases: a review and glimpse into the future. Nat Rev Rheumatol 2011, 7: 409–415. 10.1038/nrrheum.2011.80CrossRefPubMed
66.
Crofford LJ, Young EA, Engleberg NC, Korszun A, Brucksch CB, McClure LA, Brown MB, Demitrack MA: Basal circadian and pulsatile ACTH and cortisol secretion in patients with fibromyalgia and/or chronic fatigue syndrome. Brain Behav Immun 2004, 18: 314–325. 10.1016/j.bbi.2003.12.011CrossRefPubMed
67.
Sullivan MJ, Rodgers WM, Kirsch I: Catastrophizing, depression and expectancies for pain and emotional distress. Pain 2001, 91: 147–154. 10.1016/S0304-3959(00)00430-9CrossRefPubMed
68.
Hassett AL, Cone JD, Patella SJ, Sigal LH: The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis Rheum 2000, 43: 2493–2500. 10.1002/1529-0131(200011)43:11<2493::AID-ANR17>3.0.CO;2-WCrossRefPubMed
69.
Richardson GE: The metatheory of resilience and resiliency. J Clin Psychol 2002, 58: 307–321. 10.1002/jclp.10020CrossRefPubMed
Metadata
Title
Validity and reliability of the Spanish version of the 10-item CD-RISC in patients with fibromyalgia
Authors
Blanca Notario-Pacheco
Vicente Martínez-Vizcaíno
Eva Trillo-Calvo
Mari Cruz Pérez-Yus
Dolores Serrano-Parra
Javier García-Campayo
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-12-14

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