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Published in: Health and Quality of Life Outcomes 1/2010

Open Access 01-12-2010 | Research

Veaselaircdhation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia

Authors: Baltasar Rodero, Javier García-Campayo, Benigno Casanueva, Yolanda Lopez del Hoyo, Antoni Serrano-Blanco, Juan V Luciano

Published in: Health and Quality of Life Outcomes | Issue 1/2010

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Abstract

Background

The aim of this study was to validate a Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ). Pain acceptance is the process of giving up the struggle with pain and learning to live a worthwhile life despite it. The Chronic Pain Acceptance Questionnaire (CPAQ) is the questionnaire most often used to measure pain acceptance in chronic pain populations.

Methods

A total of 205 Spanish patients diagnosed with fibromyalgia syndrome who attended our pain clinic were asked to complete a battery of psychometric instruments: the Pain Visual Analogue Scale (PVAS) for pain intensity, the Hospital Anxiety and Depression Scale (HADS), the Medical Outcome Study Short Form 36 (SF-36), the Pain Catastrophising Scale (PCS) and the Fibromyalgia Impact Questionnaire (FIQ).

Results

Analysis of results showed that the Spanish CPAQ had good test-retest reliability (intraclass correlation coefficient 0.83) and internal consistency reliability (Cronbach's α: 0.83). The Spanish CPAQ score significantly correlated with pain intensity, anxiety, depression, pain catastrophising, health status and physical and psychosocial disability. The Scree plot and a Principal Components Factor analysis confirmed the same two-factor construct as the original English CPAQ.

Conclusion

The Spanish CPAQ is a reliable clinical assessment tool with valid construct validity for the acceptance measurement among a sample of Spanish fibromyalgia patients. This study will make it easier to assess pain acceptance in Spanish populations with fibromyalgia.
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Literature
1.
go back to reference Wolfe F, Smythe HA, Yunus MB, Bennet RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM: The American College of Rheumatology. Criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990, 33: 160–172. 10.1002/art.1780330203PubMedCrossRef Wolfe F, Smythe HA, Yunus MB, Bennet RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM: The American College of Rheumatology. Criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990, 33: 160–172. 10.1002/art.1780330203PubMedCrossRef
2.
go back to reference Hudson JI, Pope HG Jr: The relationship between fibromyalgia and major depressive disorder. Rheum Dis Clin North Am 1996, 22: 285–303. 10.1016/S0889-857X(05)70273-8PubMedCrossRef Hudson JI, Pope HG Jr: The relationship between fibromyalgia and major depressive disorder. Rheum Dis Clin North Am 1996, 22: 285–303. 10.1016/S0889-857X(05)70273-8PubMedCrossRef
3.
go back to reference Wolfe F, Anderson J, Harkness D, Bennet RM, Caro XJ, Goldenberg DL, Russell IJ, Yunus MB: Health status and disease severity in fibromyalgia: results of a six-center longitudinal study. Arthritis Rheum 1997, 40: 1571–1579. 10.1002/art.1780400905PubMedCrossRef Wolfe F, Anderson J, Harkness D, Bennet RM, Caro XJ, Goldenberg DL, Russell IJ, Yunus MB: Health status and disease severity in fibromyalgia: results of a six-center longitudinal study. Arthritis Rheum 1997, 40: 1571–1579. 10.1002/art.1780400905PubMedCrossRef
4.
go back to reference LaChapelle D, Lavoie BA, Boudreau BA: The meaning and process of pain acceptance. Perceptions of women living with arthritis and fibromyalgia. Pain Res Manage 2008, 3: 201–210. LaChapelle D, Lavoie BA, Boudreau BA: The meaning and process of pain acceptance. Perceptions of women living with arthritis and fibromyalgia. Pain Res Manage 2008, 3: 201–210.
5.
go back to reference McCracken LM, Vowles KE, Eccleston C: Acceptance of chronic pain: Component analysis and a revised assessment method. Pain 2004, 107: 159–166. 10.1016/j.pain.2003.10.012PubMedCrossRef McCracken LM, Vowles KE, Eccleston C: Acceptance of chronic pain: Component analysis and a revised assessment method. Pain 2004, 107: 159–166. 10.1016/j.pain.2003.10.012PubMedCrossRef
6.
go back to reference Hayes SC: A contextual approach to therapeutic change. Psychotherapists in Clinical Practice: Cognitive and Behavioural Perspectives. Edited by: Jacobsen N. New York: Guildford Press; 1987:327–387. Hayes SC: A contextual approach to therapeutic change. Psychotherapists in Clinical Practice: Cognitive and Behavioural Perspectives. Edited by: Jacobsen N. New York: Guildford Press; 1987:327–387.
7.
go back to reference Hayes SC, Strosahl K, Wilson KG: Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford; 1999. Hayes SC, Strosahl K, Wilson KG: Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford; 1999.
8.
go back to reference Geiser DS: A comparison of acceptance-focused and control-focused psychological treatments in a chronic pain treatment centre. University of Nevada-Reno; Unpublished doctoral dissertation; 1992. Geiser DS: A comparison of acceptance-focused and control-focused psychological treatments in a chronic pain treatment centre. University of Nevada-Reno; Unpublished doctoral dissertation; 1992.
9.
go back to reference 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)00146-2PubMedCrossRef 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)00146-2PubMedCrossRef
10.
go back to reference McCracken LM: Behavioural constituents of chronic pain acceptance: results from factor analysis of the Chronic Pain Acceptance Questionnaire. J Back Musculoskeletal Rehabil 1999, 13: 93–100. McCracken LM: Behavioural constituents of chronic pain acceptance: results from factor analysis of the Chronic Pain Acceptance Questionnaire. J Back Musculoskeletal Rehabil 1999, 13: 93–100.
11.
go back to reference Vowles KE, McCracken LM, McLeod C, Eccleston C: The Chronic Pain Acceptance Questionnaire: Confirmatory factor analysis and identification of patient subgroups. Pain 2008, 140: 284–291. 10.1016/j.pain.2008.08.012PubMedCrossRef Vowles KE, McCracken LM, McLeod C, Eccleston C: The Chronic Pain Acceptance Questionnaire: Confirmatory factor analysis and identification of patient subgroups. Pain 2008, 140: 284–291. 10.1016/j.pain.2008.08.012PubMedCrossRef
12.
go back to reference Vowles KE, McCracken LM, Eccleston C: Processes of change in treatment for chronic pain: The contributions of pain, acceptance and catastrophising. Eur J Pain 2007, 11: 779–787. 10.1016/j.ejpain.2006.12.007PubMedCrossRef Vowles KE, McCracken LM, Eccleston C: Processes of change in treatment for chronic pain: The contributions of pain, acceptance and catastrophising. Eur J Pain 2007, 11: 779–787. 10.1016/j.ejpain.2006.12.007PubMedCrossRef
13.
go back to reference Vowles KE, McCracken LM, Eccleston C: Patient functioning and catastrophising in chronic pain: the mediating effects of acceptance. Health Psychol 2008, 27: 136–143. 10.1037/0278-6133.27.2(Suppl.).S136CrossRef Vowles KE, McCracken LM, Eccleston C: Patient functioning and catastrophising in chronic pain: the mediating effects of acceptance. Health Psychol 2008, 27: 136–143. 10.1037/0278-6133.27.2(Suppl.).S136CrossRef
14.
go back to reference García Campayo J, Rodero B: Cognitive and affective aspects of pain. Reumatol Clin 2009. doi:10.1016/j.reuma.2009.03.001 García Campayo J, Rodero B: Cognitive and affective aspects of pain. Reumatol Clin 2009. doi:10.1016/j.reuma.2009.03.001
15.
go back to reference McCracken LM, Vowles KE: Acceptance of chronic pain. Curr Pain Headache Rep 2006, 10: 90–94. 10.1007/s11916-006-0018-yPubMedCrossRef McCracken LM, Vowles KE: Acceptance of chronic pain. Curr Pain Headache Rep 2006, 10: 90–94. 10.1007/s11916-006-0018-yPubMedCrossRef
16.
go back to reference Nilges P, Köster B, Schmidt CO: Pain acceptance - concept and validation of a German version of the chronic pain acceptance questionnaire. Schmerz 2007, 21: 57–67. 10.1007/s00482-006-0508-1PubMedCrossRef Nilges P, Köster B, Schmidt CO: Pain acceptance - concept and validation of a German version of the chronic pain acceptance questionnaire. Schmerz 2007, 21: 57–67. 10.1007/s00482-006-0508-1PubMedCrossRef
17.
go back to reference Ning MC, Ming TW, Mae JY, Ping CP: Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Cantonese-Speaking Chinese Patients. J Pain 2008, 9: 823–832. 10.1016/j.jpain.2008.04.005PubMedCrossRef Ning MC, Ming TW, Mae JY, Ping CP: Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Cantonese-Speaking Chinese Patients. J Pain 2008, 9: 823–832. 10.1016/j.jpain.2008.04.005PubMedCrossRef
18.
go back to reference Kline RB: Principles and practices of structural equation modelling. In Methodology in the social sciences. Edited by: Kenny DA. New York: The Guildford Press; 1998. Kline RB: Principles and practices of structural equation modelling. In Methodology in the social sciences. Edited by: Kenny DA. New York: The Guildford Press; 1998.
19.
go back to reference Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993, 46: 1417–32. 10.1016/0895-4356(93)90142-NPubMedCrossRef Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993, 46: 1417–32. 10.1016/0895-4356(93)90142-NPubMedCrossRef
20.
go back to reference Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67: 361–370. 10.1111/j.1600-0447.1983.tb09716.xPubMedCrossRef Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67: 361–370. 10.1111/j.1600-0447.1983.tb09716.xPubMedCrossRef
21.
go back to reference Tejero A, Guimerá EM, Farré JM, Peri JM: Clinical use of HADS in psychiatric samples: a sensitivity, reliability and validity study (in Spanish). Rev Dep Psiquiatr Fac Med Barc 1986, 13: 233–238. Tejero A, Guimerá EM, Farré JM, Peri JM: Clinical use of HADS in psychiatric samples: a sensitivity, reliability and validity study (in Spanish). Rev Dep Psiquiatr Fac Med Barc 1986, 13: 233–238.
22.
go back to reference Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L: Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 1992, 305: 160–4. 10.1136/bmj.305.6846.160PubMedCentralPubMedCrossRef Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L: Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 1992, 305: 160–4. 10.1136/bmj.305.6846.160PubMedCentralPubMedCrossRef
23.
go back to reference Alonso J, Prieto L, Antó JM: The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results. Med Clin 1995, 104: 771–776. Alonso J, Prieto L, Antó JM: The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results. Med Clin 1995, 104: 771–776.
24.
go back to reference Sullivan MJL, Bisop SC, Pivik J: The pain catastrophizing scale: development and validation. Psychol Assess 1995, 7: 524–532. 10.1037/1040-3590.7.4.524CrossRef Sullivan MJL, Bisop SC, Pivik J: The pain catastrophizing scale: development and validation. Psychol Assess 1995, 7: 524–532. 10.1037/1040-3590.7.4.524CrossRef
25.
go back to reference García 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 Clín 2008, 131: 487–492. 10.1157/13127277CrossRef García 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 Clín 2008, 131: 487–492. 10.1157/13127277CrossRef
26.
go back to reference Burckhardt CS, Clark SR, Bennet RM: The Fibromyalgia Impact Questionnaire: development and validation. J Rheumatol 1991, 18: 728–733.PubMed Burckhardt CS, Clark SR, Bennet RM: The Fibromyalgia Impact Questionnaire: development and validation. J Rheumatol 1991, 18: 728–733.PubMed
27.
go back to reference Rivera J, Gonzalez 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 Rivera J, Gonzalez 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
28.
go back to reference Bedard M, Martin NK, Krueger P, Brazil K: Assessing reproducibility of data obtained with instruments based on continuous measurements. Experimental Aging Research 2000, 26: 353–365. 10.1080/036107300750015741PubMedCrossRef Bedard M, Martin NK, Krueger P, Brazil K: Assessing reproducibility of data obtained with instruments based on continuous measurements. Experimental Aging Research 2000, 26: 353–365. 10.1080/036107300750015741PubMedCrossRef
29.
go back to reference Carr JL, Moffett JA, Sharp DM, Haines DR: Is the Pain Stages of Change Questionnaire (PSOCQ) a useful tool for predicting participation in a self-management programme? Further evidence of validity, on a sample of UK pain clinic patients. BMC Musculoskelet Disord 2006, 7: 101. 10.1186/1471-2474-7-101PubMedCentralPubMedCrossRef Carr JL, Moffett JA, Sharp DM, Haines DR: Is the Pain Stages of Change Questionnaire (PSOCQ) a useful tool for predicting participation in a self-management programme? Further evidence of validity, on a sample of UK pain clinic patients. BMC Musculoskelet Disord 2006, 7: 101. 10.1186/1471-2474-7-101PubMedCentralPubMedCrossRef
30.
go back to reference Mason VL, Mathias B, Skevington SM: Accepting low back pain: is it related to a good quality of life? Clin J Pain 2008, 24: 22–29. 10.1097/AJP.0b013e318156d94fPubMedCrossRef Mason VL, Mathias B, Skevington SM: Accepting low back pain: is it related to a good quality of life? Clin J Pain 2008, 24: 22–29. 10.1097/AJP.0b013e318156d94fPubMedCrossRef
31.
go back to reference McCracken LM, Eccleston C: Coping or acceptance: what to do about chronic pain? Pain 2003, 105: 197–204. 10.1016/S0304-3959(03)00202-1PubMedCrossRef McCracken LM, Eccleston C: Coping or acceptance: what to do about chronic pain? Pain 2003, 105: 197–204. 10.1016/S0304-3959(03)00202-1PubMedCrossRef
32.
go back to reference McCracken LM, Eccleston C: A comparison of the relative utility of coping and acceptance-based measures in a sample of chronic pain sufferers. Eur J Pain 2006, 10: 23–29. 10.1016/j.ejpain.2005.01.004PubMedCrossRef McCracken LM, Eccleston C: A comparison of the relative utility of coping and acceptance-based measures in a sample of chronic pain sufferers. Eur J Pain 2006, 10: 23–29. 10.1016/j.ejpain.2005.01.004PubMedCrossRef
33.
go back to reference McCracken LM, Yang SY: The role of values in a contextual cognitive-behavioural approach to chronic pain. Pain 2006, 123: 137–145. 10.1016/j.pain.2006.02.021PubMedCrossRef McCracken LM, Yang SY: The role of values in a contextual cognitive-behavioural approach to chronic pain. Pain 2006, 123: 137–145. 10.1016/j.pain.2006.02.021PubMedCrossRef
34.
go back to reference Hayes SC, Bissett RT, Korn Z, Zettle RD, Rosenfarb IS, Cooper LD, Grundt AM: The impact of acceptance versus control rationales on pain tolerance. Psychol Rec 1999, 49: 33–47. Hayes SC, Bissett RT, Korn Z, Zettle RD, Rosenfarb IS, Cooper LD, Grundt AM: The impact of acceptance versus control rationales on pain tolerance. Psychol Rec 1999, 49: 33–47.
35.
go back to reference Cioffi D, Holloway J: Delayed costs of suppressed pain. J Pers Soc Psychol 1993, 64: 274–282. 10.1037/0022-3514.64.2.274PubMedCrossRef Cioffi D, Holloway J: Delayed costs of suppressed pain. J Pers Soc Psychol 1993, 64: 274–282. 10.1037/0022-3514.64.2.274PubMedCrossRef
36.
go back to reference McCracken LM, Vowles KE, Gauntlett-Gilbert J: A prospective investigation of acceptance and control-oriented coping with chronic pain. J Behav Med 2007, 20: 339–349. 10.1007/s10865-007-9104-9CrossRef McCracken LM, Vowles KE, Gauntlett-Gilbert J: A prospective investigation of acceptance and control-oriented coping with chronic pain. J Behav Med 2007, 20: 339–349. 10.1007/s10865-007-9104-9CrossRef
37.
go back to reference Dahl J, Wilson KG, Luciano C, Hayes SC: Acceptance and commitment therapy for chronic pain. Reno, NV: Context Press; 2005. Dahl J, Wilson KG, Luciano C, Hayes SC: Acceptance and commitment therapy for chronic pain. Reno, NV: Context Press; 2005.
38.
go back to reference McCracken LM: Contextual cognitive-behavioural therapy for chronic pain. Seattle, WA: IASP Press; 2005. McCracken LM: Contextual cognitive-behavioural therapy for chronic pain. Seattle, WA: IASP Press; 2005.
Metadata
Title
Veaselaircdhation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia
Authors
Baltasar Rodero
Javier García-Campayo
Benigno Casanueva
Yolanda Lopez del Hoyo
Antoni Serrano-Blanco
Juan V Luciano
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2010
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-8-37

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