Pain-related self-efficacy, pain catastrophizing, and function in individuals with chronic low back pain: further evaluation of the validity of the T-UW-PRESE6 and T-UW-CAP6

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Published: Dec 23, 2022
Keywords:
Pain catastrophizing Self-efficacy Quality of life Musculoskeletal disorder

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Nipaporn Akkarakittichoke
Inter-Department Program of Biomedical Sciences, Faculty of Graduate school, Chulalongkorn University, Bangkok, Thailand.
Kornkanok Khutok
School of Allied Health Sciences, Walailak University, Nakhonsithammarat, Thailand.
Rotsalai Kanlayanaphotporn
Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Mark P. Jensen
Department of Rehabilitation Medicine, University of Washington, USA.
Prawit Janwantanakul
Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.

Abstract

Evidence shows the important role of pain-related cognitions, such as catastrophizing and self-efficacy beliefs, on quality of life in patient with chronic low back pain. Thai versions of two new measures of psychological factors: the Thai 6-item short form of the University of Washington Pain Related Self-Efficacy scale (T- UW-PRSE6) and the Thai 6-item short form of the University of Washington Concerns About Pain scale (T-UW-CAP6) have been developed. Reliable and valid measures of such measurements are important to evaluate the catastrophizing and self-efficacy on this domain as well as to understand its role in quality-of-life domain of individuals with chronic pain. The aim of this study was to evaluate the reliability and validity of T-UW-PRSE6 and T-UW-CAP6. A total of 424 individuals with chronic low back pain completed three questionnaires assessing (1) pain self-efficacy (T-UW-PRSE6), (2) catastrophizing (T-UW-CAP6), and (3) seven quality of life domains (Thai version of Patient-Reported Outcomes Measurement Information System-29 scale; T-PROMIS-29). Cronbach’s alphas were calculated to estimate internal consistency of the T-UW-PRSE6 and T-UW-CAP6, and multiple linear regressions were used to estimate the contributions of each measure to the association of pain intensity and the seven quality of life domains. The Cronbach’s alphas of the T-UW-PRSE6 and T-UW-CAP6 were 0.84 and 0.89, respectively. T-UW-PRSE6 and T-UW-CAP6 each made significant and independent contributions to the association of each quality-of-life domain assessed by the T-PROMIS-29 (p’s < 0.01). The findings support the reliability and validity of the T-UWPRSE6 and T-UW-CAP6 as measures of pain-related self-efficacy and catastrophizing, respectively. These brief measures appear to provide viable alternatives to the legacy measures of these important constructs.

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1.
Akkarakittichoke N, Khutok K, Kanlayanaphotporn R, Jensen MP, Janwantanakul P. Pain-related self-efficacy, pain catastrophizing, and function in individuals with chronic low back pain: further evaluation of the validity of the T-UW-PRESE6 and T-UW-CAP6. Arch AHS [Internet]. 2022 Dec. 23 [cited 2024 Dec. 19];34(3):33-4. Available from: https://he01.tci-thaijo.org/index.php/ams/article/view/256563
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Vol. 34 No. 3 (2022): September - December
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Original article
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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