Factorial validity and reliability of the Chinese version of the Pain Vigilance and Awareness Questionnaire (ChPVAQ) in a sample of Chinese patients with chronic pain

Wing Sze WONG, Lance M. MCCRACKEN, Richard FIELDING

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6 Citations (Scopus)

Abstract

Purpose. The Pain Vigilance and Awareness Questionnaire (PVAQ) has been shown to be a reliable measure for assessing attention to pain. Different factor structures have been reported in Western populations; yet, whether the known factor models could be replicated in non-Western populations and the psychometric properties of the scale remain unclear. This study aimed to examine the factorial validity and psychometric properties of the Chinese version of the PVAQ (ChPVAQ).
Methods. A total of 242 Chinese patients with chronic pain completed the ChPVAQ, the Chronic Pain Grade questionnaire, the Chinese version of the 11-item version of the Tampa Scale for Kinesiophobia (ChTSK-11), the Hospital Anxiety and Depression Scale (HADS), and questions assessing socio-demographic characteristics.
Results. Results of confirmatory factor analyses showed that of the nine competing models tested, McCracken's two-factor correlated model for the 13-item version of PVAQ (PVAQ-13) demonstrated the best data–model fit (CFI = 0.93). The two subscales and the entire scale of ChPVAQ-13 obtained moderately high internal consistency (Cronbach's αs: 0.75–0.77). The ChPVAQ-13 scales showed significant positive correlations with HADS, ChTSK11, pain intensity, and disability scores. Results of hierarchical multiple regression analyses showed the ChPVAQ-13 scales predicted concurrent depression (F[4,187] = 6.01, P < 0.001) and pain disability (F[4,190] = 3.54, P < 0.05) scores. Passive Awareness emerged as significant independent predictor of concurrent depression (standardized beta coefficient [std β] = 0.17, P < 0.05) and pain disability (std β = 0.24, P < 0.01), while Active Vigilance (std β = 0.19, P < 0.05) predicted concurrent pain disability.
Conclusions. Our results offer preliminary evidence for the factorial validity and reliability the ChPVAQ-13. Copyright © 2011 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)1018-1025
JournalPain Medicine
Volume12
Issue number7
DOIs
Publication statusPublished - Jul 2011

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Reproducibility of Results
Chronic Pain
Pain
Depression
Surveys and Questionnaires
Psychometrics
Anxiety
Population
Statistical Factor Analysis
Regression Analysis
Demography

Citation

Wong, W. S., McCracken, L. M., & Fielding, R. (2011). Factorial validity and reliability of the Chinese version of the Pain Vigilance and Awareness Questionnaire (ChPVAQ) in a sample of Chinese patients with chronic pain. Pain Medicine, 12(7), 1018-1025. doi: 10.1111/j.1526-4637.2011.01169.x

Keywords

  • Chinese
  • Confirmatory factor analysis
  • Attention to pain
  • Chronic pain