Measuring avoidance of pain: validation of the Acceptance and Action Questionnaire II-pain version

Michiel F. Reneman, Marco Kleen, H.R. Trompetter, Henrica R. Schiphorst-Preuper, Albere Koke, Bianca van Baalen, Karlein Maria Gertrudis Schreurs

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

Psychometric research on widely used questionnaires aimed at measuring experiential avoidance of chronic pain has led to inconclusive results. To test the structural validity, internal consistency, and construct validity of a recently developed short questionnaire: the Acceptance and Action Questionnaire II-pain version (AAQ-II-P). Cross-sectional validation study among 388 adult patients with chronic nonspecific musculoskeletal pain admitted for multidisciplinary pain rehabilitation in four tertiary rehabilitation centers in the Netherlands. Cronbach’s α was calculated to analyze internal consistency. Principal component analysis was performed to analyze factor structure. Construct validity was analyzed by examining the association between acceptance of pain and measures of psychological flexibility (two scales and sum), pain catastrophizing (three scales and sum), and mental and physical functioning. Interpretation was based on a-priori defined hypotheses. The compound of the seven items of the AAQ-II-P shows a Cronbach’s α of 0.87. The single component explained 56.2% of the total variance. Correlations ranged from r=−0.21 to 0.73. Two of the predefined hypotheses were rejected and seven were not rejected. The AAQ-II-P measures a single component and has good internal consistency, and construct validity is not rejected. Thus, the construct validity of the AAQ-II-P sum scores as indicator of experiential avoidance of pain was supported.
Original languageEnglish
Pages (from-to)125-129
JournalInternational journal of rehabilitation research
Volume37
Issue number2
DOIs
Publication statusPublished - 2014

Fingerprint

Pain
Catastrophization
Musculoskeletal Pain
Rehabilitation Centers
Validation Studies
Surveys and Questionnaires
Principal Component Analysis
Psychometrics
Chronic Pain
Netherlands
Statistical Factor Analysis
Rehabilitation
Cross-Sectional Studies
Psychology
Research

Keywords

  • IR-91563
  • METIS-299489

Cite this

Reneman, Michiel F. ; Kleen, Marco ; Trompetter, H.R. ; Schiphorst-Preuper, Henrica R. ; Koke, Albere ; van Baalen, Bianca ; Schreurs, Karlein Maria Gertrudis. / Measuring avoidance of pain: validation of the Acceptance and Action Questionnaire II-pain version. In: International journal of rehabilitation research. 2014 ; Vol. 37, No. 2. pp. 125-129.
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abstract = "Psychometric research on widely used questionnaires aimed at measuring experiential avoidance of chronic pain has led to inconclusive results. To test the structural validity, internal consistency, and construct validity of a recently developed short questionnaire: the Acceptance and Action Questionnaire II-pain version (AAQ-II-P). Cross-sectional validation study among 388 adult patients with chronic nonspecific musculoskeletal pain admitted for multidisciplinary pain rehabilitation in four tertiary rehabilitation centers in the Netherlands. Cronbach’s α was calculated to analyze internal consistency. Principal component analysis was performed to analyze factor structure. Construct validity was analyzed by examining the association between acceptance of pain and measures of psychological flexibility (two scales and sum), pain catastrophizing (three scales and sum), and mental and physical functioning. Interpretation was based on a-priori defined hypotheses. The compound of the seven items of the AAQ-II-P shows a Cronbach’s α of 0.87. The single component explained 56.2{\%} of the total variance. Correlations ranged from r=−0.21 to 0.73. Two of the predefined hypotheses were rejected and seven were not rejected. The AAQ-II-P measures a single component and has good internal consistency, and construct validity is not rejected. Thus, the construct validity of the AAQ-II-P sum scores as indicator of experiential avoidance of pain was supported.",
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Measuring avoidance of pain: validation of the Acceptance and Action Questionnaire II-pain version. / Reneman, Michiel F.; Kleen, Marco; Trompetter, H.R.; Schiphorst-Preuper, Henrica R.; Koke, Albere; van Baalen, Bianca; Schreurs, Karlein Maria Gertrudis.

In: International journal of rehabilitation research, Vol. 37, No. 2, 2014, p. 125-129.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Measuring avoidance of pain: validation of the Acceptance and Action Questionnaire II-pain version

AU - Reneman, Michiel F.

AU - Kleen, Marco

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AU - Koke, Albere

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AU - Schreurs, Karlein Maria Gertrudis

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N2 - Psychometric research on widely used questionnaires aimed at measuring experiential avoidance of chronic pain has led to inconclusive results. To test the structural validity, internal consistency, and construct validity of a recently developed short questionnaire: the Acceptance and Action Questionnaire II-pain version (AAQ-II-P). Cross-sectional validation study among 388 adult patients with chronic nonspecific musculoskeletal pain admitted for multidisciplinary pain rehabilitation in four tertiary rehabilitation centers in the Netherlands. Cronbach’s α was calculated to analyze internal consistency. Principal component analysis was performed to analyze factor structure. Construct validity was analyzed by examining the association between acceptance of pain and measures of psychological flexibility (two scales and sum), pain catastrophizing (three scales and sum), and mental and physical functioning. Interpretation was based on a-priori defined hypotheses. The compound of the seven items of the AAQ-II-P shows a Cronbach’s α of 0.87. The single component explained 56.2% of the total variance. Correlations ranged from r=−0.21 to 0.73. Two of the predefined hypotheses were rejected and seven were not rejected. The AAQ-II-P measures a single component and has good internal consistency, and construct validity is not rejected. Thus, the construct validity of the AAQ-II-P sum scores as indicator of experiential avoidance of pain was supported.

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