A 2-Item Short Form of the Pain Self-Efficacy Questionnaire: Development and Psychometric Evaluation of PSEQ-2

Nicholas, Michael K.; McGuire, Brian E.; Asghari, Ali

doi:10.1016/j.jpain.2014.11.002

Cited by 163 publications

(136 citation statements)

References 50 publications

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“…Previous investigations have found that the PSEQ correlates with measures of disability due to chronic pain and that it is associated with SI. 35,36 In the current study, the internal consistency was high (α = 0.89).…”

Section: Pain Catastrophizingmentioning

confidence: 56%

Self-perceived burden, perceived burdensomeness, and suicidal ideation in patients with chronic pain

Wilson

Kowal

Caird

et al. 2017

Canadian Journal of Pain

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Background: Self-perceived burden and perceived burdensomeness are two apparently related constructs that have arisen independently from research in physical and mental health, respectively. Although both are associated with suicidal ideation in individuals with chronic pain, they have yet to be examined concurrently in the same group of patients. Aims: The aim of this study was to investigate the relationship between the two constructs and their differential prediction of suicidal ideation. Methods: Participants were 260 outpatients of an interdisciplinary chronic pain treatment program. Each participant completed the Self-Perceived Burden Scale (SPBS), the Interpersonal Needs Questionnaire Perceived Burdensomeness Scale (INQPBS), the Beck Scale for Suicide Ideation, and the thoughts of self-harm item of the Patient Health Questionnaire-9. Results: The SPBS and the INQPBS were both unifactorial measures with good internal consistency. They correlated significantly with one another (r = 0.50, P < 0.001), as well as with scores on the two measures of suicidal ideation (rs ranging from 0.29 to 0.62, Ps < 0.001). However, the INQPBS correlated more highly with suicidal ideation than did the SPBS. In regression analyses, the INQPBS predicted unique variance in suicidal ideation after adjusting for the SPBS. Conversely, the SPBS did not contribute uniquely when the INQPBS was entered first. Conclusions: Patients with chronic pain who believe that they have become "a burden to others" are at increased risk for suicidal ideation. The conceptual similarities and differences between the constructs of self-perceived burden and perceived burdensomeness are reviewed to explain why perceived burdensomeness is the stronger predictor of this increased risk.

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Section: Pain Catastrophizingmentioning

confidence: 56%

Self-perceived burden, perceived burdensomeness, and suicidal ideation in patients with chronic pain

Wilson

Kowal

Caird

et al. 2017

Canadian Journal of Pain

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“…There is currently no standardised method of measuring patient expectation and we therefore recommend using a patient-rated Likert scale that includes a worsening as well as improvement of shoulder pain 29. There are several validated measurement tools for pain self-efficacy and for the busy clinician we recommend using shortened patient-rated versions such as the PSEQ-234 comprising two items. Standardised questionnaires like the PSEQ-2 and a single question on expectation of outcome provide an opportunity to openly discuss patient beliefs and expectations, which healthcare practitioners may find challenging otherwise 35 36.…”

Section: Discussionmentioning

confidence: 99%

Self-efficacy and risk of persistent shoulder pain: results of a Classification and Regression Tree (CART) analysis

et al. 2019

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ObjectivesTo (i) identify predictors of outcome for the physiotherapy management of shoulder pain and (ii) enable clinicians to subgroup people into risk groups for persistent shoulder pain and disability.Methods1030 people aged ≥18 years, referred to physiotherapy for the management of musculoskeletal shoulder pain were recruited. 810 provided data at 6 months for 4 outcomes: Shoulder Pain and Disability Index (SPADI) (total score, pain subscale, disability subscale) and Quick Disability of the Arm, Shoulder and Hand (QuickDASH). 34 potential prognostic factors were used in this analysis.ResultsFour classification trees (prognostic pathways or decision trees) were created, one for each outcome. The most important predictor was baseline pain and/or disability: higher or lower baseline levels were associated with higher or lower levels at follow-up for all outcomes. One additional baseline factor split participants into four subgroups. For the SPADI trees, high pain self-efficacy reduced the likelihood of continued pain and disability. Notably, participants with low baseline pain but concomitant low pain self-efficacy had similar outcomes to patients with high baseline pain and high pain self-efficacy. Cut-off points for defining high and low pain self-efficacy differed according to baseline pain and disability. In the QuickDASH tree, the association between moderate baseline pain and disability with outcome was influenced by patient expectation: participants who expected to recover because of physiotherapy did better than those who expected no benefit.ConclusionsPatient expectation and pain self-efficacy are associated with clinical outcome. These clinical elements should be included at the first assessment and a low pain self-efficacy response considered as a target for treatment intervention.

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“…Pain self-efficacy was assessed using the Pain Self-Efficacy Questionnaire short form (PSEQ-2 [31]) which assesses beliefs in the ability to carry out activities when experiencing pain. Two items: "I can do some form of work despite the pain" ("work" includes housework and paid and unpaid work) and "I can live a normal lifestyle despite the pain" are rated on 7-point scales ranging from 0 (not at all confident) to 6 (completely confident).…”

Section: Methodsmentioning

confidence: 99%

Work Outcomes in Patients Who Stay at Work Despite Musculoskeletal Pain

et al. 2017

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Purpose To assess self-reported work impacts and associations between psychosocial risk factors and work impairment amongst workers seeking care for musculoskeletal pain while continuing to work. Methods Patients were recruited from Musculoskeletal Assessment Clinics at 5 hospitals across Ireland. Participants completed questionnaires including assessments of work impairment (Work Productivity and Activity Impairment Questionnaire), work ability (single item from the Work Ability Index) and work performance (Work Role Functioning Questionnaire; WRFQ). Logistic and hierarchical regressions were conducted to analyse the relation between psychosocial variables and work outcomes. Results 155 participants (53.5% female; mean age = 46.50 years) who were working at the time of assessment completed the questionnaires. Absenteeism was low, yet 62.6% were classified as functioning poorly according to the WRFQ; 52.3% reported having poor work ability. Logistic regression analyses indicated that higher work role functioning was associated with higher pain self-efficacy (OR 1.51); better work ability was associated with older age (OR 1.063) and lower functional restriction (OR 0.93); greater absenteeism was associated with lower pain self-efficacy (OR 0.65) and poorer work expectancy (OR 1.18). Multiple regression analysis indicated that greater presenteeism was associated with higher pain intensity (β = 0.259) and lower pain self-efficacy (β = - 0.385). Conclusions While individuals continue to work with musculoskeletal pain, their work performance can be adversely affected. Interventions that target mutable factors, such as pain self-efficacy, may help reduce the likelihood of work impairment.

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A 2-Item Short Form of the Pain Self-Efficacy Questionnaire: Development and Psychometric Evaluation of PSEQ-2

Cited by 163 publications

References 50 publications

Self-perceived burden, perceived burdensomeness, and suicidal ideation in patients with chronic pain

Self-perceived burden, perceived burdensomeness, and suicidal ideation in patients with chronic pain

Self-efficacy and risk of persistent shoulder pain: results of a Classification and Regression Tree (CART) analysis

Work Outcomes in Patients Who Stay at Work Despite Musculoskeletal Pain

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