Cross-Cultural Validation of the Brazilian Portuguese Version of the Pain Vigilance and Awareness Questionnaire

Bonafé, Fernanda Salloume Sampaio; Marôco, João; Campos, Juliana Álvares Duarte Bonini

doi:10.11607/ofph.1853

Cited by 10 publications

(5 citation statements)

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“…It is worth mentioning that the confirmatory strategy is a required step for the use of any psychometric instrument whose theoretical model has already been established a priori (as is the case of the MPI), and from it, the matrix of the factor score weights is obtained automatically. These regression weights are specified for the sample [24] [35], so their use makes the estimates more accurate. Table 5 shows that occurs an overestimation of the "Interference", "Self-Control", "Affectivity", "Support" and "Psychosocial" factors of Part I and an underestimation of factors of Part II when using the simple arithmetic mean to obtain the overall scores.…”

Section: Discussionmentioning

confidence: 99%

“…Table 5 shows that occurs an overestimation of the "Interference", "Self-Control", "Affectivity", "Support" and "Psychosocial" factors of Part I and an underestimation of factors of Part II when using the simple arithmetic mean to obtain the overall scores. This fact is directly related to the method used to estimate the overall score and it should be warned that the estimation by the simple arithmetic mean considers that all the items have the same participation in the composition of the factors, which is not realistic (Figure 1) [35] [36] [37]. Some individuals presented negative scores on the factors "Interference" (score ≥ −0.24), "Self-Control" (score ≥ −0.77), "Affectivity" (score ≥ −0.53), "Support" (score ≥ −0.03) and "Psychosocial" (score ≥ −0.79).…”

Section: Discussionmentioning

confidence: 99%

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Multidimensional Pain Inventory (MPI): Adaptation to Orthodontic Patients and Its Psychometric Properties

Campos

Silva²,

Santos-Pinto

et al. 2019

PST

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Background: Pain perception may result from orthodontic treatment and should be considered in clinical management. Its assessment should not be limited to the intensity of perceived pain but should also consider the psychosocial and behavioral aspects involved. Objective: The aims of this study were to adapt and validate the Multidimensional Pain Inventory (MPI) for orthodontic patients, and present a proposal to calculate an overall score of the pain-related aspects and compare these scores with the usual methodology used. Methods: Face validity of the MPI was estimated and orthodontic version (MPI-Orthodontic) was developed. Factorial validity was evaluated by confirmatory analysis. Convergent and discriminant validity and reliability were estimated. The fit of Second-Order Hierarchical Models was estimated. Concurrent validity of MPI-Orthodontic was evaluated against the Visual Analogue Scale. Invariance of the factorial models was evaluated for independent samples and according to sex and age. Overall score was calculated using the matrix of regression weights and compared to simple arithmetic mean. Results: 507 individuals (63.3% women; age: 26.32 (SD = 11.70) years) participated. For the fit of Part I (psychosocial aspects) of the MPI-Orthodontic, it added correlation between two items and excluded one item; for Part II (behavioral aspects) two items were excluded. The models presented adequate fit to the sample. Reliability was adequate. MPI-Orthodontic presented inva

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multidimensional Pain Inventory (MPI): Adaptation to Orthodontic Patients and Its Psychometric Properties

Campos

Silva²,

Santos-Pinto

et al. 2019

PST

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“…The degree of hypervigilance was evaluated by the pain vigilance and awareness questionnaire (PVAQ), before onset of the orthodontic movement protocol. 25 This instrument consists of 16 items, with scores between 0 and 5, in which the sum of obtained scores was used. The patients marked the degree at which each description of pain corresponded to their behaviour, according to their painful experiences.…”

Section: Pain Vigilance and Awareness Questionnairementioning

confidence: 99%

Evaluation of pain intensity in patients treated with aligners and conventional fixed appliances: Randomized clinical trial

Casteluci

Oltramari

Conti

et al. 2020

Orthod Craniofacial Res

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Objective This randomized clinical trial aimed to compare the pain intensity in patients treated with orthodontic aligners and conventional fixed appliances. Setting and sample population This study was a randomized clinical trial. The sample comprised 39 patients randomly allocated into 2 groups: OA (orthodontic aligners, n = 20) and FA (Fixed Appliance, n = 19). Material and methods The pain intensity was measured by the visual analogue scale (VAS) in the following periods: T0 (baseline), T1 (seven days after appliance placement) and seven days after each return on the first (T2), third (T3) and sixth (T4) months. The following variables were also investigated in the baseline: conditioned pain modulation, anxiety levels, hypervigilance and catastrophizing. The VAS measurements between groups were compared by the Mann‐Whitney test. Comparisons between periods within each group were performed by the Friedman test. Data regarding catastrophizing and hypervigilance were compared by the t test. All tests were applied at a significance level of 5%, with 95% confidence interval. Results Both groups presented similar levels of anxiety, hypervigilance, catastrophizing and conditioned pain modulation. Both groups did not differ concerning the pain intensity in all periods. The intragroup evaluation revealed statistical differences between days in the FA group at all moments evaluated, for the OA group, similar findings between days were found for the T1 evaluation; however, at the 6‐month period (T4), the pain levels varied over these days without statistical difference. Higher levels of pain were observed in the first seven days after appliance placement. Conclusion The pain intensity, usually mild, was not influenced by the appliance design, although different patterns of reported pain seem to occur between groups.

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“…To assess the psychosocial status of patients before and after treatment, the validated Brazilian Portuguese translations of the following questionnaires were used: the Hospital Anxiety and Depression Scale (HADS), which 44 consists of two subscales, one measuring anxiety with seven items and the other measuring depression with seven items scored separately; the Central Sensitization Inventory (CSI), which 45 contains part A with 25 statements about current health symptoms and part B assessing previously diagnosed central sensitivity syndromes and related conditions; the Perceived Stress Scale (PSS) 46 , which consists of 14 items that measure the perception of stress; the Pittsburgh Sleep Quality Index (PSQI) 47 , which consists of 19 items that measure sleep quality and disturbances; Pain Catastrophizing Scale (PCS) 48 , which consists of 13 items about the degree of thoughts or feelings related to pain; Pain Vigilance and Awareness Questionnaire (PVAQ) 49 , which consists of 16 items that measure attention to pain; and the Short Form Health Survey 36 (SF-36) composed of 36 items, grouped into eight dimensions of health 50 .…”

Section: Methodsmentioning

confidence: 99%

Botulinum toxin-A effects on pain, somatosensory and psychosocial features of patients with refractory masticatory myofascial pain: a randomized double-blind clinical trial

De la Torre Canales,

Poluha,

Bonjardim

et al. 2024

Sci Rep

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The antinociceptive effect of BoNT-A have been well documented in animal studies; however, results of few but well-designed randomized placebo-controlled clinical trials about BoNT-A efficacy in masticatory myofascial pain (MFP) are inconsistent. Therefore, the present randomized, double-blind, placebo-controlled clinical trial evaluated the efficacy of BoNT-A in patients with refractory MFP. Twenty-eight patients with pain reduction of less than 30% despite conservative treatment and with an average pain intensity of > 50 mm on the visual analogue scale (VAS) participated. Patients were randomly assigned to receive a total of 80 U of BoNT-A or saline solution (SS) injected into the masseter and anterior temporalis muscles. Pain intensity (VAS), quantitative sensory testing (QST), conditioned pain modulation (CPM), and psychosocial status were examined. Follow-up was performed at 1 and 6 months. For repeated-measure comparisons between evaluation times, Friedman test with Bonferroni correction was used for pain and somatosensory variables and the Wilcoxon test for the psychosocial variables. The Mann–Whitney test was used for all comparisons between groups. The BoNT-A group had a significant decrease in pain intensity at follow-ups compared with the SS group (p < 0.001). QST assessment revealed higher pressure pain threshold values in the masseter muscle for BoNT-A group compared to SS (p < 0.03) at all follow-ups. No differences were found for mechanical pain threshold and wind-up ratio values (p > 0.05) in the entire study. The BoNT-A group presented the most efficient CPM effect (p < 0.03) only at the 1 month follow-up in the masseter muscle. There was a significant time effect for BoNT-A in all psychosocial variables (p < 0.05) and a drug effect in the Central Sensitization Inventory (p < 0.01), Pittsburgh Sleep Quality Index (p < 0.004), and Healthy Survey 36 (p < 0.05) at 6 months follow-up. The study demonstrates that a single injection-session of BoNT-A has positive effects on the hall pain spectrum of patients with refractory masticatory myofascial pain.

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Cross-Cultural Validation of the Brazilian Portuguese Version of the Pain Vigilance and Awareness Questionnaire

Cited by 10 publications

References 0 publications

Multidimensional Pain Inventory (MPI): Adaptation to Orthodontic Patients and Its Psychometric Properties

Multidimensional Pain Inventory (MPI): Adaptation to Orthodontic Patients and Its Psychometric Properties

Evaluation of pain intensity in patients treated with aligners and conventional fixed appliances: Randomized clinical trial

Botulinum toxin-A effects on pain, somatosensory and psychosocial features of patients with refractory masticatory myofascial pain: a randomized double-blind clinical trial

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