Validity and Reliability of the Pain Self-efficacy Questionnaire Thai Version (PSEQ-Th) in Chronic Pain Patients with Cancer

Main Article Content

Kritta Supanimitamorn
Nattha Saisavoey
Sirirat Kooptiwoot
Isaraporn Tipapakoon
Nattaya Bunwatsana

Abstract

BACKGROUND: The Pain Self-efficacy Questionnaire (PSEQ) is a self-reported questionnaire measuring self-efficacy in chronic non-malignant pain patients, and is correlated with the prognosis of pain behavior and disability. However, to the best of our knowledge, there has been no study yet with chronic malignant pain patients, so this study aimed to examine the reliability and validity of the PSEQ Thai version (PSEQ-Th) among chronic malignant pain patients in Thailand.


OBJECTIVES: To examine the validity and reliability of the PSEQ-Th in chronic malignant pain in Thai cancer patients.


METHODS: Overall, 129 patients with chronic cancer pain who visited the pain clinic at Siriraj Hospital were asked to complete 6 self-reported questionnaires: Numeric Pain Rating Score (NPRS), Depression Anxiety Stress Scale-21 (DASS-21), Roland–Morris Disability Questionnaire (RMDQ), EuroQol Group–5 Dimensions–5 levels (EQ-5D-5L), Catastrophizing Score, and the PSEQ-Th at their first visit to the clinic and then the PSEQ-Th and NPRS again at the second visit.


RESULTS: In total, 127 patients completed the PSEQ-Th questionnaires at their first visit and 113 completed them again at their second visit. The mean scores for the first and second PSEQ-Th were 38.8 (SD=14.6) and 36.2 (SD=16.5), respectively. For reliability, the Cronbach’s alpha was 0.92 and the internal class coefficient was 0.55. For validity, the PSEQ-Th was statistically significantly negatively correlated with the NPRS (r=-0.41), RMDQ (r=-0.44), DASS-21 (Stress part: r=-0.57, Anxiety part: r=-0.59, Depression part: r=-0.63), Catastrophizing score (r=-0.51), and statistically significantly positively correlated with the health status value (EQ-5D-5L: r=0.59).


CONCLUSION: The PSEQ-Th is reliable for Thai patients with chronic malignant pain. The PSEQ-Th was statistically significantly negatively correlated with the NPRS, RMDQ, DASS-21, and Catastrophizing score, and statistically significantly positively correlated with the health status value.


Thaiclinicaltrials.org number, TCTR 20211216001

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