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Journal of Pediatric Psychology Advance Access published online on August 26, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp075
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: A Confirmatory Approach to Exploring the Factor Structure of the Social Consequences of Pain Questionnaire

Amy F Sato, PhD1, W Hobart Davies, PhD1,2, Kristoffer S Berlin, PhD3, Katherine Simon Salamon, MS1, Kimberly Anderson Khan, Psy.D2,4 and Steven J Weisman, MD2,4

1University of Wisconsin-Milwaukee, 2Medical College of Wisconsin, 3Brown Medical School and Bradley Hasbro Children's Research Center and 4Children's Hospital of Wisconsin

All correspondence concerning this article should be addressed to Amy F. Sato, PhD, Department of Child and Adolescent Psychiatry, Bradley Hasbro Children's Research Center, Rhode Island Hospital, 1 Hoppin St., Suite 204, Coro West, Providence, RI 02903, USA. E-mail: asato{at}lifespan.org


  Abstract

Objective Confirmatory factor analysis was used to evaluate the factor structure of the Social Consequences of Pain (SCP) questionnaire in youth referred for specialty pain treatment. The existing four-factor structure (i.e., Positive Attention, Negative Attention, Activity Restriction, Privileges) was compared to an alternate three-factor structure merging Positive Attention and Privileges into a single scale (Favorable Consequences). Methods Participants were 373 youth (aged 8–18 years) with chronic pain referred to a tertiary pain clinic. Most participants presented with pain in the head, abdomen, legs, or back. Participants completed the SCP questionnaire at or before an intake appointment. Results Both three-factor and four-factor solutions were acceptable. The three-factor solution emerged as preferable due to stronger internal consistencies. Conclusions Findings support the validity of the SCP for the assessment of social consequences in diverse presentations of pediatric chronic pain.

Key words: Assessment; chronic and recurrent pain; pain; structural equation modeling..

Received December 31, 2008; revision received July 27, 2009; accepted July 27, 2009


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