BACKGROUND: The Pain Response Preference Questionnaire (PRPQ) assesses preferences regarding pain-related social support. The initial factor analytical study of the PRPQ produced four empirically supported scales labelled Solicitude, Management, Encouragement and Suppression. A second study produced similar findings, but suggested that the Management and Encouragement scales be combined into a single scale labelled Activity Direction.OBJECTIVES: To use factor analytical methods to evaluate these competing configurations of the PRPQ (ie, three versus four scales) and to further refine the measure. The ability of the PRPQ scales to account for pain severity and disability ratings was also evaluated.METHODS: Chronic pain patients (n=201) completed the PRPQ along with the Pain Catastrophizing Scale (PCS) and self-reports of pain severity and disability.RESULTS: Confirmatory factor analysis indicated that both models tested provided a poor fit to the data. A follow-up exploratory factor analysis was used to further refine the PRPQ scales and resulted in scales labelled Solicitude, Encouragement and Suppression. Supportive of the potential clinical utility of the PRPQ, Suppression was positively associated with pain severity and Solicitude was positively associated with disability. These two scales were also positively associated with the PCS. Supportive of the incremental validity of the PRPQ, a multiple regression analysis indicated that the Solicitude scale accounted for unique variance in disability ratings beyond that accounted for by demographic/clinical variables and the PCS.CONCLUSIONS: The PRPQ has promise as a clinical assessment measure and for advancing research examining the interpersonal context of pain.

中文翻译：

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疼痛反应偏好问卷的心理测评和改进

背景：疼痛反应偏好问卷（PRPQ）评估有关疼痛相关的社会支持的偏好。PRPQ的初始因素分析研究产生了四个经验支持的量表，分别标为“关爱，管理，鼓励和压制”。第二项研究得出了类似的结果，但建议将管理和鼓励量表合并为一个标有“活动方向”的量表。进一步完善措施。还评估了PRPQ量表解释疼痛严重程度和残疾等级的能力。慢性疼痛患者（n = 201）完成了PRPQ以及疼痛灾难性量表（PCS）以及疼痛严重程度和残疾的自我报告。后续探索性因素分析用于进一步完善PRPQ量表，并产生标为“关爱，鼓励和压制”的量表。支持PRPQ的潜在临床用途，抑制与疼痛严重程度呈正相关，而抚慰与残疾呈正相关。这两个量表也与PCS呈正相关。支持PRPQ的递增有效性，