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A 2-Item Short Form of the Pain Self-Efficacy Questionnaire: Development and Psychometric Evaluation of PSEQ-2
Open accessAbstract
Unlabelled The Pain Self-Efficacy Questionnaire (PSEQ) is an established 10-item measure of pain self-efficacy that is widely used in clinical and research settings. However, a shorter measure would reduce patient and researcher burden and save valuable time in busy clinical settings. The aim of this study was to develop and confirm the psychometric properties of a valid and reliable 2-item short form of the PSEQ (PSEQ-2). We used a large sample of 1,418 chronic pain patients, which we randomly split into 2 smaller groups. We identified the 2 short-form items in Sample 1 and confirmed their properties in Sample 2. In order to identify the 2 items for the short-form measure, we selected the first item based on the highest item-total correlation. The second item was identified after a series of additional analyses. The 2 items identified from the PSEQ reflected confidence in one's ability to work and lead a normal life despite pain. The PSEQ-2's validity and internal consistency were found to be sound. Test-retest reliability, sensitivity to change, and convergent validity were confirmed in a separate patient sample (n = 140) that had recently completed an intervention designed, in part, to modify self-efficacy beliefs. The PSEQ-2 appears to be a robust measure of pain self-efficacy.Perspective Pain self-efficacy is a belief in one's ability to carry out activities even when in pain and is important in coping effectively with pain. A short measure of pain self-efficacy was developed and evaluated. It appears to be suitable for use in clinical and research settings.
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“pain self-efficacy items are based on the Pain Self-Efficacy Questionnaire.67”
From Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project (2022) · cites this paper as [67]
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“Similarly, although some participants’ attitudes may change depending on symptom trajectories, we expected attitude changes to correspond with changes on the modified PSEQ and used stable modified PSEQ scores as a reference.”
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“The PSEQ-2 consists of two questions reflecting confidence in the individual’s ability to work and live a normal lifestyle besides the pain.(30) The FAQ single item asks for agreement with: “I should not do physical activities that might make my pain worse”.”
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“Pain Self-Efficacy Questionnaire-2 (PSEQ-2) The Pain Self-Efficacy Questionnaire (PSEQ) is a well-established 10-item measure of pain self-efficacy, a belief in one’s ability to carry out activities despite the pain [20].”
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“Self-efficacy is task-specific and criterially based, therefore the approaches to measurement have varied greatly, from Bandura’s original presentation of practical tasks to questionnaires containing one or many items (Bandura, 1977; Berry et al., 1989; Nicholas et al., 2015).”
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“Pain self-efficacy 2-item Pain Self-Efficacy Questionnaire (PSEQ-2) [11].”
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“To detect variables associated with reaching patients at each time point and their willingness to complete the survey, we conducted bivariate analyses, accounting for age, gender, language (English compared to Spanish), city (Austin compared to other), GAD-7 at baseline, PHQ-2/9 at baseline, PSEQ at baseline, and qDAS…”
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“” The total score is the sum of all item scores (5-35), with higher scores indicating greater perceived empathy.”
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“The Pain Self-efficacy Questionnaire-2 (PSEQ-2) (Nicholas et al., 2015) was used to evaluate self-efficacy regarding pain.”
InfluentialCurrent Use of Patient-Reported Outcome Measures Ignores Functional Demand
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“PSEQ-2 has demonstrated acceptable reliability and validity in chronic pain patients (Nicholas et al. 2015).”
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“In individuals with chronic pain, confidence in the ability to perform specified activities correlated with the subsequent performance of those activities [39, 40].”
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“On the contrary, people who are aware and able to make a difference will feel happy because they have the initiative to take action (Nicholas et al., 2015).”
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Metadata
- Authors
- Nicholas, M. K., McGuire, B. E., & Asghari, A.
- Affiliations
- The University of Sydney (AU)
- Ollscoil na Gaillimhe – University of Galway (IE)
- Shahed University (IR)
- Corresponding author
- Nicholas, Michael K.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 16
- Issue
- 2
- Pages
- 153-163
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W1975558470
- Cited by
- 241
- References
- 71
- Citations by year
- 2026: 21 · 2025: 35 · 2024: 38 · 2023: 24 · 2022: 23 · 2021: 35 · 2020: 29 · 2019: 14 · 2018: 7 · 2017: 9 · 2016: 5 · 2015: 1
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- pain self-efficacy, Pain Self-Efficacy Questionnaire, short-form questionnaire, chronic pain, psychometric properties, test-retest reliability, sensitivity to change, convergent validity, internal consistency, pain coping, self-efficacy measurement
- MeSH terms
- Adult, Aged, Depression, Female, Humans, Male, Middle Aged, Pain, Phobic Disorders, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Sensitivity and Specificity, Reproducibility of Results, Self Efficacy, Catastrophization
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