Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran

IntroductionSo far, the psychometric properties of the Persian version of the Pain Anxiety Symptom Scale have not been assessed in Iran. Therefore, this study was conducted to determine the validity and reliability of the Persian version of the Pain Anxiety Symptom Scale among a group of Iranian pat...

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Main Authors: Hamid Sharif-Nia, Erika Sivarajan Froelicher, João Marôco, Esmaeil Hoseinzadeh, Sima Hejazi, Reza Fatehi, Poorya Nowrozi, Bita Mohammadi
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1422346/full
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author Hamid Sharif-Nia
Hamid Sharif-Nia
Erika Sivarajan Froelicher
Erika Sivarajan Froelicher
João Marôco
Esmaeil Hoseinzadeh
Sima Hejazi
Sima Hejazi
Reza Fatehi
Poorya Nowrozi
Bita Mohammadi
author_facet Hamid Sharif-Nia
Hamid Sharif-Nia
Erika Sivarajan Froelicher
Erika Sivarajan Froelicher
João Marôco
Esmaeil Hoseinzadeh
Sima Hejazi
Sima Hejazi
Reza Fatehi
Poorya Nowrozi
Bita Mohammadi
author_sort Hamid Sharif-Nia
collection DOAJ
description IntroductionSo far, the psychometric properties of the Persian version of the Pain Anxiety Symptom Scale have not been assessed in Iran. Therefore, this study was conducted to determine the validity and reliability of the Persian version of the Pain Anxiety Symptom Scale among a group of Iranian patients in Amol.MethodsThis methodological study was conducted in 2023 with a sample of 400 postoperative patients from Amol, Iran, selected through convenience sampling. The dataset was divided into two groups of 200 for exploratory and confirmatory factor analyses. Construct validity was assessed using maximum likelihood exploratory factor analysis with Promax rotation, supported by Horn’s parallel analysis and network analysis to visualize item relationships. Confirmatory factor analysis, convergent and discriminant validity was performed on the second dataset. Reliability was evaluated through various statistical measures, including Cronbach’s alpha, McDonald’s omega, average inter-item correlation coefficient, composite reliability, and maximal reliability (MaxR).ResultsAmong the 400 participants, the mean age was 44.38 years (SD = 13.49), with 152 (46.1%) being women and 178 (53.9%) men. Most participants (n = 268, 81.2%) had an education level lower than a diploma, and 93 individuals (28.2%) reported a history of surgery. The results of exploratory factor analysis with Promax rotation developed two factors accounting for 66.29% of the variance comprising 15 items. Also, after necessary modifications during confirmatory factor analysis, the final model was approved. As for reliability, the Cronbach’s alpha, composite reliability, and MaxR for all constructs were greater than 0.7, demonstrating good internal consistency and construct reliability.ConclusionAccording to the results, the Persian version of the Pain Anxiety Symptom Scale has a valid structure and acceptable reliability. This scale can be used by health professionals in many ways.
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spelling doaj-art-8329fcd3c40e4042b7cb70c1cd827d042024-12-06T06:50:32ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-12-011510.3389/fpsyt.2024.14223461422346Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, IranHamid Sharif-Nia0Hamid Sharif-Nia1Erika Sivarajan Froelicher2Erika Sivarajan Froelicher3João Marôco4Esmaeil Hoseinzadeh5Sima Hejazi6Sima Hejazi7Reza Fatehi8Poorya Nowrozi9Bita Mohammadi10Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, IranDepartment of Nursing, Amol School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, IranDepartment of Physiological Nursing, School of Nursing, University of California, San Francisco, San Francisco, CA, United StatesDepartment of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, San Francisco, CA, United StatesWilliam James Centre for Research, ISPA - Instituto Universitario, Lisboa, PortugalDepartment of Nursing, Faculty of Medical Sciences, Islamic Azad University, Gorgan, IranAddiction and Behavioral Sciences Center, North Khorasan University of Medical Sciences, Bojnurd, IranNursing Department, Bojnurd School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, IranDepartment of Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, IranDepartment of Nursing, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran0Mazandaran University of Medical Sciences, Sari, IranIntroductionSo far, the psychometric properties of the Persian version of the Pain Anxiety Symptom Scale have not been assessed in Iran. Therefore, this study was conducted to determine the validity and reliability of the Persian version of the Pain Anxiety Symptom Scale among a group of Iranian patients in Amol.MethodsThis methodological study was conducted in 2023 with a sample of 400 postoperative patients from Amol, Iran, selected through convenience sampling. The dataset was divided into two groups of 200 for exploratory and confirmatory factor analyses. Construct validity was assessed using maximum likelihood exploratory factor analysis with Promax rotation, supported by Horn’s parallel analysis and network analysis to visualize item relationships. Confirmatory factor analysis, convergent and discriminant validity was performed on the second dataset. Reliability was evaluated through various statistical measures, including Cronbach’s alpha, McDonald’s omega, average inter-item correlation coefficient, composite reliability, and maximal reliability (MaxR).ResultsAmong the 400 participants, the mean age was 44.38 years (SD = 13.49), with 152 (46.1%) being women and 178 (53.9%) men. Most participants (n = 268, 81.2%) had an education level lower than a diploma, and 93 individuals (28.2%) reported a history of surgery. The results of exploratory factor analysis with Promax rotation developed two factors accounting for 66.29% of the variance comprising 15 items. Also, after necessary modifications during confirmatory factor analysis, the final model was approved. As for reliability, the Cronbach’s alpha, composite reliability, and MaxR for all constructs were greater than 0.7, demonstrating good internal consistency and construct reliability.ConclusionAccording to the results, the Persian version of the Pain Anxiety Symptom Scale has a valid structure and acceptable reliability. This scale can be used by health professionals in many ways.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1422346/fullanxietypainpsychometricsreliabilityvalidityIran
spellingShingle Hamid Sharif-Nia
Hamid Sharif-Nia
Erika Sivarajan Froelicher
Erika Sivarajan Froelicher
João Marôco
Esmaeil Hoseinzadeh
Sima Hejazi
Sima Hejazi
Reza Fatehi
Poorya Nowrozi
Bita Mohammadi
Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
Frontiers in Psychiatry
anxiety
pain
psychometrics
reliability
validity
Iran
title Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
title_full Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
title_fullStr Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
title_full_unstemmed Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
title_short Psychometric properties of the pain anxiety symptom scale among postoperative patients in Amol, Iran
title_sort psychometric properties of the pain anxiety symptom scale among postoperative patients in amol iran
topic anxiety
pain
psychometrics
reliability
validity
Iran
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1422346/full
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