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The Pain Behavior Check List (PBCL): factor structure and psychometric properties
R D Kerns1, J Haythornthwaite, R Rosenberg
1Yale University School of Medicine, New Haven, Connecticut 06520.
Journal of Behavioral Medicine
|April 1, 1991
Summary
This study evaluated the Pain Behavior Check List (PBCL) in chronic pain patients. The PBCL effectively identified four key dimensions of pain behaviors, showing potential for clinical use.
Area of Science:
- Psychology
- Pain Management
- Behavioral Science
Background:
- Fordyce's operant model emphasizes observable pain behaviors.
- The multidimensional nature of pain behaviors requires robust measurement tools.
Purpose of the Study:
- To evaluate the multidimensional construct of pain behaviors.
- To assess the psychometric properties of the Pain Behavior Check List (PBCL).
Main Methods:
- 126 chronic pain patients completed the PBCL and other questionnaires.
- Factor analysis was used to identify underlying dimensions of the PBCL.
Main Results:
- Factor analysis revealed four distinct factors: Distorted Ambulation, Affective Distress, Facial/Audible Expressions, and Seeking Help.
- The PBCL demonstrated substantial reliability and stability for both the total score and subscales.
Conclusions:
- The PBCL is a psychometrically sound instrument for measuring pain behaviors.
- The findings support the clinical and theoretical utility of the PBCL in assessing chronic pain.