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Biobehavioral pain profile: development and psychometric properties

Jo Ann Dalton1, Michael Feuerstein, John Carlson

  • 1University of North Carolina School of Nursing, Chapel Hill, NC 27599 USA Center for Occupational Rehabilitation, University of Rochester Medical Center, Rochester, NY 14618 USA University of Rochester Medical Center, Rochester, NY 14642 USA.

Pain
|April 1, 1994
PubMed
Summary

The Biobehavioral Pain Profile (BPP) is a new tool measuring cognitive, behavioral, and physiological pain reactions. It offers a comprehensive assessment for various chronic pain conditions.

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Area of Science:

  • Psychology
  • Pain Management
  • Health Psychology

Background:

  • Existing pain measures often neglect cognitive, behavioral, and physiological responses.
  • A comprehensive assessment tool is needed to capture the multifaceted nature of the pain experience.

Purpose of the Study:

  • To determine the psychometric properties of the Biobehavioral Pain Profile (BPP).
  • To establish the BPP as a reliable and valid measure for assessing diverse pain reactions.

Main Methods:

  • The BPP, a 41-item self-report scale, was administered to 617 individuals with chronic pain.
  • Psychometric properties were evaluated using factor analysis and reliability analyses (Cronbach's alpha, test-retest).

Main Results:

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  • Factor analysis identified 6 meaningful factors: Environmental Influences, Loss of Control, Health Care Avoidance, Past and Current Experience, Physiological Responsivity, and Thoughts of Disease Progression.
  • The BPP demonstrated strong internal consistency (Cronbach's alpha = 0.77–0.94) and acceptable test-retest reliability (0.57–0.73).
  • The BPP showed low correlations with measures of fear, depression, anxiety, body consciousness, and social desirability, indicating its unique construct.

    • Conclusions:

    • The Biobehavioral Pain Profile (BPP) is a psychometrically sound instrument for assessing a broad range of pain-related reactions.
    • The BPP provides a unique composite assessment of behavioral, physiological, and cognitive responses to pain across diverse chronic pain populations.