Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain

Background. The Pain Resilience Scale (PRS), which measures behavioral perseverance and the ability to regulate emotions and cognition despite ongoing pain, lacks an Arabic version. Objectives. This study aimed to translate, culturally adapt, and validate an Arabic version of the Pain Resilience Sca...

Full description

Saved in:
Bibliographic Details
Main Authors: Melissa Makhoul, Samar Noureddine, Huda Abu-Saad Huijer, Laila Farhood, Souha Fares, Imad Uthman, Douglas J. French, Christopher R. France
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2024/7361038
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832553172209500160
author Melissa Makhoul
Samar Noureddine
Huda Abu-Saad Huijer
Laila Farhood
Souha Fares
Imad Uthman
Douglas J. French
Christopher R. France
author_facet Melissa Makhoul
Samar Noureddine
Huda Abu-Saad Huijer
Laila Farhood
Souha Fares
Imad Uthman
Douglas J. French
Christopher R. France
author_sort Melissa Makhoul
collection DOAJ
description Background. The Pain Resilience Scale (PRS), which measures behavioral perseverance and the ability to regulate emotions and cognition despite ongoing pain, lacks an Arabic version. Objectives. This study aimed to translate, culturally adapt, and validate an Arabic version of the Pain Resilience Scale (PRS-A) among Lebanese adults. Methods. Phase 1 involved translation and cross-cultural adaptation of the PRS into Arabic. Phase 2 examined the reliability and validity of the PRS-A. A convenience sample of 154 Lebanese adults with chronic musculoskeletal pain completed the PRS-A and self-report measures of pain catastrophizing, pain self-efficacy, pain intensity and interference, depression and anxiety, and quality of life. Results. The PRS-A yielded a two-factor structure with factor 1 representing “cognitive/affective positivity” and factor 2 representing “behavioral perseverance,” accounting for 41.93% and 15.15% of the variance in pain resilience, respectively. Total PRS-A score (M = 33.20 and SD = 9.90) showed significant correlations with pain catastrophizing (M = 27.65, SD = 13.03, and r = −0.52), pain self-efficacy (median = 9.00, IQR = 4, and rho = 0.61), pain intensity (M = 4.50, SD = 2.25, and r = −0.28), pain interference (M = 4.30, SD = 2.89, and r = −0.56), physical (M = 34.95, SD = 9.52, and r = 0.34) and mental (M = 40.08, SD = 12.49, and r = 0.58) health functioning, anxiety (median = 7.00, IQR = 7, and rho = −0.57), and depression (median = 4.00, IQR = 6, and rho = −0.58). PRS-A subscale was also significantly related to all measures except pain intensity, which was correlated with cognitive/affective positivity (r = −0.33) but not behavioral perseverance (r = −0.09). Cronbach’s alpha for the PRS-A was 0.87. Conclusion. The PRS-A demonstrated validity and acceptable reliability among Arab-speaking individuals with chronic musculoskeletal pain, suggesting its potential utility for assessing pain resilience within this population.
format Article
id doaj-art-193be68efadd4ce7a8c31a78d909ec64
institution Kabale University
issn 1918-1523
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Pain Research and Management
spelling doaj-art-193be68efadd4ce7a8c31a78d909ec642025-02-03T05:54:42ZengWileyPain Research and Management1918-15232024-01-01202410.1155/2024/7361038Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal PainMelissa Makhoul0Samar Noureddine1Huda Abu-Saad Huijer2Laila Farhood3Souha Fares4Imad Uthman5Douglas J. French6Christopher R. France7Rafic Hariri School of NursingRafic Hariri School of NursingFaculty of Health SciencesRafic Hariri School of NursingRafic Hariri School of NursingDepartment of Internal MedicineAtlantic Pain ClinicDepartment of PsychologyBackground. The Pain Resilience Scale (PRS), which measures behavioral perseverance and the ability to regulate emotions and cognition despite ongoing pain, lacks an Arabic version. Objectives. This study aimed to translate, culturally adapt, and validate an Arabic version of the Pain Resilience Scale (PRS-A) among Lebanese adults. Methods. Phase 1 involved translation and cross-cultural adaptation of the PRS into Arabic. Phase 2 examined the reliability and validity of the PRS-A. A convenience sample of 154 Lebanese adults with chronic musculoskeletal pain completed the PRS-A and self-report measures of pain catastrophizing, pain self-efficacy, pain intensity and interference, depression and anxiety, and quality of life. Results. The PRS-A yielded a two-factor structure with factor 1 representing “cognitive/affective positivity” and factor 2 representing “behavioral perseverance,” accounting for 41.93% and 15.15% of the variance in pain resilience, respectively. Total PRS-A score (M = 33.20 and SD = 9.90) showed significant correlations with pain catastrophizing (M = 27.65, SD = 13.03, and r = −0.52), pain self-efficacy (median = 9.00, IQR = 4, and rho = 0.61), pain intensity (M = 4.50, SD = 2.25, and r = −0.28), pain interference (M = 4.30, SD = 2.89, and r = −0.56), physical (M = 34.95, SD = 9.52, and r = 0.34) and mental (M = 40.08, SD = 12.49, and r = 0.58) health functioning, anxiety (median = 7.00, IQR = 7, and rho = −0.57), and depression (median = 4.00, IQR = 6, and rho = −0.58). PRS-A subscale was also significantly related to all measures except pain intensity, which was correlated with cognitive/affective positivity (r = −0.33) but not behavioral perseverance (r = −0.09). Cronbach’s alpha for the PRS-A was 0.87. Conclusion. The PRS-A demonstrated validity and acceptable reliability among Arab-speaking individuals with chronic musculoskeletal pain, suggesting its potential utility for assessing pain resilience within this population.http://dx.doi.org/10.1155/2024/7361038
spellingShingle Melissa Makhoul
Samar Noureddine
Huda Abu-Saad Huijer
Laila Farhood
Souha Fares
Imad Uthman
Douglas J. French
Christopher R. France
Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
Pain Research and Management
title Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
title_full Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
title_fullStr Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
title_full_unstemmed Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
title_short Psychometric Properties of the Arabic Version of the Pain Resilience Scale among Lebanese Adults with Chronic Musculoskeletal Pain
title_sort psychometric properties of the arabic version of the pain resilience scale among lebanese adults with chronic musculoskeletal pain
url http://dx.doi.org/10.1155/2024/7361038
work_keys_str_mv AT melissamakhoul psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT samarnoureddine psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT hudaabusaadhuijer psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT lailafarhood psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT souhafares psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT imaduthman psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT douglasjfrench psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain
AT christopherrfrance psychometricpropertiesofthearabicversionofthepainresiliencescaleamonglebaneseadultswithchronicmusculoskeletalpain