title: The Bath Adolescent Pain Questionnaire (BAPQ): development and preliminary psychometric evaluation of an instrument to assess the impact of chronic pain on adolescents.
abstract: Chronic pain causes significant problems in the lives of many adolescents, considerably affecting their physical, psychological and social functioning. The assessment of the multidimensional impact of chronic pain is an essential clinical task. This study reports on the development and psychometric evaluation of the Bath Adolescent Pain Questionnaire (BAPQ); an assessment tool designed specifically for use with adolescents who experience chronic pain. A sample of 222 adolescents (11-18 years) experiencing chronic pain completed the 109-item draft inventory. Participants were recruited from two different UK clinics. All participants responded to items using a 5-point frequency scale. Psychometric evaluation of the data resulted in a reduced inventory length of 61 items. Internal consistency of all seven questionnaire subscales was established using Cronbach's alpha. Comparative validity was undertaken by comparison of all individual subscales with existing validated measures (SCAS, CDI-S, FDI, Brief FAM. PCS and CASAFS). The temporal reliability of each inventory subscale was established using a sub-sample of 30 adolescent participants over a 17-day period. Psychometric evaluation of the data suggests the inventory yields both a reliable and valid assessment of the impact of chronic pain on the lives of adolescents. The BAPQ may offer a comprehensive way to assess the widespread deleterious impact of adolescent chronic pain in both a research and clinical setting. Further investigation is needed on the predictive validity of the subscales. Additional data from samples of patients with diagnoses that are not musculoskeletal in origin would be of great assistance.
authors.affiliation: Pain Management Unit, University of Bath, Level 7, Wessex House, Bath BA2 7AY, UK. c.eccleston@bath.ac.uk
authors.forename: Christopher
authors.initials: C
authors.lastname: Eccleston
authors.forename: Abbie
authors.initials: A
authors.lastname: Jordan
authors.forename: Lance M
authors.initials: LM
authors.lastname: McCracken
authors.forename: Michelle
authors.initials: M
authors.lastname: Sleed
authors.forename: Hannah
authors.initials: H
authors.lastname: Connell
authors.forename: Jacqui
authors.initials: J
authors.lastname: Clinch
mesh_terms: D000293:Adolescent; D041923:Adolescent Development; D002648:Child; D002908:Chronic Disease; D006801:Humans; D010146:Pain / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D010147:Pain Measurement / Q000295:instrumentation* / Q000706:statistics & numerical data; D010555:Personality Inventory / Q000706:statistics & numerical data*; D000297:Psychology, Adolescent; D011594:Psychometrics; D015203:Reproducibility of Results; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires