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Validation for the scales of attitude to physical pain in adolescents and youth: psychometric characteristics, possibilities, and limitations

Validation for the scales of attitude to physical pain in adolescents and youth: psychometric characteristics, possibilities, and limitations

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Recieved: 08/24/2022

Accepted: 04/23/2023

Published: 06/16/2023

Keywords: attitude to physical pain; pain intolerance; catastrophizing; fear of pain; adolescents; deviant behaviour

p.: 29–45

DOI: 10.11621/npj.2023.0203

Available online: 16.06.2023

To cite this article:

Sadovnichaja, V.S., Rasskazova, E.I. . Validation for the scales of attitude to physical pain in adolescents and youth: psychometric characteristics, possibilities, and limitations. // National Psychological Journal 2023. 2. p. 29–45. doi: 10.11621/npj.2023.0203

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Issue 2, 2023

Sadovnichaja, V.S. Lomonosov Moscow State University

Rasskazova, E.I. Lomonosov Moscow State University


Background. In adolescence and youth, physical pain is associated not only with a tendency to somatization and hypochondrization but also with signs of aggressive and suicidal behaviour.nbsp;

Objective. The study is aimed at approbation of Russian-­language versions of the Discomfort Intolerance Scale, the Pain Catastrophization Scale and the Fear of Pain questionnaire in adolescents and young people. 

Methods. The Russian-­language versions of the Discomfort Intolerance Scale, the Pain Catastrophization Scale, the Fear of Pain Questionnaire (Short Form), the Body and Health Perceptions Inventory. Questions on the signs of deviant behaviours were also included. 

Sample. 245 adolescents and young adults (112 people aged 13–16 and 133 people aged 17–21). 

Results. Sufficient reliability-­consistency of the Fear of Pain Questionnaire scales, the Pain Catastrophization Questionnaire scales, as well as the discomfort avoidance subscale of the Discomfort Intolerance Scale was demonstrated on the sample of adolescents and young people. Confirmatory factor analysis supported the factor structure of the methods, corresponding to the original version. Girls were more likely to ruminate about pain than boys; there was no correlation between physical pain and age. In confirmation of the external validity of the methods, various aspects of fear, catastrophization and intolerance to physical pain are positively related to each other, as well as to the catastrophization of bodily sensations, the severity of sensations from the autonomic nervous system, as well as with the ideas about intolerance to bodily sensations and somatosensory amplification. Catastrophization in relation to physical pain was associated with signs of deviant behaviour, including signs of aggression as well as anxious, obsessive, suicidal thoughts, and substances use. Experience of self-injurious or suicidal behaviour was associated not only with helpless attitude towards pain but also with lower rates of fear of significant pain and injection pain. 

Conclusions. The Fear of Pain Questionnaire and the Pain Catastrophization Questionnaire scales are reliable and valid methods for psychodiagnostics of attitudes towards physical pain in adolescents and young people.


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To cite this article:

Sadovnichaja, V.S., Rasskazova, E.I. . Validation for the scales of attitude to physical pain in adolescents and youth: psychometric characteristics, possibilities, and limitations. // National Psychological Journal 2023. 2. p. 29–45. doi: 10.11621/npj.2023.0203

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