Mental Pain Questionnaire: Clinimetric Properties of a Potential Global Person-Centred Outcome Measure.

Publisher: John Wiley & Sons Country of Publication: England NLM ID: 9416196 Publication Model: Print Cited Medium: Internet ISSN: 1099-0879 (Electronic) Linking ISSN: 10633995 NLM ISO Abbreviation: Clin Psychol Psychother Subsets: MEDLINE

Original Publication: Chichester, West Sussex, England : John Wiley & Sons, c1993-

Mental Disorders*/psychology ; Mental Disorders*/diagnosis ; Surveys and Questionnaires*/standards ; Psychometrics* ; Patient Outcome Assessment*; Migraine Disorders/psychology ; Migraine Disorders/diagnosis ; Outcome Assessment, Health Care/statistics & numerical data ; Outcome Assessment, Health Care/methods ; Pain Measurement/methods ; Pain Measurement/statistics & numerical data ; Scleroderma, Systemic/psychology ; Scleroderma, Systemic/complications ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Cross-Sectional Studies ; Reproducibility of Results

Introduction: The Mental Pain Questionnaire (MPQ) was developed using a clinimetric approach to bring together the key features of mental pain into a single, brief, transdiagnostic scale. The present study aims at extending the validation of the MPQ to people from three different clinical settings.
Methods: A multicentre, cross-sectional study on adults diagnosed with migraine (n = 256), systemic sclerosis (n = 219), or mental disorders (n = 138) was conducted. The MPQ was administered; Rasch and Mokken analyses were performed to assess clinimetric validity.
Results: The overall fit to the Rasch model indicated a misfit, improved by the exclusion of a single item. MPQ showed to be unidimensional. MPQ total score and individual items scalability were optimal except for the same item. The total MPQ score showed an optimal scalability for the systemic sclerosis sample and an acceptable scalability for the migraine and mental disorders samples. Local dependency was found between two pairs of items. Person separation reliability indices (PSI 0.45) showed that the MPQ could not distinguish between groups with different levels of mental pain.
Conclusion: Mental pain has the potential to serve as a truly generic patient-centred outcome measure. Recommendations are made for revisions of the original MPQ, but these will require testing in further validation studies.
(© 2024 John Wiley & Sons Ltd.)

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Keywords: Mokken analysis; Rasch analysis; clinimetrics; mental pain; patient‐centred outcome measure; validity

Date Created: 20241124 Date Completed: 20241124 Latest Revision: 20250123

20260130

10.1002/cpp.70022

39581845