The McGill Pain Questionnaire (MPQ) aims to measure sensory, affective, and evaluative dimensions of pain. However, the structural dimensionality of the MPQ remains somewhat uncertain. Exploratory (EFA) factor analyses were used to investigate the structure of the MPQ based on the responses of a diverse sample of 448 pain patients (M age=43.1 yr., SD = 19.3). The EFA employed a methodologically sound iterative maximum-likelihood procedure, together with direct oblimin oblique simple structure rotation. Perusal of the 3-, 4-, and 5-factor solutions suggested that the MPQ measures two separate sensory dimensions of pain, while affective and evaluative dimensions were not sharply delineated, suggesting that the MPQ structure requires some revision.
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References
1.
AbelmaneshF.JalaliA.AttarianH.FarahaniB.KetabchiS. M.ArvantajA.RaissiG. R. (2012) Reliability, validity, and sensitivity measures of expanded and revised version of the Short-Form McGill Pain Questionnaire in Iranian patients with neuropathic and non-neuropathic pain. Pain Medicine, 13, 1631–1636. DOI: 10.1111/j.1526-4637.2012.01517.x
2.
AncianoD. (1985) Can language be used to assess pain? A review. Current Psychological Research and Reviews, 4, 167–182.
3.
BerntF. M. (1991) McGill Pain Questionnaire. Test Critiques, 8, 402–412.
4.
BoyleG. J. (1991) Does item homogeneity indicate internal consistency or item redundancy in psychometric scales?Personality and Individual Differences, 12, 291–294.
5.
BoyleG. J. (1993) Evaluation of the exploratory factor analysis programs provided in SPSSX and SPSS/PC+. Multivariate Experimental Clinical Research, 10, 129–135.
6.
BoyleG. J. (2001) Review of the McGill Pain Questionnaire. In PlakeB. S.ImparaJ. C. (Eds.), The fourteenth mental measurements yearbook. Lincoln, NE: Buros Institute of Mental Measurements. Pp. 734–735.
7.
BoyleG. J. (2006) The scientific analysis of personality and individual differences. Unpublished doctoral thesis, Univer. of Queensland, St. Lucia, Australia.
8.
BoyleG. J. (2008) Critique of Five-Factor Model (FFM). In BoyleG. J.MatthewsG.SaklofskeD. H. (Eds.), The SAGE handbook of personality theory and assessment. Vol. 1: Personality theories and models. Los Angeles, CA: Sage.
9.
BoyleG. J.BoerresenB. H. (2002) Factor analysis of the McGill Pain Questionnaire (MPQ). Paper presented at the 37th Annual Conference, Australian Psychological Society, Gold Coast, Queensland, Australia, September 27-October 1.
10.
BoyleG. J.CicconeV. M. (1994) Relaxation alone and in combination with rational emotive therapy: Effects on mood and pain. The Pain Clinic, 7, 253–265.
11.
BoyleG. J.FernandezE.OrtetG. (1999) El cuestionario del dolor de McGill (McGill Pain Questionnaire–MPQ): Consideraciones lingüísticas y estadísticas [The McGill Pain Questionnaire–MPQ: Linguistic and statistical considerations]. Paper presented at the Iberoamerican Congress of Clinical and Health Psychology, Granada, Spain, November 24–27.
12.
BoyleG. J.JangD. M. (2005a) Exploratory factor structure of the McGill Pain Questionnaire (MPQ). Paper presented at the Asian Applied Psychology International–Regional Conference (AAPI–RC), Bangkok, Thailand, November 14–16.
13.
BoyleG. J.JangD. M. (2005b) Factor structure of the McGill Pain Questionnaire (MPQ). Paper presented at the 12th Biennial Meeting of the International Society for the Study of Individual Differences (ISSID), Adelaide, Australia, July 18–22.
14.
BoyleG. J.StankovL.CattellR. B. (1995) Measurement and statistical models in the study of personality and intelligence. In SaklofskeD. H.ZeidnerM. (Eds.), International handbook of personality and intelligence. New York: Plenum. Pp. 417–446.
15.
BurckhardtC. (1984) The use of the McGill Pain Questionnaire in assessing arthritis pain. Pain, 19, 305–314.
16.
ByrneA.TroyA.BradleyL. A.MarchiselloP. J.GeisingerK. F.Van der HeideL. H.PrietoE. J. (1982) Cross-validation of the factor structure of the McGill Pain Questionnaire. Pain, 13, 193–201.
17.
CattellR. B. (1978) The scientific use of factor analysis in behavioral and life sciences. New York: Plenum.
18.
CattellR. B.VogelmannS. (1977) A comprehensive trial of the scree and KG criteria for determining the number of factors. Multivariate Behavioral Research, 12, 289–325.
19.
ChaffeeA.YakuboffM.TanabeT. (2011) Responsiveness of the VAS and McGill Pain Questionnaire in measuring changes in musculoskeletal pain. Journal of Sport Rehabilitation, 20, 250–255.
20.
CharterR. A.NehemkisA. M. (1983) The language of pain intensity and complexity: New methods of scoring the McGill Pain Questionnaire. Perceptual & Motor Skills, 56, 519–537.
21.
ChenA. C.TreedeR. D. (1985) The McGill Pain Questionnaire in assessment of phasic and tonic experimental pain: Behavioral evaluation of the ‘pain inhibiting pain’ effect. Pain, 22, 67–79.
ClarkW. C.KuhlJ. P.KeohanM. L.KnotkovaH.WinerR. T.GriswoldG. A. (2003) Factor analysis validates the cluster structure of the dendrogram underlying the Multidimensional Affect and Pain Survey (MAPS) and challenges the a priori classification of the descriptors in the McGill Pain Questionnaire (MPQ). Pain, 106, 357–363.
24.
ComreyA. L.LeeH. B. (1992) A first course in factor analysis. (2nd ed.) Hillsdale, NJ: Erlbaum.
25.
CostelloA. B.OsborneJ. W. (2005) Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10, 1–9. Retrieved June 21, 2014, from http://pareonline.net/getvn.asp>?v=10&n=7.
26.
CrockettD. J.PrkachinK. M.CraigK. D. (1977) Factors of the language of pain and volunteer groups. Pain, 4, 175–182.
27.
CrockettD. J.PrkachinK. M.CraigK. D.GreensteinH. (1986) Social influences on factored dimensions of the McGill Pain Questionnaire. Journal of Psychosomatic Research, 30, 461–469.
28.
CuttanceP.EcobR. (Eds.) (1987) Structural modeling by example: Applications in educational, sociological, and behavioural research. New York: Cambridge Univer. Press.
29.
DawesJ. (2008) Do data characteristics change according to the number of scale points used? An experiment using 5-point, 7-point and 10-point scales. International Journal of Market Research, 50, 61–77.
30.
De GagnéT. A.MikailS. F.D'EonJ. L. (1995) Confirmatory factor analysis of a 4-factor model of chronic pain evaluation. Pain, 60, 195–202.
31.
DeschampsM.BandP. R.ColdmanA. J. (1988) Assessment of adult cancer pain: Shortcomings of current methods. Pain, 32, 133–139.
32.
DonaldsonG. (1995) The factorial structure and stability of the McGill Pain Questionnaire inpatients experiencing oral mucositis following bone marrow transplantation. Pain, 62, 101–109.
33.
DworkinR. H.TurkD. C.RevickiD. A.HardingG.CoyneK. S.Peirce-SandnerS.BhagwatD.EvertonD.BurkeL. B.CowanP.FarrarJ. T.HertzS.MaxM. B.RappaportR. A.MelzackR. (2009) Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain, 144, 35–42.
34.
FernandezE. (2001) Review of the McGill Pain Questionnaire. In PlakeB. S.ImparaJ. C. (Eds.), The fourteenth mental measurements yearbook. Lincoln, NE: Buros Institute of Mental Measurements. Pp. 735–737.
35.
FernandezE.BoyleG. J. (1994) The language of pain reconsidered with reference to the McGill Pain Questionnaire. Paper presented at the 23rd International Congress of Applied Psychology, Madrid, Spain, July 17–22.
36.
FernandezE.BoyleG. J. (1995) Evaluation of the language of pain as indexed in the McGill Pain Questionnaire. Paper presented at the 30th Annual Conference, Australian Psychological Society, Perth, Australia, September 26–30.
37.
FernandezE.BoyleG. J. (1997) Affective and evaluative descriptors in the MPQ: Room for revision?Paper presented at the 16th Annual Scientific Meeting of the American Pain Society, New Orleans, Louisiana, October 23–26. Abstract in Proceedings of the 16th Annual Scientific Meeting of the American Pain Society, 1997, p. 145.
38.
FernandezE.BoyleG. J. (2002) Affective and evaluative descriptors of pain in the McGill Pain Questionnaire: Reduction and reorganization. Journal of Pain, 3, 70–77.
39.
FernandezE.KruszJ. C.HallS. (2011) Parsimonious collection of pain descriptors: Classification and calibration by pain patients. Journal of Pain, 12, 444–450.
40.
FernandezE.TurkD. C. (1992) Sensory and affective components of pain: Separation and synthesis. Psychological Bulletin, 112, 205–217.
41.
FernandezE.VargasR.MahometaM.RamamurthyS.BoyleG. J. (2012) Descriptors of pain sensation: A dual hierarchical model of latent structure. Journal of Pain, 13, 532–536.
42.
GorsuchR. L. (1983) Factor analysis. (2nd ed.) Hillsdale, NJ: Erlbaum.
43.
GrahamC.BondS. S.GerkovichM. M.CookM. R. (1980) Use of the McGill Pain Questionnaire in the assessment of cancer pain: Reliability and consistency. Pain, 8, 377–387.
44.
GrushkaM.SessleB. J. (1984) Applicability of the McGill Pain Questionnaire to the differentiation of “toothache” pain. Pain, 19, 49–57.
45.
HakstianR. A.RogersW. T.CattellR. B. (1982) The behavior of numbers-of-factors rules with simulated data. Multivariate Behavioral Research, 17, 193–219.
46.
HaseH. D. (1992) McGill Pain Questionnaire: Revised format. In VandecreekL.KnappS.JacksonT. L. (Eds.), Innovations in clinical practice: A sourcebook. Vol. 2. Sarasota, FL: Professional Resource Press. Pp. 285–291.
47.
HasegawaM.MishmaM.MatsumotoI.SasakiT.KimuraT.BabaY.SenamiK.KanemuraK.TakanoO.ShibataT. (2001) Confirming the theoretical structure of the Japanese version of the McGill Pain Questionnaire. Pain Medicine, 2, 52–59.
48.
HolroydK. A.KeefeF. J.TurnerJ. A.BradleyL. A.MurphyW. D.JohnsonP.AndersonK.HinkleA. L.O'MalleyW. B. (1992) A multi-center evaluation of the McGill Pain Questionnaire: Results from more than 1700 chronic pain patients. Pain, 48, 301–311.
49.
HolroydK. A.TalbotF.HolmJ. E.PingelJ. D.LakeA. E.SaperJ. R. (1996) Assessing the dimensions of pain: A multitrait-multimethod evaluation of seven measures. Pain, 67, 259–265.
JangD.BoyleG. J. (2006) Construct validity of the McGill Pain Questionnaire: Exploratory and confirmatory examinations of the tripartite factor structure. Paper presented at the Joint Conference of the Australian Psychological Society and the New Zealand Psychological Society, Auckland, New Zealand, September 26–30.
52.
KilminsterS. G.MouldG. P. (2002) Comparison of internal reliability and validity of the McGill Pain Questionnaire and the Short Pain Inventory. International Journal of Pharmaceutical Medicine, 16, 87–95.
53.
KlepacR. K.DowlingJ.HaugeG. (1981) Sensitivity of the McGill Pain Questionnaire to intensity and quality of laboratory pain. Pain, 10, 199–207.
54.
LeavittF.GarronD. C.WhislerW. W.SheinkopM. B. (1978) Affective and sensory dimensions of back pain. Pain, 4, 273–281.
55.
LermanS. P.RudichZ.ShaharG. (2010) Distinguishing affective and somatic dimensions of pain and depression: A confirmatory factor analytic study. Journal of Clinical Psychology, 66, 456–465.
56.
LikertR. (1932) A technique for the measurement of attitudes. Archives of Psychology, 140, 155.
57.
LoweN. K.WalkerS. N.MacCallumR. (1991) Confirming the theoretical structure of the McGill Pain Questionnaire in acute clinical pain. Pain, 46, 53–60.
58.
MasedoA. I.RsteveR. (2000) Some empirical evidence regarding the validity of the Spanish Version of the McGill Pain Questionnaire (MPQ–SV). Pain, 85, 451–456.
59.
McCrearyC.TurnerJ.DawsonR. (1981) Principal dimensions of the pain experience and psychological disturbance in chronic low back pain patients. Pain, 11, 85–92.
60.
McDonaldR. P. (1985) Factor analysis and related methods. Hillsdale, NJ: Erlbaum.
61.
MelzackR. (1975) The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1, 275–299.
62.
MelzackR. (1983) The McGill Pain Questionnaire. In MelzackR. (Ed.), Pain measurement and assessment. New York: Raven. Pp. 41–47.
63.
MelzackR. (1985) The McGill Pain Questionnaire reconsidered: Confirming the factor structures and examining appropriate uses: Comment. Pain, 23, 201–203.
64.
MelzackR. (1987) The Short-Form McGill Pain Questionnaire. Pain, 30, 191–197.
65.
MelzackR. (2005) The McGill Pain Questionnaire. American Society of Anesthesiologists, 103, 199–202.
66.
MelzackR.KatzJ. (2001) The McGill Pain Questionnaire: Appraisal and current status. In TurkD. C.MelzackR. (Eds.), Handbook of pain assessment. (2nd ed.) New York: Guilford Press. Pp. 35–52.
67.
MelzackR.TerrenceC.FrommG.AmselR. (1986) Trigeminal neuralgia and atypical facial pain: Use of the McGill Pain Questionnaire for discrimination and diagnosis. Pain, 27, 297–302.
68.
MystakidouK.ParpaR.TsilikaE.KalaidopoulouO.GeorgakiS.GalanosA.VlahosL. (2002) Greek McGill Pain Questionnaire: Validation and utility in cancer patients. Journal of Pain and Symptom Management, 24, 379–387.
69.
OsborneJ. W.CostelloA. B.KellowJ. T. (2008) Best practices in exploratory factor analysis. In OsborneJ. W. (Ed.), Best practices in quantitative methods. Thousand Oaks, CA: Sage. Pp. 86–99.
70.
PrietoE. J.HopsonL.BradleyL. A.ByrneM.GeisingerK. F.MidaxD.MarchiselloP. J. (1980) The language of low back pain: Factor structure of the McGill Pain Questionnaire. Pain, 8, 11–19.
ReadingA. R. (1979) The internal structure of the McGill Pain Questionnaire in dysmenorrhoea patients. Pain, 7, 393–398.
73.
ReadingA. E. (1982) A comparison of the McGill Pain Questionnaire in chronic and acute pain. Pain, 13, 185–192.
74.
ReadingA. E.EverittB. S.SledmereC. M. (1982) The McGill Pain Questionnaire: A replication of its construction. British Journal of Clinical Psychology, 21, 339–349.
75.
SwamiD. R.NathawatS. S.SolankiR. K.BhojakM. M. (1991) Factorial validation of the McGill Pain Questionnaire. Indian Journal of Clinical Psychology, 18, 15–18.
76.
ToweryS.FernandezE. (1996) Reclassification and rescaling of McGill Pain Questionnaire verbal descriptors of pain sensation: A replication. Clinical Journal of Pain, 12, 270–276.
77.
TurkD. C.BurwinkleT. M. (2005) Assessment of chronic pain in rehabilitation: Outcomes measures in clinical trials and clinical practice. Rehabilitation Psychology, 50, 56–64.
78.
TurkD. C.RudyT. E.SaloveyP. (1985) The McGill Pain Questionnaire reconsidered: Confirming the factor structure and examining appropriate uses. Pain, 21, 385–397.
79.
WilkieD. J.SavedraM. C.HolzemerW. L.TeslerM. D.PaulS. M. (1990) Use of the McGill Pain Questionnaire to measure pain: A meta-analysis. Nursing Research, 39, 36–41.
