Exploratory and confirmatory factor analysis of the PROMIS pain quality item bank.

Journal Article (Journal Article)

PURPOSE: The assessment of pain sensation and quality is a key component in understanding the experience of individuals with chronic pain. This study evaluated the factor structure of the patient-reported outcome measurement information system (PROMIS) pain quality item bank. METHODS: As part of the PROMIS project, we developed a pool of 37 pain quality items, based on a review of existing pain questionnaires and development of new items. A web-based survey was designed and completed by 845 members of the general population and 967 individuals with different types of chronic pain. Exploratory factor analysis (EFA) was conducted on a random split-half sample of the data to examine the factor structure of the 37 PROMIS pain quality items in the general population and in a chronic pain sample. A confirmatory factor analysis was conducted in the holdout sample. RESULTS: The EFA of the pain quality items resulted in comparable six-factor solutions for the general and chronic pain samples: (1) pulling/tugging pain; (2) tingling/numbness pain; (3) sharp/stabbing pain; (4) dull/aching pain; (5) pounding/pulsing pain; and (6) affective pain. The confirmatory factor analysis in the holdout sample supported this factor structure. CONCLUSIONS: Further research is needed to evaluate the psychometric characteristics of the derived scales based on their factor scores.

Full Text

Duke Authors

Cited Authors

  • Revicki, DA; Cook, KF; Amtmann, D; Harnam, N; Chen, W-H; Keefe, FJ

Published Date

  • February 2014

Published In

Volume / Issue

  • 23 / 1

Start / End Page

  • 245 - 255

PubMed ID

  • 23836435

Pubmed Central ID

  • PMC3852145

Electronic International Standard Serial Number (EISSN)

  • 1573-2649

Digital Object Identifier (DOI)

  • 10.1007/s11136-013-0467-9


  • eng

Conference Location

  • Netherlands