Factor structure and proposed scoring revision of the Three-Dimensional Psychological Pain Scale
DOI:
https://doi.org/10.17575/psicologia.v35i1.1670Keywords:
Three-Dimensional Psychological Pain Scale, Pain escape, Pain emotions, Suicidal behaviorsAbstract
The development of psychometrically sound measures to assess mental pain are important because research has consistently demonstrated a robust relationship to suicide risk. The current research evaluated the Three-Dimensional Psychological Pain Scale (TDPPS) structure, a suicide-relevant measure intended to articulate pain into affective, cognitive, and behavioral facets. As the first Western study to evaluate the TDPPS structure with non-Chinese respondents, six samples comprising 1,627 adults participated. Neither confirmatory factor analyses nor exploratory structural equation modeling supported the hypothesized three-dimensional structure of the TDPPS but, instead, identified two dimensions: pain escape and pain emotions. Scales based on these two dimensions demonstrated replicability in cross-validation and score internal consistency reliability. Furthermore, validity for scores on these two scales was confirmed through moderate associations with another pain measure and scales of suicidal behavior and depression. Findings extend knowledge of TDPPS’s structure of psychological pain and suggest a scale scoring revision.
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Berlim, M.T., Mattevi, B.S., Pavanello, D.P., Caldieraro, M.A., Fleck, M.P.A., Wingate, L.R., & Joiner, T.E. (2003). Psychache and suicidality in adult mood disordered outpatients in Brazil. Suicide and Life-Threatening Behavior, 33, 242-248. https://doi.org/10.1521/suli.33.3.242.23220
Campos, R. C., & Holden R. R. (2019). Portuguese version of the Suicidal Behaviors Questionnaire-Revised. Validation data and the establishment of a cut-score for screening purposes. European Journal of Psychological Assessment, 35, 190-195. https://doi.org/10.1027/1015-5759/a000385
Campos, R. C., Holden, R. R., & Gomes, M. (2018). Assessing psychache as a suicide risk variable: Data with the Portuguese version of the Psychache Scale. Death Studies, 43, 527-533. https://doi.org/10.1080/07481187.2018.1493002
Campos, R.C., Holden, R.R., & Lambert, C.E. (2019). Avoidance of psychological pain and suicidal ideation in community samples: Replication across two countries and two languages. Journal of Clinical Psychology, 75, 2160-2168. https://doi.org/10.1002/jclp.22837
Campos, R.C., Holden, R.R., Spínola, J., Marques, D., & Lambert, C.E. (2019). The dimensionality of suicide behaviors: Results within two samples from two different countries. Omega: Journal of Death and Dying. Advanced online: https://doi.org/10.1177/0030222819882849
Campos, R.C., Simões, A., Costa, S., Pio, A.S., & Holden, R.R. (2019). Psychological pain and suicidal ideation in undergraduates: The role of pain avoidance. Death Studies, 44, 375-378. https://doi.org/10.1080/07481187.2018.1554610
Demirkol, M., Tamam, L., Namli, Z., Karaytuğ, M., & Uğur, K. (2019). Association of psychache and alexithymia with suicide in patients with schizophrenia. The Journal of Nervous and Mental Disease, 207, 668-674. https://doi.org/10.1097/NMD.0000000000001023
Ducasse, D., Holden, R.R., Boyer, L., Artero, S., Calati, R., Guillaume, S., Courtet, P., & Olie, E. (2018). Psychological pain in suicidality: A meta-analysis. The Journal of Clinical Psychiatry, 79(3):16r10732. https://doi.org/10.4088/JCP.16r10732
Erford, B.T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second Edition. Measurement and Evaluation in Counseling and Development, 49, 3-33. https://doi.org/10.1177/0748175615596783
Flett, G. L., Hewitt, P. L., & Heisel, M. J. (2014). The destructiveness of perfectionism revisited: Implications for the assessment of suicide risk and the prevention of suicide. Review of General Psychology, 18, 156–172. https://doi.org/1doi:10.1037/gpr0000011
Flynn, J.J., & Holden, R.R. (2007). Predictors of suicidality in a sample of suicide attempters. Canadian Psychology, 48, 2a, 317.
Gonçalves, B., & Fagulha, T. (2004). The Portuguese version of the Center for Epidemiologic Studies Depression Scale (CES–D). European Journal of Psychological Assessment, 20, 339–348. https://doi.org/10.1027/1015-5759.20.4.339
Holden, R.R. (1996). The Holden Psychological Screening Inventory manual. Multi-Health Systems.
Holden, R.R., Kerr, P.S., Mendonca, J.D., & Velamoor, V.R. (1998). Are some motives more linked to suicide proneness than others? Journal of Clinical Psychology, 54, 569-576. https://doi.org/10.1002/(SICI)1097-4679(199808)54:5<569::AID-JCLP2>3.0.CO;2-G
Holden, R.R., Mehta, K., Cunningham, E.J., & McLeod, L.D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science, 33, 224-232. https://doi.org/10.1037/h0087144
Jackson, D.N., Helmes, E., Hoffmann, H., Holden, R.R., Jaffe, P., Reddon, J.R., & Smiley, W. C. (1989). The Basic Personality Inventory manual. Sigma Assessment Systems.
Leenaars, A.A., & Lester, D. (2005). A note on Shneidman's psychological pain assessment scale. Omega: Journal of Death and Dying, 50, 301–307. https://doi.org/10.2190/WH9X-80M3-NJ54-5GCU
Li, H., Fu, R., Zou, Y., & Cui, Y. (2017). Predictive roles of three‐dimensional psychological pain, psychache, and depression in suicidal ideation among Chinese college students. Frontiers in Psychology, 8, 1-8. https://doi.org/10.3389/fpsyg.2017.01550
Li, H., Xie, W., Lou, X., Fu, R., Shi, C., Ying, X., … Wang, X. (2014). Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes. Suicide and Life-Threatening Behavior, 44, 78-88. https://doi.org/10.1111/sltb.12056
Marsh, H., Morin, A., Parker, P., & Kaur, G. (2014). Exploratory structural equation modeling: An integration of the best features of exploratory and confirmatory factor analysis. Annual Review of Clinical Psychology, 10, 85-110. https://doi.org/10.1146/annurev-clinpsy-032813-153700
Mee, S., Bunney, B.G., Bunney, W.E., Hetrick, W., Potkin, S.G., & Reist, C. (2011). Assessment of psychological pain in major depressive episodes. Journal of Psychiatric Research, 45, 1504-1510. https://doi.org/10.1016/j.jpsychires.2011.06.011
Mills, J. F., Green, K., & Reddon, J. R. (2005). An evaluation of the Psychache Scale on an offender population. Suicide and Life-Threatening Behavior, 35, 570–580. https://doi.org/10.1521/suli.2005.35.5.570
National Institute of Statistics (2019). Causas de morte 2017. Instituto Nacional de Estatística.
Osman, A., Bagge, C.L., Gutierrez, P.M., Konick, L.C., Kopper, B.A., & Barrios, F.X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8, 443-454. https://doi.org/10.1177/107319110100800409
Pereira, E.J., Kroner, D.G., Holden, R.R., & Flamenbaum, R. (2010). Testing Shneidman's model of suicidality in incarcerated offenders and in undergraduates. Personality and Individual Differences, 49, 912–917. https://doi.org/10.1016/j.paid.2010.07.029
Radloff, L.S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
Roxborough, H.M., Hewitt, P.L., Kaldas, J., Flett, G.L., Caelian, C.M., Sherry, S., & Sherry, D. L. (2012). Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: A test of the perfectionism social disconnection model. Suicide and Life-Threatening Behavior, 42, 217-233. https://doi.org/10.1111/j.1943-278X.2012.00084.x
Sellbom, M., & Tellegen, A. (2019). Factor analysis in psychological assessment research: Common pitfalls and recommendations. Psychological Assessment, 31, 1428-1441. http://dx.doi.org/10.1037/pas0000623
Shneidman, E.S. (1993). Suicide as psychache. Journal of Nervous and Mental Disease, 181, 145–147. https://doi.org/10.1097/00005053-199303000-00001
Shneidman, E.S. (1994). Clues to suicide, reconsidered. Suicide and Life-Threatening Behavior, 24, 395-397.
Sun, X., Li, H., Song, W., Jiang, S., Shen, C., Wang, X. (2020). ROC analysis of three‐dimensional psychological pain in suicide ideation and suicide attempt among patients with major depressive disorder. Journal of Clinical Psychology, 76, 210-227. https://doi.org/10.1002/jclp.22870
Troister, T., D’Agata, M.T., & Holden. R.R. (2015). Suicide risk screening: Comparing the Beck Depression Inventory-II, Beck Hopelessness Scale, and Psychache Scale in undergraduates. Psychological Assessment, 27, 1500-1506. https://doi.org/10.1037/pas0000126
Troister, T., & Holden, R.R. (2010). Comparing psychache, depression, and hopelessness in their associations with suicidality: A test of Shneidman’s theory of suicide. Personality and Individual Differences, 49, 689-693. https://doi.org/10.1016/j.paid.2010.06.006
Troister, T., & Holden, R.R. (2013). Factorial differentiation among depression, hopelessness, and psychache in statistically predicting suicidality. Measurement & Evaluation in Counseling & Development, 46, 50-63. https://doi.org/10.1177/0748175612451744
Verrocchio, M. C., Carrozzino, D., Marchetti, D., Andreasson, K., Fulcheri, M., & Bech, P. (2016). Mental pain and suicide: A systematic review of the literature. Frontiers in Psychiatry, 7, 108. https://doi.org/10.3389/fpsyt.2016.00108
Waring, E.M., Holden, R.R., & Wesley, S. (1998). Development of the Marital Self-Disclosure Questionnaire (MSDQ). Journal of Clinical Psychology, 54, 817-824. https://doi.org/10.1002/(SICI)1097-4679(199810)54:6<817::AID-JCLP9>3.0.CO;2-D
World Health Organization (2021). Suicide. https://www.who.int/news-room/fact-sheets/detail/suicide
Xie, W., Li, H., Luo, X., Fu, R., Ying, X., Wang, N., … Shi, C. (2014). Anhedonia and pain avoidance in the suicidal mind: Behavioral evidence for motivational manifestations of suicidal ideation in patients with major depressive disorder. Journal of Clinical Psychology, 70, 681-692. https://doi.org/10.1002/jclp.22055
Zwick, W.R. & Velicer W.F. (1986). Comparison of five rules for determining the number of components to retain. Psychological Bulletin, 99, 432-442. https://doi.org/10.1037/0033-2909.99.3.432