Sinicization of the Tolerance for Mental Pain Scale and its reliability and validity in young adults living with HIV/AIDS

doi:10.3761/j.issn.0254-1769.2023.07.019

Abstract

Abstract:

Objective To translate and cross-culturally adapt the English Tolerance for Mental Pain Scale （TMPS-10） into Chinese and test its reliability and validity in young HIV/AIDS patients. Methods We sinicized the TMPS-10 following the forward translation，back translation，cultural adaptation，and pre-survey according to the Functional Assessment of Chronic Illness Therapy translation methodology（FACIT）. Evaluation of content effective-ness was conducted through 2 rounds of expert consultations. From May to August 2022，334 young HIV/AIDS patients who were admitted to an HIV specialty clinic of a tertiary A hospital in Changsha were selected to test the reliability and validity of the scale. Results The Chinese version of TMPS-10 includes 2 dimensions with a total of 10 items. The content validity index of the total scale is 0.975，and the content validity index of each item is between 0.875-1.000. Exploratory factor analysis resulted in a 2-factor structure，explaining 65.719% of the total variance. Confirmatory factor analysis showed a good model fit. The Cronbach’s α for the total TMPS-10 score was 0.832，and 0.894 for the managing the pain dimension，and 0.856 for the enduring the pain dimension. Conclusion The Chinese version of TMPS-10 has good reliability and validity，which can be used to evaluate the tolerance for mental pain of young HIV/AIDS patients in China.

Key words: Psychological Pain, Tolerance, Scale Sinicization, AIDS, Psychological Nursing

摘要：

目的对心理痛苦耐受性量表（Tolerance of Mental Pain Scale，TMPS-10）进行汉化和文化调适，并在青年HIV感染者/AIDS患者中检验其信效度。方法基于FACIT翻译模型（the Functional Assessment of Chronic Illness Therapy translation methodology），通过正译、回译、文化调试和预调查对TMPS-10进行汉化和文化调适。通过专家函询进行内容效度评价。2022年5月—8月，采取便利抽样法选取长沙市AIDS定点治疗医院HIV门诊就诊的334例青年HIV感染者/AIDS患者进行调查，评价量表的信效度。结果中文版TMPS-10包括2个维度、10个条目。量表水平的内容效度指数为0.975，条目水平的内容效度指数为0.875~1.000。探索性因子分析提取2个公因子，累计方差贡献率为65.719%；验证性因子分析结果显示，2个因子的量表模型拟合良好。量表总的Cronbach’s α系数为0.832，管理痛苦维度的Cronbach’s α系数为0.894，忍受痛苦维度的Cronbach’s α系数为0.856。结论中文版TMPS-10具有良好的信效度，适合作为中国文化背景下青年HIV感染者/AIDS患者心理痛苦耐受性的评估工具。

关键词: 心理痛苦, 耐受性, 量表汉化, 艾滋病, 心理护理

LI Yunxia, LEI Xianyang, NING Meng, LIU Yiting, XIE Jianping, CAO Guiying, LIU Qixiang, LI Yamin. Sinicization of the Tolerance for Mental Pain Scale and its reliability and validity in young adults living with HIV/AIDS[J]. Chinese Journal of Nursing, 2023, 58(7): 891-897.

李云霞, 雷先阳, 宁檬, 刘义婷, 谢建平, 曹桂英, 刘齐祥, 李亚敏. 心理痛苦耐受性量表的汉化及在青年HIV感染者/AIDS患者中的信效度检验[J]. 中华护理杂志, 2023, 58(7): 891-897.

Figures/Tables 5

Table 1 General information of survey respondents （n=334）

Table 2 The score of Chinese version of TMPS-10 items and its correlation coefficient with total scale and corresponding dimensions（n=334）

Table 3 The factor load of Chinese TMPS-10 items（n=133）

Table 4 The confirmatory factor analysis model fitting of Chinese version Tolerance for Mental Pain Scale-10（n=201）

Table 5 The convergent validity of the confirmatory factor analysis of Chinese TMPS-10（n=201）

References 21

[1]	UNAIDS. Global AIDS update 2021-confronting inequalities-les-sons for pandemic responses from 40 years of AIDS[EB/OL]. (2021-07-14)[2022-08-15]. .
[2]	国家卫生健康委. 多部门关于印发遏制艾滋病传播实施方案(2019—2022年)的通知[EB/OL]. (2019-10-13)[2022-08-15].http://www.gov.cn/xinwen/2019-10/13/content_5439036.htm.
	National Health Commission of the People’s Republic of China. Notice on the issuance of the implementation plan to curb the spread of AIDS(2019-2022)[EB/OL].(2019-10-13)[2022-08-15]. http://www.gov.cn/xinwen/2019-10/13/content_5439036.htm.
[3]	莫小云. 艾滋病病毒感染者/艾滋病患者心理痛苦调查及个体化心理干预效果研究[D]. 南宁: 广西医科大学, 2017.
	Mo XY. Investigation on the psychological distress status and evaluation of the effect of individualized psychological intervention in HIV/AIDS[D]. Nanning: Guangxi Medical University, 2017.
[4]	莫园园, 蒋莉, 苏丽西, 等. 男男同性恋HIV感染者/艾滋病病人心理痛苦的研究[J]. 护理研究, 2019, 33(21):3754-3757.
	Mo YY, Jiang L, Su LX, et al. Study on psychological pain of HIV infectors/AIDS patients among male homosexuals[J]. Nurs Res China, 2019, 33(21):3754-3757.
[5]	Meerwijk EL, Weiss SJ. Toward a unifying definition of psychological pain[J]. J Loss Trauma, 2011, 16(5):402-412. DOI URL
[6]	李欢欢, 谢蔚臻, 李永娜. 基于“心理痛苦”理论的眶额皮质介导抑郁症自杀机制[J]. 心理科学进展, 2015, 23(7):1187-1195.
	Li HH, Xie WZ, Li YN. Neural circuits of orbitofrontal cortex involved in suicidal attempts among major depression patients[J]. Adv Psychol Sci, 2015, 23(7):1187-1195. DOI URL
[7]	历磊, 孙亚斌, 王玉正, 等. 心理痛苦的测量与评估[J]. 中华行为医学与脑科学杂志, 2021, 30(8):756-763.
	Li L, Sun YB, Wang YZ, et al. Measurement and assessment of psychological pain[J]. Chin J Behav Med Brain Sci, 2021, 30(8):756-763.
[8]	Meerwijk EL, Mikulincer M, Weiss SJ. Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults[J]. Psychiatry Res, 2019, 273:746-752. DOI URL
[9]	Landi G, Grossman-Giron A, Bitan DT, et al. Mental pain,psychological distress,and suicidal ideation during the COVID-19 emergency:the moderating role of tolerance for mental pain[J]. Int J Ment Health Addict, 2021:1-12.
[10]	Landi G, Furlani A, Boccolini G, et al. Tolerance for Mental Pain Scale(TMPS):Italian validation and evaluation of its protective role in depression and suicidal ideation[J]. Psychiatry Res, 2020, 291:113263.
[11]	Orbach I, Mikulincer M, Sirota P, et al. Mental pain:a multidimensional operationalization and definition[J]. Suicide Life Threat Behav, 2003, 33(3):219-230. DOI URL
[12]	Becker G, Orbach I, Mikulincer M, et al. Reexamining the mental pain-suicidality link in adolescence:the role of tolerance for mental pain[J]. Suicide Life Threat Behav, 2019, 49(4):1072-1084. DOI URL
[13]	Meerwijk EL, Weiss SJ. Tolerance for psychological pain and capability for suicide:contributions to suicidal ideation and behavior[J]. Psychiatry Res, 2018, 262:203-208. DOI URL
[14]	Demirkol ME, Tamam L, Namlı Z, et al. Validity and reliability study of the Turkish version of the Tolerance for Mental Pain Scale-10[J]. Psychiatry Clin Psychopharmacol, 2019, 29(4):899-906. DOI URL
[15]	Sioka C, Platari P, Papadopoulos A, et al. Quality of life and Tolerance to Mental Pain Scale in cancer patients subjected to bone scan[J]. J BUON, 2021, 26(2):620-625. PMID
[16]	汤琳, 孟爱凤, 智晓旭, 等. 青年癌症患者心理痛苦量表的汉化及信效度检验[J]. 中华护理教育, 2022, 19(5):456-461.
	Tang L, Meng AF, Zhi XX, et al. Reliability and validity of the Chinese version of Cancer Distress Scales for Adolescent and Young Adults[J]. Chin J Nurs Educ, 2022, 19(5):456-461.
[17]	梁永春, 周海琴, 朱雪芬, 等. 肺移植特异性生活质量量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(6):688-695. DOI
	Liang YC, Zhou HQ, Zhu XF, et al. Validation of Chinese version of the Lung Transplant Quality of Life survey for lung transplant recipients[J]. Chin J Nurs, 2022, 57(6):688-695. DOI
[18]	吴明隆. 问卷统计分析实务SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[19]	吴明隆. 结构方程模型AMOS的操作与应用[M]. 2版. 重庆: 重庆大学出版社, 2010.
	Wu ML. Structural equation model:operation and application of AMOS[M]. 2nd ed. Chongqing: Chongqing University Press, 2010.
[20]	石习习, 王静, 杨雪琴. 癌症患者心理痛苦预测模型的构建及验证[J]. 中华护理杂志, 2022, 57(11):1330-1336. DOI
	Shi XX, Wang J, Yang XQ. Construction and validation of risk prediction model of psychological distress in patients with cancer[J]. Chin J Nurs, 2022, 57(11):1330-1336. DOI
[21]	李璐璐, 李小妹, 韩冬芳, 等. 乳腺癌患者心理痛苦轨迹及影响因素的纵向研究[J]. 中华护理杂志, 2020, 55(8):1140-1146. DOI
	Li LL, Li XM, Han DF, et al. A longitudinal study of identification and predication of psychological distress trajectories among breast cancer patients[J]. Chin J Nurs, 2020, 55(8): 1140-1146. DOI