Original Scale Items Research Articles

Developing an Innovation Culture Measurement Construct for Healthcare Organizations

Objective: To develop an innovation culture measurement model specific to healthcare, by amending the original scale items of the Dobni innovation culture construct and model developed in 2008. Design: The project performed exploratory factor analysis from data collected on surveys, using redesigned scale items from the original Dobni innovation culture measurement. Setting: Managers and administrators from a Provincial Health Services Authority in Canada. Results: An exploratory factor analysis was performed on the 43 scale items used in the survey. The scale items were reduced to 31 and loaded on to new factors creating an Innovation Culture Measurement Model specific to healthcare. Conclusion: Although exploratory, the new model and scale items provide a foundation for researchers to advance innovation culture measurement in healthcare. Academically, measuring innovation culture has created a rich research stream, but to date has not exclusively focused on healthcare. Pragmatically, measuring innovation culture provides healthcare leaders and policy setters a benchmark to assess internally over a period of time or towards other entities.

The development of a novel scale to assess intra- and interpersonal emotion regulation strategies: The Emotion Regulation Strategy Scale (ERSS).

Existing emotion regulation research focuses on how individuals use different strategies to manage their own emotions-also called intra-personal emotion regulation. However, people often leverage connections with others to regulate their own emotions-interpersonal emotion regulation. The goal of the present studies was to develop a comprehensive and efficient scale-the Emotion Regulation Strategies Scale (ERSS)-to assess nine specific emotion regulation strategies that individuals use both intra-personally and interpersonally. These emotion regulation strategies were cognitive reappraisal, distraction, situation selection, problem solving, acceptance, calming, savoring, rumination, and expressive suppression. Data were collected between 2020 and 2022. Study 1 adopted a qualitative approach to establish original scale items. Results of the confirmatory factor analysis in Study 2 confirmed a nine-factor solution for both the intra- and the interpersonal scales and finalized scale items. A second confirmatory factor analysis in Study 3 found the ERSS for both the intra-personal and interpersonal scale models to possess good model fit. Correlations from Study 3 showed the ERSS subscales to be related in expected ways to existing emotion regulation scales, yet not redundant with these scales. The degree to which individuals used the range of intra- and interpersonal emotion regulation strategies assessed on the ERSS also related to the levels of clinical symptoms. The ERSS represents a comprehensive novel scale that can flexibly assess a range of specific emotion regulation strategies used both intra- and interpersonally. Future work should be conducted using the ERSS cross culturally and in clinical samples. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A new scale assessing the stressors and rewards of children’s hospice work

BackgroundThere is a workforce shortage in the children’s hospice sector, but there has been little research on the specific challenges of working in this setting and on how these challenges might be alleviated. To identify appropriate interventions to improve staff wellbeing, the drivers of wellbeing in children’s hospices need to be known and measured. This paper reports on the development of two measures, one for work-related rewards and one for work-related stressors, for use in children’s hospice care teams.MethodsA mixed-methods, four-stage study; the first three phases focused on the development of the scales, and the last stage focused on the validation of the scales. Participants of all stages were children’s hospice care team staff members in the UK. Stage 1: survey assessing the relevance and comprehensiveness of the original scale items (N = 60); Stages 2 (focus groups; N = 16) and 3 (cognitive interviews; N = 14) to assess content validity; Stage 4: UK-wide survey (N = 414) to validate the final version of the new, children’s hospice-specific scales using Rasch Analysis (RA) and Confirmatory Factor Analysis (CFA).ResultsDue to poor fitting indices shown in the results from the RA, five items (out of 36) were removed from the new rewards scale used in the UK-wide survey and 20 (out of 62) were removed from the new stressors scale. CFA also supported the removal of the items and showed a one-factor structure for the rewards scale and a three-factor structure for the stressors scale were adequate—the sub-scales for the stressors scale related to caring for an ill or dying child (“Child” sub-scale), working with parents and families (“Parent” sub-scale), and stressors related to organisational factors, such as team conflict and workload (“Organisation” sub-scale).ConclusionsBoth of the new scales showed good psychometric properties and can be useful in clinical settings and research to assess the perceived intensity of the work-related rewards and stressors for children’s hospice staff.

Nursing Profession Self-Efficacy Scale-Version 2: A Stepwise Validation with Three Cross-Sectional Data Collections.

The nursing professional self-efficacy scale (NPSES) is one of the most used self-reporting tools for assessing nursing self-efficacy. Its psychometric structure was described differently in several national contexts. This study aimed to develop and validate version 2 of the NPSES (NPSES2), which is a brief version of the original scale selecting items that contribute to stably detecting attributes of care delivery and professionalism as descriptors of salient aspects of the nursing profession. Three different and subsequent cross-sectional data collections were employed to reduce the number of items to generate the NPSES2 and validate its new emerging dimensionality. The first (June 2019-January 2020) involved 550 nurses and was used to reduce the number of the original scale items by using a Mokken scale analysis (MSA) to ensure the selection of items consistently with the invariant item ordering properties. The subsequent data collection was performed to conduct an exploratory factor analysis (EFA) involving 309 nurses (September 2020-January 2021), and the last data collection (n = 249) was performed to cross-validate with a confirmatory factor analysis (CFA), the most plausible dimensionality derived from the EFA (June 2021-February 2022). The MSA led to the removal of twelve items and retention of seven items (Hs = 0.407, standard error = 0.023), which showed adequate reliability (rho reliability = 0.817). The EFA showed a two-factor solution as the most plausible structure (factors loading ranged from 0.673 to 0.903; explained variance = 38.2%), which was cross-validated by the CFA that showed adequate fit indices: χ2 (13, N = 249) = 44.521, p < 0.001; CFI = 0.946; TLI = 0.912; RMSEA = 0.069 (90% CI = 0.048-0.084); SRMR = 0.041. The factors were labeled as care delivery (four items) and professionalism (three items). NPSES2 is recommended to allow researchers and educators to assess nursing self-efficacy and inform interventions and policies.

Dimensionality and homogeneity of the Colombian version of the Cocaine Craving Questionnaire (CCQ-N-10)

ABSTRACT Background It is essential to have a validated instrument to measure craving for cocaine use. The study’s objective was to understand the dimensionality and homogeneity of the Cocaine Craving Questionnaire (CCQ-N-10) among Colombian cocaine users. Methods A sample of 102 hospitalized or outpatient adults diagnosed with cocaine use disorders attending addiction units in Bucaramanga, Colombia. Internal consistency and construct validity were estimated by confirmatory factor analysis and correlation analysis with scales with similar objectives. Results An omega coefficient of 0.93 was obtained, and adjustment indicators of the confirmatory model were acceptable (RMSEA of 0.08, CFI and TLI of 0.99) when two of the original scale items were removed from the original scale analysis. Conclusion This study shows that the craving scale reduced to eight items can be helpful to assess the construct in the Colombian population; however, the small sample size makes it challenging to carry out other analysis to corroborate its psychometric properties.

Адаптация Методики аттитюдов к физической инвалидности на российской выборке

Objective. The Attitudes to Physical Disability Scale (ADS) adaptation.Background. Opinion polls show that in Russia perception of people with disabilities is complex and ambiguous. However, there is still no reliable method for measuring attitudes towards disability in Russia, but attitudes influence people with disabilities’ well-being and their inclusion.Study design. We conducted 2 studies. Within study 1 the original scale items were translated, tested at the stages of cognitive interviews and web-probing and corrected. Then a survey containing only the translated scale was conducted. In study 2 additional scales were included in the questionnaire in order to check the construct validity of the ADS.Participants. Study 1 sample included 627 respondents (45,6% men, Mage=35.99). Study 2 sample included 738 respondents (45,8% men, Mage=36.21).Measurements. During the research a series of cognitive interviews, web-probing and 2 surveys were conducted. Attitudes to Physical Disability Scale, social dominance orientation scale, just world belief scale and «Big Five Inventory» were used.Results. EFA results revealed the 3-factor structure of the Russian ADS version. CFA results indicated that the model has a good fit. Correlation analysis results proved scale construct validity, while high Cronbach’s α score proved its internal consistency.Conclusions. Russian ADS version proved to be a reliable and valid tool for investigating attitudes towards people with disabilities in Russia.

Measuring positive and negative body talk in men and women: The development and validation of the Body Talk Scale

Research suggests that positive and negative body talk are important factors in people’s body image, however, the instruments designed to measure body talk are generally designed for use with a specific gender and primarily measure negative body talk. To address the shortcomings in the existing measures, the Body Talk Scale (BTS) was designed to measure both positive and negative body talk in men and women. The current study examines the development and psychometric properties of this new scale in two samples of adults, both including men and women. Study 1 focused on the development and examined the factor structure of the original scale items. Study 2 confirmed the factor structure and examined the concurrent validity, incremental validity, test-retest reliability of the scale, and also gender differences. The results indicated that the BTS is a 14-item scale that contains three subscales (Negative Fat Talk, Negative Muscle Talk, and Positive Body Talk) and demonstrates good concurrent validity, incremental validity, and test-retest reliability. Gender comparisons on all three subscales indicated that men engage in more positive body talk than women. The findings demonstrate that the BTS is a useful measure of positive and negative body talk in both men and women.

Development of a Reflective Ability Scale for Clinical Nurses.

Enhancement of reflective ability leads to improved nursing practice and individual growth. This study aimed to develop a reliable, validated scale that can effectively assess the reflective ability of clinical nurses. Study participants were 1,872 nurses. We developed an anonymous self-administered questionnaire consisting of 33 original scale items and used it to conduct a survey. The scale was developed based on a construct validity study using item analysis, exploratory factor analysis, and confirmatory factor analysis. Reliability was estimated with Cronbach's α values. Criterion-related validity was assessed using Pearson's correlation analysis. There were 1,292 responses (response rate, 69.0%). Responses from 1,262 subjects with no missing data were analyzed (valid response rate, 97.7%). Based on the item analysis and exploratory factor analysis, we developed a trial scale model with 3 factors and 25 items. We named the first factor (Factor 1) "Recall Their Own Nursing Practice," the second factor (Factor 2) "Reflect on Their Own Nursing Practice" and the third factor (Factor 3) "Expand Their Own Nursing Practice". This model was modified based on modification indices from the confirmatory factor analysis. A model with 3 factors and 19 items was developed. It had acceptable fit indices (goodness of fit index = 0.914; adjusted goodness of fit index = 0.890; comparative fit index = 0.949; root mean square error of approximation = 0.070). Cronbach's α coefficients were 0.962 for all scale items, 0.922 for Factor 1, 0.918 for Factor 2, and 0.885 for Factor 3. The correlation coefficient between the model and the Professional Identity Scale of Nurses was 0.506 (P < 0.01). We developed a reflective ability scale consisting of 3 factors and 19 items. We demonstrated its construct validity, reliability, and criterion-related validity. This scale can effectively assess the reflective ability of nurses.

Switching to Electronic Health Record Systems: A Replication of the User Resistance Model

The purpose of this conceptual replication study is to understand the resistance construct of the User Resistance Model (URM) in the context of Health Information Technology (HIT) at an international healthcare organization. Specifically, we studied resistance towards Electronic Health Record systems (EHR). For this, the original scale items were adapted to the new context, and the model was tested with the data collected from 226 employees who work with an EHR system at a large public hospital in Amman, Jordan. Overall, the results support six of the eleven posited hypotheses. One hypothesis was contradicted, and the remaining four hypotheses were not supported. Moreover, the model fit statistics suggested that the current URM does not have a good fit. This indicates that the URM in the new context needs further investigation. We first discuss the hypotheses that are not supported or contradicted and then begin to suggest refinements to the model in an effort to improve its fit.

Validity and Reliability of Student Perceptions of PowerPoint Efficacy Scale

The aim of this study is to adapt the student perception of PowerPoint efficacy scale into Turkish and conduct its validity and reliability tests. The scale was originally developed by Nowaczyk, Santos, and Patton (1998) to probe into student perception of multimedia in the undergraduate classroom. The scale included 19-items yielded in three factors in 5-point Likert type response format. The translation of scale into Turkish was completed by eight experts. After back-translation was conducted by one language expert, translation process of the original scale items into Turkish were finalized. In order to administer the validity and reliability tests, the Turkish-translated version was studied with 261 university students educated in undergraduate programs at a public university. The participants were accessed with convenience sampling method based on their accessibility, convenience, and voluntariness. The data were collected online through Google Forms in the academic year 2017-2018, spring term. Confirmatory factor analysis for validity tests was conducted in AMOS version 21 in addition to reliability test conducted in IBM SPSS version 24. The findings of confirmatory factor analysis indicated that the model fit the data well, having acceptable or perfect fit indices, χ2/df = 2.04, RMSEA = .06, RMR =.03, SRMR = .04, TLI = .94, CFI = .94, GFI = .89, AGFI = .86, and NFI = .90. Therefore, the adapted version of the scale was found be valid. Results of reliability tests indicated that the coefficient alpha values of three factors changed in the range of .87 and .89. The validity of the whole scale was .94 which yields high reliability and concludes that the translated version was reliable. Overall, the scale was found to be valid and reliable in Turkish culture.

Acceptance of Workplace Bullying Behaviors and Job Satisfaction: Moderated Mediation Analysis With Coping Self-Efficacy and Exposure to Bullying

Previous research explored workplace climate as a factor of workplace bullying and coping with workplace bullying, but these concepts were not closely related to workplace bullying behaviors (WBBs). To examine whether the perceived exposure to bullying mediates the relationship between the climate of accepting WBBs and job satisfaction under the condition of different levels of WBBs coping self-efficacy beliefs, we performed moderated mediation analysis. The Negative Acts Questionnaire - Revised was given to 329 employees from Serbia for assessing perceived exposure to bullying. Leaving the original scale items, the instruction of the original Negative Acts Questionnaire - Revised was modified for assessing (1) the climate of accepting WBBs and (2) WBBs coping self-efficacy beliefs. There was a significant negative relationship between exposure to bullying and job satisfaction. WBB acceptance climate was positively related to exposure to workplace bullying and negatively related to job satisfaction. WBB acceptance climate had an indirect relationship with job satisfaction through bullying exposure, and the relationship between WBB acceptance and exposure to bullying was weaker among those who believed that they were more efficient in coping with workplace bullying. Workplace bullying could be sustained by WBB acceptance climate which threatens the job-related outcomes. WBBs coping self-efficacy beliefs have some buffering effects.

Developing an African youth psychosocial assessment: an application of item response theory.

This study aimed to refine a dimensional scale for measuring psychosocial adjustment in African youth using item response theory (IRT). A 60-item scale derived from qualitative data was administered to 667 war-affected adolescents (55% female). Exploratory factor analysis (EFA) determined the dimensionality of items based on goodness-of-fit indices. Items with loadings less than 0.4 were dropped. Confirmatory factor analysis (CFA) was used to confirm the scale's dimensionality found under the EFA. Item discrimination and difficulty were estimated using a graded response model for each subscale using weighted least squares means and variances. Predictive validity was examined through correlations between IRT scores (θ) for each subscale and ratings of functional impairment. All models were assessed using goodness-of-fit and comparative fit indices. Fisher's Information curves examined item precision at different underlying ranges of each trait. Original scale items were optimized and reconfigured into an empirically-robust 41-item scale, the African Youth Psychosocial Assessment (AYPA). Refined subscales assess internalizing and externalizing problems, prosocial attitudes/behaviors and somatic complaints without medical cause. The AYPA is a refined dimensional assessment of emotional and behavioral problems in African youth with good psychometric properties. Validation studies in other cultures are recommended.

Development and evaluation of the Motivation to Limit Screen-time Questionnaire (MLSQ) for adolescents

ObjectiveThe aim of this study was to design and evaluate a brief scale to assess adolescents' motivation to limit their screen-time using a self-determination theory (SDT) framework. MethodsThe development and evaluation of the Motivation to Limit Screen-time Questionnaire (MLSQ) involved three phases. In Phase 1, experts in SDT were asked to review the content validity of the MLSQ items. In Phase 2, adolescent boys (N=342, mean age=12.7±.5years) completed the MLSQ and the factorial validity of the model was explored. In Phase 3, adolescent boys (N=48, mean age=14.3±1.3years) completed the MLSQ on two occasions separated by 1-week. Phases 2 and 3 were conducted in New South Wales, Australia in 2012. ResultsTwenty four SDT experts reviewed the original scale items. Validity coefficients associated with six of the original eight items exceeded the threshold value (V>.68, p<.01). In Phase 2, the revised three-factor (9-items) model provided a good fit to the data (SRMR=.07, CFI=.96). The intraclass correlation (ICC) values were .67 for amotivation and .70 and .82 for controlled and autonomous motivation, respectively. ConclusionThis study has provided preliminary evidence for the validity and reliability of the MLSQ in adolescent boys.

The Subjective Well-being of Adolescents from Two Different Cultures: Applying Three Versions of the PWI in Algeria and Spain

This paper analyses the crosscultural comparability of well-being among 13–20 year-old adolescents using two samples, one from Oran County (Wilaya) in Algeria and another from Catalonia (Spain). The following are used as well-being indicators: a modified version of the original Personal Well-being Index (PWI) (Cummins et al. in Soc Indicat Res 64:159–190, 2003b), a single-item scale on overall life satisfaction (OLS) and a list of complementary items on satisfaction with various life domains. This research tests the original version of the PWI with some changes and two other versions with additional items. Confirmatory factor analyses show good fit statistics for the three versions with the pooled sample of adolescents from the two countries. The multigroup models show that correlations and regressions may be compared between the two samples, but not means, probably due to different cultural response styles among adolescents in the two countries. Structural equation models including OLS also show good fit statistics. When gender and age are included in these models, the former does not show any correlation with PWI11 in either of the two countries, whereas age shows a clearly negative correlation in both. A new version of the PWI with 11 items has shown higher standardized regression coefficients when the items are regressed on OLS and higher R2 and each of the items has shown to contribute with unique explained variance using the pooled sample, although 3 of the original scale items do not show a significant contribution in Algeria. The fact that a multigroup model using this 11-item version shows good fit with constrained loadings when comparing samples from such different cultural and linguistic contexts as Catalonia and Algeria offers new opportunities for international comparative research of adolescents’ subjective well-being.

Predicting Suicide Attempts With the SAD PERSONS Scale

The SAD PERSONS scale is a widely used risk assessment tool for suicidal behavior despite a paucity of supporting data. The objective of this study was to examine the ability of the scale in predicting suicide attempts. Participants consisted of consecutive referrals (N=4,019) over 2 years (January 1, 2009 to December 31, 2010) to psychiatric services in the emergency departments of the 2 largest tertiary care hospitals in the province of Manitoba, Canada. SAD PERSONS and Modified SAD PERSONS (MSPS) scale scores were recorded for individuals at their index and all subsequent presentations. The 2 main outcome measures in the study included current suicide attempts (at index presentation) and future suicide attempts (within the next 6 months). The ability of the scales to predict suicide attempts was evaluated with logistic regression, sensitivity and specificity analyses, and receiver operating characteristic curves. 566 people presented with suicide attempts (14.1% of the sample). Both SAD PERSONS and MSPS showed poor predictive ability for future suicide attempts. Compared to low risk scores, high risk baseline scores had low sensitivity (19.6% and 40.0%, respectively) and low positive predictive value (5.3% and 7.4%, respectively). SAD PERSONS did not predict suicide attempts better than chance (area under the curve =0.572; 95% confidence interval [CI], 0.51-0.64; P value nonsignificant). Stepwise regression identified 5 original scale items that accounted for the greatest proportion of future suicide attempt variance. High risk scores using this model had high sensitivity (93.5%) and were associated with a 5-fold higher likelihood of future suicide attempt presentation (odds ratio =5.58; 95% CI, 2.24-13.86; P<.001). In their current form, SAD PERSONS and MSPS do not accurately predict future suicide attempts.

Self-stigma of mental illness scale—short form: Reliability and validity

The internalization of public stigma by persons with serious mental illnesses may lead to self-stigma, which harms self-esteem, self-efficacy, and empowerment. Previous research has evaluated a hierarchical model that distinguishes among stereotype awareness, agreement, application to self, and harm to self with the 40-item Self-Stigma of Mental Illness Scale (SSMIS). This study addressed SSMIS critiques (too long, contains offensive items that discourages test completion) by strategically omitting half of the original scale's items. Here we report reliability and validity of the 20-item short form (SSMIS-SF) based on data from three previous studies. Retained items were rated less offensive by a sample of consumers. Results indicated adequate internal consistencies for each subscale. Repeated measures ANOVAs showed subscale means progressively diminished from awareness to harm. In support of its validity, the harm subscale was found to be inversely and significantly related to self-esteem, self-efficacy, empowerment, and hope. After controlling for level of depression, these relationships remained significant with the exception of the relation between empowerment and harm SSMIS-SF subscale. Future research with the SSMIS-SF should evaluate its sensitivity to change and its stability through test-rest reliability.

Fear of movement/(re)injury in chronic pain: A psychometric assessment of the original English version of the Tampa scale for kinesiophobia (TSK)

The Tampa scale for kinesiophobia (TSK) was developed to measure fear of movement/(re)injury in chronic pain patients. Although studies of the Dutch adaptation of the TSK have identified fear of movement/(re)injury as an important predictor of chronic pain, pain-related avoidance behaviour, and disability, surprisingly little data on the psychometric properties of the original English version of the TSK are available. The present study examined the reliability, construct validity and factor structure of the TSK in a sample of chronic pain patients ( n = 200) presenting for an interdisciplinary functional restoration program. Consistent with prior evaluations of the Dutch version of the TSK, the present findings indicate that the English TSK possesses a high degree of internal consistency and is positively associated with related measures of fear-avoidance beliefs, pain catastrophizing, pain-related disability and general negative affect. The TSK was not related to individual differences in physical performance testing as assessed using standardised treadmill and lifting tasks. Confirmatory factor analyses suggest that the TSK is best characterized by a three-factor traith method model that includes all 17 of the original scale items and takes into account the distinction between positively and negatively keyed items. The results of the present study provide important details regarding the psychometric properties of the original English version of the TSK and suggest that it may be unnecessary to remove the negatively keyed items in an attempt to improve scale validity.

A modified Hammersmith functional motor scale for use in multi-center research on spinal muscular atrophy

The Hammersmith functional motor scale for children with spinal muscular atrophy was modified to establish a standard measure of functional ability in children with non-ambulant spinal muscular atrophy types 2 and 3 in a longitudinal multi-center clinical trial. This study assessed the intra- and interrater reliability and the test–retest stability of a modified version of the scale. Both intra- and interrater reliability were established. Results indicate that the scale is reliable and stable over a 6 month period. Reliability was maintained when patient sample criteria were expanded to include children younger than 30 months and children with popliteal angles greater than 20°. These data establish the modified Hammersmith functional motor scale for children with spinal muscular atrophy as a reliable instrument for use in multi-center treatment trials in non-ambulant spinal muscular atrophy children. Our data provides additional support for the use of original scale items in terms of ease of administration, usefulness and reliability, while incorporating modifications to optimize its use in a multi-center clinical research setting.

Psychometric Properties of the Mood and Anxiety Symptom Questionnaire in Patients With Chronic Pain

Previous studies have demonstrated that the Mood and Anxiety Symptom Questionnaire is able to discriminate between depressive and anxious symptoms. Factor analysis of the scale has revealed 3 factors: general distress, positive affect, and physiological hyper-arousal. However, the properties of the Mood and Anxiety Symptom Questionnaire have not been extensively examined in medical populations, in which the measurement of depressive and anxious symptoms is complicated by the presence of comorbid physical symptoms such as pain. Therefore, the purpose of the present study was to evaluate the psychometric properties of the Mood and Anxiety Symptom Questionnaire in patients with chronic pain. A total of 230 persons with chronic musculoskeletal pain were recruited from a multidisciplinary pain clinic (n=110) and a large urban community (n=120). Participants completed the Mood and Anxiety Symptom Questionnaire and were interviewed for the presence of depressive disorders using the Structured Clinical Interview for the DSM-IV. Factor analyses, scale reliability analyses, and discriminative function analyses were performed on the data. Utilizing principal factor analysis and orthogonal rotation, the factor structure of the Mood and Anxiety Symptom Questionnaire in both chronic pain samples was similar to previously reported factor analyses. Three factors emerged: positive affect, general distress, and physiological hyper-arousal. Coefficients of congruence calculated from the factor structures of each subsample of persons with chronic pain suggested that the factors were highly similar (0.83-0.93). Given that the factor structures were comparable in both populations, a final analysis was conducted on the entire sample. Again, this analysis revealed a 3-factor solution. Examination of the factor loadings and item-to-total correlations revealed that some of the original scale items failed to load on or correlate with a specific factor, or correlated highly with 2 or more factors (thus lacking discriminatory power). A revised scale, eliminating items with low factors loadings and/or high cross loadings, was examined. Reliabilities for the subscales were high, and the subscales demonstrated the ability to predict clinical diagnoses of depression in a hypothesized fashion. The results support the utility of the Mood and Anxiety Symptom Questionnaire with samples of patients with chronic pain and provide further support for the tripartite model of anxiety and depression.