The Illness Perception Questionnaire (IPQ; Weinman et al., 1996) was developed to provide a quantitative assessment of the five components of the illness representation – identity, consequences, timeline, control/cure and cause in Leventhal’s Self-Regulatory Model (Leventhal et al., 1984, 1997). Revised versions of the IPQ (IPQ-R) have ben validated for the following conditions (Moss-Morris et al .,2002) :
Asthma
Diabetes
Rheumatoid Arthritis
ChronicPain
Acute Pain
Myocardial Infarction
Multiple Sclerosis
HIV
For further details on the IPQ or IPQ-R please click here
The Illness Perception Questionnaire – Revised – Pelvic Pain (IPQ-R-PP) has been devised to provide a greater insight into the patients beliefs about his or her own Pelvic Pain. I am keen for feedback, comments and clinical experiences of the questionnaire (please email me at karl@thepelvicpainclinic.co.uk). A patients perception of their own illness has major clinical implications if we are to truly understand and treat the patient, not just their collection of symptoms. Looking beyond the Biomedical paradigm to consider the individual experiencing pain is essential to offer a holistic approach to the treatment of pelvic pain.
Once acquired, the information a patient has around their own health and presenting condition can be deconstructed. A new framework, with sound underpinning of current research into pain can be implemented. A reduction in pain catastrophisation, hyper vigilance and emotional distress will only help enhance any physical or manual therapy provided for our patients.
“Catastrophising has been shown to be associated with persistent pain; it is a predictor of poor outcomes in pain management interventions” (Abbott 2010, Truchon 2008)
“Studies have shown that reduction in pain catastrophizing is the single best predictor of successful rehabilitation for pain-related conditions” (Sullivan 2013)
Pelvic Pain Perception Questionnaire 1
References
Abbott, A.D., Tyni-Lenne, R., & Hedlund, R. (2010). The influence of psychological factors on pre-operative levels of pain intensity, disability and health-related quality of life in lumbar spinal fusion surgery patients. Physiotherapy, 96(3), 213-221. doi: 10.1016/j.physio.2009.11.013
Leventhal, H., Nerenz, D.R. and Steele, D.S. (1984). Illness representations and coping with health threats. In: Baum, A. Taylor, S.E. and Singer, J.E. (Eds.), Handbook of psychology and health. Vol. IV. pp.219–252. Hillsdale, NJ: Erlbaum.
Leventhal, H., Benyamini, Y., Brownlee, S., Diefenbach, M., Leventhal, E., Patrick-Miller, L. and Robitaille, C.(1997). Illness representations: Theoretical Foundations. In: Petrie, K.J. and Weinman, J. (Eds.), Perceptions of health and illness: Current research and applications. pp. 19–45. Amsterdam: Harwood Academic Publishers.
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L.D., & Buick, D. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology and Health. 17, 1-16. |
Sullivan MJL, Adams H, Rhodenizer T, Stanish WD. A psychosocial risk factor-targeted intervention for the prevention of chronic pain and disability following whiplash injury. Phys. Ther.86(1),8–18 (2006)
Truchon M, Côté D. Predictive validity of the Chronic Pain Coping Inventory in subacute low back pain. Pain. 2005;116:205–212.
Weinman, J., Petrie, K.J., Moss-Morris, R. and Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representations of illness. Psychology and Health, 11, 431–445.