{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:43:31Z","timestamp":1761749011898,"version":"build-2065373602"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T00:00:00Z","timestamp":1507507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["20380"],"award-info":[{"award-number":["20380"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To investigate the suitability of the revised Illness Perception Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                      \u2010R) for use with adolescents with a long\u2010term pain condition and to validate a new questionnaire for use with this age group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A three\u2010phase mixed\u2010methods study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Phase 1 comprised in\u2010depth qualitative analyses of audio\u2010recorded cognitive interviews with 20 adolescents with juvenile idiopathic arthritis who were answering\n                      <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                      \u2010R items. Transcripts were coded using framework analysis. A content analysis of their intended responses to individual items was also conducted. In Phase 2, a new questionnaire was developed and its linguistic and face validity were assessed with 18 adolescents without long\u2010term conditions. In Phase 3, the construct validity of the new questionnaire was assessed with 240 adolescents with juvenile idiopathic arthritis. A subset of 43 adolescents completed the questionnaire a second time to assess test\u2013retest reliability. All participants were aged 11\u201316\u00a0years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants described both conceptual and response format difficulties when answering\n                      <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                      \u2010R items. In response, the Pain Perception Questionnaire for Young People (\n                      <jats:styled-content style=\"fixed-case\">PPQ<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">YP<\/jats:styled-content>\n                      ) was designed which incorporated significant modifications to both wording and response formats when compared with the\n                      <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                      \u2010R. A principal component analysis of the\n                      <jats:styled-content style=\"fixed-case\">PPQ<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">YP<\/jats:styled-content>\n                      identified ten constructs in the new questionnaire. Emotional representations were separated into two constructs, responsive and anticipatory emotions. The\n                      <jats:styled-content style=\"fixed-case\">PPQ<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">YP<\/jats:styled-content>\n                      showed high test\u2013retest reliability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Symptom beliefs appear to be more salient to adolescents with a long\u2010term pain condition than beliefs about the illness as a whole. A new questionnaire to assess pain beliefs of adolescents was designed. Further validation work may be needed to assess its suitability for use with other pain conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Statement of contribution<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What is already known on this subject?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>\n                                Versions of the adult Revised Illness Perception Questionnaire (\n                                <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                                \u2010R) have been adapted for adolescents and children by changing item wording; however, research to assess the degree to which the underlying\n                                <jats:styled-content style=\"fixed-case\">IPQ<\/jats:styled-content>\n                                \u2010R constructs are relevant to adolescents with a long\u2010term condition had not been performed.\n                              <\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What the present study adds?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>In adolescents, beliefs about symptoms of their condition are more salient than beliefs about the illness as a whole.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Question response formats for children and young people need to take account of age\u2010specific abilities.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>\n                                A new questionnaire has been designed for adolescents with pain. It is theoretically congruent with the\n                                <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>\n                                \u2010\n                                <jats:styled-content style=\"fixed-case\">SRM<\/jats:styled-content>\n                                .\n                              <\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12275","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T02:12:48Z","timestamp":1507515168000},"page":"68-87","source":"Crossref","is-referenced-by-count":17,"title":["The prioritization of symptom beliefs over illness beliefs: The development and validation of the Pain Perception Questionnaire for Young 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