Skip to main content
. Author manuscript; available in PMC: 2014 May 1.
Published in final edited form as: Curr Pain Headache Rep. 2013 May;17(5):330. doi: 10.1007/s11916-013-0330-2

Table 1.

Commonly used measures for positive psychological traits and pain catastrophizing

Construct Measure Description Instructions Sample item Scoring Subscales
Optimism LOT-R [103] Dispositional optimism and outcome expectancies 10-items on a 5-point scale “I’m always optimistic about my future” 6 items totaled (3 positive, 3 negative) Pessimism: sum items 3,7 and 9
0 = strongly disagree
4 = strongly agree
Reverse code 3 and 7
Items 2, 5, 6, and 8 are fillers
Optimism: sum items 1, 4 and 10
Self-efficacy ASES [104] Measures perceived self-efficacy 20 items, rating scale “How certain are you that you can decrease your pain quite a bit?” Each subscale is scored separately by taking the mean score of the items 9 items = physical functioning
1= very uncertain, 5–6 = moderately uncertain, and 10 = very certain 6 items = other symptoms
5 items = pain
PSEQ [105] Assesses the confidence people with ongoing pain have in performing activities while in pain 10 items on a 7-point scale
0 = not at all confident,
6 = very confident
“I can enjoy things, despite the pain” Total score 0–60 No
GSES [106] Assesses optimistic self-beliefs used to cope with a variety of demands in life 10 items on a 4-point scale
1 = not at all true
4 = true
“If I am in trouble, I can usually think of a solution” Higher scores indicate stronger patient’s belief in self-efficacy No
Hope ATHS [107] Dispositional report measure of hope 12 items on a 4-point scale “I energetically pursue my goals” Sum responses Pathways score: add items 1, 4, 6, and 8
1 = definitely false Total score 8–64
4 = definitely true Add the pathways and agency subscales together Agency score: add items 2, 9, 10, and 12
SHS [108] A state, on-going goal-directed measure of hope 6 items on a 4-point scale “At the present time, I am energetically pursuing my goals” Add the pathways and agency subscales together. Total score: 6–48, with Pathways score: add items 1, 3, and 5
1 = definitely false
4 = definitely true
Agency score: add items 2, 4, and 6
HHI [109] Assesses overall hope levels 12 items on a 4-point scale
1 = strongly disagree
4 = strongly agree
“I have deep inner strength” Total score 12 to 48 No
Pain Catastrophizing PCS [110] Individuals reflect on past painful experiences
0 = not at all
13 items on a 5-point scale “I feel I can’t go on” Total score 0–52
Three subscale scores
Sum items
Rumination: 8, 9, 10, 11
4 = all the time Magnification: 6, 7, 13
Helplessness: 1, 2, 3, 4, 5, 12
CSQ (catastrophizing subscale) [111] Cognitive strategies for dealing with pain 6 items on a 7-point scale
0 = never do
6 = always do that when in pain
“I feel I can’t stand it anymore” Total score of 36 N/A

For all measures, a higher score indicates higher levels of the construct

HHI used with clinical patients, ASES used with arthritis and fibromyalgia patients, all others used with healthy and clinical populations

LOT-R Life Orientation Test-Revised, ASES Arthritis Self Efficacy Scale, PSEQ Pain Self-Efficacy Questionnaire, GSES General Self Efficacy Scale, ATHS Adult Trait Hope Scale, SHS State Hope Scale, HHI Herth Hope Index, PCS Pain Catastrophizing Scale, CSQ: Coping Strategies Questionnaire