Validity and Reliability of the Greek Pain Catastrophizing Scale
Assessment of the Level of Pain Catastrophizing in Patients With Migraine Using the "Pain Catastrophizing Scale": Validity and Reliability Study of the Greek Version
1 other identifier
observational
130
1 country
1
Brief Summary
Migraine is a common neurological disorder that can significantly affect daily activities, quality of life, and emotional well-being. How individuals think and feel about pain may also influence their experience of migraine. Pain catastrophizing refers to an exaggerated negative response to pain, including persistent worry about pain and feelings of helplessness. The Pain Catastrophizing Scale (PCS) is a commonly used questionnaire for assessing pain catastrophizing. However, the psychometric properties of the Greek version of the PCS have not been adequately evaluated in people with migraine. This study aims to evaluate the validity and reliability of the Greek version of the Pain Catastrophizing Scale in patients with migraine. The study will determine whether the Greek PCS can be used as an appropriate tool for assessing pain catastrophizing in the Greek migraine population.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2026
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2026
CompletedFirst Submitted
Initial submission to the registry
September 22, 2026
CompletedFirst Posted
Study publicly available on registry
September 29, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2027
September 29, 2026
September 1, 2026
9 months
September 22, 2026
September 22, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain Catastrophizing Scale
The psychometric properties of the Greek version of the Pain Catastrophizing Scale (PCS) will be evaluated in patients with migraine. The PCS consists of 13 items scored from 0 (never) to 4 (always), with a total score ranging from 0 to 52. Higher scores indicate greater pain catastrophizing. Reliability will be assessed using internal consistency and test-retest reliability.
Baseline and 7-14 days after baseline for test-retest reliability.
Secondary Outcomes (4)
Migraine Disability Assessment
Baseline
Headache Impact
Baseline
Migraine-Specific Quality of Life
Baseline
Headache Pain Intensity
Baseline
Study Arms (1)
Patients with Migraine
Adults aged 18-70 years with a diagnosis of episodic or chronic migraine according to the International Classification of Headache Disorders, 3rd edition (ICHD-3), who are able to understand, read, write, and speak Greek. Participants will complete the Greek version of the Pain Catastrophizing Scale (PCS) and other study questionnaires for psychometric evaluation. No intervention will be administered.
Eligibility Criteria
The study population will consist of adults aged 18-70 years with episodic or chronic migraine diagnosed by a neurologist according to the International Classification of Headache Disorders, 3rd edition (ICHD-3). Participants will be recruited from the Headache Outpatient Clinic of Aeginition Hospital, National and Kapodistrian University of Athens, Greece. Eligible participants must be able to understand, read, write, and speak Greek.
You may qualify if:
- Diagnosis of migraine
- Age 18-70 years
- Ability to understand, read, write, and speak the Greek language
You may not qualify if:
- Presence of a headache disorder other than migraine
- History of systemic diseases (malignant, inflammatory, acute traumatic, infectious, surgical, neurological, psychiatric, or rheumatological conditions)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Kapodistrian University of Athens, Aeginition Hospital, Headache Clinic
Athens, Attica, 11528, Greece
Related Publications (18)
Onan D, Arikan H, Vuralli D, Akgor MC, Pala AB, Yanik E, Can AI, Ulutas C, Yesildas PY, Yildirim I, Gelener P, Demirel EA, Ekizoglu E, Ozge A. Assessment of Head Awareness in Patients with Chronic Migraine Using the Fremantle Headache Awareness Questionnaire: Turkish Version, Validity, and Reliability Study. Noro Psikiyatr Ars. 2025 Sep 19;63:308-315. doi: 10.29399/npa.29190. eCollection 2026.
PMID: 41777502BACKGROUND17. Portney, L.G., Foundations of clinical research: applications to evidence-based practice. 2020: FA Davis.
BACKGROUNDBeaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. doi: 10.1097/00007632-200012150-00014. No abstract available.
PMID: 11124735BACKGROUND15. Sullivan, M.J., S.R. Bishop, and J. Pivik, The pain catastrophizing scale: development and validation. Psychological assessment, 1995. 7(4): p. 524.
BACKGROUNDGiannouli E, Giannouli E, Alexoudi A, Arvaniti C, Fakas N, Constantinidis TS, Kouremenos E, Mitsikostas DD; Hellenic Headache Society. Validity and reliability of the Greek Migraine-Specific Quality of Life Questionnaire (MSQ Version 2.1-GR). J Patient Rep Outcomes. 2024 Jul 15;8(1):72. doi: 10.1186/s41687-024-00762-4.
PMID: 39007966BACKGROUNDMartin M, Blaisdell B, Kwong JW, Bjorner JB. The Short-Form Headache Impact Test (HIT-6) was psychometrically equivalent in nine languages. J Clin Epidemiol. 2004 Dec;57(12):1271-8. doi: 10.1016/j.jclinepi.2004.05.004.
PMID: 15617953BACKGROUNDOikonomidi T, Vikelis M, Artemiadis A, Chrousos GP, Darviri C. Reliability and Validity of the Greek Migraine Disability Assessment (MIDAS) Questionnaire. Pharmacoecon Open. 2018 Mar;2(1):77-85. doi: 10.1007/s41669-017-0034-3.
PMID: 29464670BACKGROUNDPrice DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56. doi: 10.1016/0304-3959(83)90126-4.
PMID: 6226917BACKGROUNDHeadache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. No abstract available.
PMID: 29368949BACKGROUND9. Harmancı, H. and B. Kul, Pain catastrophizing in migraine patients and associated factors. Journal of Health Sciences and Medicine, 2017. 4(6): p. 876-881.
BACKGROUNDShen B, Wu B, Abdullah TB, Zhan G, Lian Q, Vania Apkarian A, Huang L. Translation and validation of Simplified Chinese version of the Pain Catastrophizing Scale in chronic pain patients: Education may matter. Mol Pain. 2018 Jan-Dec;14:1744806918755283. doi: 10.1177/1744806918755283. Epub 2018 Jan 21.
PMID: 29353539BACKGROUNDTerkawi AS, Sullivan M, Abolkhair A, Al-Zhahrani T, Terkawi RS, Alasfar EM, Khait SSA, Elkabbani A, Kabbani N, Altirkawi KA, Tsang S. Development and validation of Arabic version of the pain catastrophizing scale. Saudi J Anaesth. 2017 May;11(Suppl 1):S63-S70. doi: 10.4103/sja.SJA_130_17.
PMID: 28616005BACKGROUNDBond DS, Buse DC, Lipton RB, Thomas JG, Rathier L, Roth J, Pavlovic JM, Evans EW, Wing RR. Clinical Pain Catastrophizing in Women With Migraine and Obesity. Headache. 2015 Jul-Aug;55(7):923-33. doi: 10.1111/head.12597. Epub 2015 Jun 18.
PMID: 26087348BACKGROUNDBarral E, Buonanotte F. [Pain catastrophizing and medication overuse in patients with chronic migraine]. Rev Neurol. 2020 Apr 16;70(8):282-286. doi: 10.33588/rn.7008.2020034. Spanish.
PMID: 32242334BACKGROUNDHolroyd KA, Drew JB, Cottrell CK, Romanek KM, Heh V. Impaired functioning and quality of life in severe migraine: the role of catastrophizing and associated symptoms. Cephalalgia. 2007 Oct;27(10):1156-65. doi: 10.1111/j.1468-2982.2007.01420.x. Epub 2007 Sep 4.
PMID: 17784854BACKGROUNDAlvarez-Astorga A, Garcia-Azorin D, Hernandez M, de la Red H, Sotelo E, Uribe F, Guerrero AL. Pain catastrophising in a population of patients with migraine. Neurologia (Engl Ed). 2021 Jan-Feb;36(1):24-28. doi: 10.1016/j.nrl.2018.10.005. Epub 2019 Mar 8. English, Spanish.
PMID: 30857787BACKGROUNDKim S, Bae DW, Park SG, Park JW. The impact of Pain-related emotions on migraine. Sci Rep. 2021 Jan 12;11(1):577. doi: 10.1038/s41598-020-80094-7.
PMID: 33436778BACKGROUNDTol CHM, van der Meer HA, van der Wal AC, Su N, Visscher CM. Association between psychological factors and headache burden in patients with migraine and tension-type headache: a systematic review and meta-analysis. Disabil Rehabil. 2026 Aug;48(16):5117-5149. doi: 10.1080/09638288.2026.2621641. Epub 2026 Feb 16.
PMID: 41693420BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Week
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD, Neurologist, Medical Doctor
Study Record Dates
First Submitted
September 22, 2026
First Posted
September 29, 2026
Study Start
September 1, 2026
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
July 1, 2027
Last Updated
September 29, 2026
Record last verified: 2026-09