scholarly journals Pain-Related Fear: A Critical Review of the Related Measures

2011 ◽  
Vol 2011 ◽  
pp. 1-26 ◽  
Author(s):  
M. Lundberg ◽  
A. Grimby-Ekman ◽  
J. Verbunt ◽  
M. J. Simmonds
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Literature Search ◽  
Pain Scale ◽  
Measurement Properties ◽  
Fear Avoidance ◽  
Fear Of Pain ◽  
Fear Avoidance Beliefs ◽  
Tampa Scale For Kinesiophobia ◽  
Fear Avoidance Beliefs Questionnaire

Objectives: In regards to pain-related fear, this study aimed to: (1) identify existing measures and review their measurement properties, and (2) identify the optimum measure for specific constructs of fear-avoidance, pain-related fear, fear of movement, and kinesiophobia. Design: Systematic literature search for instruments designed to measure fear of pain in patients with persistent musculoskeletal pain. Psychometric properties were evaluated by adjusted Wind criteria. Results: Five questionnaires (Fear-Avoidance Beliefs Questionnaire (FABQ), Fear-Avoidance of Pain Scale (FAPS), Fear of Pain Questionnaire (FPQ), Pain and Anxiety Symptoms Scale (PASS), and the Tampa Scale for Kinesiophobia (TSK)) were included in the review. The main findings were that for most questionnaires, there was no underlying conceptual model to support the questionnaire's construct. Psychometric properties were evaluated by diverse methods, which complicated comparisons of different versions of the same questionnaires. Construct validity and responsiveness was generally not supported and/or untested. Conclusion: The weak construct validity implies that no measure can currently identify who is fearful. The lack of evidence for responsiveness restricts the current use of the instruments to identify clinically relevant change from treatment. Finally, more theoretically driven research is needed to support the construct and thus the measurement of pain-related fear.

scholarly journals Fear of Movement/(Re)Injury: An Update to Descriptive Review of the Related Measures

2021 ◽  
Vol 12 ◽  
Author(s):  
Haowei Liu ◽  
Li Huang ◽  
Zongqian Yang ◽  
Hansen Li ◽  
Zhenhuan Wang ◽  
...  
Keyword(s):  
Decision Making ◽  
Pain Treatment ◽  
Decision Making Process ◽  
Fear Avoidance ◽  
Score System ◽  
Fear Avoidance Beliefs ◽  
Fear Of Movement ◽  
Tampa Scale For Kinesiophobia ◽  
Fear Avoidance Beliefs Questionnaire ◽  
Subsequent Rehabilitation

The prevalence of fear of movement (kinesiophobia) in persistent pain ranges from 50 to 70%, and it may hinder the subsequent rehabilitation interventions. Therefore, the evaluation of fear of movement/(re)injury plays a crucial role in making clinical treatment decisions conducive to the promotion of rehabilitation and prognosis. In the decision-making process of pain treatment, the assessment of fear of movement/(re)injury is mainly completed by scale/questionnaire. Scale/questionnaire is the most widely used instrument for measuring fear of movement/(re)injury in the decision-making process of pain treatment. At present, the most commonly used scale/questionnaire are the Tampa Scale for Kinesiophobia (TSK), the Fear-Avoidance Beliefs Questionnaire (FABQ), the Kinesiophobia Causes Scale (KCS), the Athlete Fear-Avoidance Questionnaire (AFAQ), and the Fear-Avoidance Components Scale (FACS). In order to provide necessary tools and references for related research and rehabilitation treatment, this descriptive review is designed as an introduction to the background and content, score system, available language versions, variants of the original questionnaire, and psychometric properties of these scales/questionnaries.

scholarly journals Measurement properties of the Brazilian versions of Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in individuals with shoulder pain

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260452
Author(s):  
Danilo Harudy Kamonseki ◽  
Melina Nevoeiro Haik ◽  
Larissa Pechincha Ribeiro ◽  
Rafaela Firmino de Almeida ◽  
Lucas Araújo de Almeida ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Shoulder Pain ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Effect Sizes ◽  
Measurement Properties ◽  
Fear Avoidance ◽  
Good Reliability ◽  
Fear Avoidance Beliefs ◽  
Fear Avoidance Beliefs Questionnaire

Purpose To verify the measurement properties of the Brazilian versions of Fear-avoidance Beliefs Questionnaire (FABQ) and Tampa Scale of Kinesiophobia (TSK) in individuals with shoulder pain. Methods Individuals with shoulder pain (>18 years) were included in this study. Structural validity was verified by exploratory factor analysis, which was used to identify dimensionality of the FABQ and TSK. Test-retest reliability was assessed with intraclass correlation coefficient(3,1) and internal consistency with Cronbach’s alpha. Floor or ceiling effects were also investigated. Responsiveness was verified by effect sizes and area under the receiver operating characteristic curve (AUC). Results Exploratory factor analysis identified two and one factor in the FABQ and TSK, respectively. FABQ and TSK presented moderate to good reliability and adequate internal consistency (Cronbach’s alpha > 0.70). The floor effect was present in one factor of the FABQ. The FABQ and TSK showed small to moderate effect sizes and did not show adequate AUC. Conclusion FABQ and TSK are multidimensional and unidimensional instruments, respectively. Those instruments presented moderate to good reliability and the responsiveness was considered to be suboptimal in individuals with shoulder pain.

Translation, cross-cultural adaptation, and psychometric properties of the Hausa version of the Fear-Avoidance Beliefs Questionnaire in patients with low back pain

2019 ◽  
Vol 19 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Aminu A. Ibrahim ◽  
Mukadas O. Akindele ◽  
Bashir Kaka ◽  
Bashir Bello
Keyword(s):  
Physical Activity ◽  
Factor Analysis ◽  
Low Back Pain ◽  
Psychometric Properties ◽  
Low Back ◽  
Divergent Validity ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Test Retest Reliability ◽  
Fear Avoidance Beliefs Questionnaire

Abstract Background and aims The Fear-Avoidance Beliefs Questionnaire (FABQ) is the most widely used self-reported measure of fear-avoidance beliefs about work and physical activity in low back pain (LBP). However, there is no Hausa version for use in patients with LBP. This study aimed to translate, cross-culturally adapt, and test the psychometric properties of the Hausa version of the FABQ in patients with LBP. Methods The Hausa form of FABQ was developed using a forward-backward translation procedure according to recommended guidelines. The pre-final version of the questionnaire was pre-tested on 10 patients with acute LBP and 10 patients with chronic LBP. Psychometric testing was performed in 70 patients with acute LBP and 130 patients with chronic LBP. Reliability was assessed using internal consistency (Cronbach α) and test-retest reliability through intraclass correlation coefficient (ICC). Construct validity was assessed by exploratory factor analysis and divergent validity (Spearman rank correlation coefficient). Responsiveness was also investigated on 40 patients with chronic LBP. Results The Hausa version of the FABQ was successfully translated and proved to be well-understood. The internal consistency was adequate for the questionnaire (0.773) and its physical activity (0.816) and work (0.606) subscales. Test-retest reliability was excellent with an ICC value of 0.928 for the questionnaire and values of 0.901 and 0.863 for the physical activity and work subscales, respectively. Exploratory factor analysis yielded a three-factor structure in both acute and chronic LBP samples explaining 66.4% and 58.6% of the total variance, respectively. The first factor represents fear-avoidance beliefs due to work, the second factor represents fear-avoidance beliefs due to physical activity whereas the third factor represents the fear that pain aggravates due to work. Divergent validity showed moderate to weak correlation between the questionnaire and pain intensity (r=0.502), disability (r=0.415), lumbopelvic motion (r=0.00). The physical activity and work subscales weakly correlated (r=0.280). The effect size and standardized response mean were moderate to small with the work subscale having the lowest effect size (0.34) and standardized response mean (0.34) values. The MDC of the questionnaire was 5.4 points. The questionnaire had no ceiling or floor effects. Conclusions The FABQ was successfully translated into Hausa and cross-culturally adapted with acceptable psychometric properties similar to those of existing versions. The results suggest that the Hausa FABQ can be used to evaluate fear-avoidance beliefs about LBP in Hausa-speaking population for both clinical and research purposes.

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