The Fear of Dental Pain questionnaire: Construction and validity

The Fear of Dental Pain questionnaire: Construction and validity
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DOI:
10.1034/j.1600-0722.2003.00005.x
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发表时间:
2003-02-01
影响因子:
1.9
通讯作者:
Hoogstraten, J
Hoogstraten, J
中科院分区:
医学4区
文献类型:
--
作者:
van Wijk, AJ;Hoogstraten, J

文献摘要

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焦虑、恐惧和疼痛在牙科治疗和患者健康中起着重要作用。疼痛恐惧问卷(FPQ)-III是最近开发的一种自我报告问卷,用于测量对各种疼痛刺激的疼痛相关恐惧。目前的研究是为了开发一个牙科等效的FPQ-III,称为牙痛恐惧问卷(FDP),以确定标准的心理测量特征并评估工具的有效性。四位经验丰富的牙医生成了最初的项目库,两位方法学家构建了最初的问卷。进行了两项研究。在研究一中,为了分析反应模式,我们选取了309名心理学新生作为样本。在研究二中,对患者、牙科学生和一般人群的样本(n = 176)进行了检查。两项研究的结果用于确定信度和效度。内部一致性高(0.93),重测信度满意(0.75)。因子分析显示,几乎所有项目背后都有一个强大的一维因素。最后,建议的FDP版本与牙科恐惧的测量和疼痛恐惧的一般测量有关。所有先验假设都得到了证实,从而为FDP的有效性提供了证据。FPD可能被证明是牙科设置的临床有用工具,并且是牙科疼痛感知研究中潜在的重要协变量。
Anxiety, fear and pain play an important role in the context of dental treatment and patients' well-being. The Fear of Pain Questionnaire (FPQ)-III is a recently developed self-report questionnaire measuring pain-related fear of a variety of painful stimuli. The present study was undertaken in order to develop a dental equivalent of the FPQ-III, called the Fear of Dental Pain questionnaire (FDP), to determine standard psychometric characteristics and to assess the instruments' validity. Four experienced dentists generated the initial pool of items and two methodologists constructed the initial questionnaire. Two studies were performed. In the study one, a sample of psychology freshmen (n = 309) was taken in order to analyse response patterns. In study two, a sample (n = 176) of patients, dental students and the general population was examined. Results from both studies were used to determine reliability and validity. High internal consistency (0.93) with satisfactory test-retest reliability (0.75) was obtained. Factor analysis revealed a strong one-dimensional factor underlying almost all items. Finally, the proposed FDP version was related to a measure of dental fear and a general measure of fear of pain. All a priori hypotheses were confirmed, thereby providing evidence for the validity of the FDP. The FPD may prove to be a clinically useful tool in the dental setting, and a potentially important covariate in dental pain perception research.