The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia
The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia
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DOI：
10.1016/j.ejpain.2003.11.016
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发表时间：
2004-10-01
影响因子：
3.6
通讯作者：
Crombez, G
中科院分区：
文献类型：
--
作者：
Roelofs, J;Goubert, L;Crombez, G
本研究试图通过验证性因素分析，复制TAMPA运动恐惧症(TSK)双因素模型在慢性下腰痛(CLBP)患者和纤维肌痛患者中的稳健性。对TSK分量表的结构和预测效度也进行了检验。结果清楚地表明，在两个疼痛样本中，双因素模型最适合。这两个因素被贴上了躯体焦点的标签，这反映了人们对潜在和严重的医疗问题的信念，以及活动回避。这反映了这样一种信念，即运动可能会导致(再次)伤害或增加疼痛。TSK及其子量表的结构效度得到了与疼痛相关恐惧、疼痛灾难和残疾的自我报告测量的适度相关系数的支持，主要是在CLBP患者中。预测效度主要由CLBP患者在体能测试(如搬运任务、自行车任务)上的中等相关系数所支持。讨论了这些结果的影响，并为今后的研究提供了方向。(C)2003年欧洲国际疼痛研究协会分会联合会。爱思唯尔有限公司出版。保留所有权利。
The present study attempted to replicate the robustness of a two-factor model of the Tampa Scale for Kinesiophobia (TSK) in chronic low back pain (CLBP) patients and fibromyalgia patients, by means of confirmatory factor analysis. Construct and predictive validity of the TSK subscales were also examined. Results clearly indicated that a two-factor model fitted best in both pain samples. These two factors were labelled somatic focus, which reflects the belief in underlying and serious medical problems, and activity avoidance. which reflects the belief that activity may result in (re)injury or increased pain. Construct validity of the TSK and its subscales was supported by moderate correlation coefficients with self-report measures of pain-related fear, pain catastrophising, and disability, predominantly in patients with CLBP. Predictive validity was supported by moderate correlation coefficients with performance on physical performance tests (i.e., lifting tasks, bicycle task) mainly in CLBP patients. Implications of the results are discussed and directions for future research are provided.(C) 2003 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.