Fear of movement/(re)injury in chronic pain: A psychometric assessment of the original English version of the Tampa scale for kinesiophobia (TSK)
Fear of movement/(re)injury in chronic pain: A psychometric assessment of the original English version of the Tampa scale for kinesiophobia (TSK)
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DOI：
10.1016/j.pain.2006.07.016
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发表时间：
2007-01-01
期刊：
影响因子：
7.4
通讯作者：
Evans, R. Thomas
中科院分区：
文献类型：
--
作者：
French, Douglas J.;France, Christopher R.;Evans, R. Thomas
坦帕运动恐惧症量表(TSK)是用来测量慢性疼痛患者对运动/(再)伤害的恐惧的。尽管对TSK的荷兰语适应的研究已经发现，对运动/(再)伤害的恐惧是慢性疼痛、疼痛相关的回避行为和残疾的重要预测因素，但令人惊讶的是，关于最初的英语版本TSK的心理测量学特性的数据很少。本研究以慢性疼痛患者(n=200)为研究对象，研究了TSK量表的信度、结构效度和因子结构。与荷兰版TSK的评估结果一致，本研究结果表明英语TSK具有高度的内部一致性，并与恐惧回避信念、疼痛灾害化、疼痛相关残疾和一般负面情绪等相关测量呈正相关。TSK与使用标准化跑步机和举重任务评估的体能测试中的个体差异无关。验证性因素分析表明，TSK的最好特征是三因素特质方法模型，该模型包含了所有17个原始量表条目，并考虑了正向和负向关键条目的区别。本研究的结果提供了关于TSK英文版的心理测量学特性的重要细节，并表明为了提高量表的效度，可能没有必要去掉否定关键条目。(C)2006年国际疼痛研究协会。爱思唯尔出版，版权所有。
The Tampa scale for kinesiophobia (TSK) was developed to measure fear of movement/(re)injury in chronic pain patients. Although studies of the Dutch adaptation of the TSK have identified fear of movement/(re)injury as an important predictor of chronic pain, pain-related avoidance behaviour, and disability, surprisingly little data on the psychometric properties of the original English version of the TSK are available. The present study examined the reliability, construct validity and factor structure of the TSK in a sample of chronic pain patients (n = 200) presenting for an interdisciplinary functional restoration program. Consistent with prior evaluations of the Dutch version of the TSK, the present findings indicate that the English TSK possesses a high degree of internal consistency and is positively associated with related measures of fear-avoidance beliefs, pain catastrophizing, pain-related disability and general negative affect. The TSK was not related to individual differences in physical performance testing as assessed using standardised treadmill and lifting tasks. Confirmatory factor analyses suggest that the TSK is best characterized by a three-factor trait-method model that includes all 17 of the original scale items and takes into account the distinction between positively and negatively keyed items. The results of the present study provide important details regarding the psychometric properties of the original English version of the TSK and suggest that it may be unnecessary to remove the negatively keyed items in an attempt to improve scale validity. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.