Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Reliability and Validity of the Korean Version of the Fear-Avoidance Beliefs Questionnaire

한국판 공포-회피 반응 설문지의 신뢰도와 타당도

  • Joo, Myung-Kyu (Dept. of Physical Therapy, Dunsan Oriental Hospital, Daejeon University) ;
  • Kim, Taek-Yean (Sports Medical Center) ;
  • Kim, Jin-Tack (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University)
  • 주명규 (대전대학교 둔산 한방병원 물리치료실) ;
  • 김택연 (스포츠 의학 연구소) ;
  • 김진택 (대전대학교 보건스포츠과학대학 물리치료학과) ;
  • 김선엽 (대전대학교 보건스포츠과학대학 물리치료학과)
  • Published : 2009.05.21
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Abstract

The purpose of this study was to determine the reliability and validity of the fear-avoidance beliefs questionnaire (FABQ) in assessing Korean patients with low back pain. We performed translation and cross-cultural adaptation of the questionnaire and enrolled 52 patients (18 males and 34 females) with low back pain. The subjects completed a standardized self-administered questionnaire that included the FABQ assessment along with evaluations for the visual analogue scale (VAS), Oswestry disability index (ODI), self-rating anxiety scale (SAS), and Beck depression inventory-Korean version (K-BDI). The reliability of the obtained data was determined by evaluating the internal consistency on the basis of the intraclass correlation coefficient (ICC) and the Cronbach's alpha values, while the validity of the data was examined by correlating the FABQ scores to the VAS, ODI, SAS, and K-BDI scores. The translated versions of the FABQ showed good test-retest reliability: ICC (3, 1)=.90 (FABQ for physical activity) and .97 (FABQ for work) these values were statistically significant (p<.01). The Cronbach's alpha value for FABQ was .90 (p<.01). FABQ moderately correlated with pain, disability, anxiety, and depression (p<.01). The results of this study indicate that the Korean version of the FABQ is a reliable and valid instrument for measuring fear-avoidance beliefs in Korean patients with low back pain.

Keywords

References

  1. 이민규, 이영호, 박세현 등. 한국판 Beck 우울척도의 표준화 연구 I ; 신뢰도 및 요인분석. 한국정신병리진단분류학회. 1995;4(1):77-95.
  2. 이중훈, 박병탁. 불안 환자에 대한 불안척도의 연구. 영남의대학술지. 1992;14:156-166.
  3. Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000;81(12 Suppl 2):S15-S20. https://doi.org/10.1053/apmr.2000.20619
  4. Asmundson GJ, Norton GR, Allerdings MD. Fear and avoidance in dysfunctional chronic back pain patients. Pain. 1997:69(3):231-236. https://doi.org/10.1016/S0304-3959(96)03288-5
  5. Beaton DE. Bombardier C. Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-3191. https://doi.org/10.1097/00007632-200012150-00014
  6. Beck AT. The Depression Inventory. Philadelphia. Center for Cognitive Therapy. 1978.
  7. Boersma K, Linton S, Overmeer T, et al. Lowering fear-avoidance and enhancing function through exposure in vivo. A multiple baseline study across six patients with back pain. Pain. 2004:108(1-2 ):8-16. https://doi.org/10.1016/j.pain.2003.03.001
  8. Burton AK Tillotson KM, Main CJ. et al. Psychosocial predictors of outcome in acute and subchronic low back trouble Spine. 1995:20(6)722-728. https://doi.org/10.1097/00007632-199503150-00014
  9. Chaory K, Fayad F, Rannou F, et al. Validation of the French version of the fear avoidance belief questionnaire. Spine. 2004;29(8):908-913. https://doi.org/10.1097/00007632-200404150-00018
  10. Crombez G. Vlaeyen JW. Heuts PH, et al. Pain related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability. Pain. 1999;80(1-2):329-339. https://doi.org/10.1016/S0304-3959(98)00229-2
  11. Deyo RA, Gherkin D. Conrad D. et al. Cost, controversy, crisis: Low back pain and the health of the public Annu Rev Public Health. 1991:12:141-156. https://doi.org/10.1146/annurev.pu.12.050191.001041
  12. Fairbank JC, Couper J. Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980:66(8):271 -273.
  13. Fermanian J. Measuring agreement between 2 observers: A quantitative case. Rev Epidemiol Sante Publique. 1984;32(6):408-413.
  14. Fritz JM. George SZ. Delitto A. The role of fear-avoidance beliefs in acute low back pain: Relationships with current and future disability and work status. Pain. 2001;94(1)7-15. https://doi.org/10.1016/S0304-3959(01)00333-5
  15. Grotle M, Brox JI. Vollestad NK. Reliability, validity and responsiveness of the fear-avoidance beliefs questionnaire: Methodological aspects of the Norwegian version. J Rehabil Med. 2006;38(6)346-353. https://doi.org/10.1080/16501970600722403
  16. Grotle M, Vollestad NK, Veierod MB. et al. Fear-avoidance beliefs and distress in relation to disability in acute and chronic low back pain. Pain. 2004;112(3):343-352. https://doi.org/10.1016/j.pain.2004.09.020
  17. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889): 1127-1131.
  18. Kim DY. Lee SH, Lee HY, et al. Validation of the Korean version of the oswestry disability index. Spine. 2005;30(5):E123-E127. https://doi.org/10.1097/01.brs.0000157172.00635.3a
  19. Kovacs FM, Abraira V. Zamora J. et al. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine. 2004;29(2):206-210. https://doi.org/10.1097/01.BRS.0000107235.47465.08
  20. Kovacs FM, Muriel A, Medina JM, et al. Psychometric characteristics of the Spanish version of the FAB questionnaire. Spine. 2006;31(1):104-110. https://doi.org/10.1097/01.brs.0000193912.36742.4f
  21. Lethem J. Slade PD. Troup JD. et al. Outline of a Fear Avoidance Model of exaggerated pain perception I. Behav Res Ther. 1983:21(4):401-408. https://doi.org/10.1016/0005-7967(83)90009-8
  22. McCracken LM, Cross RT. The role of pain-related anxiety reduction in the outcome of multi-disciplinary treatment for chronic low back pain: Preliminary results. J Occup Rehabil 1998;8(3): 179-189. https://doi.org/10.1023/A:1021374322673
  23. Pfingsten M. Kroner-Herwig B. Leibing E, et al. Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Eur J Pain. 2000;4(3):259-266. https://doi.org/10.1053/eujp.2000.0178
  24. Portney LG. Watkins MP. Foundations of Clinical Research: Applications to practice. 3rd ed. Upper Saddle River. NJ, Prentice Hall Health. 2008.
  25. Rothstein JM, Echtemach JL. Rimer on Measurement: An introductory guide to measurement issues. Alexandria. VA. American Physical Therapy Association. 1999.
  26. Severeijns R. Vlaeyen JW. van den Hout MA, et al. Pain catastrophizing predicts pain intensity, dis-ability, and psychological distress independent of the level of physical impairment. Clin J Pain. 2001;17(2):165-172. https://doi.org/10.1097/00002508-200106000-00009
  27. Vlaeyen JW, Kole-Snijders AM, Boeren RG, et al. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-372. https://doi.org/10.1016/0304-3959(94)00279-N
  28. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain. 2000;85(3)317 -332. https://doi.org/10.1016/S0304-3959(99)00242-0
  29. Waddell G, Newton M, Henderson I, et al A Fear Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low-back pain and disability. Pain. 1993:52(2):157-168. https://doi.org/10.1016/0304-3959(93)90127-B
  30. Woby SR, Watson PJ. Roach NK, et al. Are changes in fear-avoidance beliefs, catastrophizing, and appraisals of control, predictive of changes in chronic low back pain and disability? Eur J Pain. 2004;8(3):201-210. https://doi.org/10.1016/j.ejpain.2003.08.002
  31. Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971:12(6):371-379. https://doi.org/10.1016/S0033-3182(71)71479-0