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Disabil Rehabil. 2018 Jun;40(11):1326-1332. doi: 10.1080/09638288.2017.1289255. Epub 2017 Mar 3.

Dutch version of the Fear of Pain Questionnaire for adolescents with chronic pain.

Author information

1
a Department of Rehabilitation Medicine, CAPHRI, Functioning and Rehabilitation , Maastricht University , Maastricht , The Netherlands.
2
b Department of Epidemiology, CAPHRI, Functioning and Rehabilitation , Maastricht University , Maastricht , The Netherlands.
3
c Department of Health, School of Health Professions , Zurich University of Applied Sciences (ZUAS) , Winterthur , Switzerland.
4
d Faculty of Health, European school of Physiotherapy , Amsterdam University of Applied Sciences , Amsterdam , The Netherlands.
5
e Department of Rehabilitation , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands.
6
f ACHIEVE - Center of Applied Research, Faculty of Health , Amsterdam University of Applied Sciences , Amsterdam , The Netherlands.
7
g Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine , Boston Children's Hospital , Boston , MA , USA.
8
h Department of Psychiatry , Harvard Medical School , Boston , MA , USA.
9
i Department of Clinical Psychological Sciences, Experimental Psychopathology , Maastricht University , Maastricht , The Netherlands.
10
j Adelante Zorggroep , Hoensbroek , The Netherlands.

Abstract

BACKGROUND:

Fear of pain is important in the development and maintenance of chronic pain. The Fear of Pain Questionnaire-Child version has been developed to assess pain related fear in children and adolescents.

OBJECTIVE:

Translating the original questionnaire into Dutch, and investigating internal consistency and construct validity to enable use in the Dutch pain rehabilitation setting for treatment and research.

METHODS:

Cross-sectional validation study: After forward and back translation of the FOPQ-C, adolescents (11-22 years old) with chronic musculoskeletal pain completed an assessment containing the Dutch Fear of Pain Questionnaire, and questionnaires about demographics, pain catastrophizing, functional disability, and pain intensity. Internal consistency and construct validity were evaluated through exploratory factor analysis (principal axis factoring with oblique rotation) and hypotheses testing using pain catastrophizing, functional disability, and pain intensity as comparative constructs.

RESULTS:

Eighty-six adolescents completed the assessment. Exploratory factor analysis resulted in a two-factor structure, explaining 43% of the variance. Internal consistency was strong (Cronbach's α = 0.92 total scale, α = 0.88 factor 1, and α = .86 factor 2). Five out of 6 hypotheses were confirmed.

CONCLUSIONS:

The Dutch version demonstrated good internal consistency and good construct validity in a population of adolescents with chronic musculoskeletal pain. Implications for rehabilitation The Fear of Pain Questionnaire-Child version was developed to measure fear of pain and avoidance in children and adolescents with chronic pain. Identification of fear of pain and activities that are being avoided are important during screening and assessment of the adolescent for chronic pain rehabilitation treatment. The presence of fear of pain and/or avoidance behavior is important information to shape and target multidisciplinary rehabilitation treatment.

KEYWORDS:

Fear of pain; adolescent; avoidance of activities; chronic pain; construct validity; exploratory factor analysis

PMID:
28637153
DOI:
10.1080/09638288.2017.1289255
[Indexed for MEDLINE]

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