Nijs Jo, De Meirleir Kenny, Duquet William
Department of Human Physiology, Vrije Universiteit Brussel, Brussel, Belgium.
Arch Phys Med Rehabil. 2004 Oct;85(10):1586-92. doi: 10.1016/j.apmr.2003.12.033.
To investigate aspects of the validity of the total scores of the Tampa Scale for Kinesiophobia (TSK), Dutch Version, which was modified to make it an appropriate questionnaire for the assessment of kinesiophobia (fear of movement) in chronic fatigue syndrome (CFS) patients (the Dutch TSK-CFS), and, using this assessment tool, to examine the associations between kinesiophobia, exercise capacity, and activity limitations and participation restrictions in patients with CFS.
Prospective observational studies.
An outpatient fatigue clinic.
In the first study, 40 patients fulfilling the 1994 US Centers for Disease Control and Prevention (CDC) criteria for CFS were enrolled. The sample of the second study consisted of 51 CDC-defined patients with CSF.
Not applicable. Main outcome measures Study 1: Subjects completed a set of questionnaires; the Utrechtse Coping List (UCL), the Dutch TSK-CFS, and the Dutch Baecke Questionnaire of Habitual Physical Activity. Study 2: All patients completed 2 questionnaires (Chronic Fatigue Syndrome Activities and Participation Questionnaire [CFS-APQ], Dutch TSK-CFS) and performed a maximal exercise stress test on a bicycle ergometer. The heart rate was monitored continuously by use of an electrocardiograph. Metabolic and ventilatory parameters were measured through spirometry.
Study 1: The Cronbach alpha coefficient for the individual item scores on the TSK-CFS was .80. The total scores on the Dutch TSK-CFS showed a statistically significant correlation with both the avoidance/abide subscale of the UCL (Spearman rho=.35, P=.029) and the total score of the Baecke Questionnaire (rho=-.45, P=.004). Study 2: The total scores on the Dutch TSK-CFS showed a statistically significant correlation with the total scores on the CFS-APQ (rho=.39, P=.004). No statistically significant associations were observed between the exercise capacity parameters and the total scores on the Dutch TSK-CFS.
These results provide evidence for the internal consistency and the convergent and congruent validity of the scores obtained by use of the Dutch TSK-CFS. Kinesiophobia appears to be associated with activity limitations/participation restrictions but not with exercise capacity in patients with CFS.
研究荷兰版坦帕运动恐惧量表（TSK）总分的效度方面，该量表已被修改，使其成为评估慢性疲劳综合征（CFS）患者运动恐惧（对运动的恐惧）的合适问卷（荷兰TSK - CFS），并使用该评估工具，研究CFS患者运动恐惧、运动能力、活动受限及参与限制之间的关联。
前瞻性观察研究。
门诊疲劳诊所。
在第一项研究中，招募了40名符合1994年美国疾病控制与预防中心（CDC）CFS标准的患者。第二项研究的样本包括51名CDC定义的CFS患者。
不适用。主要结局指标 研究1：受试者完成一组问卷；乌得勒支应对清单（UCL）、荷兰TSK - CFS和荷兰习惯性体力活动贝克问卷。研究2：所有患者完成2份问卷（慢性疲劳综合征活动与参与问卷 [CFS - APQ]、荷兰TSK - CFS），并在自行车测力计上进行最大运动应激试验。使用心电图仪持续监测心率。通过肺活量测定法测量代谢和通气参数。
研究1：TSK - CFS单个项目得分的克朗巴哈α系数为0.80。荷兰TSK - CFS的总分与UCL的回避/遵守子量表（斯皮尔曼相关系数ρ = 0.35，P = 0.029）和贝克问卷总分（ρ = - 0.45，P = 0.004）均显示出统计学显著相关性。研究2：荷兰TSK - CFS的总分与CFS - APQ的总分显示出统计学显著相关性（ρ = 0.39，P = 0.004）。在运动能力参数与荷兰TSK - CFS总分之间未观察到统计学显著关联。
这些结果为使用荷兰TSK - CFS获得的分数的内部一致性、收敛效度和等同效度提供了证据。在CFS患者中，运动恐惧似乎与活动受限/参与限制相关，但与运动能力无关。
