Grotle Margreth, Brox Jens I, Vøllestad Nina K
Department of Orthopaedics, Section for Physical Medicine and Rehabilitation, National Hospital, Oslo, Norway.
J Rehabil Med. 2006 Nov;38(6):346-53. doi: 10.1080/16501970600722403.
To evaluate reliability, validity and responsiveness of the Fear-Avoidance Beliefs Questionnaire (FABQ) for use in Norwegian patients with low back pain.
A prospective cohort study with 2 groups.
The questionnaire was tested in 123 patients with acute low back pain and 50 patients with chronic low back pain.
A translation and cross-cultural adaptation was performed. Test-retest reliability was assessed in 28 patients with chronic low back pain. Responsiveness was assessed in acute low back pain.
Two factors for the FABQ were confirmed; fear-avoidance beliefs about work (FABQ-Work) and physical activity (FABQ-PA), accounting for 60% and 54% of the total variance in acute and chronic low back pain, respectively. For FABQ-Work and FABQ-PA internal consistency was 0.90 and 0.79, intra-class correlation coefficients 0.82 and 0.66, minimal detectable changes 12 and 9 points, and coefficients of variation were 16% and 23%. The FABQ correlated weakly to moderately with pain, disability, distress, and clinical variables. Standardized response means were low for FABQ-Work (0.32) and moderate (0.56) for FABQ-PA. Both FABQ subscales showed initially floor and/or ceiling effects.
The Norwegian FABQ version had acceptable factor structure, internal consistency, test-retest reliability and construct validity. The responsiveness of the FABQ-Work was low, and for the FABQ-PA moderate, in the acute sample.
评估恐惧回避信念问卷（FABQ）在挪威腰痛患者中的信度、效度和反应度。
一项有两组的前瞻性队列研究。
该问卷在123例急性腰痛患者和50例慢性腰痛患者中进行了测试。
进行了翻译和跨文化调适。在28例慢性腰痛患者中评估了重测信度。在急性腰痛患者中评估了反应度。
证实了FABQ的两个因子；关于工作的恐惧回避信念（FABQ-Work）和身体活动（FABQ-PA），分别占急性和慢性腰痛总方差的60%和54%。FABQ-Work和FABQ-PA的内部一致性分别为0.90和0.79，组内相关系数分别为0.82和0.66，最小可检测变化分别为12分和9分，变异系数分别为16%和23%。FABQ与疼痛、残疾、痛苦和临床变量的相关性较弱至中等。FABQ-Work的标准化反应均值较低（0.32），FABQ-PA的标准化反应均值中等（0.56）。两个FABQ分量表最初均显示有地板效应和/或天花板效应。
挪威版FABQ具有可接受的因子结构、内部一致性、重测信度和结构效度。在急性样本中，FABQ-Work的反应度较低，FABQ-PA的反应度中等。
