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测量(亚)急性下背痛患者的心理社会变量,有慢性化风险:急性下背痛筛查问卷-荷兰语版的验证研究。

Measuring psychosocial variables in patients with (sub) acute low back pain complaints, at risk for chronicity: a validation study of the Acute Low Back Pain Screening Questionnaire-Dutch Language Version.

机构信息

Research Department Lifestyle and Health, University of Applied Sciences, Utrecht, The Netherlands.

出版信息

Spine (Phila Pa 1976). 2010 Feb 15;35(4):447-52. doi: 10.1097/BRS.0b013e3181bd9e3b.

DOI:10.1097/BRS.0b013e3181bd9e3b
PMID:20110835
Abstract

STUDY DESIGN

A validation study of the Acute Low Back Pain Screening Questionnaire Dutch Language Version (ALBPSQ-DLV).

OBJECTIVE

To determine internal consistency, construct and convergent validity of the ALBPSQ-DLV in a population of patients with (sub) acute low back pain (LBP) referred to primary care physical therapy in The Netherlands.

SUMMARY OF BACKGROUND DATA

Viewing LBP as a multifactorial biopsychosocial syndrome enhances the need for validating instruments for screening psychosocial variables in patients with LBP. The ALBPSQ has been specifically constructed as a self-administered screening instrument, based on variables that have been suggested as a risk factor in the literature.

METHODS

A total of 69 patients with (sub) acute LBP were recruited. Internal consistency of the ALBPSQ-DLV was determined by calculating Cronbach alpha. Construct validity was determined by applying exploratory factor analysis. Convergent validity was assessed by calculating Pearson's correlation coefficients between domains of ALBPSQ-DLV and Dutch language versions of the Fear Avoidance Beliefs Questionnaire, Tampa Scale for Kinesiophobia, Pain Coping Inventory, Quebec Back Pain Disability Scale, and the Visual Analogue Scale of pain intensity.

RESULTS

Internal consistency of the ALBPSQ-DLV was 0.81. Values of the various subscales ranged between 0.48 and 0.88. Convergent validity was confirmed by moderate to good correlation coefficients (P = 0.01) between the scores on the subscales and the constructs of pain, disability, fear-avoidance beliefs, kinesiophobia, and coping (r = 0.38-0.64). Exploratory factor analysis, suppressing absolute values less than 0.40, revealed components which were in agreement with the various domains of the original ALBPSQ.

CONCLUSION

The internal consistency and both construct and convergent validity of the ALBPSQ-DLV are well established in a Dutch population of 69 patients with (sub) acute nonspecific LBP referred to primary care physical therapy.

摘要

研究设计

荷兰语版急性腰痛筛查问卷(ALBPSQ-DLV)的验证研究。

目的

在荷兰初级保健物理治疗中因(亚)急性腰痛就诊的患者中,确定 ALBPSQ-DLV 的内部一致性、结构和趋同效度。

背景资料概要

将腰痛视为一种多因素的生物心理社会综合征,增强了验证腰痛患者心理社会变量筛查工具的必要性。ALBPSQ 是根据文献中提出的风险因素专门构建的一种自我管理的筛查工具。

方法

共招募了 69 名因(亚)急性腰痛就诊的患者。通过计算 Cronbach 阿尔法来确定 ALBPSQ-DLV 的内部一致性。通过应用探索性因素分析来确定结构有效性。通过计算 ALBPSQ-DLV 各领域与荷兰语恐惧回避信念问卷、坦帕运动恐惧量表、疼痛应对量表、魁北克腰痛残疾量表和视觉模拟疼痛强度评分之间的 Pearson 相关系数来评估趋同效度。

结果

ALBPSQ-DLV 的内部一致性为 0.81。各个子量表的值介于 0.48 至 0.88 之间。通过各子量表与疼痛、残疾、恐惧回避信念、运动恐惧和应对等结构之间的中度至高度相关系数(P = 0.01),证实了趋同效度(r = 0.38-0.64)。通过抑制绝对值小于 0.40 的探索性因素分析,发现了与原始 ALBPSQ 的各个领域一致的组成部分。

结论

在荷兰的初级保健物理治疗中,因(亚)急性非特异性腰痛就诊的 69 名患者中,ALBPSQ-DLV 的内部一致性、结构和趋同效度得到了很好的验证。

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