Dpto. Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Spain.
J Pain. 2011 Apr;12(4):425-35. doi: 10.1016/j.jpain.2010.08.004.
The Tampa Scale for Kinesiophobia (TSK) is one of the most frequently employed measures for assessing pain-related fear in pain patients. Although the TSK has been translated into different languages, a Spanish version of the TSK has not been available, up to now. Thus, the aim of this study was to validate the Spanish version of the TSK in 2 different pain samples: A heterogeneous chronic pain sample (n = 125) and a musculoskeletal acute pain sample (n = 86). Factor analysis revealed a 2-factor model of 11 items replicated on both samples, named TSK-11. The instrument obtained shows good reliability (internal consistency and stability) and validity (convergent and predictive), with the advantage of brevity. Evidence is provided on discriminant validity between both TSK factors (called Activity Avoidance and Harm). The Harm factor shows the best predictive validity, as it predicts pain persistence, catastrophizing, depression, and pain intensity scores after 6 months. Changes in the Activity Avoidance factor are positively correlated with changes in catastrophizing and anxiety, and negatively associated with changes in functional status. The results of this study point to the relative contribution of both components of pain-related fear to pain adjustment.
This article presents the Spanish version of the TSK. Factor analysis revealed a 2-factor model (called Activity Avoidance and Harm). The version obtained shows good reliability and validity. Results provide clinicians with access to a measure of pain-related fear for Spanish-speaking pain patients, offering the advantage of brevity.
Tampa 运动恐惧量表(TSK)是评估疼痛患者疼痛相关恐惧的最常用方法之一。尽管 TSK 已经被翻译成多种语言,但迄今为止,还没有西班牙语版的 TSK。因此,本研究的目的是在两个不同的疼痛样本中验证 TSK 的西班牙语版本:一个是异质的慢性疼痛样本(n = 125)和一个肌肉骨骼急性疼痛样本(n = 86)。因素分析显示,在两个样本中都复制了 11 个项目的 2 因素模型,命名为 TSK-11。该工具具有良好的可靠性(内部一致性和稳定性)和有效性(收敛和预测),且具有简洁的优点。在 TSK 两个因子(称为活动回避和伤害)之间提供了区分效度的证据。伤害因子显示出最佳的预测效度,因为它可以预测疼痛持续时间、灾难化、抑郁和 6 个月后的疼痛强度评分。活动回避因子的变化与灾难化和焦虑的变化呈正相关,与功能状态的变化呈负相关。本研究的结果表明,疼痛相关恐惧的两个组成部分对疼痛调整的相对贡献。
本文介绍了 TSK 的西班牙语版本。因素分析显示出 2 个因素模型(称为活动回避和伤害)。获得的版本具有良好的可靠性和有效性。结果为西班牙语疼痛患者的疼痛相关恐惧提供了一种测量方法,具有简洁的优点。