IWK Health Centre and Dalhousie University, 5850/5980 University Ave., Halifax, Nova Scotia, Canada.
J Pain. 2011 Aug;12(8):840-8. doi: 10.1016/j.jpain.2011.01.005. Epub 2011 May 20.
It is assumed that pain-related fear, a present response to an immediate danger or threat such as pain, plays a significant role in the experience of pediatric pain. However, there are no measures to adequately measure this construct in children and adolescents. The purpose of this study was to develop and test the psychometric properties of a scale to assess pain-related fear to be used with Catalan-speaking children and adolescents between 7- and 16-years-old. We initially developed a list of items that reflected the physiological, cognitive, and behavioral components of pain-related fear components. We also queried an international group of experts, and interviewed children and adolescents. After pilot testing the initial version with a sample of 10 children, we administered the questionnaire to a sample of schoolchildren (n = 273) and children from medical clinics (n = 164) through individual interviews. Additional information was also collected during the interview to study the psychometric properties of the scale. Ten days after the initial interview, participating schoolchildren were requested to answer the questionnaire again. Item analysis and exploratory factor analysis with data from the school sample produced 2 meaningful factors (namely, Fearful thoughts and Fearful physical feelings and behaviors). Findings also showed that the Pediatric Pain Fear Scale (total scale and the 2 subscales) was both reliable and valid. This scale could help researchers to gain a better understanding about the role of pain-related fear in children and adolescents and support clinical decision-making.
This article presents a new measure of fear associated with pain in children and adolescents. This measure could potentially help researchers to gain a better understanding about the role of pain-related fear in children and adolescents and support clinical decision-making.
据推测，与疼痛相关的恐惧是对当前危险或威胁（如疼痛）的一种反应，在儿童疼痛体验中起着重要作用。然而，目前还没有足够的措施来衡量这一结构在儿童和青少年中的作用。本研究的目的是开发和测试一种用于评估 7-16 岁加泰罗尼亚语儿童和青少年与疼痛相关恐惧的量表，并检验其心理测量学特性。我们最初开发了一份反映与疼痛相关的恐惧的生理、认知和行为成分的项目清单。我们还咨询了一个国际专家小组，并采访了儿童和青少年。在对 10 名儿童的初始版本进行试点测试后，我们通过个人访谈向一组学龄儿童（n=273）和医疗诊所的儿童（n=164）发放了问卷。在访谈中还收集了其他信息，以研究该量表的心理测量学特性。在初次访谈的 10 天后，要求参与的学龄儿童再次回答问卷。对来自学校样本的数据进行项目分析和探索性因素分析，产生了 2 个有意义的因素（即恐惧思维和恐惧的身体感觉和行为）。研究结果还表明，小儿疼痛恐惧量表（总量表和 2 个分量表）具有可靠性和有效性。该量表可以帮助研究人员更好地了解与疼痛相关的恐惧在儿童和青少年中的作用，并支持临床决策。
本文提出了一种新的儿童和青少年疼痛相关恐惧的测量方法。这种方法可能有助于研究人员更好地了解与疼痛相关的恐惧在儿童和青少年中的作用，并支持临床决策。
