Laufer Yocheved, Elheiga-Na'amne Badira Abu, Rozen Nimrod
Physical Therapy Department, University of Haifa, Haifa, Israel.
J Back Musculoskelet Rehabil. 2012;25(3):201-8. doi: 10.3233/BMR-2012-0329.
Determine the reliability and validity of the fear avoidance beliefs questionnaire (FABQ) translated into Arabic.
The FABQ work and physical activity subscales (FABQ-W and FABQ-PA) were translated and culturally adapted into Arabic using the back-translation procedure. Forty-eight subjects with acute low back pain (LBP) and 63 subjects with chronic LBP, whose native language was Arabic, completed a demographic questionnaire, the FABQ, a pain intensity numerical scale, the Modified Oswestry Disability Index (MOSW), and the SF-36 questionnaire. Thirty patients completed the FABQ a second time 3-7 days later.
FABQ-W and FABQ-PA showed good internal consistencies (α=0.90 and 0.81 respectively). Test-retest reliability was moderate to high (ICC (1,1) of 0.63 and 0.83 for the FABQ-W and FABQ-PA, respectively). Pain intensity correlated with FABQ-W only for subjects with acute pain (rho 0.41), and with the FABQ-PA only for subjects with chronic pain (rho 0.47). Significant differences between patients with acute and chronic pain were found. Correlations between the FABQ and the MOSW were moderate (rho between 0.40-0.42). Correlations between the FABQ subscales and the SF-36 questionnaire were stronger for subjects with chronic pain. A high ceiling effect was demonstrated for the FABQ-PA, in particular for patients with chronic LBP.
The Arabic version of the FABQ has acceptable psychometric properties. However, the results of the physical activity subscale should be interpreted with caution due to a strong ceiling effect.
确定翻译成阿拉伯语的恐惧回避信念问卷（FABQ）的信度和效度。
采用回译程序将FABQ工作和身体活动分量表（FABQ-W和FABQ-PA）翻译成阿拉伯语并进行文化调适。48名母语为阿拉伯语的急性下腰痛（LBP）患者和63名慢性LBP患者完成了一份人口统计学问卷、FABQ、疼痛强度数字量表、改良Oswestry功能障碍指数（MOSW）和SF-36问卷。30名患者在3至7天后再次完成FABQ。
FABQ-W和FABQ-PA显示出良好的内部一致性（分别为α = 0.90和0.81）。重测信度为中度到高度（FABQ-W和FABQ-PA的组内相关系数（ICC（1,1））分别为0.63和0.83）。疼痛强度仅与急性疼痛患者的FABQ-W相关（rho = 0.41），仅与慢性疼痛患者的FABQ-PA相关（rho = 0.47）。发现急性和慢性疼痛患者之间存在显著差异。FABQ与MOSW之间的相关性为中度（rho在0.40 - 0.42之间）。FABQ分量表与SF-36问卷之间的相关性在慢性疼痛患者中更强。FABQ-PA显示出较高的天花板效应，尤其是对于慢性LBP患者。
FABQ阿拉伯语版本具有可接受的心理测量学特性。然而，由于强烈的天花板效应，身体活动分量表的结果应谨慎解释。
