《疼痛恐惧问卷-III》与《疼痛恐惧问卷简表》：一项验证性因素分析
The Fear of Pain Questionnaire-III and the Fear of Pain Questionnaire-Short Form: a confirmatory factor analysis.
作者信息
Vambheim Sara M, Lyby Peter Solvoll, Aslaksen Per M, Flaten Magne Arve, Åsli Ole, Martinussen Laila M
机构信息
Department of Psychology, UiT, The Arctic University of Norway, Tromsø.
CatoSenteret Rehabilitation Center, Son.
出版信息
J Pain Res. 2017 Aug 8;10:1871-1878. doi: 10.2147/JPR.S133032. eCollection 2017.
BACKGROUND
The Fear of Pain Questionnaire-III (FPQ-III) is a widely used instrument to assess the fear of pain (FOP) in clinical and nonclinical samples. The FPQ-III has 30 items and is divided into three subscales: Severe Pain, Minor Pain and Medical Pain. Due to findings of poor fit of the original three-factor FPQ-III model, the Fear of Pain Questionnaire-Short Form (FPQ-SF) four-factor model has been suggested as an alternative. The FPQ-SF is a revised version of the FPQ-III, reduced to 20 items and subdivided into four subscales: Severe Pain, Minor Pain, Injection Pain and Dental Pain.
AIMS AND METHODS
The purpose of the study was to investigate the model fit, reliability and validity of the FPQ-III and the FPQ-SF in a Norwegian nonclinical sample, using confirmatory factor analysis (CFA). The second aim was to explore the model fit of the two scales in male and female subgroups separately, since previous studies have uncovered differences in how well the questionnaires measure FOP across sex; thus, the questionnaires might not be sex neutral. It has been argued that the FPQ-SF model is better because of the higher fit to the data across sex. To explore model fit across sex within the questionnaires, the model fit, validity and reliability were compared across sex using CFA.
RESULTS
The results revealed that both models' original factor structures had poor fit. However, the FPQ-SF had a better fit overall, compared to the FPQ-III. The model fit of the two models differed across sex, with better fit for males on the FPQ-III and for females on the FPQ-SF.
CONCLUSION
The FPQ-SF is a better questionnaire than the FPQ-III for measurement of FOP in Norwegian samples and across sex subgroups. However, the FPQ-III is a better questionnaire for males than for females, whereas the FPQ-SF is a better questionnaire for females than for males. The findings are discussed and directions for future investigations outlined.
背景
疼痛恐惧问卷第三版（FPQ - III）是一种广泛用于评估临床和非临床样本中疼痛恐惧（FOP）的工具。FPQ - III有30个项目，分为三个子量表：剧痛、微痛和医疗疼痛。由于发现原始的三因素FPQ - III模型拟合不佳，有人提出疼痛恐惧问卷简版（FPQ - SF）的四因素模型作为替代方案。FPQ - SF是FPQ - III的修订版，缩减为20个项目，并细分为四个子量表：剧痛、微痛、注射疼痛和牙科疼痛。
目的与方法
本研究的目的是使用验证性因素分析（CFA），调查挪威非临床样本中FPQ - III和FPQ - SF的模型拟合、信度和效度。第二个目的是分别探讨这两个量表在男性和女性亚组中的模型拟合情况，因为先前的研究发现问卷在测量不同性别FOP方面的效果存在差异；因此，这些问卷可能不是性别中性的。有人认为FPQ - SF模型更好，因为它在不同性别中的数据拟合度更高。为了探讨问卷中不同性别间的模型拟合情况，使用CFA对不同性别的模型拟合、效度和信度进行了比较。
结果
结果显示，两个模型的原始因素结构拟合都很差。然而，与FPQ - III相比，FPQ - SF总体拟合更好。两个模型的模型拟合在不同性别间存在差异，FPQ - III在男性中拟合更好，而FPQ - SF在女性中拟合更好。
结论
对于挪威样本以及不同性别亚组的FOP测量，FPQ - SF比FPQ - III是更好的问卷。然而，FPQ - III对男性而言比对女性更好，而FPQ - SF对女性而言比对男性更好。本文对研究结果进行了讨论，并概述了未来研究的方向。
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