Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands.
SOMT University of Physiotherapy, Amersfoort, The Netherlands.
Pain. 2019 Mar;160(3):600-606. doi: 10.1097/j.pain.0000000000001441.
The way people with musculoskeletal disorders deal with pain influences their prognosis. Psychosocial factors that influence outcomes include fear of movement, coping, self-efficacy, and catastrophizing. A 3-round modified Delphi study was conducted with the aim to reach consensus on the most appropriate questionnaires to assess these 4 psychosocial factors in patients at risk of developing persistent musculoskeletal pain. The panel consisted of 36 experts, with track records in medicine, psychology, and allied health. To be considered an expert, a minimum number of authorships were required on research articles using self-administered questionnaires to assess these psychosocial factors in relevant patient populations. In round 1, the experts proposed 30 questionnaires to assess the 4 factors. In round 2, experts rated the questionnaires on suitability, considering clinimetric properties, content, feasibility, personal experiences, and expertise. The highest ranked questionnaires (maximally 5 per factor) were retained for round 3, in which the experts made a final assessment of the questionnaires and provided their positive and negative experiences with the questionnaires. Consensus was reached for the following questionnaires to assess (1) fear of movement: Fear Avoidance Beliefs Questionnaire and Tampa Scale (full version or 11-item version); (2) coping: Coping Strategies Questionnaire (initial or revised version) and Chronic Pain Coping Index; (3) self-efficacy: Pain Self-Efficacy Questionnaire (full version or 2-item version); and (4) catastrophizing: Pain Catastrophizing Scale and the revised version of the Coping Strategies Questionnaire. Although other questionnaires can be considered in specific circumstances, these questionnaires are recommended in people with musculoskeletal pain.
人们处理疼痛的方式会影响其预后。影响结局的心理社会因素包括对运动的恐惧、应对方式、自我效能感和灾难化思维。本研究采用三轮改良 Delphi 法，旨在就最适合评估易发生持续性肌肉骨骼疼痛患者的这 4 种心理社会因素的问卷达成共识。该小组由 36 名专家组成，他们在医学、心理学和相关健康领域都有丰富的经验。要被认为是专家，需要在使用自我管理问卷评估这些心理社会因素的相关患者人群的研究文章中具有一定数量的作者署名。在第一轮中，专家提出了 30 份用于评估这 4 个因素的问卷。在第二轮，专家根据测量学特性、内容、可行性、个人经验和专业知识对问卷的适用性进行评分。排名最高的问卷（每个因素最多 5 份）保留到第三轮，在这一轮中，专家对问卷进行最终评估，并提供他们对问卷的积极和消极经验。达成共识的问卷如下：（1）评估运动恐惧：恐惧回避信念问卷和坦帕量表（完整版本或 11 项版本）；（2）评估应对方式：应对策略问卷（初始版本或修订版本）和慢性疼痛应对指数；（3）评估自我效能感：疼痛自我效能感问卷（完整版本或 2 项版本）；（4）评估灾难化思维：疼痛灾难化量表和修订版应对策略问卷。尽管在特定情况下可以考虑其他问卷，但在肌肉骨骼疼痛患者中推荐使用这些问卷。
