Küçükakkaş Okan, Karaman Çiğdem Arifoğlu
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Metin Sabancı Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
J Orthop Sci. 2020 Mar;25(2):219-223. doi: 10.1016/j.jos.2019.04.001. Epub 2019 Apr 23.
Pain-avoidance is considered to be one of the major leading factors to develop a chronic low back pain (CLBP). In this study, we aimed to translate the Behavioral Avoidance Test-Back Pain (BAT-Back) into Turkish and evaluate its psychometric properties in patients with CLBP.
115 patients with CLBP filled the provided socio-demographic information form, the "Oswestry Disability Index (ODI)", the "Fear-Avoidance Beliefs Questionnaire (FABQ)", the "Tampa Scale for Kinesiophobia (TSK)", and the "Hospital Anxiety Depression Scale (HADS)". All patients and 40 pain free controls (PFC) were administered the Turkish version (TrBAT-Back) of the "Behavioral Avoidance Test-Back Pain" test. The internal consistency was evaluated with Cronbach's α coefficient. The test-retest reliability was assessed with the intraclass correlation coefficient (ICC). To evaluate the structural validity of TrBAT-Back, its correlation with FABQ, TSK, ODI, and HADS was examined.
The internal consistency of TrBAT-Back was excellent (Cronbach's α = 0.97) and its test-retest reliability was good (ICC = 0.87). Its high correlation with the FABQ-physical activity scores and moderate correlation with the TSK scores supported the structural validity. The TrBAT-Back scores showed a statistically significant moderate correlation with the higher level of pain and disability. Despite the low degree of positive correlation, a high level of anxiety (HADS-anxiety) is potentially associated with avoidance behaviour. CLBP patients and controls differed significantly on TrBAT-Back avoidance scores.
We are of the opinion that, compared to the self-report scales, TrBAT-Back will provide more objective data in detecting avoidance behaviour associated with pain in Turkish speaking patients with CLBP.
疼痛回避被认为是导致慢性下腰痛（CLBP）的主要因素之一。在本研究中，我们旨在将行为回避测试-背痛（BAT-背痛）翻译成土耳其语，并评估其在CLBP患者中的心理测量特性。
115名CLBP患者填写了提供的社会人口统计学信息表、“奥斯威斯利残疾指数（ODI）”、“恐惧回避信念问卷（FABQ）”、“坦帕运动恐惧量表（TSK）”和“医院焦虑抑郁量表（HADS）”。所有患者和40名无疼痛对照者（PFC）接受了“行为回避测试-背痛”测试的土耳其语版本（TrBAT-背痛）。用Cronbach's α系数评估内部一致性。用组内相关系数（ICC）评估重测信度。为了评估TrBAT-背痛的结构效度，检查了它与FABQ、TSK、ODI和HADS的相关性。
TrBAT-背痛的内部一致性极佳（Cronbach's α = 0.97），重测信度良好（ICC = 0.87）。它与FABQ-身体活动得分的高相关性以及与TSK得分的中等相关性支持了结构效度。TrBAT-背痛得分与较高水平的疼痛和残疾呈统计学上显著的中等相关性。尽管正相关程度较低，但高水平的焦虑（HADS-焦虑）可能与回避行为有关。CLBP患者和对照者在TrBAT-背痛回避得分上有显著差异。
我们认为，与自我报告量表相比，TrBAT-背痛将为检测说土耳其语的CLBP患者中与疼痛相关的回避行为提供更客观的数据。
