McNeil D W, Rainwater A J
Department of Psychology, Oklahoma State University, Stillwater, USA.
J Behav Med. 1998 Aug;21(4):389-410. doi: 10.1023/a:1018782831217.
Fear and/or anxiety about pain is a useful construct, in both theoretical and clinical terms. This article describes the development and refinement of the Fear of Pain Questionnaire (FPQ), which exists in its most current form as the FPQ-III. Factor analytic refinement resulted in a 30-item FPQ-III which consists of Severe Pain, Minor Pain, and Medical Pain subscales. Internal consistency and test-retest reliability of the FPQ-III were found to be good. Four studies are presented, including normative data for samples of inpatient chronic pain patients, general medical outpatients, and unselected undergraduates. High fear of pain individuals had greater avoidance/escape from a pain-relevant Behavioral Avoidance Test with Video, relative to their low fear counterparts, suggesting predictive validity. Chronic pain patients reported the greatest fear of severe pain. Directions for future research with the FPQ-III are discussed, along with general comments about the relation of fear and anxiety to pain.
从理论和临床角度来看，对疼痛的恐惧和/或焦虑都是一个有用的概念。本文描述了疼痛恐惧问卷（FPQ）的发展和完善过程，其最新形式为FPQ-III。通过因素分析进行的完善产生了一个包含30个条目的FPQ-III，它由严重疼痛、轻微疼痛和医疗疼痛分量表组成。研究发现FPQ-III的内部一致性和重测信度良好。本文呈现了四项研究，包括住院慢性疼痛患者、普通内科门诊患者和未经过筛选的大学生样本的常模数据。相对于低恐惧者，高疼痛恐惧个体在一项与视频相关的疼痛相关行为回避测试中表现出更多的回避/逃避行为，这表明该问卷具有预测效度。慢性疼痛患者报告对严重疼痛的恐惧程度最高。文中讨论了未来使用FPQ-III进行研究的方向，以及关于恐惧和焦虑与疼痛关系的一般性评论。
