Longitudinal validation of the Fear-Avoidance Beliefs Questionnaire (FABQ) in a Swiss-German sample of low back pain patients |
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Authors: | Ralph Staerkle Anne F Mannion Achim Elfering Astrid Junge Norbert K Semmer Nicola Jacobshagen Dieter Grob Jiri Dvorak Norbert Boos |
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Institution: | (1) Center for Spinal Surgery, University of Zurich, Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland;(2) Spine Unit, Schulthess Klinik, Zurich, Switzerland;(3) Department of Psychology, University of Berne, Berne, Switzerland |
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Abstract: | Work and activity-specific fear-avoidance beliefs have been identified as important predictor variables in relation to the
development of, and treatment outcome for, chronic low back pain. The objective of this study was to provide a cross-cultural
German adaptation of the Fear-Avoidance Beliefs Questionnaire (FABQ) and to investigate its psychometric properties (reliability,
validity) and predictive power in a sample of Swiss-German low back pain patients. Questionnaires from 388 operatively and
non-operatively treated patients were administered before and 6 months after treatment to assess: socio-demographic data,
disability (Roland and Morris), pain severity, fear-avoidance beliefs, depression (ZUNG) and heightened somatic awareness
(MSPQ). Complete baseline and follow-up questionnaires were available from 255 participants. The corrected item-total correlations,
coefficients of test-retest reliability and internal consistencies of the two scales of the questionnaire were highly satisfactory.
In a confirmatory factor analysis (CFA), all items loaded on the appropriate factor with minor loadings on the other. Cross-sectional
regression analysis with disability and work loss as the dependent variables yielded results that were highly comparable with
those reported for the original version. Prognostic regression analysis replicated the findings for work loss. The cross-cultural
German adaptation of the FABQ was very successful and yielded psychometric properties and predictive power of the scales similar
to the original version. The inclusion of fear-avoidance beliefs as predictor variables in studies of low back pain is highly
recommended, as they appear to have unique predictive power in analyses of disability and work loss.
An erratum to this article is available at . |
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Keywords: | Chronic low back pain Fear-avoidance beliefs Cross-cultural adaptation Disability Work loss Prediction |
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