• Der Schmerz · Feb 2004

    [Fear avoidance beliefs in patients with back pain. Psychometric properties of the German version of the FABQ].

    • M Pfingsten.
    • Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Klinikum der Georg-August-Universität Göttingen. michael.pfingsten@med.uni-goettingen.de
    • Schmerz. 2004 Feb 1;18(1):17-27.

    ObjectiveThis study investigated the quality criteria of a screening procedure used to identify fear-avoidance beliefs.MethodsThe translated version of the original FABQ was submitted to 302 patients with chronic back pain. Additionally, self-assessment protocols were used to document information on disease history, pain-specific parameters, extent of subjectively experienced impairment, and depressive symptoms.ResultsCorrelation statistical analysis confirmed the relevance of fear-avoidance beliefs for the impairment as experienced by the patients with back pain. The FABQ proved to be a better predictor of subjectively experienced impairment than pain intensity or affective/emotional orientation.ConclusionsFear-avoidance beliefs represent significant cognitive factors for chronification of back pain. The results demonstrated the practicability, reliability, and validity of the questionnaire to assess fear-avoidance beliefs.

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