Pain-related fear: A critical review of the related measures

M. Lundberg, A. Grimby-Ekman, J. Verbunt, M. J. Simmonds

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Objectives: In regards to pain-related fear, this study aimed to: (1) identify existing measures and review their measurement properties, and (2) identify the optimum measure for specific constructs of fear-avoidance, pain-related fear, fear of movement, and kinesiophobia. Design: Systematic literature search for instruments designed to measure fear of pain in patients with persistent musculoskeletal pain. Psychometric properties were evaluated by adjusted Wind criteria. Results: Five questionnaires (Fear-Avoidance Beliefs Questionnaire (FABQ), Fear-Avoidance of Pain Scale (FAPS), Fear of Pain Questionnaire (FPQ), Pain and Anxiety Symptoms Scale (PASS), and the Tampa Scale for Kinesiophobia (TSK)) were included in the review. The main findings were that for most questionnaires, there was no underlying conceptual model to support the questionnaire's construct. Psychometric properties were evaluated by diverse methods, which complicated comparisons of different versions of the same questionnaires. Construct validity and responsiveness was generally not supported and/or untested. Conclusion: The weak construct validity implies that no measure can currently identify who is fearful. The lack of evidence for responsiveness restricts the current use of the instruments to identify clinically relevant change from treatment. Finally, more theoretically driven research is needed to support the construct and thus the measurement of pain-related fear.

Original languageEnglish (US)
Article number494196
JournalPain Research and Treatment
Volume2011
DOIs
StatePublished - 2011
Externally publishedYes

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Fear
Pain
Psychometrics
Musculoskeletal Pain
Pain Measurement
Surveys and Questionnaires
Anxiety
Research

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

Cite this

Lundberg, M., Grimby-Ekman, A., Verbunt, J., & Simmonds, M. J. (2011). Pain-related fear: A critical review of the related measures. Pain Research and Treatment, 2011, [494196]. https://doi.org/10.1155/2011/494196

Pain-related fear : A critical review of the related measures. / Lundberg, M.; Grimby-Ekman, A.; Verbunt, J.; Simmonds, M. J.

In: Pain Research and Treatment, Vol. 2011, 494196, 2011.

Research output: Contribution to journalArticle

Lundberg, M, Grimby-Ekman, A, Verbunt, J & Simmonds, MJ 2011, 'Pain-related fear: A critical review of the related measures', Pain Research and Treatment, vol. 2011, 494196. https://doi.org/10.1155/2011/494196
Lundberg, M. ; Grimby-Ekman, A. ; Verbunt, J. ; Simmonds, M. J. / Pain-related fear : A critical review of the related measures. In: Pain Research and Treatment. 2011 ; Vol. 2011.
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