Psychometric Properties of the Hindi Version of the Fear-Avoidance Beliefs Questionnaire in Patients With Chronic Non-Specific Low Back Pain

Panhale, Vrushali; Gurav, Reshma; Shah, Pooja; Nayak, Neelam

doi:10.1097/brs.0000000000003019

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…The results of the present study corroborate these results in a broader target population, including participants with both musculoskeletal complaints and mental health problems. More recent studies based on conventional factor analysis also do not support a two-factor structure of FABQ 6,31,32 . From a measurement point of view, there are several challenges with the FABQ.…”

Section: Discussionmentioning

confidence: 82%

The Fear Avoidance Beliefs Questionnaire (FABQ) Does it Really Measure Fear Beliefs?

Aasdahl

Marchand

Gismervik

et al. 2020

Spine

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Study Design: A cohort study with 12 months of follow-up. Objective: To assess 1) the unidimensionality of the Fear-Avoidance Beliefs Questionnaire (FABQ) and 2) whether single questions in the FABQ predict future sickness absence as well as the whole scale. Summary of the Background Data: The fear-avoidance model is a leading model in describing the link between musculoskeletal pain and chronic disability. However, reported measurement properties have been inconsistent regarding the FABQ. Methods: Individuals (n=722) sick listed due to musculoskeletal, unspecified or common mental health disorders undergoing rehabilitation was included. A Rasch analysis was applied to evaluate the measurement properties of FABQ and its two subscales (physical activity and work). Linear regression was used to assess how well single items predicted future sickness absence. Results: The Rasch analysis did not support the FABQ or its two subscales representing a unidimensional construct. The 7-point scoring of the items was far too fine meshed and in the present population the data only supported a yes or no or a 3-point response option. The items were invariant to age, whereas two of the items revealed gender differences. The item "I do not think that I will be back to my normal work within 3 months" was the best predictor of future sickness absence. Adding the item "I should not do my regular work with my present pain" improved the prediction model slightly. Conclusions: The FABQ is not a good measure of fear-avoidance beliefs about work or physical activity, and the predictive property of the FABQ questionnaire is most likely related The Fear Avoidance Beliefs Questionnaire 2 to expectations rather than fear. Based on these results we do not recommend using the FABQ to measure fear-avoidance beliefs.

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Section: Discussionmentioning

confidence: 82%

The Fear Avoidance Beliefs Questionnaire (FABQ) Does it Really Measure Fear Beliefs?

Aasdahl

Marchand

Gismervik

et al. 2020

Spine

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“…This study used the English version and the translated Hindi version of the RMDQ which was available online. [ 8 ]…”

Section: Methodsmentioning

confidence: 99%

Postoperative pain relief and functional outcomes after pre-emptive ultrasound-guided caudal analgesia in patients undergoing spinal laminectomy under general anaesthesia: Comparison between bupivacaine versus bupivacaine with morphine

Bhardwaj¹,

Jindal²,

Srivastava³

et al. 2022

Indian Journal of Anaesthesia

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Background and Aims: Prevention of the start of the neural cascade may result in long-term advantages by the elimination of hypersensitivity produced by noxious stimulus. This study was designed to evaluate postoperative pain and long-term functional outcomes after pre-emptive ultrasound (US)-guided caudal analgesia in patients undergoing spinal laminectomy. Methods: A total of 90 consecutive patients, aged 20 to 60 years, of either sex, scheduled for elective spinal laminectomy under general anaesthesia were randomly allocated to two groups. Group M (n = 45) received 3 mg morphine + 0.25% bupivacaine (25 ml), whereas group B (n = 45) was administered 0.25% bupivacaine (25 ml) in caudal block. The primary outcome was to observe postoperative static and dynamic pain using the Verbal Numerical Rating Score (VNRS) for 24 h. The secondary outcome was to record functional outcomes using two questionnaires—Oswestry Disability Index (ODI) and Rolland Morris Disability Questionnaire (RMDQ) during the preoperative period, at 1 month and 3 months postoperatively. Results: The static and dynamic VNRS scores were significantly less in group M ( P < 0.05). There was a statistically significant clinical improvement in RMDQ and ODI scores at all-time intervals between both groups ( P < 0.05). A four-point difference in ODI during subsequent months represents a true change and the results of our study showed an outstanding improvement of 9-11 points at 1 and 3 months from the baseline. Conclusion: The use of caudal block with the US guidance in adults undergoing spine surgeries can bring new horizons in improving pain relief and long-term functional outcomes.

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Low Back Pain–Related Disability Is Associated with Pain-Related Beliefs Across Divergent Non–English-Speaking Populations: Systematic Review and Meta-Analysis

et al. 2021

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Objectives This systematic review and meta-analysis examined relationships between low back pain (LBP)–related disability and pain beliefs, including pain catastrophizing, pain-related fear, self-efficacy, and back pain beliefs, in non–English-speaking populations. Additionally, the effects of selected cultural factors (i.e., language/geographic area) on the strength of relationships were examined. Study design Systematic review and meta-analysis. Methods Nine databases were searched. Studies included observational or randomized control clinical trials. Eligible studies had to report estimates of the association between pain beliefs and disability. Pooled estimates of correlation coefficients were obtained through random-effects meta-analysis methods. Results Fifty-nine studies, (n = 15,383) were included. Moderate correlations were identified between disability and pain self-efficacy (chronic LBP r = −0.51, P ≤ 0.001), between disability and pain catastrophizing (acute LBP r = 0.47, P ≤ 0.001; chronic LBP r = 0.44, P ≤ 0.001), and also between disability and pain-related fear (chronic LBP r = 0.41, P ≤ 0.001). Otherwise, weak correlations were identified between disability and most pain beliefs (range r = −0.23 to 0.35, P ≤ 0.001). Pooled correlation coefficients between disability and all pain beliefs (except the Fear Avoidance Belief Questionnaire–Work subscale) represent medium effects and suggest that lower disability was associated with greater pain self-efficacy, less pain-related fear, less catastrophic thinking, and less negative back pain beliefs about the nature and cause of back pain. Results were consistent across most language groups and geographic regions; few studies reported ethnicity or religion. Discussion LBP-related disability was associated with pain-related beliefs, with consistency demonstrated for each pain belief construct across divergent non–English-speaking populations. Further research examining cultural factors, such as ethnicity or religion, and with a more diverse population is warranted.

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Psychometric Properties of the Hindi Version of the Fear-Avoidance Beliefs Questionnaire in Patients With Chronic Non-Specific Low Back Pain

Cited by 5 publications

References 27 publications

The Fear Avoidance Beliefs Questionnaire (FABQ) Does it Really Measure Fear Beliefs?

The Fear Avoidance Beliefs Questionnaire (FABQ) Does it Really Measure Fear Beliefs?

Postoperative pain relief and functional outcomes after pre-emptive ultrasound-guided caudal analgesia in patients undergoing spinal laminectomy under general anaesthesia: Comparison between bupivacaine versus bupivacaine with morphine

Low Back Pain–Related Disability Is Associated with Pain-Related Beliefs Across Divergent Non–English-Speaking Populations: Systematic Review and Meta-Analysis

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