The reliability and validity of the Spanish version of the Fear of Pain Questionnaire

Solé, Ester; Castarlenas, Elena; Sánchez‐Rodríguez, Elisabet; Galán, Santiago; Vega, Rocío de la; Jensen, Mark P.; Miró, Jordi

doi:10.1177/1359105316686669

Cited by 18 publications

(18 citation statements)

References 46 publications

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“…Divergent validity was sustained by finding non-significant correlations with pain intensity scores (with the exception of a significant but weak correlation involving the Minor Pain subscale and pain intensity) and practically negligible associations with measures of depression and anxiety. These results, in line with previous research [11,13,14,39,40], support the specificity of the fear of pain construct, which appears to be distinct from both pain intensity and psychological distress (i.e. depression and anxiety symptoms).…”

Section: Discussionsupporting

confidence: 91%

“…However, regarding the three-factor structure originally proposed [7], subsequent independent confirmatory factor analyses (CFAs) indicated the model could be improved [10–12]. Indeed, most of the studies have obtained an adequate model fit only when using shorter or item-parcel versions of the FPQ-III [10,11,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…The questionnaire is now available in English [7] and other languages [10,13–15]. However, an Italian translation has not yet been developed.…”

Section: Introductionmentioning

confidence: 99%

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The Fear of Pain Questionnaire: Factor structure, validity and reliability of the Italian translation

et al. 2019

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BackgroundThe Fear of Pain Questionnaire-III (FPQ-III) is a self-report instrument developed to assess fear of different stimuli usually causing pain. The present study aimed to construct an Italian version of the FPQ-III and examine its psychometric properties in a heterogeneous sample of Italian healthy individuals.MethodsThe questionnaire was translated following the forward-backward method and completed by 511 Italian adults who met the inclusion criteria. Within 2 months of the first assessment, a subgroup of participants (n = 164) was re-tested. The factorial structure of the FPQ-III was assessed by confirmatory factor analysis (CFA). To better comprehend the FPQ-III’s factorial structure, a CFA was also performed for each of the two reduced versions of the FPQ-III, namely the FPQ-Short Form and the FPQ-9. Divergent validity, test-retest reliability, and gender/age measurement invariance were also evaluated.ResultsThe results of the CFA revealed that the original three-factor model poorly fitted the data, but it became satisfactory after allowing correlated error terms. Concerning divergent validity, correlations between FPQ-III scores and pain intensity, depression, and anxiety were found to be positive but weak in magnitude (< .20). FPQ-III subscales and total scores showed good internal consistency and time reliability. Finally, scalar invariance was only partially obtained, whereas all the other types of invariance were fully respected both for gender and age.ConclusionsThe current findings indicate that the Italian version of the FPQ-III provides valid and reliable scores for the assessment of fear of pain in the Italian population.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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The Fear of Pain Questionnaire: Factor structure, validity and reliability of the Italian translation

et al. 2019

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“…Similar findings have been reported by others. 16 – 18 A Norwegian version of the FPQ-III, translated by Lyby et al, was used in this study. 4 …”

Section: Methodsmentioning

confidence: 99%

The Fear of Pain Questionnaire-III and the Fear of Pain Questionnaire-Short Form: a confirmatory factor analysis

Vambheim¹,

Lyby

Aslaksen³

et al. 2017

JPR

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BackgroundThe Fear of Pain Questionnaire-III (FPQ-III) is a widely used instrument to assess the fear of pain (FOP) in clinical and nonclinical samples. The FPQ-III has 30 items and is divided into three subscales: Severe Pain, Minor Pain and Medical Pain. Due to findings of poor fit of the original three-factor FPQ-III model, the Fear of Pain Questionnaire-Short Form (FPQ-SF) four-factor model has been suggested as an alternative. The FPQ-SF is a revised version of the FPQ-III, reduced to 20 items and subdivided into four subscales: Severe Pain, Minor Pain, Injection Pain and Dental Pain.Aims and methodsThe purpose of the study was to investigate the model fit, reliability and validity of the FPQ-III and the FPQ-SF in a Norwegian nonclinical sample, using confirmatory factor analysis (CFA). The second aim was to explore the model fit of the two scales in male and female subgroups separately, since previous studies have uncovered differences in how well the questionnaires measure FOP across sex; thus, the questionnaires might not be sex neutral. It has been argued that the FPQ-SF model is better because of the higher fit to the data across sex. To explore model fit across sex within the questionnaires, the model fit, validity and reliability were compared across sex using CFA.ResultsThe results revealed that both models’ original factor structures had poor fit. However, the FPQ-SF had a better fit overall, compared to the FPQ-III. The model fit of the two models differed across sex, with better fit for males on the FPQ-III and for females on the FPQ-SF.ConclusionThe FPQ-SF is a better questionnaire than the FPQ-III for measurement of FOP in Norwegian samples and across sex subgroups. However, the FPQ-III is a better questionnaire for males than for females, whereas the FPQ-SF is a better questionnaire for females than for males. The findings are discussed and directions for future investigations outlined.

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“…The Spanish version of the 30-item Fear of Pain Questionnaire (FPQ-III) [57] assesses fear of experiencing pain. In this questionnaire, respondents are asked to rate how fearful they are of experiencing each response item on a 5-point Likert-type scale ranging from 1 (not at all) to 5 (extreme).…”

mentioning

confidence: 99%

Effectiveness of Unihemispheric Concurrent Dual-Site Stimulation over M1 and Dorsolateral Prefrontal Cortex Stimulation on Pain Processing: A Triple Blind Cross-Over Control Trial

et al. 2021

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Background: Transcranial direct current stimulation (tDCS) of the motor cortex (M1) produces short-term inhibition of pain. Unihemispheric concurrent dual-site tDCS (UHCDS-tDCS) over the M1 and dorsolateral prefrontal cortex (DLPFC) has greater effects on cortical excitability than when applied alone, although its effect on pain is unknown. The aim of this study was to test if anodal UHCDS-tDCS over the M1 and DLPFC in healthy participants could potentiate conditioned pain modulation (CPM) and diminish pain temporal summation (TS). Methods: Thirty participants were randomized to receive a sequence of UHCDS-tDCS, M1-tDCS and sham-tDCS. A 20 min 0.1 mA/cm2 anodal or sham-tDCS intervention was applied to each participant during three test sessions, according to a triple-blind cross-over trial design. For the assessment of pain processing before and after tDCS intervention, the following tests were performed: tourniquet conditioned pain modulation (CPM), pressure pain temporal summation (TS), pressure pain thresholds (PPTs), pressure pain tolerance, mechanosensitivity and cold hyperalgesia. Motor function before and after tDCS intervention was assessed with a dynamometer to measure maximal isometric grip strength. Results: No statistically significant differences were found between groups for CPM, pressure pain TS, PPT, pressure pain tolerance, neural mechanosensitivity, cold hyperalgesia or grip strength (p > 0.05). Conclusions: Neither UHCDS-tDCS nor M1-tDCS facilitated CPM or inhibited TS in healthy subjects following one intervention session.

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The reliability and validity of the Spanish version of the Fear of Pain Questionnaire

Cited by 18 publications

References 46 publications

The Fear of Pain Questionnaire: Factor structure, validity and reliability of the Italian translation

The Fear of Pain Questionnaire: Factor structure, validity and reliability of the Italian translation

The Fear of Pain Questionnaire-III and the Fear of Pain Questionnaire-Short Form: a confirmatory factor analysis

Effectiveness of Unihemispheric Concurrent Dual-Site Stimulation over M1 and Dorsolateral Prefrontal Cortex Stimulation on Pain Processing: A Triple Blind Cross-Over Control Trial

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