The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia

Roelofs, Jeffrey; Goubert, Liesbet; Peters, Madelon L.; Vlaeyen, Johan W.S.; Crombez, Geert

doi:10.1016/j.ejpain.2003.11.016

Cited by 396 publications

(332 citation statements)

References 25 publications

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“…These psychological factors were assessed with previously validated self-report questionnaires commonly used in pain research. Fear of pain was assessed with the Fear of Pain Questionnaire (FPQ-III) (McNeil and Rainwater, 1998;Osman et al, 2002;Albaret et al, 2004), kinesiophobia was assessed with the shortened version of the Tampa Scale of Kinesiophobia (TSK-11) Roelofs et al, 2004;Woby et al, 2005), pain catastrophizing was assessed with the Pain Catastrophizing Scale (PCS) (Sullivan et al, 1995;Van Damme et al, 2002;D'Eon et al, 2004). Trait anxiety was assessed with the State-Trait Anxiety Index (STAI) (Spielberger et al, 1983).…”

Section: Methodsmentioning

confidence: 99%

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

George

Wallace

Wright

et al. 2008

Pain

148

128

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The experience of pain is believed to be influenced by social, cultural, environmental, psychological, and genetic factors. Despite this assertion, few studies have included clinically relevant pain phenotypes when investigating interactions among these variables. This study investigated whether psychological variables specific to fear-avoidance models and catechol-O-methyltransferase (COMT) genotype influenced pain ratings for a cohort of patients receiving operative treatment of shoulder pain. Patients (n = 58) completed questionnaires and had COMT genotype determined preoperatively. Then, shoulder pain ratings were collected 3-5 months post-operatively. This cohort consisted of 24 females and 34 males, with mean age of 50.3 (SD = 15.0) and pre-operative pain rating of 4.5/10 (SD = 1.8). The frequency of COMT diplotypes was 34 with "high COMT activity" (LPS group) and 24 with "low COMT activity" (APS/HPS group). Preliminary analysis indicated that of all the fear-avoidance variables considered (fear of pain, kinesiophobia, pain catastrophizing, and anxiety), only pain catastrophizing was a unique contributor to clinical pain ratings. A hierarchical regression model indicated that an interaction between pain catastrophizing and COMT diplotype contributed additional variance in pre-operative pain ratings. The pain catastrophizing × COMT diplotype interaction demonstrated predictive validity as patients with high pain catastrophizing and low COMT activity (APS/HPS group) were more likely (RR = 6.8, 95% CI = 2.8-16.7) to have post-operative pain ratings of 4.0/10 or higher. Our findings suggest that an interaction between pain catastrophizing and COMT diplotype has the potential to influence pain ratings in patients seeking operative treatment of their shoulder pain.

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Section: Methodsmentioning

confidence: 99%

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

George

Wallace

Wright

et al. 2008

Pain

148

128

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“…TSK is a 13-item questionnaire aimed at assessing pain-related fear of movement / (re)- with Rasch Analyses [37][38][39].…”

Section: The Tampa Scale Of Kinesiophobia (Tsk)mentioning

confidence: 99%

Activity-related pain in patients with chronic musculoskeletal disorders

Damsgård

Thrane²,

Anke

et al. 2010

Disability and Rehabilitation

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Northern Norway. E-Mail: Elin.Damsgard@fagmed.uit.no 1 AbstractPurpose. Activity related pain may be a barrier to rehabilitation in patients with chronic musculoskeletal disorders. This study investigated patients' reports of increased pain during activity, and the association between such pain and psychological factors and pain variables.Method. Questionnaires from 232 adults with chronic musculoskeletal pain measured pain intensity, spread of pain and pain duration. Pain during activity was assessed both on a 11 point Numeric Rating Scale (NRS), and operationalized as a dichotomous measure, where responders defined if they experienced pain during general activity and exercise.Psychological factors were measured by the Hopkins Symptom Check List 25, the Tampa Scale for Kinesiophobia and a subscale of the Arthritis Self -Efficacy Scale. Multiple and logistic regression was used to analyse associations between increased pain during activity and associated variables.Results. Increased pain during activity was reported by 69 % of participants. Fear of movement was a significant factor for reporting increased pain during activity, both general activity and exercise, also in a subsample with low psychological distress. Other significant factors were spread of pain and a low sense of self efficacy. Conclusion.Patients with high fear of movement, large spread of pain and low self efficacy were more likely to report increased pain during activity even in the absence of psychological distress.2

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“…16 Where single item responses were missing on any of these scales, scores for that item were imputed as the mean score of the other items for that measure.…”

Section: Methodsmentioning

confidence: 99%

Treatment expectations but not preference affect outcome in a trial of CBT and exercise for pain

Beasley

Ferguson-Jones

Macfarlane

2017

Canadian Journal of Pain

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Background: Patients’ beliefs and attitudes toward a treatment can affect treatment response. In unblinded trials this can affect outcomes. Aims: The aim of this analysis was to examine the association between treatment preference and expectation and outcome in a trial of pain treatments. Methods: In a randomized trial (ISRCTN67013851) of four treatments for chronic widespread pain, participants were asked which they would prefer and what improvement they expect from each. The proportion of participants reporting positive health outcomes at three time points after treatment were compared between those matched or unmatched with their preference and between those with and without expectation for improvement. Odds ratios were calculated adjusted for baseline characteristics associated with preference and expectation. Results: Four hundred forty-two participants were recruited to the trial (69.5% female). The proportion reporting positive outcomes among participants matched to their preference compared to those unmatched was 33.3% vs. 34.4% at the end of treatment (adjusted odds ratio [aOR] = 0.80, 95% confidence interval [CI], 0.44–1.46), 34.4% vs. 29.0% at 3 months (aOR = 1.23, 95% CI, 0.67–2.26), and 34.8% vs. 30.3% at 2 years (aOR = 1.31, 95% CI, 0.70–2.46). The proportion of participants reporting positive outcomes among those expecting improvement compared to those not expecting improvement was 36.6% vs. 15.0% at the end of treatment (aOR = 2.03, 95% CI, 1.07–3.85), 34.1% vs. 13.2% at 3 months (aOR = 2.31, 95% CI, 1.22–4.38), and 32.8% vs. 19.1% at 2 years (aOR = 1.16, 95% CI, 0.67–2.36). Conclusions: Treatment preference had no clear effect on outcomes, but expectation did. These results could inform future approaches to management, and researchers assessing treatments should take into account this expectation effect.

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The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia

Cited by 396 publications

References 25 publications

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

Activity-related pain in patients with chronic musculoskeletal disorders

Treatment expectations but not preference affect outcome in a trial of CBT and exercise for pain

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