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Erschienen in: International Journal of Behavioral Medicine 1/2013

01.03.2013

Empirical Evidence of the Validity of the Spanish Version of the Pain Vigilance Awareness Questionnaire

verfasst von: R. Esteve, C. Ramírez-Maestre, A. E. López-Martínez

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 1/2013

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Abstract

Background

The Spanish version of the Pain Vigilance and Awareness Questionnaire has not been validated.

Purpose

The aims of this study were to examine the factor structure of the Spanish version of the Pain Vigilance and Awareness Questionnaire and present empirical evidence regarding its validity.

Method

A sample of 468 chronic back pain patients completed a battery of instruments to assess fear-avoidance beliefs, pain anxiety, pain catastrophizing, pain vigilance and awareness, pain acceptance, depression, anxiety, disability, and pain intensity.

Results

Confirmatory factor analysis supported the validity of a nine-item version with two subscales: Active Vigilance and Passive Awareness. Both subscales and the total score were positively and significantly correlated with other fear-related constructs: fear-avoidance beliefs, pain anxiety, and pain catastrophizing. Regression analyses showed that Active Vigilance and the two subscales of the Fear-Avoidance Beliefs Questionnaire were significantly associated with higher anxiety and that the Acceptance Activity Engagement subscale was significantly associated with lower anxiety. The Fear-Avoidance Beliefs Questionnaire–Physical subscale was associated with higher disability and the Acceptance Pain Willingness subscale was associated with lower disability. The Fear-Avoidance Beliefs Questionnaire–Work subscale was significantly associated with higher pain intensity and depression; the Acceptance Activity Engagement and Pain Willingness subscales were significantly associated with lower pain intensity and depression.

Conclusion

The Spanish version of the Pain Vigilance and Awareness Questionnaire is a reliable and valid instrument. Pain Acceptance and Fear Avoidance beliefs are better predictors of adjustment to pain than pain hypervigilance.
Fußnoten
1
When the total score of the CPAQ-SV was introduced into the regression analysis rather than the subscales of the PVAQ-SV and the FABQ-SV, acceptance was significantly associated with all the criterion variables (Pain Intensity, γ = −0.31, t = −5.54, p < 0.05; Depression, γ = −0.51, t = −10.95, p < 0.05; Anxiety, γ = −0.19, t = −3.66, p < 0.05; Disability, γ = −0.36, t = −6.47, p < 0.05).
 
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Metadaten
Titel
Empirical Evidence of the Validity of the Spanish Version of the Pain Vigilance Awareness Questionnaire
verfasst von
R. Esteve
C. Ramírez-Maestre
A. E. López-Martínez
Publikationsdatum
01.03.2013
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 1/2013
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-011-9216-z

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