Universität zu Köln

Flack, F., Gerlach, Alexander L. ORCID: 0000-0001-6794-5349, Simons, L. E., Zernikow, B. and Hechler, T. (2017). Validation of the German fear of pain questionnaire in a sample of children with mixed chronic pain conditions. Eur. J. Pain, 21 (7). S. 1224 - 1234. HOBOKEN: WILEY. ISSN 1532-2149

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Abstract

Background: To date, no German instrument exists to measure pain-related fear in paediatric pain populations. The objective of the current study was to determine the construct validity of the translated German fear of pain questionnaire for children (GFOPQ-C) in a sample of children with mixed chronic pain disorders by testing the underlying factor structure, and its psychometric properties. Method: N = 241 children with mixed chronic pain disorders (aged 819 years) presenting to a specialized pain clinic completed the GFOPQ-C and several other pain, fear and disability measures. Results: The two-factor structure of the FOPQ-C (fear, avoidance) was replicated. Internal consistency for the shortened German version was good for both subscales (Fear subscale: a = 0.89; avoidance subscale: a = 0.76). As expected, the fear subscale correlated highly with anxiety sensitivity (r = 0.63), pain catastrophizing (r = 0.62) and general anxiety (r = 0.54), while the avoidance subscale was more closely related to disability (r = 0.24) and school functioning (r = 0.28). Pain-related fear differed in children with chronic pain depending on their pain location with higher fear ratings in children with abdominal pain and musculoskeletal pain. Conclusion: The GFOPQ-C is a valid instrument that assesses two distinct dimensions of pain-related fear in children: fear and avoidance. Future research is needed to evaluate the impact of increased painrelated fear on outcomes over time as well as to examine pain-related fear among healthy children. This will enhance our knowledge of who might be particularly vulnerable to potentially dysfunctional trajectories, such as ongoing pain or anxiety symptoms. Significance: The current study validates the first tool to assess painrelated fear in German-speaking children with chronic pain. Findings support two distinct domains: fear and activity avoidance.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Flack, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerlach, Alexander L. UNSPECIFIED orcid.org/0000-0001-6794-5349 UNSPECIFIED Simons, L. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zernikow, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hechler, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-223992
DOI:	10.1002/ejp.1022
Journal or Publication Title:	Eur. J. Pain
Volume:	21
Number:	7
Page Range:	S. 1224 - 1234
Date:	2017
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1532-2149
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Psychologie
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language ANXIETY SYMPTOMS SCALE; AVOIDANCE MODEL; ADOLESCENTS; DISABILITY; SENSITIVITY; IMPAIRMENT Multiple languages Anesthesiology; Clinical Neurology; Neurosciences Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22399