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. 2018 Sep 17;16(1):188.
doi: 10.1186/s12955-018-1014-8.

Validation of the Korean version of the avoidance endurance behavior questionnaire in patients with chronic pain

Jeongwi An  1 , Young Hoon Kim  2 , Sungkun Cho  3
Affiliations

Validation of the Korean version of the avoidance endurance behavior questionnaire in patients with chronic pain

Jeongwi An et al. Health Qual Life Outcomes. .

Abstract

Background: The avoidance-endurance model suggests both fear-avoidance responses and endurance-related responses could affect the chronicity of pain. Proper pain intervention requires measuring fear-avoidance responses and endurance-related responses but no Korean language questionnaire has yet been made to measure them. The purpose of this study was to evaluate the validity and reliability of the Korean version of the Avoidance-Endurance Behavior Questionnaire (K-AEQ-Behavior) by adapting the behavioral responses of Avoidance-Endurance Questionnaire into Korean language.

Methods: The K-AEQ-Behavior was forward and backward translated based on the standards for instrument translation. A total of 136 outpatients with chronic pain of a duration exceeding 3 months were recruited from a pain center at a university hospital in Seoul, Korea. Two weeks later, the K-AEQ-Behavior was re-administered to 36 patients for test-retest reliability. Exploratory factor analysis was performed using principle axis factoring. The internal consistency, test-retest reliability, and concurrent validity of the K-AEQ-Behavior were measured by Cronbach's ⍺, intraclass correlation coefficient, and Pearson correlation coefficient, respectively.

Results: Although the four-factor structure (23 items) was derived in the original study, the two-factor structure of avoidance behavior and endurance behavior (21 items) was derived in the exploratory factor analysis of the Korean version in this study. Other results indicated that K-AEQ-Behavior has good internal consistency, test-retest reliability and concurrent validity.

Conclusion: This study suggests that the K-AEQ-Behavior is a reliable and valid instrument for assessing avoidance behavior and endurance behavior in patients with chronic pain.

Keywords: Avoidance behavior; Chronic pain; Endurance behavior; Validation.

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Conflict of interest statement

Ethics approval and consent to participate

The Catholic Medical Center-Institutional Review Board approved the study protocol and all participants were given informed consent before participating.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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References

    1. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317–332. doi: 10.1016/S0304-3959(99)00242-0. - DOI - PubMed
    1. Hasenbring MI, Plaas H, Fischbein B, Willburger R. The relationship between activity and pain in patients 6 months after lumbar disc surgery: do pain-related coping modes act as moderator variables? Eur J Pain. 2006;10(8):701–709. doi: 10.1016/j.ejpain.2005.11.004. - DOI - PubMed
    1. Bousema EJ, Verbunt JA, Seelen HA, Vlaeyen JW, Knottnerus JA. Disuse and physical deconditioning in the first year after the onset of back pain. Pain. 2007;130(3):279–286. doi: 10.1016/j.pain.2007.03.024. - DOI - PubMed
    1. Hasenbring MI. Attentional control of pain and the process of chronification. In: Sandkühler J, Bromm B, Gebhart GF, editors. Prog Brain Res. New York: Elsevier Science B.V; 2000. pp. 525–534. - PubMed
    1. Hasenbring MI, Verbunt JA. Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice. Clin J Pain. 2010;26(9):747–753. doi: 10.1097/AJP.0b013e3181e104f2. - DOI - PubMed

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