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Spanish Version of the Avoidance-Endurance Questionnaire: Factor Structure and Psychometric Properties

Published online by Cambridge University Press:  20 November 2015

Gema T. Ruiz-Párraga*
Affiliation:
Universidad de Málaga (Spain)
Alicia E. López-Martínez
Affiliation:
Universidad de Málaga (Spain)
Adina C. Rusu
Affiliation:
Ruhr-University of Bochum (Germany)
Monika I. Hasenbring
Affiliation:
Ruhr-University of Bochum (Germany)
*
*Correspondence concerning this article should be addressed to Gema T. Ruiz Párraga. Facultad de Psicología. Universidad de Málaga. Campus de Teatinos s/n. 29071. Málaga (Spain). Phone: +34–952136697. Fax: +34–952131101. E-mail: [email protected]

Abstract

To analyze the factorial structure and psychometric properties of the Spanish adaptation of the AEQ, and to validate it by reporting relevant pain-related variables, which were not investigated in the original study. One hundred and fifty Spanish patients diagnosed with chronic back and neck pain were referred by physicians from different pain clinics in Spain; all the patients filled out the questionnaires at their clinic. A series of principal components analyses (PCA) was performed to develop the Spanish version of the AEQ. Reliability and validity were also calculated. The PCAs revealed five fear-avoidance scales (Kaiser-Meyer-Olkin measures were between .60 and .88, and Bartlett’s tests were significant, p < .01): the Depression scale (DS), Anxiety scale (AS), Catastrophizing scale (CS), Helplessness/hopelessness scale (HHS), and Avoidance of Social and Physical Activities scale (ASPAS), and three endurance-related responses scales: Pain Persistence Behaviour and Distraction scale (PPDS), Ignoring Pain scale (IPS), and Humor scale (HS). All the scales showed high internal consistency (α > .73) and suitable validity (p < .05). New results associated with pain-related cognitive/affective and behavioural responses are discussed. This instrument will probably help clinicians to identify Spanish patients at a high risk of chronicity and to develop treatments tailored to the different profiles in order to improve secondary and tertiary prevention in back and neck pain.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2015 

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