Review Article

Pain-Related Fear: A Critical Review of the Related Measures

Table 2

A brief summary of the assessment of the psychometric properties of all selected questionnaires presented in alphabetical order.

InstrumentReliabilityValidityResponsiveness

Internal consistencyReproducibilityFace contentConstruct
(i) convergent
(ii) divergent
Criterion related
(i) concurrent
(ii) predictive
(i) Effect size
(ii) Area under the curve (AUC)

Fear-Avoidance Beliefs Questionnaire (FABQ)

Chinese Lee et al. [29, 30]FABQ = highFABQ = moderateContent: Unevaluated methodsaConstruct: Unevaluated methodsaConcurrent FABQtotal = low-moderate
FABQpa, FABQwork, FABQprognosis work = low
Effect size:
FABQwork = low
FABQpa = low

Dutch Crombez et al. [31]; Reneman et al. [32]FABQwork = high
FABQpa = low
Concurrent FABQwork, FABQpa = low-moderate Predictive: Unevaluated methodsa

English Waddell et al. [33]; McCracken et al. [34]FABQwork = high
FABQpa = moderate
FABQ = high
FABQwork, FABQpa = low
Construct: Unevaluated methodsaConcurrent FABQwork, FABQpa,
FABQtotal = low moderate
Predictive: Unevaluated methodsa

French Chaory et al. [35]FABQwork = moderate
FABQpa = low
Construct: Unevaluated methods divergent FABQwork, FABQpa = lowEffect size:
FABQwork = low
FABQwork = low

German Pfingsten et al. [36]; Staerkle et al. [37, 38],FABQwork = high
FABQpa = high
(after FA)
FABQtotal;
FABQwork1;
FABQwork2 = high
FABQpa = low
FABQwork total = low 
 FABQ1, FABQwork2 = low
FABQpa = low
FABQwork = high
FABPpa = moderate
Construct: Unevaluated methodsa Concurrent FABQwork (base);
FABQpa (base) = low-moderate
 FABQwork (followup) = low
FABQpa (followup) = low
Predictive: Unevaluated methodsa
Effect size:
FABQwork = low
FABQpa = moderate

Greece Georgoudis et al. [39]FABQpa = moderate
 FABQwork1, FABQwork2 = high
FABQpa = moderate
FABQwork1,
FABQwork2 = high
Convergent: FABQwork, FABQpa = low
Divergent: FABQwork1,
FABQpa = low

Hebrews Jacob et al. [40]FABQwork = high
FABQpa = low
FABQwork, FABQp;
FABQwork = moderate
 FABQpa = high

Norwegian Grotle et al. [27]FABQwork = high
FABQpa = moderate
FABQwork = moderate
FABQpa = low
Construct validity:
FABQwork chronic;
FABQpa chronic = low Unevaluated methodsa
Effect size: FABQwork = moderate
FABQpa = low

Spanish Kovacs et al. [41]FABQ = highFABQ = highFABQtotal,
FABQwork,
FABQpa = low
Floor ceiling
(i) Unevaluated methodsa

Fear Avoidance of Pain Questionnaire (FAPQ)

English Crowley and Kendall [42]FAPQ = HighFAPQ = LowConcurrent
FAPQ = low moderate
Sensitivity and specificity
(i) Unevaluated methodsa

Fear of Pain Questionnaire (FPQ)

English Hursey and Jacks [43]; McCracken et al. [34]; McNeil and Rainwater [44, 45]Total scale = moderate-high
Minor = moderate-high
Severe = high
Medical = low-high
Concurrent:
FPQtotal = low
Unevaluated methodsa

Pain Anxiety Symptoms Scale (PASS)

Dutch Crombez et al. [30] PASS = highConvergent
PASS = Low-moderate

Combined Dutch and USA study Roelofs et al. [46] Dutch/The Netherlands English/USA Original PASS
+ PASS-20
PASStotal,
PASScognitive anxiety,
PASSfear of pain,
PASSphys.s of anxiety,
PASS-20 = high
PASSescape/avoidance = moderate
PASSescape/avoidance, PASSphysiological symptoms of anxiety = moderate
Convergent
PASStotal,
PASScognitive anxiety
PASSfear of pain,
PASSescape/avoidance, PASSphysiological symptoms of anxiety: PASS-20cognitive anxiety, PASS-20fear of pain, PASS-20escape/avoidance, = low

English 53 items McCracken et al. [18, 34]; Burns et al. [47]; Strahl et al. [48] PASStotal,
PASSsomatic,
PASScognitive;
PASSfear,
PASSescape/avoidance = high
Concurrent
PASStotal,
PASSsomatic,
PASSfear, and PASScognitive = low-moderate
PASSescape/avoidance = low

English or French 20 items Coons et al. [49] PASS20 = high
PASS20escape/avoidance = low
PASS20physiological symptoms of anxiety = moderate
 PASS20cognitive anxiety, PASS20fear of pain = high
PASS20fear = low
 PASS20escape,
 PASS20physiological, PASS20cognitive, and = low-moderate
Effect size
PASS20;
PASS20fear;
 PASS20escape,
 PASS20physiological,
 PASS20cognitive = moderate

English Larsen et al. [28] PASScatastrophic thoughts,
PASSphysiological anxiety,
 PASSescape/avoidance,
PASScognitive interference, and PASScoping strategies = low
Unevaluated methodsa

Tampa Scale for Kinesiophobia (TSK)

Dutch 12 items Vlaeyen et al. [50]TSK17 = moderate
(17 items)
TSK13 = low moderate
(13 items) Item-total:
Unevaluated methodsa
Construct:
Unevaluated methodsa
Concurrent: TSKtotal,
TSKfear = low moderate
TSKharm,
TSKAvoidance of activity = low

Dutch 13 items Goubert et al. [51]TSKtotal
CLBP = moderate;
FMS = high
TSKactivity avoidance CLBP;
FMS = moderate.
TSKpathologic somatic focus CLBP; FMS = low
Construct:
Unevaluated methodsa

Dutch 11 items Roelofs et al. [52]UED
TSK11 = moderate Chronic pain
TSK11 = moderate
Construct:
Unevaluated methodsa
Concurrent
TSKSF = low
 TSKAA = low 

TSK English 4 items Burwinkle et al. [53]TSK4 = moderateConstruct:
Unevaluated methodsa

English 11 items Woby et al. [54]TSKtotal,
TSK11 = moderate Item-total Unevaluated methodsa
TSK = moderateTSKtotal:,
TSK11: = low
Effect size:
TSKtotal, TSK11 = low
AUC TSKtotal, TSK11 = moderate Sensitivity and specificity-Unevaluated methodsa

English 13 items Clark et al. [55]; French et al. [56]TSKtotal = high
TSKtaa = moderate
TSKtsf = low Item-total Unevaluated methodsa
Construct:
Unevaluated methodsa
Concurrent low

Norwegian Damsgård et al. [57]Unevaluated methodsaConstruct:
Unevaluated methodsa

Swedish 17 items Lundberg et al. [7]; Bunketorp et al. [58]TSK = high
Item-total
Unevaluated methodsa
TSK = low-high
Unevaluated methodsa
Face and content:
Unevaluated methodsa
Construct:
Unevaluated methodsa

Abbreviations in reliability: α: Cronbach’s alpha, ICC: Intraclass Correlation Coefficient, rp: Pearson’s product moment correlation coefficient, RC, RP; RV.
Abbreviations in validity: CFA: Confirmatory Factor Analysis, EFA: Exploratory Factor Analysis.
Abbreviations in responsiveness: AUC: Area Under Curve, SRM: Standardised Response Mean.
aAdditional methods not evaluated as they are not included in the table of modified Wind criteria.