Article

OBJECTIVE: To assess the factor structure of the Chinese version of the Tampa
Scale for Kinesiophobia (TSK). DESIGN: Chinese patients with chronic pain
attending either orthopaedic specialist services (n = 216) or multidisciplinary
specialist pain services (n = 109) participated in this study. METHODS: Subjects
completed the Chinese version of TSK, The Chronic Pain Grade Questionnaire,
Hospital Anxiety and Depression Scale, and questions assessing socio-demographic
characteristics. Confirmatory factor analyses were used to compare hierarchical
and correlated models of 5 different factor solutions previously reported in
patients with chronic pain in the West. RESULTS: Confirmatory factor analyses
demonstrated inequality of the TSK factor structure, in that the TSK11 for the
orthopaedics sample was best represented by a two-factor correlated model
(S-Bchi2 = 49.593; comparative fit index (CFI) = 0.93; normed filt index (NFI) =
0.911; root mean square error of approximation (RMSEA) = 0.025) comprising 2
first-order factors, Somatic Focus (TSK11-SF) and Activity Avoidance (TSK-AA).
The pain clinic sample showed a one-factor structure as best representing the
TSK4's underlying dimensions (CFI = 0.971; NFI = 0.912; RMSEA = 0.048). There was
no evidence to support a single overarching concept of kinesiophobia. CONCLUSION:
The TSK appears to have utility in Chinese chronic pain populations. Elucidation
of the TSK's psychometrics properties in other Chinese/Asian pain populations
with different diagnoses and presentations of pain problems is warranted.

Langue : ANGLAIS