Dutch version of the Fear of Pain Questionnaire for adolescents with chronic pain

Carolien Dekker*, Caroline H. G. Bastiaenen, Janneke E. de Vries, Laura E. Simons, Marielle E. J. B. Goossens, Jeanine A. M. C. F. Verbunt

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Web of Science)


Background: Fear of pain is important in the development and maintenance of chronic pain. The Fear of Pain Questionnaire-Child version has been developed to assess pain related fear in children and adolescents.
Objective: Translating the original questionnaire into Dutch, and investigating internal consistency and construct validity to enable use in the Dutch pain rehabilitation setting for treatment and research.
Methods: Cross-sectional validation study: After forward and back translation of the FOPQ-C, adolescents (11–22 years old) with chronic musculoskeletal pain completed an assessment containing the Dutch Fear
of Pain Questionnaire, and questionnaires about demographics, pain catastrophizing, functional disability, and pain intensity. Internal consistency and construct validity were evaluated through exploratory factor
analysis (principal axis factoring with oblique rotation) and hypotheses testing using pain catastrophizing, functional disability, and pain intensity as comparative constructs.
Results: Eighty-six adolescents completed the assessment. Exploratory factor analysis resulted in a twofactor structure, explaining 43% of the variance. Internal consistency was strong (Cronbach’s a¼0.92 total
scale, a¼0.88 factor 1, and a¼.86 factor 2). Five out of 6 hypotheses were confirmed.
Conclusions: The Dutch version demonstrated good internal consistency and good construct validity in a population of adolescents with chronic musculoskeletal pain.
Original languageEnglish
Pages (from-to)1326-1332
Number of pages8
JournalDisability and Rehabilitation
Issue number11
Publication statusPublished - 3 Mar 2018


  • Fear of pain
  • avoidance of activities
  • adolescent
  • chronic pain
  • construct validity
  • exploratory factor analysis

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