The Italian version of the Surgical Fear Questionnaire: validation of its measurement properties.

IF 2.9 3区医学 Q1 ANESTHESIOLOGY

Minerva anestesiologica Pub Date : 2024-12-01 DOI:10.23736/S0375-9393.24.18416-7

Maurice Theunissen, Pietro Scarone, Sander M VAN Kuijk, Anouk Y Smeets, Paolo Maino, Madelon L Peters, Eva Koetsier

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Abstract

Background: Surgical fear is present in many patients awaiting surgery. However, a validated Italian version of the Surgical Fear Questionnaire (SFQ) was not available yet. Therefore, the aim of this study was to translate the SFQ into Italian and to test its reliability and validity.

Methods: Design: prospective cohort study on Italian-speaking Swiss patients scheduled for a minimally invasive spinal procedure or spinal surgery. After forward and back translation and a pilot test, reliability and validity of the 8-item SFQ was assessed using the intraclass correlation coefficient, (ICC), Cronbach's alpha, confirmatory factor analysis (CFA), and Spearman's correlation coefficient.

Results: Results on 63 patients revealed median SFQ-total scores of 22 (minimum-maximum: 0-68) at inclusion and 22.5 (0-70) one week before surgery. Test-retest reliability between first and second SFQ-total score was high, ICC=0.947 (95% CI: 0.912-0.968). Internal consistency of the SFQ-total score at both assessment times were high, Cronbach's alphas 0.916 and 0.931 respectively. This was also the case for the subscale short-term fear, item 1-4 and long-term fear, item 5-8 (range 0.853-0.909). CFA-results for a one-factor and a two-factor model favored the two-factor model. Correlations with pain catastrophizing, other anxiety measures, and health status were weak and only state anxiety assessed by PROMIS reached statistical significance.

Conclusions: We conclude that the Italian version of the SFQ is suitable for use in practice and has a high reliability. Validity and sensitivity need additional testing on a larger population.

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意大利版手术恐惧问卷：测量性质的验证。

背景：手术恐惧存在于许多等待手术的患者中。然而，意大利版的手术恐惧问卷（SFQ）还没有得到验证。因此，本研究的目的是将SFQ翻译成意大利语，并检验其信度和效度。方法：设计：前瞻性队列研究，对计划进行微创脊柱手术或脊柱手术的意大利语瑞士患者进行研究。经过前后翻译和中试检验后，采用类内相关系数（ICC）、Cronbach’s alpha、验证性因子分析（CFA）和Spearman相关系数对8项SFQ进行信度和效度评估。结果：63例患者入组时sfq总分中位数为22分（最小-最大：0-68分），术前一周为22.5分（0-70分）。第一和第二sfq总分的重测信度较高，ICC=0.947 （95% CI: 0.912-0.968）。两次评估时sfq总分的内部一致性均较高，Cronbach's alpha分别为0.916和0.931。短期恐惧子量表（项目1-4）和长期恐惧子量表（项目5-8）也是如此（范围0.853-0.909）。单因素模型和双因素模型的cfa结果倾向于双因素模型。疼痛灾难、其他焦虑措施和健康状况的相关性较弱，只有PROMIS评估的状态焦虑具有统计学意义。结论：意大利语版SFQ适合实际使用，可靠性高。有效性和敏感性需要在更大的人群中进行额外的测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva anestesiologica 医学-麻醉学

CiteScore

4.50

自引率

21.90%

发文量

367

审稿时长

4-8 weeks

期刊介绍： Minerva Anestesiologica is the journal of the Italian National Society of Anaesthesia, Analgesia, Resuscitation, and Intensive Care. Minerva Anestesiologica publishes scientific papers on Anesthesiology, Intensive care, Analgesia, Perioperative Medicine and related fields. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors.