Description

The Fear-Avoidance Beliefs Questionnaire (FABQ) can help measure how much fear and avoidance are affecting a patient with low back pain. This can help identify those patients for whom psychosocial interventions may be beneficial. The authors are from the Western Infirmary in Glasgow (Scotland) and the Hope Hospital in Salford (England).


 

NOTE: This scale can be modified to apply to patients with other types of chronic pain. Only items 3 and 11 mention "back".

 

Statements:

(1) physical activity - 5 items

(2) effect of work on back pain - 11 items

 

Response

Points

completely disagree

0

 

1

 

2

unsure

3

 

4

 

5

completely agree

6

 

fear-avoidance beliefs about work (scale 1) =

= (points for item 6) + (points for item 7) + (points for item 9) + (points for item 10) + (points for item 11) + (points for item 12) + (points for item 15)

 

fear-avoidance beliefs about physical activity (scale 2) =

= (points for item 2) + (points for item 3) + (points for item 4) + (points for item 5)

 

items not in scale 1 or 2: 1, 8, 13, 14, 16

 

Interpretation:

• minimal scale scores: 0

• maximum scale 1 score: 42 (7 items)

• maximum scale 2 score: 24 (4 items)

• The higher the scale scores, the greater the degree of fear and avoidance beliefs shown by the patient.

 

Performance:

• Internal consistency (alpha) 0.88 for scale 1 and 0.77 for scale 2

 


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