View in EDS

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

Saved in:
Bibliographic Details
Title: The Italian version of the Surgical Fear Questionnaire: validation of its measurement properties: validation of its measurement properties
Authors: Theunissen, Maurice, Scarone, Pietro, VAN Kuijk, Sander M, Smeets, Anouk Y, Maino, Paolo, Peters, Madelon L., Koetsier, Eva
Source: Minerva Anestesiologica. 90
Publisher Information: Edizioni Minerva Medica, 2025.
Publication Year: 2025
Subject Terms: Male, Adult, Reproducibility of Results, Fear, Middle Aged, Cohort Studies, Italy, Fear/psychology, Surveys and Questionnaires, Surgical Procedures, Operative, Humans, Female, Translations, Prospective Studies, Aged, Language
Description: 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.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 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.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.
Document Type: Article
ISSN: 1827-1596
0375-9393
DOI: 10.23736/s0375-9393.24.18416-7
Access URL: https://pubmed.ncbi.nlm.nih.gov/39836360
Rights: CC BY ND
Accession Number: edsair.doi.dedup.....ed6d50372a58a63cb4b1d5c5bd7ba57e
Database: OpenAIRE
Description
Abstract: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.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 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.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.
ISSN:18271596
03759393
DOI:10.23736/s0375-9393.24.18416-7