【摘要】 目的 对恐惧-回避成分量表（fear-avoidance components scale,FACS）进行汉化，并检验其信度和效度。方法2023年8月取得原作者授权，2023年9月参照Brislin翻译-回译模式对英文版量表进行翻译、回译、文化调适及预试验，形成中文版恐惧-回避成分量表；2023年10月采用便利抽样法，选取某三级甲等综合医院402例慢性肌肉骨骼疼痛患者作为测试对象，对量表的信度、效度进行检验。结果 376例慢性肌肉骨骼疼痛患者完成研究。中文版FACS包含2个维度，共18个条目，分别为恐惧-回避心理（12个条目），恐惧-回避行为（6个条目）；量表总的Cronbach α系数为0.907，折半信度为0.836，重测信度为0.895；两个维度的Cronbach α系数为0.884、0.812，折半信度为0.871、0.896，重测信度为0.808、0.921。量表水平的内容效度指数（scale level CVI,S-CVI）为0.935，条目水平的内容效度指数（item level CVI,I-CVI）为0.870～1.000。探索性因子分析KMO值为0.909，球形检验值为3134.208(P<0.01)，累计方差贡献率为66.514%；验证性因子分析结果显示，量表的模型拟合良好。结论 中文版恐惧-回避成分量表具有良好的信度和效度，可作为国内评估慢性疼痛患者恐惧-回避水平的有效工具。更多还原

【Abstract】 Objective To translate the fear-avoidance components scale （FACS） into Chinese and test its reliability and validity. Methods In September 2023,the Chinese version of the Fear-avoidance component scale （FACS） was translated from the English version with translation,back-translation,cultural adjustment and pre-experiment according to Brislin’s translation-backtranslation model,after having been granted the rights by the author of FACS in August 2023. In October 2023,with the convenience sampling method,402 patients with chronic musculoskeletal pain in a Grade ⅢA hospital were selected as the trial subjects to test the reliability and validity of the Chinese version of FACS. Results A total of 376 patients with chronic musculoskeletal pain had completed the study. The Chinese version of FACS encompassed 2 dimensions with 18 items: fear-avoidance psychology （12 items） and fearavoidance behaviour （6 items）. The total Cronbach α coefficient of the scale was 0.907 with the split-half reliability at 0.836 and testretest reliability at 0.895. The Cronbach α coefficients of the two dimensions were at 0.884 and 0.812,split-half reliability at 0.871 and 0.896 and the test-retest reliability at 0.808 and 0.921,respectively. The content validity index of the scale level was 0.935,with a range from 0.870 to 1.000 at the item level. The KMO value for exploratory factor analysis was at 0.909,the spherical test value at 3134.208(P<0.01) and the cumulative variance contribution rate at 66.514%. Confirmatory factor analysis indicated that the model fitted the data well. Conclusion The Chinese version of FACS exhibits good reliability and validity. It can serve as an effective tool in the assessment of fear-avoidance in the patients with chronic pain in China.更多还原