{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:19:55Z","timestamp":1760231995716,"version":"build-2065373602"},"reference-count":49,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"Australia\u2019s National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1120215"],"award-info":[{"award-number":["APP1120215"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In this study, we examined the psychometric properties of the Fear of Pain Questionnaire (FPQ-9) in Indigenous Australian people. FPQ-9, a shorter version of the original Fear of Pain Questionnaire-III, was developed to support the demand for more concise scales with faster administration time in the clinical and research setting. The psychometric properties of FPQ-9 in Indigenous Australian participants (n = 735) were evaluated with network psychometrics, such as dimensionality, model fit, internal consistency and reliability, measurement invariance, and criterion validity. Our findings indicated that the original FPQ-9 three-factor structure had a poor fit and did not adequately capture pain-related fear in Indigenous Australian people. On removal of two cross-loading items, an adapted version Indigenous Australian Fear of Pain Questionnaire-7 (IA-FPQ-7) displayed good fit and construct validity and reliability for assessing fear of pain in a sample of Indigenous Australian people. The IA-FPQ-7 scale could be used to better understand the role and impact of fear of pain in Indigenous Australian people living with chronic pain. This could allow for more tailored and timely interventions for managing pain in Indigenous Australian communities.<\/jats:p>","DOI":"10.3390\/ijerph19106256","type":"journal-article","created":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T09:18:08Z","timestamp":1653124688000},"page":"6256","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Pain-Related Fear in Indigenous Australian Populations Using the Fear of Pain Questionnaire-9 (FPQ-9)"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2792-2799","authenticated-orcid":false,"given":"Manasi Murthy","family":"Mittinty","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, St Leonards, NSW 2050, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1267-8340","authenticated-orcid":false,"given":"Pedro H. R.","family":"Santiago","sequence":"additional","affiliation":[{"name":"Indigenous Oral Health Unit, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Indigenous Oral Health Unit, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.sjpain.2017.07.020","article-title":"Behavioural inhibition in the context of pain: Measurement and conceptual issues","volume":"17","author":"Gatzounis","year":"2017","journal-title":"Scand. J. Pain"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/16501970510040344","article-title":"Predictors of return to work in patients sick listed for sub-acute low back pain: A 12-month follow-up study","volume":"37","author":"Storheim","year":"2005","journal-title":"J. Rehabil. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/01.brs.0000202762.88787.af","article-title":"Worker recovery expectations and fear-avoidance predict work disability in a population-based workers\u2019 compensation back pain sample","volume":"31","author":"Turner","year":"2006","journal-title":"Spine"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Di Tella, M., Ghiggia, A., Testa, S., Castelli, L., and Adenzato, M. (2019). The Fear of Pain Questionnaire: Factor structure, validity and reliability of the Italian translation. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0210757"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1093\/ptj\/pzy027","article-title":"Understanding the etiology of chronic pain from a psychological perspective","volume":"98","author":"Linton","year":"2018","journal-title":"Phys. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1023\/A:1018782831217","article-title":"Development of the Fear of Pain Questionnaire\u2014III","volume":"21","author":"McNeil","year":"1998","journal-title":"J. Behav. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3071","DOI":"10.2147\/JPR.S163751","article-title":"Assessment of pain-related fear in individuals with chronic painful conditions","volume":"11","author":"Mittinty","year":"2018","journal-title":"J. Pain Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.jpain.2011.12.011","article-title":"Pain-related fear and catastrophizing predict pain intensity and disability independently using an induced muscle injury model","volume":"13","author":"Parr","year":"2012","journal-title":"J. Pain"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1016\/j.pedn.2019.12.007","article-title":"Effect of gum chewing on pain and anxiety in Turkish children during intravenous cannulation: A randomized controlled study","volume":"52","author":"Topcu","year":"2020","journal-title":"J. Pediatr. Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/1359105316686669","article-title":"The reliability and validity of the Spanish version of the Fear of Pain Questionnaire","volume":"24","author":"Castarlenas","year":"2019","journal-title":"J. Health Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.ejpain.2005.06.008","article-title":"Dutch translation of the Fear of Pain Questionnaire: Factor structure, reliability and validity","volume":"10","author":"Hoogstraten","year":"2006","journal-title":"Eur. J. Pain"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.ejpain.2003.09.005","article-title":"The Fear of Pain questionnaire: Factor structure in samples of young, middle-aged and elderly European people","volume":"8","author":"Albaret","year":"2004","journal-title":"Eur. J. Pain"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.rbr.2015.10.006","article-title":"Fear of Pain Questionnaire: Adapta\u00e7\u00e3o para o portugu\u00eas europeu","volume":"56","author":"Cardoso","year":"2016","journal-title":"Rev. Bras. Reumatol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1002\/ejp.1074","article-title":"Fear of Pain Questionnaire-9: Brief assessment of pain-related fear and anxiety","volume":"22","author":"McNeil","year":"2018","journal-title":"Eur. J. Pain"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2147\/JPR.S275227","article-title":"Translation and Validation of Fear of Pain-9 Items into Simplified Chinese Version for Mainland China","volume":"14","author":"Luo","year":"2021","journal-title":"J. Pain Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jpsychores.2018.02.001","article-title":"Limited evidence to measure the impact of chronic pain on health outcomes of Indigenous people","volume":"107","author":"Mittinty","year":"2018","journal-title":"J. Psychosom. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e046928","DOI":"10.1136\/bmjopen-2020-046928","article-title":"Cohort profile: Indigenous human papillomavirus and oropharyngeal squamous cell carcinoma study-a prospective longitudinal cohort","volume":"11","author":"Jamieson","year":"2021","journal-title":"BMJ Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1097\/j.pain.0000000000001939","article-title":"The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises","volume":"161","author":"Raja","year":"2020","journal-title":"Pain"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1007\/s11136-011-9903-x","article-title":"Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)","volume":"20","author":"Herdman","year":"2011","journal-title":"Qual Life Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1037\/1040-3590.6.4.304","article-title":"Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments","volume":"6","author":"Geisinger","year":"1994","journal-title":"Psychol. Assess."},{"key":"ref_21","unstructured":"Golino, H., and Christensen, A. (2022, May 01). EGAnet: Exploratory Graph Analysis: A framework for Estimating the Number of Dimensions in Multivariate Data Using Network Psychometrics, Available online: https:\/\/cran.r-project.org\/web\/packages\/EGAnet\/index.html."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Constantin, M.A., Schuurman, N.K., and Vermunt, J. (2021). A General Monte Carlo Method for Sample Size Analysis in the Context of Network Models. PsyArXiv.","DOI":"10.31234\/osf.io\/j5v7u"},{"key":"ref_23","unstructured":"Jorgensen, T.D., Pornprasertmanit, S., Schoemann, A.M., Rosseel, Y., Miller, P., and Quick, C. (2022, May 01). semTools: Useful Tools for Structural Equation Modelling, Available online: https:\/\/cran.r-project.org\/web\/packages\/semTools\/index.html."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1146\/annurev.psych.58.110405.085530","article-title":"Missing data analysis: Making it work in the real world","volume":"60","author":"Graham","year":"2009","journal-title":"Annu. Rev. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1037\/met0000167","article-title":"A tutorial on regularized partial correlation networks","volume":"23","author":"Epskamp","year":"2018","journal-title":"Psychol. Methods"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"P10008","DOI":"10.1088\/1742-5468\/2008\/10\/P10008","article-title":"Fast unfolding of communities in large networks","volume":"2008","author":"Blondel","year":"2008","journal-title":"J. Stat. Mech. Theory Exp."},{"key":"ref_27","unstructured":"Christensen, A.P., and Golino, H. (2020). Estimating Factors with Psychometric Networks: A Monte Carlo Simulation Comparing Community Detection Algorithms. PsyArXiv."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1037\/pas0000623","article-title":"Factor analysis in psychological assessment research: Common pitfalls and recommendations","volume":"31","author":"Sellbom","year":"2019","journal-title":"Psychol. Assess."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1111\/bjop.12046","article-title":"From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation","volume":"105","author":"Dunn","year":"2014","journal-title":"Br. J. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1080\/10705511.2019.1602776","article-title":"Multiple-group invariance with categorical outcomes using updated guidelines: An illustration using M plus and the lavaan\/semtools packages","volume":"27","author":"Svetina","year":"2020","journal-title":"Struct. Equ. Model."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1007\/s11336-016-9506-0","article-title":"Identification of confirmatory factor analysis models of different levels of invariance for ordered categorical outcomes","volume":"81","author":"Wu","year":"2016","journal-title":"Psychometrika"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/BF02294440","article-title":"Effect size, power, and sample size determination for structured means modeling and MIMIC approaches to between-groups hypothesis testing of means on a single latent construct","volume":"66","author":"Hancock","year":"2001","journal-title":"Psychometrika"},{"key":"ref_33","unstructured":"Australian Institute of Health and Welfare (AIHW) (2020). Chronic Pain in Australia."},{"key":"ref_34","unstructured":"Furr, R.M., and Bacharach, V.R. (2013). Psychometrics: An Introduction 2013, Sage."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Santiago, P.H.R., Roberts, R., Smithers, L.G., and Jamieson, L. (2019). Stress beyond coping? A Rasch analysis of the Perceived Stress Scale (PSS-14) in an Aboriginal population. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0216333"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Santiago, P.H., Nielsen, T., Roberts, R., Smithers, L.G., and Jamieson, L. (2020). Sense of personal control: Can it be assessed culturally unbiased across Aboriginal and non-Aboriginal Australians?. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0239384"},{"key":"ref_37","unstructured":"DeVellis, R.F. (2016). Scale Development: Theory and Applications, Sage Publications."},{"key":"ref_38","first-page":"2070","article-title":"Addressing disparities in low back pain care by developing culturally appropriate information for aboriginal australians: \u201cMy Back on Track, My Future\u201d","volume":"18","author":"Lin","year":"2017","journal-title":"Pain Med."},{"key":"ref_39","unstructured":"Atkinson, J., Nelson, J., and Atkinson, C. (2010). Trauma, transgenerational transfer and effects on community wellbeing, Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice."},{"key":"ref_40","unstructured":"Pointer, S., Harrison, J., and Avefua, S. (2022, February 05). Hospitalised Injury among Aboriginal and Torres Strait Islander People 2011\u20132012 to 2015\u20132016, Available online: https:\/\/www.aihw.gov.au\/reports\/injury\/hospitalised-injury-among-aboriginal-and-torres-st\/contents\/table-of-contents."},{"key":"ref_41","unstructured":"Boufous, S., Ivers, R., Senserrick, T., Martiniuk, A., and Clapham, K. (2010). Underlying Causes and Effects of Injury in Australian Aboriginal Populations: A Rapid Review, Sax Institute."},{"key":"ref_42","first-page":"8","article-title":"Aboriginal and Torres Strait Islander Women\u2019s Taskforce on Violence Report, 2000","volume":"25","author":"Green","year":"2001","journal-title":"Aborig. Isl. Health Work"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"779","DOI":"10.5694\/j.1326-5377.1991.tb94037.x","article-title":"Stains on the caring mantle doctors in Aboriginal Australia have a history","volume":"155","author":"Hunter","year":"1991","journal-title":"Med. J. Aust"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e273","DOI":"10.1016\/j.bja.2019.03.023","article-title":"Chronic pain: A review of its epidemiology and associated factors in population-based studies","volume":"123","author":"Mills","year":"2019","journal-title":"Br. J. Anaesth"},{"key":"ref_45","first-page":"554","article-title":"Sampling and recruitment methodology for a national eye health survey of Indigenous Australians","volume":"34","author":"Fox","year":"2010","journal-title":"Aust. N. Z. J."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1136\/jech.2008.081109","article-title":"Inclusion of indigenous and ethnic minority populations in intervention trials: Challenges and strategies in a New Zealand supermarket study","volume":"63","author":"Mhurchu","year":"2009","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1038\/s43586-021-00055-w","article-title":"Network analysis of multivariate data in psychological science","volume":"1","author":"Borsboom","year":"2021","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1093\/ije\/dyt103","article-title":"Commentary: Representativeness is usually not necessary and often should be avoided","volume":"42","author":"Richiardi","year":"2013","journal-title":"Int. J. Epidemiol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1093\/ije\/dys223","article-title":"Why representativeness should be avoided","volume":"42","author":"Rothman","year":"2013","journal-title":"Int. J. Epidemiol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6256\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:15:58Z","timestamp":1760138158000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/10\/6256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,20]]},"references-count":49,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["ijerph19106256"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19106256","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,5,20]]}}}