Surgical fear questionnaire (SFQ) – Serbian cultural adaptation
Abstract
Background/Aim. After having established an indication for surgery, some patients experience sense of fear, unpleasantness and embarrassment due to the expectance of adverse consequences of surgical intervention. Recently an instrument for measuring fear of surgery – the Surgical Fear Questionnaire (SFQ) – was developed and validated on a sample of Dutch patients awaiting surgery. The objective of this study was to translate the SFQ to Serbian language, make cultural adaptation of the translation and test its reliability and validity in a sample of outpatients in Serbia. Methods. The SFQ was translated and adapted according to the accepted international standards (double forward translation, harmonization, backward translation, and piloting). The study was multicentric, involving patients from 7 cities in 3 countries: Serbia, Montenegro, Bosnia and Hercegovina. It was conducted at state-owned health facilities. The sample was of consecutive nature and consisted of 330 outpatients who visited specialists of either internal medicine or general surgery. Results. Translated SFQ showed excellent reliability, both when rated by the investigators (Cronbach’s alpha 0.915), and by the patients themselves (Cronbach’s alpha 0.917). It is temporally stable, and both divergent and convergent validity tests had good results. Factorial analysis revealed one domain on the whole study sample and two domains like in original on the subsample of patients without experience with surgery in general anesthesia. Conclusion. Identification of patients with high level of fear of surgery by this questionnaire should help clinicians to administer measures which may decrease fear and prevent avoidance of absolutely necessary surgery by such patients.
References
Steward MS, Steward DS. Children's conceptions of medical procedures. New Dir Child Adolesc Dev 1981; 1981(14): 67–83.
Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA. Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain 2012; 28(9): 819–41.
Zieger M, Schwarz R, Konig HH, Harter M, Riedel-Heller SG. Depression and anxiety in patients undergoing herniated disc surgery: relevant but underresearched - a systematic review. Cent Eur Neurosurg 2010; 71(1): 26–34.
Jolley S. Assessing patients’ knowledge and fears about MRSA infection. Nurs Times 2008; 104: 32‒3.
Koivula M, Tarkka M, Tarkka M, Laippala P, Paunonen- Ilmonen M. Fear and in-hospital social support for coronary artery by-pass grafting patients on the day before surgery. Int J Nurs Stud 2002; 39(4): 415‒27.
McCartney M. Are superbug fears turning patients into hospital cleaners? BMJ 2009; 338: b729.
Schmid M, Wolf RC, Freudenmann RW, Schönfeldt-Lecuona C. Tomophobia, the phobic fear caused by an invasive medical procedure - an emerging anxiety disorder: a case report. J Med Case Rep 2009; 3: 131.
Mavridou P, Dimitriou V, Manataki A, Arnaoutoglou E, Papado-poulos G. Patient’s anxiety and fear of anesthesia: effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. J Anesth 2013; 27(1): 104‒8.
Page AC, Bennett KS, Carter O, Smith J, Woodmore K. The Blood-InjectionSymptom Scale (BISS): assessing a structure of phobic symptoms elicited by blood and injections. Behav Res Ther 1997; 35(5): 457‒64.
Kleinknecht RA, Thorndike RM, Walls MM. Factorial dimen-sions and correlates ofblood, injury, injection and related med-ical fears: cross validation of themedical fear survey. Behav Res Ther 1996; 34(4): 323‒31.
Newton JT, Edwards JC. Psychometric properties of the modi-fied dental anxiety scale: an independent replication. Commu-nity Dent Health 2005; 22(1): 40‒2.
Theunissen M, Peters ML, Schouten EG, Fiddelers AA, Willemsen MG, et al. Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery. PLoS One 2014; 9(6): e100225.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. ISPOR Task Force for Translation and Cul-tural Adaptation. Principles of Good Practice for the Transla-tion and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005; 8(2): 94‒104.
Streiner DL, Norman GR. Health Measurement Scales - a prac-tical guide to their development and use. 4th edition. Oxford: Oxford University Press; 2008.
Badia X, Arribas F, Ormaetxe JM, Peinado R, de Los Terreros MS. Development ofa questionnaire to measure health-related quality of life (HRQoL) in patientswith atrial fibrillation (AF-QoL). Health Qual Life Outcomes 2007; 5: 37.
Jovanovic V, Novovic Z. Short Subjective Well-being Scale - new instrument for estimate of positive mental health. Primenjena psihologija 2008; 1(1‒2): 77‒94. (Serbian)
Jovanovic V. Validation of the Short Subjective Well-being Scale. Primenjena psihologija 2010; 3(2): 175‒90. (Serbian)
Peters ML, Sommer M, de Rijke JM, Kessels F, Heineman E, Patijn J, et al. Somatic and Psychologic Predictors of Long-term Unfavorable Outcome After Surgical Intervention. Ann Surg 2007; 245(3): 487‒94.
Pinto PR, McIntyre T, Nogueira-Silva C, Almeida A, Araújo-Soares V. Risk factors for persistent postsurgical pain in women un-dergoing hysterectomy due to benign causes: a prospective predictive study. J Pain 2012; 13(11): 1045‒57.