Cross-cultural adaption of the German Quebec Back Pain Disability Scale: an exposure-specific measurement for back pain patients
Open accessAbstract
STUDY DESIGN: Cross-cultural translation and psychometric testing. OBJECTIVE: The purpose of the present study was to examine reliability and validity of a cross-cultural adaption of the German Quebec Back Pain Disability Scale (QBPDS) in a context of a randomized controlled trial evaluating the effectiveness of graded in vivo exposure in chronic low back pain patients. BACKGROUND: The QBPDS is one of the most widely used disease-specific disability questionnaires. In particular, for cognitive behavioral treatments with a clear focus on behavioral aspects such as graded in vivo exposure, the QBPDS provides an ascertained strategy with a sound conceptual basis and excellent quality criteria. Nevertheless, there is conflicting evidence concerning factor structure and a German adaption is missing. METHODS: The cross-cultural adaption followed international guidelines. Psychometric testing was performed using data from 180 participants with chronic low back pain. The psychometric analyses included internal consistency, convergent, and divergent validity. Exploratory factor analysis was used to determine the underlying factor structure. RESULTS: The QBPDS showed strong psychometric properties, with high internal consistency for the full scale (α=0.94) and good convergent and divergent validity. The factor analysis revealed a four-factor solution (bending, ambulation, brief effortful movements, and long-lasting postures). CONCLUSION: The translation and cross-cultural adaption of the QBPDS into German was successful. The German version proved to be a valid and reliable instrument and is well suited for use in the context of an exposure-based psychological treatment.
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The QBPDS shows strong psychometric properties with high internal consistency (α = 0.94) and good validity.
“This 20-item questionnaire shows strong psychometric properties with high internal consistency (α = 0.94) and good validity [46].”
From EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): study protocol for a randomized controlled trial (2024) · cites this paper as [46]
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Cites
Coefficient Alpha and the Internal Structure of Tests
Cronbach, L. J. (1951) · Psychometrika · doi:10.1007/bf02310555 · Cited by 43,931 · see citing works
Guidelines for the process of cross-cultural adaptation of self-report measures
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000) · Spine · doi:10.1097/00007632-200012150-00014 · Cited by 14,542 · see citing works
Quality criteria were proposed for measurement properties of health status questionnaires
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. W. (2007) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.03.012 · Cited by 10,764 · see citing works
O’connor, B. P. (2000) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03200807 · Cited by 4,116 · see citing works
Oswestry Low Back Pain Disability Questionnaire
Fairbank, J. C. T., Couper, J., Davies, J. B., & O'Brien, J. P. (2006) · Springer eBooks · doi:10.1007/978-3-540-29805-2_3023 · Cited by 3,954 · see citing works
Core outcome measures for chronic pain clinical trials: IMMPACT recommendations
Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., Kerns, R. D., Stucki, G., Allen, R. R., Bellamy, N., et al. (2005) · Pain · doi:10.1016/j.pain.2004.09.012 · Cited by 3,732 · see citing works
Core outcome domains for chronic pain clinical trials: IMMPACT recommendations
Turk, D. C., Dworkin, R. H., Allen, R. R., Bellamy, N., Brandenburg, N., Carr, D. B., Cleeland, C., Dionne, R., Farrar, J. T., Galer, B. S., et al. (2003) · Pain · doi:10.1016/j.pain.2003.08.001 · Cited by 3,510 · see citing works
A Study of the Natural History of Back Pain: Part I
ROLAND, M., & MORRIS, R. (1983) · Spine · doi:10.1097/00007632-198303000-00004 · Cited by 3,395 · cited 3× · see citing works
“16 Nevertheless, conflicting evidence exists regarding the factor structure of the QBPDS.”
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634 · see citing works
The Pain Disability Index: psychometric properties
Tait, R. C., Chibnall, J. T., & Krause, S. (1990) · Pain · doi:10.1016/0304-3959(90)90068-o · Cited by 952 · see citing works
The Quebec Back Pain Disability Scale
Kopec, J. A., Esdaile, J. M., Abrahamowicz, M., Abenhaim, L., Wood-Dauphinée, S., Lamping, D. L., & Williams, J. I. (1995) · Spine · doi:10.1097/00007632-199502000-00016 · Cited by 660 · see citing works
Vlaeyen, J. W. S., de Jong, J., Geilen, M., Heuts, P. H. T. G., & van Breukelen, G. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00174-6 · Cited by 469 · see citing works
Leeuw, M., Goossens, M. E. J. B., van Breukelen, G. J. P., de Jong, J. R., Heuts, P. H. T. G., Smeets, R. J. E. M., Köke, A. J. A., & Vlaeyen, J. W. S. (2008) · Pain · doi:10.1016/j.pain.2007.12.009 · Cited by 393 · see citing works
Meyer, K., Sprott, H., & Mannion, A. F. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.12.004 · Cited by 319 · see citing works
Behinderungseinschätzung bei chronischen Schmerzpatienten
Dillmann, U., Nilges, P., Saile, H., & Gerbershagen, H. U. (1994) · Der Schmerz · doi:10.1007/bf02530415 · Cited by 302 · see citing works
Smeets, R., Köke, A. J. A., Lin, C. C., Ferreira, M. L., & Demoulin, C. (2011) · Arthritis Care & Research · doi:10.1002/acr.20542 · Cited by 262 · see citing works
The Quebec Back Pain Disability Scale: Conceptualization and development
Kopec, J. A., Esdaile, J. M., Abrahamowicz, M., Abenhaim, L., Wood-Dauphinee, S., Lamping, D. L., & Williams, J. I. (1996) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(96)00526-4 · Cited by 242 · see citing works
Wiesinger, G., Nuhr, M. J., Quittan, M., EBENBICHLER, G. R., Wölfl, G., & Fialka‐Moser, V. (1999) · Spine · doi:10.1097/00007632-199906010-00009 · Cited by 180 · see citing works
Reliability and Validity of the Dutch Adaptation of the Quebec Back Pain Disability Scale
Schoppink, L. E., van Tulder, M. W., Koes, B. W., Beurskens, S., & de Bie, R. A. (1996) · Physical Therapy · doi:10.1093/ptj/76.3.268 · Cited by 173 · see citing works
Linton, S. J., Boersma, K., Jansson, M., Overmeer, T., Lindblom, K., & Vlaeyen, J. W. S. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2007.11.001 · Cited by 156 · see citing works
Rusu, A. C., Kreddig, N., Hallner, D., Hülsebusch, J., & Hasenbring, M. I. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-280 · Cited by 142 · see citing works
ICF – International Classification of Functioning, Disability and Health
Hoffmann, V., & Schäfer, K. (2020) · Springer eBooks · doi:10.1007/978-3-662-61126-5_5 · Cited by 137 · see citing works
Self-Report Outcome Measures for Low Back Pain
Costa, L. O. P., Maher, C. G., & Latimer, J. (2007) · Spine · doi:10.1097/01.brs.0000261024.27926.0f · Cited by 81 · see citing works
Valasek, T., Varga, P. P., Szövérfi, Z., Kümin, M., Fairbank, J. C. T., & Lazáry, Á. (2013) · European Spine Journal · doi:10.1007/s00586-012-2645-9 · Cited by 54 · see citing works
Melikoğlu, M. A., Kocabaş, H., Sezer, İ., Filiz, M. B., & Tuncer, T. (2009) · Spine · doi:10.1097/brs.0b013e3181971e2d · Cited by 48 · see citing works
Misterska, E., Jankowski, R., & Głowacki, M. (2011) · Spine · doi:10.1097/brs.0b013e318216ad48 · Cited by 46 · see citing works
Rodrigues, M. F., Michel‐Crosato, E., Cardoso, J. R., & Traebert, J. L. (2009) · Spine · doi:10.1097/brs.0b013e3181a5605a · Cited by 30 · see citing works
Validation of the Arabic Version of the Quebec Back Pain Disability Scale
Alnahhal, A., & May, S. (2012) · Spine · doi:10.1097/brs.0b013e3182765a3f · Cited by 27 · see citing works
Validity and reliability of the Greek version of the Quebec Back Pain Disability Scale
Christakou, Α., Andriopoulou, M., & Asimakopoulos, P. (2011) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-2011-0288 · Cited by 18 · see citing works
A valid cross-culturally adapted simplified Chinese version of the Quebec Back Pain Disability Scale
Wei, X., Yi, H., Wu, B., Qi, M., Liu, X., Chen, Z., Zhang, G., Zhang, W., Chen, K., Yang, Z., et al. (2012) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2012.06.007 · Cited by 15 · see citing works
Flagged first, then by citations
1 of the 31 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [27]Fisseni HJ Lehrbuch zur psychologischen Diagnostik: mit Hinweisen zur Intervention (2., überarbeitete und erweiterte Aufl) [Textbook for psychological diagnostic: with comments for interventions (2nd revised edition)] Göttingen Hogrefe-Verlag 1997 German
Cited by
Sorted by citations
Chiarotto, A., Ostelo, R., Boers, M., & Terwee, C. B. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.11.005 · Cited by 136 · see citing works
Choosing the right outcome measurement instruments for patients with low back pain
Chiarotto, A., Terwee, C. B., & Ostelo, R. (2016) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2017.07.001 · Cited by 108 · see citing works
Glombiewski, J. A., Holzapfel, S., Riecke, J., Vlaeyen, J. W. S., de Jong, J., Lemmer, G., & Rief, W. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000298 · Cited by 81 · see citing works
Self-citationSchemer, L., Schroeder, A., Ørnbøl, E., & Glombiewski, J. A. (2019) · European Journal of Pain · doi:10.1002/ejp.1326 · Cited by 28 · see citing works
Self-citationMueller, G., Palli, C., & Schumacher, P. (2018) · Pain Management Nursing · doi:10.1016/j.pmn.2018.09.002 · Cited by 24 · see citing works
Generalizability of harm and pain expectations after exposure in chronic low back pain patients
Riecke, J., Rief, W., Vlaeyen, J. W. S., & Glombiewski, J. A. (2020) · European Journal of Pain · doi:10.1002/ejp.1604 · Cited by 19 · see citing works
Self-citationSustainability of cognitive behavioural interventions for chronic back pain: A long‐term follow‐up
Riecke, J., Rief, W., Lemmer, G., & Glombiewski, J. A. (2024) · European Journal of Pain · doi:10.1002/ejp.2160 · Cited by 15 · see citing works
Self-citationLow Back Pain during Pregnancy and Delivery Outcomes
Fruscalzo, A., Cocco, P., Londero, A. P., & Gantert, M. (2021) · Zeitschrift für Geburtshilfe und Neonatologie · doi:10.1055/a-1553-4856 · Cited by 13 · see citing works
Cáceres‐Matos, R., Gil‐García, E., Cabrera‐León, A., Pórcel‐Gálvez, A. M., & Barrientos‐Trigo, S. (2020) · Pain Management Nursing · doi:10.1016/j.pmn.2019.06.010 · Cited by 13 · see citing works
Vogel, J., Wilke, J., Krause, F., Vogt, L., Niederer, D., & Banzer, W. B. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2779-6 · Cited by 11 · see citing works
Postoperative complications: how much do they cost?
de la Hunt, M. N., Chan, A. Y. T., & Karran, S. J. (1986) · PubMed Central · Cited by 10 · see citing works
Transcultural adaptation and validation of Hindi version of Quebec Back Pain Disability Scale
Zaidi, S., Verma, S., Moiz, J. A., & Hussain, M. E. (2017) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1362596 · Cited by 10 · see citing works
Expositionstherapie bei chronischen Rückenschmerzen
Glombiewski, J. A. (2018) · Der Schmerz · doi:10.1007/s00482-018-0311-9 · Cited by 8 · see citing works
Self-citationMonticone, M., Frigau, L., Molà, F., Rocca, B., Franchignoni, F. P., Vullo, S. S., Foti, C., & Chiarotto, A. (2019) · European Spine Journal · doi:10.1007/s00586-019-06153-4 · Cited by 8 · see citing works
Holzapfel, S., Schemer, L., Riecke, J., & Glombiewski, J. A. (2021) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000920 · Cited by 7 · see citing works
Self-citationPontes‐Silva, A., Ávila, M. A., Penha, T. F. C., Gomes, C. A. F. D. P., & Dibai‐Filho, A. V. (2022) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2022.102587 · Cited by 6 · see citing works
Construct validity of the Quebec Back Pain Disability Scale: a factor analytic and Rasch study
Franchignoni, F. P., Giordano, A., & Monticone, M. (2021) · European Journal of Physical and Rehabilitation Medicine · doi:10.23736/s1973-9087.21.06502-3 · Cited by 4 · see citing works
Vogt, R., Haas, J., Baumann, L., Sander, A., Klose, C., Riecke, J., Rief, W., Bingel, U., Maser, D., Witthöft, M., et al. (2024) · Trials · doi:10.1186/s13063-024-08017-9 · Cited by 3 · see citing works
“This 20-item questionnaire shows strong psychometric properties with high internal consistency ( α = 0.94) and good validity [46].”
BackgroundInfluentialSelf-citationExpositionstherapie bei chronischen Rückenschmerzen: Nicht ohne Verhaltensexperimente
Schemer, L., Riecke, J., & Glombiewski, J. A. (2020) · Verhaltenstherapie · doi:10.1159/000510169 · Cited by 3 · see citing works
Self-citationLong, M. J., Dong, Y., & Liu, H. (2024) · Medicine · doi:10.1097/md.0000000000036858 · Cited by 2 · see citing works
Patient Self-report Outcome Measures for Individuals with Spine Conditions
Davenport, T. E. (2016) · Orthopaedic Section, APTA, Inc. eBooks · doi:10.17832/isc.2016.26.1.5
Walankar, P. P., Panhale, V. P., & Kadam, S. (2025) · Indian Spine Journal · doi:10.4103/isj.isj_62_24
Patient-Reported Outcome Measures
Stolz, M. (2025) · Elsevier eBooks · doi:10.1016/b978-3-437-46003-6.00018-5
- Authors
- Riecke, J., Holzapfel, S., Rief, W., Lachnit, H., & Glombiewski, J.
- Affiliations
- Philipps University of Marburg (DE)
- Corresponding author
- Glombiewski, Julia
- Venue
- Journal of Pain Research
- Publisher
- Informa UK Limited
- Published
- 2016-01
- Volume
- 9
- Pages
- 9
- ISSN
- 1178-7090 (ISSN-L)
- PMC
- PMC4714739
- OpenAlex
- W2233338583
- Cited by
- 23
- References
- 31
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 2
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Pain Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- Quebec Back Pain Disability Scale, chronic low back pain, German translation, cross-cultural adaptation, disability assessment, cognitive behavioral therapy, factor structure, psychometric validation
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