title: Development and validation of acupuncture fear scale.
abstract: Objectives. Strong aversions to acupuncture have been an obstacle to understanding its intrinsic action of acupuncture. Thus, it is necessary to evaluate the nature and extent of fear of acupuncture treatment. Our study aims to develop and validate an instrument that evaluates a patient's fear of acupuncture treatment. Methods. We have developed an acupuncture fear scale, a 16-item instrument which assesses the acupuncture fear score and uses it to survey 275 participants in South Korea, thus testing the reliability and validity of the instrument. Results. Internal consistency was high (Cronbach's alpha = 0.935). Test-retest reliability (Spearman's rank correlation coefficient) among 33 participants out of 275 ranged from 0.565 to 0.797 (P < 0.001). Principal component analysis revealed two factors accounting for 68% of the variance, which are painful sensation and possible adverse events, respectively. The acupuncture fear scale was positively correlated with the total of fear of pain questionnaire-III (r = 0.423, P < 0.001). Conclusions. The acupuncture fear scale can be a valid and reliable instrument that can measure fear of acupuncture treatment. These results strongly suggest that it would be a clinically useful tool to assess fear of acupuncture in the acupuncture clinic setting and an important instrument to understand the complex social-behavioral component of acupuncture modality.
authors: Acupuncture and Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Republic of Korea.
authors: Ho-Sun
authors: HS
authors: Kim
authors: Yun-Ji
authors: YJ
authors: Kim
authors: Hwa-Jin
authors: HJ
authors: Lee
authors: Song-Yi
authors: SY
authors: Kim
authors: Hyangsook
authors: H
authors: Lee
authors: Dong-Seon
authors: DS
authors: Chang
authors: Hyejung
authors: H
authors: Lee
authors: Hi-Joon
authors: HJ
authors: Park
authors: Younbyoung
authors: Y
authors: Chae
references: J Pers Assess. 2003 Feb;80(1):99-103
references: 12584072
references: Am J Trop Med Hyg. 2003 Mar;68(3):341-4
references: 12685642
references: Acupunct Med. 2001 Jun;19(1):2-14
references: 11471579
references: Eur J Oral Sci. 2003 Feb;111(1):12-8
references: 12558803
references: Value Health. 2005 Mar-Apr;8(2):94-104
references: 15804318
references: J Behav Med. 1998 Aug;21(4):389-410
references: 9789168
references: Trials. 2011 Mar 24;12:87
references: 21435214
references: Am J Med. 2001 Apr 15;110(6):481-5
references: 11331060
references: Physiol Behav. 2008 Oct 20;95(3):515-20
references: 18725240
references: Acupunct Electrother Res. 1999;24(3-4):189-201
references: 10768416
references: J Fam Pract. 1995 Aug;41(2):169-75
references: 7636457
references: Pain. 1993 Feb;52(2):157-168
references: 8455963
references: Pain. 1999 Mar;80(1-2):329-39
references: 10204746
references: Auton Neurosci. 2011 Jan 20;159(1-2):127-30
references: 20728415
references: J Altern Complement Med. 2005 Jun;11(3):535-7
references: 15992241