<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-02T11:46:41Z</responseDate><request verb="GetRecord" identifier="oai:riuma.uma.es:10630/34296" metadataPrefix="marc">https://riuma.uma.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:riuma.uma.es:10630/34296</identifier><datestamp>2026-02-03T11:22:05Z</datestamp><setSpec>com_10630_2254</setSpec><setSpec>col_10630_37953</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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   <datafield ind2=" " ind1=" " tag="720">
      <subfield code="a">Cuesta-Vargas, Antonio</subfield>
      <subfield code="e">author</subfield>
   </datafield>
   <datafield ind2=" " ind1=" " tag="720">
      <subfield code="a">Randy, Neblett</subfield>
      <subfield code="e">author</subfield>
   </datafield>
   <datafield ind2=" " ind1=" " tag="720">
      <subfield code="a">Gatchel, Robert</subfield>
      <subfield code="e">author</subfield>
   </datafield>
   <datafield ind2=" " ind1=" " tag="720">
      <subfield code="a">Roldán-Jiménez, Cristina</subfield>
      <subfield code="e">author</subfield>
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   <datafield ind2=" " ind1=" " tag="260">
      <subfield code="c">2020-03-31</subfield>
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   <datafield ind2=" " ind1=" " tag="520">
      <subfield code="a">Background: Pain-related fear-avoidance (FA) is a common problem affecting many patients with painful medical&#xd;
conditions. As there is great interest in the clinical importance of the relationship between FA and disability, several&#xd;
questionnaires have been developed to measure FA. The Fear-Avoidance Components Scale (FACS) is a recently&#xd;
developed patient-reported instrument that addresses critical issues not previously considered in previous FA-&#xd;
related questionnaires. The original English version of the FACS demonstrated good reliability, internal consistency,&#xd;
and construct, criterion, and predictive validity. Two factors were determined: General Fear Avoidance and Types of&#xd;
Activities That are Avoided. The aim of this study was to to translate the FACS into European-style Spanish (FACS-&#xd;
Sp), and validate its psychometric properties.&#xd;
Methods: This two-stage psychometric study included 330 subjects with various chronic musculoskeletal pain&#xd;
disorders. An initial translation and cross-cultural adaptation of the FACS, from English to Spanish, was performed.&#xd;
Then, critical psychometric properties were analysed, including internal consistency by Cronbach’s α coefficients,&#xd;
structural validity from the Maximum Likelihood Extraction (MLE), and convergent validity by Pearson correlation&#xd;
with the Central Sensitization Inventory (CSI).&#xd;
Results: This study reports for the first time the psychometric properties of the Spanish version of the FACS. Total&#xd;
scores ranged from 0 to 88 points, with a mean of 30.49 (±17.18). The FACS-Sp showed a high internal consistency&#xd;
for factor 1 (α = 0.902) and factor 2 (α = 0.88). Factor structure was two-dimensional and supported structural&#xd;
validity, accounting for 48.75% of the total variance. Convergent validity analysis found a significant Pearson&#xd;
correlation r = 0.414....</subfield>
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   <datafield ind1="8" ind2=" " tag="024">
      <subfield code="a">Cuesta-Vargas, A.I., Neblett, R., Gatchel, R.J. et al. Cross-cultural adaptation and validity of the Spanish fear-avoidance components scale and clinical implications in primary care. BMC Fam Pract 21, 44 (2020). https://doi.org/10.1186/s12875-020-01116-x</subfield>
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      <subfield code="a">https://hdl.handle.net/10630/34296</subfield>
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   <datafield ind1="8" ind2=" " tag="024">
      <subfield code="a">10.1186/s12875-020-01116-x</subfield>
   </datafield>
   <datafield tag="653" ind2=" " ind1=" ">
      <subfield code="a">Dolor - Aspectos fisiológicos</subfield>
   </datafield>
   <datafield ind2="0" ind1="0" tag="245">
      <subfield code="a">Cross-cultural adaptation and validity of the Spanish fear-avoidance components scale and clinical implications in primary care</subfield>
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