Table 2

Response means and frequency of True (‘True’ or ‘Possibly True’ responses) for individual Back Pain Attitudes Questionnaire (Back-PAQ) items

ItemMean (SD)*Percentage True (95% CI)†n
1. Your back is one of the strongest parts of your body4.0 (1.3)76.0 (72.4 to 79.4)596
2. Your back is well designed for the way you use it in daily life4.1 (1.2)77.8 (74.2 to 81.1)590
3. Bending your back is good for it3.5 (1.4)59.3 (55.2 to 63.3)589
4. Sitting is bad for your back2.9 (1.4)42.7 (38.6 to 46.8)588
5. Lifting without bending your knees is not safe for your back4.7 (0.9)93.5 (91.2 to 95.3)598
6. It is easy to injure your back4.5 (0.9)89.3 (86.5 to 91.6)597
7. It is important to have strong muscles to support your back4.8 (0.6)96.5 (94.7 to 97.8)596
8. Good posture is important to protect your back4.9 (0.4)98.7 (97.4 to 99.4)598
9. If you overuse your back, it will wear out3.3 (1.5)51.8 (47.8 to 55.9)598
10. If an activity or movement causes back pain, you should avoid it in the future3.5 (1.4)58.9 (54.8 to 62.9)594
11. You could injure your back if you are not careful4.7 (0.7)94.9 (92.8 to 96.6)592
12. You can injure your back and only become aware of the injury some time later4.3 (1.1)83.9 (80.8 to 86.8)598
13. Back pain means that you have injured your back3.3 (1.3)56.5 (52.4 to 60.5)598
14. A twinge in your back can be the first sign of a serious injury3.6 (1.1)63.9 (59.9 to 67.7)598
15. Thoughts and feelings can influence the intensity of back pain3.5 (1.4)58.2 (54.1 to 62.2)596
16. Stress in your life (financial, work, relationship) can make back pain worse3.6 (1.4)63.6 (59.6 to 67.5)596
17. When you have back pain, you can do things which increase your pain without harming the back3.0 (1.3)39.4 (35.5 to 43.5)596
18. Having back pain makes it difficult to enjoy life4.6 (0.8)94.1 (91.9 to 95.9)595
19. It is worse to have pain in your back than your arms or legs4.0 (1.2)72.1 (68.3 to 75.7)595
20. It is hard to understand what back pain is like if you have never had it4.5 (0.8)92.9 (90.5 to 94.8)592
21. If your back hurts, you should take it easy until the pain goes away3.7 (1.3)69.3 (65.4 to 73.0)590
22. If you ignore back pain, you may cause damage to your back4.4 (0.9)89.3 (86.5 to 91.7)598
23. It is important to see a health professional when you have back pain4.3 (1.0)84.8 (81.7 to 87.6)593
24. To effectively treat back pain, you need to know exactly what is wrong4.4 (1.0)86.2 (83.2 to 88.9)594
25. If you have back pain you should avoid exercise2.4 (1.3)24.9 (21.4 to 28.6)595
26. When you have back pain the risks of vigorous exercise outweigh the benefits3.6 (1.3)55.1 (51.0 to 59.2)593
27. If you have back pain you should try to stay active4.2 (1.0)80.0 (76.6 to 83.1)595
28. Most back pain settles quickly, at least enough to get on with normal activities3.7 (1.2)63.9 (59.9 to 67.8)593
29. Worrying about your back can delay recovery from back pain3.4 (1.3)54.3 (50.2 to 58.3)597
30. Focusing on things other than the back helps you to recover from back pain3.4 (1.3)55.5 (51.4 to 59.6)596
31. Expecting your back pain to get better helps you to recover from back pain3.3 (1.4)52.4 (48.3 to 56.5)595
32. Once you have had back pain there is always a weakness3.3 (1.3)51.8 (47.7 to 55.8)597
33. There is a high chance that an episode of back pain will not resolve3.2 (1.3)43.5 (39.4 to 47.5)596
34. Once you have a back problem, there is not a lot you can do about it2.0 (1.3)15.9 (13.1 to 19.1)596
  • *1.0=‘False’, 3.0=‘Unsure’, 5.0=‘True’; these are raw scores which have not been adjusted for question direction.

  • †Combined ‘True’ and ‘Possibly True’ responses.