Jensen Mark P, Turner Judith A, Romano Joan M
Departments of Rehabilitation Medicine (RJ-30), University of Washington School of Medicine, Seattle, WA 98195 USA Departments of Psychiatry and Behavioral Sciences (RP-10), University of Washington School of Medicine, Seattle, WA 98195 USA Multidisciplinary Pain Center (RC-95), University of Washington Medical Center, Seattle, WA 98195 USA.
Pain. 1992 Dec;51(3):273-280. doi: 10.1016/0304-3959(92)90210-3.
Differences in the use of coping strategies have been hypothesized to explain some of the variation in adaptation among chronic pain patients. Investigators often assess coping using composite indices of different coping strategies. Although the use of composite measures has advantages, it may obscure the importance of specific coping strategies as they relate to functioning. This study compared composite with individual coping scale scores in the prediction of adjustment among chronic pain patients. One hundred and forty-one patients completed the Coping Strategies Questionnaire (CSQ) and 2 measures of adjustment (Sickness Impact Profile (SIP) and the Beck Depression Inventory (BDI)). The scales and ratings of the CSQ were factor analyzed to create composite measures, and the ability of the composite scores and individual scales to predict adjustment was compared. The results indicated that the individual scales provided more information than the composite measures regarding the relationship between coping and adjustment to chronic pain. The results also suggested that individual scale scores may be more useful than composite scores in identifying the conditions under which coping efforts have their greatest effects on adjustment.
应对策略使用上的差异被认为可以解释慢性疼痛患者在适应方面的一些差异。研究人员经常使用不同应对策略的综合指标来评估应对方式。虽然使用综合测量有其优点，但它可能会掩盖特定应对策略与功能之间关系的重要性。本研究比较了综合应对量表得分与个体应对量表得分在预测慢性疼痛患者适应情况方面的差异。141名患者完成了应对策略问卷（CSQ）以及两项适应测量指标（疾病影响量表（SIP）和贝克抑郁量表（BDI））。对CSQ的量表和评分进行因子分析以创建综合测量指标，并比较综合得分和个体量表预测适应情况的能力。结果表明，在应对与慢性疼痛适应之间的关系方面，个体量表比综合测量指标提供了更多信息。结果还表明，在确定应对努力对适应产生最大影响的条件时，个体量表得分可能比综合得分更有用。
