Rodríguez Franco L, Cano García F J, Blanco Picabia A
Departmento de Personalidad, Evaluación y Tratamiento Psicológicos, Universidad de Sevilla, Seville.
Actas Esp Psiquiatr. 2004 Mar-Apr;32(2):82-91.
We made an adaptation of the Coping Strategies Questionnaire (CSQ) to the Spanish population. This measure, the most used in its scope, was developed by Rosenstiel and Keefe in 1983.
205 participants coming from Primary Health Care and pain clinics made up the sample. More than half suffered migraine and chronic tension-type headache; the rest, fibromyalgia, low back pain, arthrosis or arthritis.
Factor analyses explained 59 % of the total variance, on an 8-factor structure that converged into a 2-factor structure. In the 8-factor solution the novelty was the diversification of mental-non-mental distraction strategies, and religious-non-religious hope strategies. In the 2-factor solution the novelty was the grouping according to the efficacy of the coping. All the CSQ factors showed inner consistency and construct validity. Thus, unadaptive coping strategies were related to negative, anxious and depressed self-talk, related to lack of control and perceived self-efficacy, and related to many pain behaviors. On the contrary it happened with adaptive coping strategies. In addition, the diagnosis of pain was related to the utilization and effectiveness of coping strategies.
CSQ is shown to be a reliable and valid measure of coping strategies in chronic pain in the Spanish population, showing the difference between theoretical and empirical factor structures again.
我们对应对策略问卷（CSQ）进行了改编，使其适用于西班牙人群。该量表是罗森施蒂尔和基夫于1983年编制的，在其适用范围内是使用最广泛的。
样本由来自初级卫生保健机构和疼痛诊所的205名参与者组成。超过一半的人患有偏头痛和慢性紧张型头痛；其余的患有纤维肌痛、腰痛、骨关节炎或关节炎。
因子分析解释了总方差的59%，基于一个8因子结构，该结构汇聚为一个2因子结构。在8因子解决方案中，新颖之处在于心理-非心理分心策略以及宗教-非宗教希望策略的多样化。在2因子解决方案中，新颖之处在于根据应对的效果进行分组。所有CSQ因子均显示出内部一致性和结构效度。因此，非适应性应对策略与消极、焦虑和抑郁的自我对话相关，与缺乏控制感和自我效能感相关，也与许多疼痛行为相关。相反，适应性应对策略则不然。此外，疼痛诊断与应对策略的使用和效果相关。
CSQ被证明是西班牙人群慢性疼痛中应对策略的可靠有效测量工具，再次显示了理论因子结构和实证因子结构之间的差异。
