Department of Psychology and Human Development, Vanderbilt University.
J Pediatr Psychol. 2011 Jan;36(1):74-83. doi: 10.1093/jpepsy/jsq058. Epub 2010 Jul 23.
To evaluate the relation between dispositional and episode-specific pain coping measures, the variability of episode-specific pain coping over time, and the utility of dispositional versus episode-specific measures of pain coping in predicting outcomes in pediatric patients with chronic abdominal pain (CAP).
Participants (N = 116) completed a clinic interview, a week of daily diary interviews, and 3-month follow-up questionnaires. Daily coping reports were averaged and compared to dispositional coping reports. Coping reports were used to predict depressive symptoms, somatic symptoms, and functional disability at follow-up.
Dispositional pain coping measures significantly correlated with averaged episode-specific measures. Passive coping predicted higher levels of all outcome variables. The averaged episode-specific passive coping measure was a stronger predictor than a dispositional measure. Measures of active and accommodative coping were not significant predictors.
Assessment of coping with specific pain episodes may enhance understanding of pain coping.
评估特质性和发作特异性疼痛应对措施之间的关系、发作特异性疼痛应对随时间的变化程度，以及特质性和发作特异性疼痛应对措施在预测慢性腹痛（CAP）患儿结局方面的效用。
参与者（N=116）完成了临床访谈、一周的日常日记访谈和 3 个月的随访问卷。每日应对报告被平均，并与特质性应对报告进行比较。应对报告用于预测随访时的抑郁症状、躯体症状和功能障碍。
特质性疼痛应对措施与平均发作特异性应对措施显著相关。被动应对预测了所有结局变量的更高水平。平均发作特异性被动应对措施比特质性措施更能预测结局。积极应对和适应应对的措施不是显著的预测因素。
评估特定疼痛发作时的应对方式可能会增强对疼痛应对的理解。
