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[纤维肌痛患者对慢性疼痛的接受度:慢性疼痛接受问卷(CPAQ)在西班牙人群中的适应性研究]

[Acceptance of chronic pain in fibromyalgia patients: adaptation of Chronic Pain Acceptance Questionnaire (CPAQ) in a Spanish population].

作者信息

González Menéndez Ana, Fernández García Paula, Torres Viejo Iván

机构信息

Universidad de Oviedo, Facultad de Psicología, Oviedo, Spain.

出版信息

Psicothema. 2010 Nov;22(4):997-1003.

PMID:21044544
Abstract

Acceptance of chronic pain appears as an important factor in the personal ability to restore functioning in the presence of chronic pain. The Chronic Pain Acceptance Questionnaire (CPAQ) is currently the only instrument used to assess the acceptance of pain in people who suffer chronic pain. The revised 20-item version of McCracken and cols. (2004) showed satisfactory psychometric properties. Nevertheless, the CPAQ has not been used in Spain in fibromyalgia patients. The first goal of the study is to examine the Spanish translation of the CPAQ and assess its psychometric properties in a sample of 145 subjects with a diagnosis of fibromyalgia. The second purpose was to analyze the relationships between the CPAQ and other important measures of pain adjustment. Results of exploratory factor analysis indicated that the two-factor model, in a 15-item test, provided a good fit to the data in fibromyalgia patients. Regression analyses showed strong relations with criteria variables (pain intensity, anxiety, depression, etc.) though the subscale Activity Engagement contributed more than Pain Willingness to the prediction of criteria variables.

摘要

对慢性疼痛的接纳似乎是慢性疼痛患者恢复功能个人能力的一个重要因素。慢性疼痛接纳问卷(CPAQ)是目前唯一用于评估慢性疼痛患者疼痛接纳程度的工具。麦克拉肯等人(2004年)修订的20项版本显示出令人满意的心理测量特性。然而,CPAQ尚未在西班牙用于纤维肌痛患者。该研究的首要目标是检验CPAQ的西班牙语翻译版本,并在145名诊断为纤维肌痛的受试者样本中评估其心理测量特性。第二个目的是分析CPAQ与其他疼痛调适重要指标之间的关系。探索性因素分析结果表明,在一个15项测试中的双因素模型很好地拟合了纤维肌痛患者的数据。回归分析显示与标准变量(疼痛强度、焦虑、抑郁等)有很强的关系,尽管分量表“活动参与度”比“疼痛意愿度”对标准变量的预测贡献更大。

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