Sullivan M J, D'Eon J L
Rehabilitation Centre, Ottawa, Ontario, Canada.
J Abnorm Psychol. 1990 Aug;99(3):260-3. doi: 10.1037//0021-843x.99.3.260.
The relation between catastrophizing, depression, and pain was examined in 125 chronic pain patients. The Coping Strategies Questionnaire (CSQ; Rosenstiel & Keefe, 1983) assessed patients' use of cognitive and behavioral strategies to cope with chronic pain. A significant association between catastrophizing and depression was found. In order to address questions of measurement redundancy, 6 clinical psychologists rated the degree to which items on the CSQ reflected depressive symptomatology. All items contained in the Catastrophizing subscale were rated by all psychologists as being reflective of symptoms of depression and were removed from the CSQ. When this subscale was excluded, none of the remaining CSQ subscales were significantly related to depression. The discussion addresses the interpretive difficulties that arise from hypothesizing mediating relations between variables that are conceptually and operationally confounded.
对125名慢性疼痛患者的灾难化思维、抑郁和疼痛之间的关系进行了研究。应对策略问卷（CSQ；Rosenstiel和Keefe，1983年）评估了患者使用认知和行为策略来应对慢性疼痛的情况。研究发现灾难化思维与抑郁之间存在显著关联。为了解决测量冗余的问题，6名临床心理学家对CSQ上的项目反映抑郁症状的程度进行了评分。所有心理学家都认为灾难化思维分量表中的所有项目都反映了抑郁症状，并将其从CSQ中删除。当排除该分量表后，其余的CSQ分量表与抑郁均无显著相关性。讨论部分阐述了在假设概念上和操作上相互混淆的变量之间的中介关系时所产生的解释困难。
