Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, USA Department of Psychiatry, Harvard Medical School, Boston, USA.
Pain. 2011 Oct;152(10):2294-2300. doi: 10.1016/j.pain.2011.06.018. Epub 2011 Jul 23.
Parent perceptions of and responses to pain have been identified as important factors in understanding pain-related disability among children and adolescents with chronic pain. The ability to accept chronic pain rather than focus on ways to avoid or control it has been linked to positive outcomes in chronic pain research. To examine parent beliefs about child acceptance of pain, the Chronic Pain Acceptance Questionnaire, parent report (CPAQ-P), was developed and administered to 195 parents of children with persistent pain evaluated in a multidisciplinary pain clinic. Analyses support the internal consistency of the CPAQ-P (α=.89) and 1-month stability estimates were acceptable for the total scale score (α=.72), and results suggest some responsivity to change. Exploratory factor analysis identified a 2-factor model with 4 items removed from the original 20-item measure. Confirmatory factor analysis strongly supported the modified version. For construct validity, parent beliefs about child acceptance were negatively correlated with parent pain catastrophizing and parent fear of pain. Greater acceptance was also negatively associated with protective parent responses to pain. These results support the CPAQ-P as a promising measure for assessing parent beliefs about child acceptance of pain and reinforce the importance of the social context and parental influence on child functioning.
家长对疼痛的认知和反应被认为是理解儿童和青少年慢性疼痛相关残疾的重要因素。能够接受慢性疼痛，而不是专注于避免或控制疼痛，已被证明与慢性疼痛研究的积极结果相关。为了研究家长对孩子接受疼痛的信念，开发并向 195 名在多学科疼痛诊所接受评估的持续性疼痛儿童的家长发放了慢性疼痛接受问卷家长报告版（CPAQ-P）。分析结果支持了 CPAQ-P 的内部一致性（α=.89），且总量表评分的 1 个月稳定性估计值可接受（α=.72），结果表明该量表具有一定的反应度。探索性因子分析确定了一个 2 因素模型，从最初的 20 项测量中删除了 4 项。验证性因子分析强烈支持了修正版。在结构有效性方面，家长对孩子接受疼痛的信念与家长对疼痛的灾难化思维和对疼痛的恐惧呈负相关。更大程度的接受也与父母对疼痛的保护反应呈负相关。这些结果支持了 CPAQ-P 作为评估家长对孩子接受疼痛的信念的有前途的测量工具，并强调了社会背景和父母对孩子功能的影响的重要性。
