慢性疼痛接纳问卷有效性的新实证证据：活动参与和疼痛意愿对慢性疼痛适应的差异影响。
New empirical evidence of the validity of the Chronic Pain Acceptance Questionnaire: the differential influence of activity engagement and pain willingness on adjustment to chronic pain.
机构信息
Department of Psychobiology and Methodology of Behavioural Sciences, University of Málaga, Spain Department of Personality, Assessment and Psychological Treatments, University of Málaga, Spain.
出版信息
Br J Health Psychol. 2012 May;17(2):314-26. doi: 10.1111/j.2044-8287.2011.02039.x. Epub 2011 Jul 6.
OBJECTIVE
The aims of this study were to examine the internal structure of the Spanish version of the Chronic Pain Acceptance Questionnaire and present new empirical evidence regarding its validity.
DESIGN AND METHODS
A sample of 315 chronic pain patients attending a pain clinic completed a battery of instruments to assess pain acceptance, general psychological acceptance, depression, anxiety, pain intensity, functional impairment, and current functioning.
RESULTS
Confirmatory factor analysis supported the validity of a 20-item version with two subscales corresponding to two independent factors: Activity Engagement and Pain Willingness. Structural Equation Modelling showed that the association between pain intensity and anxiety and depression was fully mediated by Activity Engagement which partially mediated the association between pain intensity and functioning. Pain Willingness partially mediated the influence of pain intensity on functional impairment.
CONCLUSIONS
These findings indicate the differential influence of both components on adjustment to chronic pain.
目的
本研究旨在检验西班牙版慢性疼痛接受问卷的内部结构，并提供其有效性的新实证证据。
设计和方法
一个由 315 名在疼痛诊所就诊的慢性疼痛患者组成的样本完成了一系列工具，以评估疼痛接受度、一般心理接受度、抑郁、焦虑、疼痛强度、功能障碍和当前功能。
结果
验证性因素分析支持了一个包含 20 个项目的两个分量表的 20 项版本的有效性，对应于两个独立的因素：活动参与和疼痛意愿。结构方程模型表明，疼痛强度与焦虑和抑郁之间的关联完全由活动参与度中介，活动参与度部分中介了疼痛强度与功能之间的关联。疼痛意愿部分中介了疼痛强度对功能障碍的影响。
结论
这些发现表明这两个组成部分对慢性疼痛适应的不同影响。
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