Wiwe Lipsker Camilla, Kanstrup Marie, Holmström Linda, Kemani Mike, Wicksell Rikard K
Functional Area Medical Psychology/Functional Unit Behavior Medicine, Uppgång P8:01, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden.
Children (Basel). 2016 Nov 19;3(4):32. doi: 10.3390/children3040032.
In pediatric chronic pain, research indicates a positive relation between parental psychological flexibility (i.e., the parent's willingness to experience distress related to the child's pain in the service of valued behavior) and level of functioning in the child. This points to the utility of targeting parental psychological flexibility in pediatric chronic pain. The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two previous studies have indicated its reliability and validity. The current study sought to validate the Swedish version of the 17-item PPFQ (PPFQ-17) in a sample of parents ( = 263) of children with chronic pain. Factor structure and internal reliability were evaluated by means of principal component analysis (PCA) and Cronbach's alpha. Concurrent criterion validity was examined by hierarchical multiple regression analyses with parental anxiety and depression as outcomes. The PCA supported a three-factor solution with 10 items explaining 69.5% of the total variance. Cronbach's alpha (0.86) indicated good internal consistency. The 10-item PPFQ (PPFQ-10) further explained a significant amount of variance in anxiety (29%), and depression (35.6%), confirming concurrent validity. In conclusion, results support the reliability and validity of the PPFQ-10, and suggest its usefulness in assessing psychological flexibility in parents of children with chronic pain.
在儿童慢性疼痛方面，研究表明父母的心理灵活性（即父母愿意为了有价值的行为去体验与孩子疼痛相关的痛苦）与孩子的功能水平之间存在正相关关系。这表明在儿童慢性疼痛中针对父母心理灵活性进行干预具有实用性。父母心理灵活性问卷（PPFQ）是目前为此目的开发的唯一工具，之前的两项研究已表明其可靠性和有效性。本研究旨在对慢性疼痛儿童的父母样本（n = 263）中的17项瑞典版PPFQ（PPFQ - 17）进行验证。通过主成分分析（PCA）和克朗巴哈系数评估因子结构和内部信度。以父母焦虑和抑郁为结果，通过分层多元回归分析检验同时效度。主成分分析支持一个三因素解决方案，10个项目解释了总方差的69.5%。克朗巴哈系数（0.86）表明具有良好的内部一致性。10项PPFQ（PPFQ - 10）进一步解释了焦虑（29%）和抑郁（35.6%）中相当大比例的方差，证实了同时效度。总之，结果支持PPFQ - 10的可靠性和有效性，并表明其在评估慢性疼痛儿童父母心理灵活性方面的有用性。
