Department of Psychology, ACTHealthy Laboratory, University of Cyprus.
Department of Psychology, University of Cyprus.
Psychol Assess. 2018 Feb;30(2):220-230. doi: 10.1037/pas0000467. Epub 2017 Apr 3.
The Chronic Pain Acceptance Questionnaire (CPAQ) is a measure of pain acceptance comprised of pain willingness (PW) and activity engagement (AE; McCracken et al., 2004). Concerns about the factorial structure of the CPAQ exist, as it is not yet clear whether PW and AE constitute 2 independent constructs or 1, pain acceptance. Concerns also exist about the internal and predictive validity of test score interpretations of this measure. This study also presents that the choice of predictor variables has contributed to theoretical confusion regarding the impact of pain acceptance on pain-related adjustment. The purpose of this study was: (a) to examine the psychometric properties of both the long (20 items) and short (8 items) versions of the Greek-Chronic Pain Acceptance Questionnaire (G-CPAQ); (b) to examine the utility of a 2-factor solution in predicting psychosocial adjustment to pain using confirmatory factor analysis; and (c) to explore the mediating effects of pain acceptance and cognitive defusion, comprising the "open" response style to pain, between pain interference and pain related outcomes. One hundred and sixty chronic pain patients completed a questionnaire packet including pain indexes, pain acceptance, cognitive fusion, avoidance, and emotional distress. Confirmatory factor analyses supported the 2-factor solution, though a general good model fit was achieved only for the short G-CPAQ version. Structural equation modeling showed that PW and AE coupled with cognitive defusion partially mediated the influence of pain interference on pain severity, emotional distress, and avoidance of pain. (PsycINFO Database Record
慢性疼痛接受问卷（CPAQ）是一种衡量疼痛接受度的方法，包括疼痛意愿（PW）和活动参与度（AE；McCracken 等人，2004 年）。人们对 CPAQ 的因子结构存在担忧，因为目前尚不清楚 PW 和 AE 是否构成 2 个独立的结构，或者是 1 个疼痛接受结构。此外，该测量方法的测试分数解释的内部和预测有效性也存在担忧。本研究还表明，预测变量的选择导致了关于疼痛接受对疼痛相关调整的影响的理论混淆。本研究的目的是：（a）检验希腊慢性疼痛接受问卷（G-CPAQ）的长（20 项）和短（8 项）版本的心理测量特性；（b）使用验证性因子分析检验 2 因素解决方案在预测疼痛相关心理社会调整方面的效用；（c）探索疼痛接受和认知融合（包括对疼痛的“开放”反应方式）在疼痛干扰与疼痛相关结果之间的中介效应。160 名慢性疼痛患者完成了一份问卷包，其中包括疼痛指数、疼痛接受度、认知融合、回避和情绪困扰。验证性因子分析支持 2 因素解决方案，但仅短版 G-CPAQ 达到了良好的整体模型拟合度。结构方程模型表明，PW 和 AE 加上认知融合部分中介了疼痛干扰对疼痛严重程度、情绪困扰和回避疼痛的影响。
