Department of Psychiatry, Icahn School of Medicine at Mount Sinai.
Center for Anxiety and Related Disorders, Department of Psychological and Brain Sciences, Boston University.
Psychol Serv. 2019 Nov;16(4):535-542. doi: 10.1037/ser0000237. Epub 2018 Mar 26.
As the need for appropriate assessment and treatment of veterans with chronic pain continues to grow, it is important to ensure that the instruments we use to complete these assessments, such as the Coping Strategies Questionnaire-Revised (CSQ-R), are validated on this population. The purpose of the present study was to confirm the factor structure of the CSQ-R in veterans. Secondary analyses examined associations between various pain coping strategies and measures of mood and health functioning. Participants consisted of 281 veterans who were referred to and evaluated by a Psychology Pain Management Program in a northeastern Department of Veterans Affairs health care facility. Participants completed self-report questionnaires including the CSQ-R and measures of disability, mood, and health. Confirmatory factor analysis (CFA) compared the 6-factor solution to models identified in other studies. The CFA indicated that the 6-factor solution of the CSQ-R proposed by Riley and Robinson (1997) is valid and has the best fit of all models tested when used with veterans. The results of the secondary correlational analyses were consistent with previous research indicating that coping self-statements and ignoring pain are adaptive pain coping strategies. Our findings support the psychometric soundness of the 6-factor CSQ-R when used with veterans with chronic pain. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
随着对慢性疼痛退伍军人进行适当评估和治疗的需求不断增长,确保我们用于完成这些评估的工具(如修订后的应对策略问卷 (CSQ-R))在该人群中得到验证非常重要。本研究的目的是在退伍军人中确认 CSQ-R 的因素结构。二次分析检验了各种疼痛应对策略与情绪和健康功能测量之间的关联。参与者包括 281 名被转诊到东北退伍军人事务部医疗保健机构的心理学疼痛管理项目并接受评估的退伍军人。参与者完成了自我报告问卷,包括 CSQ-R 和残疾、情绪和健康测量。验证性因子分析 (CFA) 将 6 因素模型与其他研究中确定的模型进行了比较。CFA 表明,Riley 和 Robinson(1997)提出的 CSQ-R 的 6 因素解决方案在使用退伍军人时是有效的,并且在测试的所有模型中具有最佳的拟合度。二次相关分析的结果与先前的研究一致,表明应对自我陈述和忽视疼痛是适应性疼痛应对策略。我们的研究结果支持了在慢性疼痛退伍军人中使用 6 因素 CSQ-R 的心理测量学稳健性。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。