Kohut Sara Ahola, Stinson Jennifer, Chambers Christine T, Reid Graham J, Pillai Riddell Rebecca R
Department of Psychology, Hospital for Sick Children, Toronto, Canada.
Department of Psychiatry, University of Toronto, Toronto, Canada.
Pain Rep. 2022 Jan 12;7(1):e982. doi: 10.1097/PR9.0000000000000982. eCollection 2022 Jan-Feb.
The Pain Coping Questionnaire (PCQ) has support for its validity and reliability as a tool to understand how a child copes with pain of an extended duration. However, measure length may limit feasibility in clinical settings.
The primary goal of this study was to develop a short-form (PCQ-SF) that could be used for screening how children cope with chronic or recurrent pain and examine its reliability and validity.
The PCQ-SF was developed in a stepwise manner. First, a confirmatory factor analysis was computed using an amalgamated data set from the validation studies of the PCQ (N = 1225). Next, ratings from researchers and clinicians were obtained on PCQ item content and clarity (n = 12). Finally, the resulting 16-item short-form was tested in a pediatric sample living with chronic and recurrent pain (65 parent-child dyads; n = 128).
The PCQ-SF has acceptable preliminary reliability and validity. Both statistical and expert analyses support the collective use of the 16 items as an alternative to the full measure.
The compact format of the PCQ-SF will allow practitioners in high-volume clinical environments to quickly determine a child's areas of strengths and weaknesses when coping with pain. Future research using larger more diverse samples to confirm clinical validity is warranted.
疼痛应对问卷(PCQ)作为一种了解儿童如何应对长时间疼痛的工具,其有效性和可靠性已得到验证。然而,问卷长度可能会限制其在临床环境中的可行性。
本研究的主要目标是开发一种简短形式(PCQ-SF),用于筛查儿童应对慢性或复发性疼痛的方式,并检验其可靠性和有效性。
PCQ-SF采用逐步开发的方式。首先,使用来自PCQ验证研究的合并数据集(N = 1225)进行验证性因素分析。其次,收集研究人员和临床医生对PCQ项目内容和清晰度的评分(n = 12)。最后,在患有慢性和复发性疼痛的儿科样本中测试最终得到的16项简短形式(65对亲子二元组;n = 128)。
PCQ-SF具有可接受的初步可靠性和有效性。统计分析和专家分析均支持将这16个项目作为完整问卷的替代方案进行综合使用。
PCQ-SF的紧凑形式将使高流量临床环境中的从业者能够在儿童应对疼痛时快速确定其优势和劣势领域。有必要开展进一步的研究,使用更大、更多样化的样本以确认其临床有效性。