Brown Gregory K, Nicassio Perry M
Department of Psychology and Human Development, Vanderbilt University, Nashville, TN 37240 U.S.A. Department of Psychiatry, Vanderbilt University, Nashville, TN 37240 U.S.A.
Pain. 1987 Oct;31(1):53-64. doi: 10.1016/0304-3959(87)90006-6.
This study describes the development of a self-report questionnaire, the Vanderbilt Pain Management Inventory, which assesses the frequency with which chronic pain patients use active or passive coping strategies when their pain reaches a moderate or greater level of intensity. Two internally reliable scales, Active Coping and Passive Coping, were derived using factor analytic techniques from a sample of 361 rheumatoid arthritis patients. The 2 scales showed an opposite pattern of relationships with criterion measures. While Active Coping was associated with reports of less pain, less depression, less functional impairment, and higher general self-efficacy, Passive Coping was correlated with reports of greater depression, greater pain and flare-up activity, greater functional impairment, and lower general self-efficacy. The relationship of these scales to previous theory and research on coping is presented. These scales appear useful for the assessment of coping strategies in clinical settings and in treatment outcome research on chronic pain.
本研究描述了一种自我报告问卷——范德比尔特疼痛管理量表的编制过程，该量表用于评估慢性疼痛患者在疼痛达到中度或更高强度时使用主动或被动应对策略的频率。通过对361名类风湿性关节炎患者样本运用因子分析技术，得出了两个内部可靠的量表：主动应对量表和被动应对量表。这两个量表与标准测量指标呈现出相反的关系模式。主动应对与疼痛减轻、抑郁减轻、功能障碍减轻以及总体自我效能感较高的报告相关，而被动应对则与抑郁加重、疼痛和病情发作活动加剧、功能障碍加重以及总体自我效能感较低的报告相关。文中还阐述了这些量表与以往应对理论和研究的关系。这些量表似乎有助于在临床环境以及慢性疼痛治疗效果研究中评估应对策略。
