Liu Ling-Jun, Peng Hsiu-Ling, Liang Wan-Ping, Lin Edward Meng-Hua
Department of Anesthesiology, Changhua Christian Hospital, Changhua 500, Taiwan.
Department of Statistics, Tunghai University, Taichung 40704, Taiwan.
Healthcare (Basel). 2024 Oct 4;12(19):1979. doi: 10.3390/healthcare12191979.
BACKGROUND/OBJECTIVES: Pain resilience (PR) may be associated with different coping skills, resulting in differences in pain outcomes. This study aimed to understand the role of PR in dictating the choice of coping methods.
This study completed a preliminary validation of the Mandarin Chinese version of the Pain Resilience Scale (PRS-C) with online survey data (n = 46). Further, we conducted interviews with individuals with chronic low back pain (n = 24).
The PRS-C psychometric properties were assessed using a confirmatory factor analysis. The interviews explored pain history, treatment experiences, and coping strategies and were analyzed thematically. The validated PRS-C (10 items) demonstrated satisfactory psychometric properties. The interview results showed that participants who scored lower were more likely to adopt disengagement rather than engagement coping strategies. Qualitative data revealed three themes explaining why and how participants in this collectivist social framework chose their coping methods.
The findings suggest that while participants tried to understand their pain and treatment experiences, the cognitive appraisal construct in PR influenced some of the coping experiences. However, deeply influenced by Confucianism and Buddhism, participants also expressed factors beyond the scope of individual fortitudes, such as the relationship with a higher power that significantly influenced their coping behaviors.
背景/目的：疼痛耐受力（PR）可能与不同的应对技巧相关，从而导致疼痛结果的差异。本研究旨在了解PR在决定应对方法选择中的作用。
本研究利用在线调查数据（n = 46）完成了中文版疼痛耐受力量表（PRS-C）的初步验证。此外，我们对慢性下腰痛患者（n = 24）进行了访谈。
使用验证性因素分析评估PRS-C的心理测量特性。访谈探讨了疼痛病史、治疗经历和应对策略，并进行了主题分析。经验证的PRS-C（10项）表现出令人满意的心理测量特性。访谈结果表明，得分较低的参与者更有可能采用脱离而非参与的应对策略。定性数据揭示了三个主题，解释了在这个集体主义社会框架中参与者选择应对方法的原因和方式。
研究结果表明，虽然参与者试图理解他们的疼痛和治疗经历，但PR中的认知评估结构影响了一些应对经历。然而，受儒家思想和佛教思想的深刻影响，参与者也表达了超出个人坚韧范围的因素，比如与更高力量的关系，这显著影响了他们的应对行为。
