Lefebvre J C, Lester N, Keefe F J
Department of Psychology, Social and Health Sciences, Duke University Medical Center, Durham, NC 27710-3159, USA.
Clin J Pain. 1995 Mar;11(1):36-44.
The first goal of the study was to determine the internal reliability of the Coping Strategies Questionnaire (CSQ) in young adults. The second goal was to examine the relation of the CSQ to reported pain levels. The third goal was to investigate the relationship between the CSQ and concomitant pain problems. The fourth goal was to compare young adults and different chronic pain samples in terms of the frequency of coping strategy use and perceived effectiveness of coping strategies.
The study included 252 undergraduate students who were given the CSQ, a demographic and pain level questionnaire, and a concomitant pain problem survey.
The results indicated that the CSQ was internally reliable when used to assess pain coping strategy use among young adults. Catastrophizing was found to be associated with both pain level and concomitant pain problems, with subjects reporting higher levels of catastrophizing having higher levels of pain and a higher frequency of both migraine headaches and low back pain. Finally, differences were found when comparing the perceived effectiveness in controlling and decreasing pain, and in the use of specific coping strategies in the young adult and chronic pain samples. The young adult sample reported a greater perceived efficacy in controlling and decreasing pain, compared to a sample of low back pain patients and a sample of myofacial pain patients.
The results indicate that the CSQ is a reliable measure for the study of pain-coping strategies used in this population, and one that relates to differences reported in the experience of pain.
本研究的首要目标是确定应对策略问卷（CSQ）在年轻成年人中的内部信度。第二个目标是检验CSQ与报告的疼痛程度之间的关系。第三个目标是调查CSQ与伴随的疼痛问题之间的关系。第四个目标是比较年轻成年人与不同慢性疼痛样本在应对策略使用频率和应对策略感知有效性方面的差异。
该研究纳入了252名本科生，他们被给予了CSQ、一份人口统计学和疼痛程度问卷以及一份伴随疼痛问题调查。
结果表明，当用于评估年轻成年人的疼痛应对策略使用情况时，CSQ具有内部信度。发现灾难化思维与疼痛程度和伴随的疼痛问题均相关，报告有更高灾难化思维水平的受试者具有更高的疼痛水平以及更高的偏头痛和腰痛发作频率。最后，在比较年轻成年人样本与慢性疼痛样本在控制和减轻疼痛的感知有效性以及特定应对策略的使用方面发现了差异。与腰痛患者样本和肌筋膜疼痛患者样本相比，年轻成年人样本报告在控制和减轻疼痛方面有更高的感知效能。
结果表明，CSQ是研究该人群中使用的疼痛应对策略的可靠测量工具，并且与报告的疼痛体验差异相关。
