Martin N J, Holroyd K A, Rokicki L A
Duke University Medical Center.
Headache. 1993 May;33(5):244-8. doi: 10.1111/j.1526-4610.1993.hed3305244.x.
This paper describes the development, construct and discriminant validity, and incremental utility of a headache self-efficacy scale. The Headache Self-Efficacy Scale is a 51 item scale designed specifically for recurrent headache sufferers. It assesses individuals' belief that they are able to do the things necessary to prevent a moderately painful headache when confronted with personally relevant headache precipitants. High self-efficacy was associated with less depression, anxiety, and physical symptoms, and less use of passive coping strategies (P < .01), even when headache frequency, intensity and chronicity were controlled statistically. Self-efficacy also explained unique variance in psychological and somatic symptoms beyond that explained by locus of control and general self-efficacy. These findings suggest that adaptation to headaches is influenced by self-efficacy beliefs, and that the assessment of self-efficacy may provide useful information in the evaluation of recurrent headache sufferers.
本文描述了头痛自我效能量表的开发、结构和区分效度以及增量效用。头痛自我效能量表是一个专门为复发性头痛患者设计的包含51个条目的量表。它评估个体在面对与个人相关的头痛诱发因素时，认为自己有能力采取必要措施预防中度疼痛性头痛的信念。即使在对头痛频率、强度和慢性程度进行统计学控制后，高自我效能感仍与较少的抑郁、焦虑和身体症状以及较少使用被动应对策略相关（P <.01）。自我效能感还解释了除控制点和一般自我效能感所解释的之外，心理和躯体症状中的独特变异。这些发现表明，对头痛的适应受自我效能信念的影响，并且自我效能感的评估可能为复发性头痛患者的评估提供有用信息。
