Lester N, Lefebvre J C, Keefe F J
Department of Psychology, University of North Florida, Jacksonville, USA.
Clin J Pain. 1996 Dec;12(4):291-300. doi: 10.1097/00002508-199612000-00008.
The study had two purposes: (a) to examine the relationships among coping strategies measured by the Coping Strategies Questionnaire (CSQ) (1), the Vanderbilt Pain Management Inventory (VPMI) (2), and the Ways of Coping Inventory (WOC) (3) and identify the higher-order composite factors representing these relationships; and (b) to determine the degree to which individual coping scale scores and composite coping factor scores could explain variability in the pain intensity and pain-related activity interference reported by young adults. Measures of pain coping were collected from 206 young adults using the CSQ, VPMI, and WOC, along with measures of pain intensity, pain location, and the extent to which pain interfered with daily activities. Results indicated considerable variability in the reported frequency of use of pain-coping strategies and in pain intensity, location, and activity interference. Principal components factor analysis identified three higher-order coping factors (Emotional and Other-Directed Coping, Active Cognitive Coping, and Self-Efficacy for Pain Control) that explained 87% of the variance in individual coping scale scores. The degree to which individual scale scores and composite factor scores explained variability in pain intensity and activity interference variables was determined through a series of multiple regression analyses. The results revealed that individual scale scores, particularly the CSQ scales of catastrophizing and praying or hoping, were best able to explain the variance in measures of pain and activity interference. Taken together, these findings provide further support for the importance of coping variables in explaining the experience of pain and adjustment in young adults.
（a）检验通过应对策略问卷（CSQ）（1）、范德比尔特疼痛管理量表（VPMI）（2）和应对方式量表（WOC）（3）所测量的应对策略之间的关系，并确定代表这些关系的高阶复合因素；（b）确定个体应对量表得分和复合应对因素得分在多大程度上能够解释年轻成年人报告的疼痛强度和疼痛相关活动干扰的变异性。使用CSQ、VPMI和WOC从206名年轻成年人中收集疼痛应对测量数据，同时收集疼痛强度、疼痛部位以及疼痛对日常活动干扰程度的测量数据。结果表明，在报告的疼痛应对策略使用频率以及疼痛强度、部位和活动干扰方面存在相当大的变异性。主成分因子分析确定了三个高阶应对因素（情绪和他人导向应对、积极认知应对以及疼痛控制自我效能），它们解释了个体应对量表得分中87%的方差。通过一系列多元回归分析确定了个体量表得分和复合因子得分在多大程度上解释了疼痛强度和活动干扰变量的变异性。结果显示，个体量表得分，特别是灾难化以及祈祷或希望的CSQ量表，最能解释疼痛和活动干扰测量指标中的方差。综上所述，这些发现进一步支持了应对变量在解释年轻成年人疼痛体验和适应方面的重要性。
