Schanberg L E, Keefe F J, Lefebvre J C, Kredich D W, Gil K M
Arthritis Care Res. 1996 Apr;9(2):89-96. doi: 10.1002/1529-0131(199604)9:2<89::aid-anr1790090204>3.0.co;2-j.
The purpose of this study was twofold: 1) to describe the coping strategies used by children with juvenile primary fibromyalgia syndrome (JPFS), and 2) to examine how pain coping relates to measures of pain, disability/function, psychological distress, and pain behavior.
Sixteen children with JPFS completed the Child Version of the Coping Strategies Questionnaire (CSQ-C), the visual analog scale for pain, the McGill Pain Questionnaire, the Fibromyalgia Impact Questionnaire modified for children, the Arthritis Impact Measurement Scales 2, and the Symptom Checklist-90-Revised. Subjects also also underwent pain behavior observation. Pearson's product moment correlations were conducted to examine the relationship of coping to measures of pain and disability.
The Pain Control and Rational Thinking composite factor score on the CSQ-C correlated with measures of pain severity, functional disability, and psychological distress. Results supported the internal reliability of the CSQ-C in assessing pain coping.
These results suggest that the CSQ-C may provide a reliable measure for assessing variations in pain coping in JPFS patients. Behavioral interventions aimed at increasing the perception of pain control may be beneficial in treating JPFS.
本研究有两个目的：1）描述青少年原发性纤维肌痛综合征（JPFS）患儿所采用的应对策略，2）研究疼痛应对与疼痛程度、残疾/功能、心理困扰及疼痛行为测量指标之间的关系。
16名JPFS患儿完成了儿童版应对策略问卷（CSQ-C）、视觉模拟疼痛量表、麦吉尔疼痛问卷、儿童版纤维肌痛影响问卷、关节炎影响测量量表2以及症状自评量表90修订版。研究对象还接受了疼痛行为观察。采用Pearson积差相关分析来研究应对与疼痛及残疾测量指标之间的关系。
CSQ-C上的疼痛控制与理性思维综合因子得分与疼痛严重程度、功能残疾及心理困扰的测量指标相关。结果支持CSQ-C在评估疼痛应对方面的内部信度。
这些结果表明，CSQ-C可能为评估JPFS患者疼痛应对的差异提供一种可靠的测量方法。旨在增强疼痛控制感的行为干预可能对治疗JPFS有益。
