Tait R C, Chibnall J T
SSM Rehabilitation Institute, Hazelwood, St. Louis, MO 63042, USA.
Pain. 1997 Apr;70(2-3):229-35. doi: 10.1016/s0304-3959(97)03330-7.
Because patient attitudes and beliefs about pain have been shown to affect treatment outcomes and adjustment to illness, a number of self-report instruments have been developed assess those constructs. The Survey of Pain Attitudes (SOPA) is a well-researched instrument that assesses patient feelings about pain control, solicitude (solicitous responses from others in response to one's pain), medication (as appropriate treatment for pain), pain-related disability, pain and emotions (the interaction between emotions and pain), medical cures for pain, and pain-related harm (pain as an indicator of physical damage or harm). The factor structure of the SOPA, however, has not been verified and its length makes its administration cumbersome. The present study examined the factor structure of the SOPA and developed a brief 30-item version of the original. Factor analysis showed that the SOPA did not contain seven unique dimensions. The brief version (the SOPA-B), however, clearly reflected the seven dimensions described for the SOPA. The psychometric properties of the SOPA-B were comparable to those of the SOPA. The SOPA-B appears to be a practical, easily-administered alternative to the longer version.
由于患者对疼痛的态度和信念已被证明会影响治疗结果和对疾病的适应,因此已开发了一些自我报告工具来评估这些构念。疼痛态度调查(SOPA)是一种经过充分研究的工具,用于评估患者对疼痛控制、关怀(他人对自身疼痛的关切反应)、药物治疗(作为疼痛的适当治疗方法)、疼痛相关残疾、疼痛与情绪(情绪与疼痛之间的相互作用)、疼痛的医学治疗以及疼痛相关伤害(疼痛作为身体损伤或伤害的指标)的感受。然而,SOPA的因子结构尚未得到验证,并且其篇幅使其实施起来很麻烦。本研究检验了SOPA的因子结构,并开发了一个由30个项目组成的原始版本的简短版本。因子分析表明,SOPA并不包含七个独特维度。然而,简短版本(SOPA-B)清楚地反映了为SOPA描述的七个维度。SOPA-B的心理测量特性与SOPA相当。SOPA-B似乎是较长版本的一种实用且易于实施的替代方案。