Martin Michelle Y, Bradley Laurence A, Alexander Ronald W, Alarcón Graciela S, Triana-Alexander Mireya, Aaron Leslie A, Alberts Kristin R
Division of Clinical Immunology and Rheumatology, University of Alabama School of Medicine, Department of Medicine,Birmingham, AL,USA.
Pain. 1996 Nov;68(1):45-53. doi: 10.1016/S0304-3959(96)03179-X.
We administered the Coping Strategies Questionnaire (CSQ) to 80 patients with fibromyalgia (FM) to determine the relationship between coping strategies and functional disability. A principal components factor analysis revealed two dimensions of patients' CSQ responses: Coping Attempts and Catastrophizing. Coping Attempts consists of five scales: Reinterpreting Pain, Ignoring Pain Sensations, Diverting Attention, Coping Self-Statements and Increasing Activity Level. Catastrophizing is comprised solely of the CSQ Catastrophizing scale. Both coping strategy dimensions were significantly related to patients' disability scores on the Sickness Impact Profile even after controlling for demographic and clinical variables as well as neuroticism. Coping Attempts was associated with higher levels of Physical (P < 0.05) and Total Disability (P < 0.01), and lower levels of Psychosocial Disability (P < 0.05). Catastrophizing was associated with higher levels of Total Disability (P < 0.01). These relationships suggest that investigators should attempt to identify Coping Attempts strategies that best reduce patients' psychological distress in the laboratory. It then may be possible to teach patients to use these strategies to reduce distress in their home and work environments.
我们对80名纤维肌痛（FM）患者进行了应对策略问卷（CSQ）测试，以确定应对策略与功能残疾之间的关系。主成分因子分析揭示了患者CSQ反应的两个维度：应对尝试和灾难化思维。应对尝试由五个量表组成：重新诠释疼痛、忽略疼痛感觉、转移注意力、自我应对陈述和提高活动水平。灾难化思维仅由CSQ灾难化思维量表构成。即使在控制了人口统计学和临床变量以及神经质之后，这两个应对策略维度均与患者在疾病影响概况量表上的残疾得分显著相关。应对尝试与较高水平的身体残疾（P < 0.05）和总残疾（P < 0.01）相关，与较低水平的心理社会残疾（P < 0.05）相关。灾难化思维与较高水平的总残疾相关（P < 0.01）。这些关系表明，研究人员应尝试在实验室中确定最能减轻患者心理困扰的应对尝试策略。然后，有可能教导患者使用这些策略来减轻他们在家中和工作环境中的困扰。
