Moss-Morris R, Petrie K J
Department of Psychiatry and Behavioural Science, Faculty of Medicine and Health Science, University of Auckland, New Zealand.
J Psychosom Res. 1997 Sep;43(3):293-306. doi: 10.1016/s0022-3999(97)00020-2.
The article reports on the revision of the Cognitive Errors Questionnaire (CEQ). The CEQ which was originally developed to measure cognitive distortions specific to chronic pain, has been significantly shortened and made applicable to a wider range of somatic problems. The Cognitive Errors Questionnaire-Revised (CEQ-R) contains two subscales: Somatic--distortions specific to somatic experiences; and General--distortions to everyday life events. Validation of the scale with CFS, depressed, and chronic pain groups and healthy controls confirms the CEQ-R loads onto general and somatic factors. Both subscales have high internal consistency and good test-retest reliability. The pattern of subjects' responses to the CEQ-R scores showed that the depressed group scored significantly higher on the General CEQ-R scale than the other groups, whereas the CFS and chronic pain groups scored higher than healthy controls on the Somatic CEQ-R. Somatic CEQ-R scores showed a significant decrease over the course of a pain management program, with a concomitant decrease in disability and depression scores. Further analyses showed the Somatic CEQ-R to be significantly related to self and symptom focusing, whereas the General CEQ-R was found to be significantly correlated with higher depression, lower self-esteem, and self focusing. The CEQ-R may be a useful instrument to examine the relationship between cognitive distortions and disability in a variety of illnesses, and to differentiate primary depression from overlapping somatic disorders.
本文报道了认知错误问卷（CEQ）的修订情况。最初开发的CEQ是用于测量慢性疼痛特有的认知扭曲，现已大幅缩短并适用于更广泛的躯体问题。修订后的认知错误问卷（CEQ-R）包含两个分量表：躯体——躯体体验特有的扭曲；以及一般——对日常生活事件的扭曲。对慢性疲劳综合征（CFS）组、抑郁症组、慢性疼痛组和健康对照组进行量表验证，证实CEQ-R可归为一般因素和躯体因素。两个分量表都具有较高的内部一致性和良好的重测信度。受试者对CEQ-R分数的反应模式表明，抑郁症组在一般CEQ-R量表上的得分显著高于其他组，而CFS组和慢性疼痛组在躯体CEQ-R上的得分高于健康对照组。在疼痛管理项目过程中，躯体CEQ-R分数显著下降，同时残疾和抑郁分数也随之下降。进一步分析表明，躯体CEQ-R与自我关注和症状关注显著相关，而一般CEQ-R与更高的抑郁、更低的自尊和自我关注显著相关。CEQ-R可能是一种有用的工具，可用于研究各种疾病中认知扭曲与残疾之间的关系，以及区分原发性抑郁症与重叠的躯体障碍。
