The pain self-efficacy questionnaire: Taking pain into account

The pain self-efficacy questionnaire: Taking pain into account
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DOI:
10.1016/j.ejpain.2005.12.008
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发表时间:
2007-02-01
影响因子:
3.6
通讯作者:
Nicholas, Michael K.
Nicholas, Michael K.
中科院分区:
医学2区
文献类型:
--
作者:
Nicholas, Michael K.

文献摘要

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慢性疼痛患者的自我效能信念已经通过对执行特定任务的能力的信心或对执行更一般化的结构(如应对疼痛)的信心进行了评估。这两种方法都反映了自我效能的原始概念化的方面,都被证明是有用的,但值得注意的是,在疼痛的情况下进行活动的信心很少得到解决。在自我效能的原始表述中,一个重要的因素是面对障碍和令人厌恶的经历时的坚持。在这种情况下,经历慢性疼痛的人的自我效能信念可能不仅包括对一个人可以执行特定行为或任务的期望,而且还包括他们对能够在疼痛中完成任务的信心。这方面的自我效能结构已被纳入慢性疼痛患者的测量,疼痛自我效能问卷(PSEQ)。积累的证据,从一些已发表的研究和验证性分析与一个大的队列的异质性慢性疼痛患者参加疼痛管理计划提供支持PSEQ的原始心理测量特性开发的样本慢性腰痛患者。考虑到疼痛的背景下,在疼痛人群的自我效能信念的评估和方法,这种措施可以用来改善评估的人经历慢性疼痛,治疗前后的重要性,检查。(C)2005年,国际疼痛研究协会欧洲分会联合会。由爱思唯尔有限公司出版。保留所有权利。
Self-efficacy beliefs in people with chronic pain have been assessed either by reference to confidence in ability to perform specific tasks or to confidence in performing more generalised constructs like coping with pain. Both approaches reflect aspects of the original conceptualisations of self-efficacy and both have proved useful, but it is noteworthy that confidence in performing activities in the context of pain is rarely addressed. An important element in the original formulations of self-efficacy referred to persistence in the face of obstacles and aversive experiences. In this context, self-efficacy beliefs for people experiencing chronic pain might be expected to incorporate not just the expectation that a person could perform a particular behaviour or task, but also their confidence in being able to do it despite their pain. This aspect of the self-efficacy construct has been included in a measure for people with chronic pain, the Pain Self-Efficacy Questionnaire (PSEQ). The accumulated evidence from a number of published studies and a confirmatory analysis with a large cohort of heterogeneous chronic pain patients attending a pain management program provide support for the PSEQ's original psychometric properties developed with a sample of chronic low back pain patients. The importance of taking the context of pain into account in the assessment of self-efficacy beliefs in pain populations and the ways in which this measure can be used to improve the assessment of people experiencing chronic pain, before and after treatment, are examined. (C) 2005 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.