Willing and Able: A Closer Look at Pain Willingness and Activity Engagement on the Chronic Pain Acceptance Questionnaire (CPAQ-8)
Willing and Able: A Closer Look at Pain Willingness and Activity Engagement on the Chronic Pain Acceptance Questionnaire (CPAQ-8)
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DOI：
10.1016/j.jpain.2012.11.004
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发表时间：
2013-03-01
期刊：
影响因子：
4
通讯作者：
McGuire, Brian E.
中科院分区：
文献类型：
--
作者：
Fish, Rosemary A.;Hogan, Michael J.;McGuire, Brian E.
最近提出并验证了慢性疼痛接受问卷（CPAQ-8）的8项版本。本研究的目的是进一步探讨CPAQ-8在新样本中的信度和效度。550名慢性疼痛患者完成了问卷调查（478名在线调查，72名纸质调查）。人口统计学和疼痛史问卷与CPAQ-8一起沿着进行，并测量疼痛自我效能、疼痛灾难化、疼痛的心理灵活性、焦虑和情绪。此外，105名受访者在6周内完成了CPAQ-8，以提供重测信度数据。CPAQ-8（活动参与[AE]和疼痛意愿[PW]）的2因素结构得到证实，并具有合理到良好的量表评分信度和重测信度。通过CPAQ-8测量的疼痛接受度与较少的抑郁、焦虑、疼痛干扰、对再损伤的恐惧、疼痛灾难化和疼痛的心理承受能力以及较高的生活满意度、疼痛自我效能和一般接受度相关。此外，疼痛接受完全介导的疼痛严重程度和情绪困扰（焦虑和抑郁）之间的关系，部分介导的疼痛严重程度和疼痛干扰之间的关系，在结构方程模型。4 - 6周后的重测信度范围为PW的0.68至AE的0.86;总分相关性为0.81。我们的结论是，CPAQ-8是一个可靠和有效的措施，疼痛的接受和2分量表的措施，每个人的预测调整慢性pain.Perspective：本研究提供了进一步的证据CPAQ-8的可靠性和有效性。支持2个相关的分量表，PW和AE，这似乎是协同作用，影响慢性疼痛患者的疼痛干扰和情绪困扰水平。(C)2013年美国疼痛协会American Pain Society
An 8-item version of the Chronic Pain Acceptance Questionnaire (CPAQ-8) has recently been proposed and validated. The aims of this study were to further investigate the reliability and validity of the CPAQ-8 in a new sample. Questionnaires were completed by 550 people with chronic pain (478 online survey, 72 paper survey). A demographic and pain history questionnaire was administered along with the CPAQ-8 and measures of pain self-efficacy, pain catastrophizing, psychological flexibility in pain, anxiety, and mood. In addition, 105 respondents completed the CPAQ-8 within 6 weeks to provide test-retest reliability data. The 2-factor structure of the CPAQ-8 (Activity Engagement [AE] and Pain Willingness [PW]) was confirmed and had reasonable-to-good scale score reliability and test-retest reliability. Pain acceptance as measured by the CPAQ-8 was associated with less depression, anxiety, pain interference, fear of reinjury, pain catastrophizing, and psychological inflexibility in pain, and higher levels of satisfaction with life, pain self-efficacy, and general acceptance. Furthermore, pain acceptance fully mediated the relationship between reported pain severity and emotional distress (anxiety and depression) and partially mediated the relationship between pain severity and pain interference in a structural equation model. The test-retest reliability after 4 to 6 weeks ranged from .68 for PW to .86 for AE; the overall score correlation was .81. We conclude that the CPAQ-8 is a reliable and valid measure of pain acceptance and that the 2 subscales of the measure each make an individual contribution to the prediction of adjustment in people with chronic pain.Perspective: The present study provides further evidence for the reliability and validity of the CPAQ-8. Support was found for the 2 related subscales, PW and AE, which appear to work in synergy to influence levels of pain interference and emotional distress in people living with chronic pain. (C) 2013 by the American Pain Society