THE USE OF COPING STRATEGIES IN CHRONIC LOW-BACK-PAIN PATIENTS - RELATIONSHIP TO PATIENT CHARACTERISTICS AND CURRENT ADJUSTMENT
THE USE OF COPING STRATEGIES IN CHRONIC LOW-BACK-PAIN PATIENTS - RELATIONSHIP TO PATIENT CHARACTERISTICS AND CURRENT ADJUSTMENT
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DOI：
10.1016/0304-3959(83)90125-2
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发表时间：
1983-01-01
期刊：
影响因子：
7.4
通讯作者：
KEEFE, FJ
中科院分区：
文献类型：
--
作者：
ROSENSTIEL, AK;KEEFE, FJ
采用问卷调查法对61例慢性下腰痛患者的疼痛应对策略进行调查。数据分析表明，问卷具有内在可靠性。虽然患者报告使用各种应对策略，但某些策略经常使用，而其他策略很少使用。三个因素：认知应对与压抑、无助感、转移注意力或祈祷，在问卷回答中占很大比例的变异。这3个因素可预测对慢性疼痛的行为和情绪调整措施，这些措施超出了基于患者病史变量（持续疼痛的持续时间、残疾状态和疼痛手术次数）和患者躯体化倾向的预测。3个应对因素中的每一个都与慢性疼痛的具体调整措施有关。
Cognitive and behavioral pain coping strategies were assessed by means of questionnaire in a sample of 61 chronic low back pain patients. Data analysis indicated that the questionnaire was internally reliable. While patients reported using a variety of coping strategies, certain strategies were used frequently, while others were rarely used. Three factors: cognitive coping and suppression, helplessness, and diverting attention or praying, accounted for a large proportion of variance in questionnaire responses. These 3 factors were predictive of measures of behavioral and emotional adjustment to chronic pain above and beyond what may be predicted on the basis of patient history variables (length of continuous pain, disability status and number of pain surgeries) and the tendency of patients to somaticize. Each of the 3 coping factors was related to specific measures of adjustment of chronic pain.