ANALYZING CHRONIC LOW-BACK-PAIN - THE RELATIVE CONTRIBUTION OF PAIN COPING STRATEGIES
ANALYZING CHRONIC LOW-BACK-PAIN - THE RELATIVE CONTRIBUTION OF PAIN COPING STRATEGIES
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DOI：
10.1016/0304-3959(90)91126-4
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发表时间：
1990-03-01
期刊：
影响因子：
7.4
通讯作者：
WILLIAMS, DA
中科院分区：
文献类型：
--
作者：
KEEFE, FJ;CRISSON, J;WILLIAMS, DA
采用应对策略问卷(CSQ)对62例慢性下腰痛患者进行问卷调查，以评估各种认知和行为疼痛应对策略的使用频率和感知有效性。对个体变量的分析表明，CSQ因素、性别、体检结果和疼痛的慢性化对一系列疼痛、心理困扰或行为测量中的一项或多项有显著影响。为了评估每个变量的相对贡献，进行了分层逐步回归分析。这些分析表明，CSQ的无助因素可以解释50%的心理苦恼(SCL-90R的全球严重程度指数)和46%的抑郁(贝克抑郁量表)的差异。在这一CSQ因子上得分高的患者有明显更高的心理痛苦水平。人口统计学或医疗状况变量都不能解释心理痛苦测量中显著比例的差异。CSQ的注意力转移和祈祷因素对疼痛报告的解释程度中等(9%)，但差异显著。在这一因素上得分高的患者在麦吉尔疼痛问卷上的得分也更高。应对策略与诸如守卫或正常工作时间等疼痛行为措施没有很强的相关性。考虑疼痛应对策略可能会使人们能够设计疼痛应对技能训练干预措施，以适应个人下腰痛患者的需求。
Sixty-two chronic low back pain patients were administered the Coping Strategies Questionnaire (CSQ) to assess the frequency of use and perceived effectiveness of a variety of cognitive and behavioral pain coping strategies. Analysis of individual variables revealed that CSQ factors, gender, physical examination findings, and chronicity of pain had significant effects on one or more of a series of pain, psychological distress or behavioral measures. To assess the relative contribution of each of these variables hierarchical stepwise regression analyses were carried out. These analyses revealed that the Helplessness factor of the CSQ explained 50% of the variance in psychological distress (Global Severity Index of the SCL-90R), and 46% of the variance in depression (Beck Depression Inventory). Patients scoring high on this CSQ factor had significantly higher levels of psychological distress. None of the demographic or medical status variables explained a significant proportion of variance in the psychological distress measures. The Diverting Attention and Praying factor of the CSQ explained a moderate (9%), but significant amount of variance in pain report. Patients scoring high on this factor had higher scores on the McGill Pain Questionnaire. Coping strategies were not strongly related to pain behavior measures such as guarding or uptime. A consideration of pain coping strategies may allow one to design pain coping skills training interventions so as to fit the needs of the individuals low back pain patient.