Ağrıyla başetme envanteri’nin geçerlik ve güvenirlik çalışması
Amaç: Bu çalışmanın temel amacı, ağrı yönetiminde kullanılan hem aktif hem pasif başetme stratejilerini eşit ağırlıkta değerlendiren ve özgün formu Kraaimaat ve Evers (2003) tarafından geliştirilmiş olan Ağrıyla Başetme Envanteri’nin (ABE) Türkçe formunun geçerlik ve güvenirliliğini sınamaktır. Gereç ve Yöntem: Araştırmanın örneklemi, çeşitli kronik ağrı hastalarından oluşan 232’si (%83,2) kadın, 47’si (%16,8) erkek 279 yetişkinden oluşmaktadır. Veri toplamada ABE’nin yanı sıra, ölçüt ve yakınsak geçerlik sınaması için Genel Özyeterlilik Ölçeği, Ağrı Özetkinlik Ölçeği-2, Stresle Başaçıkma Tarzları Ölçeği ve Ağrıyla Başaçıkma Ölçeği kullanılmıştır. Bulgular: Temel Bileşenler Analizi’nde ABE uzaklaşma, ağrıyı dönüştürme, rahatlatıcı düşünme, endişe, dinlenme ve geri çekilme olmak üzere altı faktör olarak bulunmuştur. Altölçeklerin Cronbach içtutarlılık katsayısı .53 ile .77 arasında değişmektedir. ABE’nin altboyutları ile diğer ölçeklerin kriter ve ölçüt geçerliliğine ilişkin korelasyon değerleri anlamlıdır. Sonuç: Bu bulgular, ABE’nin farklı gruptan ağrı hastalarında ağrıyla başetme yöntemlerini değerlendirmek amacıyla kullanılabileceğine işaret etmektedir.
The study of reliability and validity of the pain coping inventory
Objectives: This study aims to test the validity and reliability of the Turkish form of Pain Coping Inventory (PCI) originally developed by Kraaimaat ve Evers (2003) and where pain coping is conceptualised as the composite of cognitive and behavioral active and passive strategies. Methods: The sample consisted of a total of 279 participants with various pain complaints where 232 were women (83.2%) and 47 were men (16.8%). Besides the Turkish form of PCI, General Self-Efficacy Scale, Pain Self Efficacy Questionnaire-2, Ways of Coping Inventory and Pain Coping Questionnaire were used to determine criterion and convergent validity of the scale. Results: The principal component analysis revealed that the scale had six factors of distraction, pain transformation, comforting thinking, worrying, resting and withdrawal. The internal consistency of the subscales varied between .53 ile .77. The correlations of the subscales of PCI with criterion and convergent validity scales were significant. Conclusion: The results suggest that PCI can be a useful tool for assessing coping strategies of pain patients with varying complaints of pain.
___
- American Chronic Pain Association. ACPA Resource Guide
to Chronic Pain Medication & Treatment 2013. Available at:
https://www.michigan.gov/documents/lara/ACPA_Resource_Guide_2013_Final_011313_414227_7.pdf. Accessed
Dec 14, 2018.
- Sharp TJ. Chronic pain: a reformulation of the cognitivebehavioural model. Behav Res Ther 2001;39(7):787–800.
- Lazarus RS, Folkman S. Stress, Appraisal and Coping. New
York, NY: Springer; 1984.
- Heutink M, Post MW, Overdulve CW, Pfennings LE, van de
Vis W, Vrijens NL, et al. Which pain coping strategies and
cognitions are associated with outcomes of a cognitive behavioral intervention for neuropathic pain after spinal cord
injury? Top Spinal Cord Inj Rehabil 2013;19(4):330–40.
- Molton IR, Stoelb BL, Jensen MP, Ehde DM, Raichle KA, Cardenas DD. Psychosocial factors and adjustment to chronic
pain in spinal cord injury: replication and cross-validation.
J Rehabil Res Dev 2009;46(1):31–42.
- Turner JA, Ersek M, Kemp C. Self-efficacy for managing
pain is associated with disability, depression, and pain coping among retirement community residents with chronic
pain. J Pain 2005;6(7):471–9.
- Wollaars MM, Post MW, van Asbeck FW, Brand N. Spinal
cord injury pain: the influence of psychologic factors and
impact on quality of life. Clin J Pain 2007;23(5):383–91.
- Brown GK, Nicassio PM. Development of a questionnaire
for the assessment of active and passive coping strategies
in chronic pain patients. Pain 1987;31(1):53–64.
- Kraaimaat FW, Evers AW. Pain-coping strategies in chronic
pain patients: psychometric characteristics of the pain-coping inventory (PCI). Int J Behav Med 2003;10(4):343–63.
- Jensen MP, Turner JA, Romano JM, Strom SE. The Chronic
Pain Coping Inventory: development and preliminary validation. Pain 1995;60(2):203–16.
- Tennen H, Affleck G, Zautra A. Depression history and coping with chronic pain: a daily process analysis. Health
Psychol 2006;25(3):370–9.
- Steultjens MP, Dekker J, Bijlsma JW. Coping, pain, and disability in osteoarthritis: a longitudinal study. J Rheumatol
2001;28(5):1068–72.
- Kleinke CL. How chronic pain patients cope with pain: relation to treatment outcome in a multidisciplinary pain clinic. Cog Ther and Res 1992;16:669–85.
- Karaca S, Demir O, Aşkın R, Şimşek İ. Ağrı ile Başa Çıkma
Ölçeği Geçerlilik ve Güvenirliği. 5. Türk-Alman Fiziksel Tıp
ve Rehabilitasyon Kongresi. Antalya, 1996.
- Harrison JK, Chadwick M, Scales M. The Relationship Between Cross-Cultural Adjustment And The Personality Variables Of Self-Efficacy And Self-Monitorig. Int J of Int Rel
1996;20(2):167–88.
- Scherbaum CA, Cohen-Charash Y, Kern MJ. Measuring
General Self-Efficacy: A Comparison Of Three Measures Using Item Response Theory. Educ and Psy Meas
2006;66(6):1047–63.
- Bandura A. Human agency in social cognitive theory. Am
Psychol 1989;44(9):1175–84.
- Bryant RA. Memory for pain and affect in chronic pain patients. Pain 1993;54(3):347–51.
- Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S,
Jacobs B, Rogers RW. The Self- Efficacy Scale: construction
and validation. Psy Rep 1982;51:663–71.
- Sherer M, Adams CH. Construct validation of the SelfEfficacy Scale. Psy Rep 1983;53:899–902.
- Yildirim F, Ilhan IO. The validity and reliability of the general self-efficacy scale-Turkish form. [Article in Turkish]. Turk
Psikiyatri Derg 2010;21(4):301–8.
- Nicholas MK, McGuire BE, Asghari A. A 2-item short form
of the Pain Self-efficacy Questionnaire: development and
psychometric evaluation of PSEQ-2. J Pain 2015;16(2):153–
63.
- Şahin NH, Durak A. Stresle Başaçıkma Tarzları Ölçeği: Üniversite Öğrencileri İçin Uyarlanması. T Psi Der
1995;10(34):56–73.
- Asmundson GJ, Katz J. Understanding the co-occurrence
of anxiety disorders and chronic pain: state-of-the-art.
Depress Anxiety 2009;26(10):888–901.
- Means-Christensen AJ, Roy-Byrne PP, Sherbourne CD,
Craske MG, Stein MB. Relationships among pain, anxiety, and depression in primary care. Depress Anxiety
2008;25(7):593–600.
- Greenberg J, Burns JW. Pain anxiety among chronic pain
patients: specific phobia or manifestation of anxiety sensitivity? Behav Res Ther 2003;41(2):223–40.
- Perrot S, Poiraudeau S, Kabir M, Bertin P, Sichere P, Serrie
A, et al. Active or passive pain coping strategies in hip
and knee osteoarthritis? Results of a national survey of
4,719 patients in a primary care setting. Arthritis Rheum
2008;59(11):1555–62.
- Snow-Turek AL, Norris MP, Tan G. Active and passive coping
strategies in chronic pain patients. Pain 1996;64(3):455–
62.
- Rosenstiel AK, Keefe FJ. The use of coping strategies in
chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain 1983;17(1):33–44.
- Vlaeyen JW, Geurts SM, Kole-Snijders AM, Schuerman JA,
Groenman NH, van Eek H. What do chronic pain patients
think of their pain? Towards a pain cognition questionnaire. Br J Clin Psychol 1990;29(Pt 4):383–94.
- Quartana PJ, Campbell CM, Edwards RR. Pain catastrophizing: a critical review. Expert Rev Neurother 2009;9(5):745–
58.
- Pincus T, Burton AK, Vogel S, Field AP. A systematic review
of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa
1976) 2002;27(5):E109–20.
- Edwards RR, Bingham CO 3rd, Bathon J, Haythornthwaite
JA. Catastrophizing and pain in arthritis, fibromyalgia, and
other rheumatic diseases. Arthritis Rheum 2006;55(2):325–
32.
- Buenaver LF, Edwards RR, Smith MT, Gramling SE, Haythornthwaite JA. Catastrophizing and pain-coping in young adults: associations with depressive symptoms and
headache pain. J Pain 2008;9(4):311–9.
35. Keefe FJ, Lefebvre JC, Egert JR, Affleck G, Sullivan MJ, Caldwell DS. The relationship of gender to pain, pain behavior,
and disability in osteoarthritis patients: the role of catastrophizing. Pain 2000;87(3):325–34.
- Somers TJ, Keefe FJ, Pells JJ, Dixon KE, Waters SJ, Riordan
PA, et al. Pain catastrophizing and pain-related fear in osteoarthritis patients: relationships to pain and disability. J
Pain Symptom Manage 2009;37(5):863–72.
- Philips HC. Avoidance behaviour and its role in sustaining
chronic pain. Behav Res Ther 1987;25(4):273–9.
- Strahl C, Kleinknecht RA, Dinnel DL. The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis
patient functioning. Behav Res Ther 2000;38(9):863–73.
- Bandura A. Self-Efficacy: The Exercise of Control. New York:
Freeman; 1997.
- Robinson ME, Riley JL 3rd, Myers CD, Sadler IJ, Kvaal SA, Geisser ME, et al. The Coping Strategies Questionnaire: a large
sample, item level factor analysis. Clin J Pain 1997;13(1):43–
9.
- Irachabal S, Koleck M, Rascle N, Bruchon-Schweitzer M.
Pain coping strategies: French adaptation of the coping
strategies questionnaire (CSQ-F). [Article in French]. Encephale 2008;34(1):47–53.
- Monticone M, Ferrante S, Giorgi I, Galandra C, Rocca B, Foti
C. The 27-item coping strategies questionnaire-revised:
confirmatory factor analysis, reliability and validity in Italian-speaking subjects with chronic pain. Pain Res Manag
2014;19(3):153–8.