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Further development of an instrument to assess psychological flexibility in people with chronic pain.
Journal of Behavioral Medicine ( IF 2.8 ) Pub Date : 2010-05-26 , DOI: 10.1007/s10865-010-9264-x
Lance M McCracken 1 , Kevin E Vowles , Jane Zhao-O'Brien
Affiliation  

Recently, an expansion of traditional coping models for chronic pain has been offered. This model specifically includes acceptance of chronic pain, as well as the more general process of psychological flexibility. Psychological flexibility includes qualities of behavior such as acceptance and mindfulness, and the capacity to take committed and values-directed or goals-directed action, among other qualities. The present study was intended to refine and validate a measure of psychological flexibility, titled the Brief Pain Response Inventory (BPRI), and determine its relation with key indices of patient functioning. In total, 205 adults with chronic pain who were beginning a program of treatment completed a battery of self-report questionnaires. Exploratory factor analysis indicated the presence of two factors within the items of the BPRI: Flexible Action and Willing Engagement. Subscale and total scores were generally unrelated with patient background variables, although they were related to, and accounted for significant variance in, measures of emotional, physical, and psychosocial functioning. These analyses provide additional support for the relevance of psychological flexibility to the problem of chronic pain, as well as initial evidence for the BPRI as a measure of this process.

中文翻译:

进一步开发评估慢性疼痛患者心理灵活性的工具。

最近,已经提供了针对慢性疼痛的传统应对模式的扩展。该模型特别包括对慢性疼痛的接受,以及更普遍的心理灵活性过程。心理灵活性包括行为品质,例如接受和正念,以及采取承诺和价值导向或目标导向的行动的能力,以及其他品质。本研究旨在完善和验证心理灵活性的衡量标准,名为简要疼痛反应量表 (BPRI),并确定其与患者功能关键指标的关系。总共有 205 名开始接受治疗的慢性疼痛成人完成了一系列自我报告问卷。探索性因素分析表明 BPRI 的项目中存在两个因素:灵活的行动愿意参与。分量表和总分通常与患者背景变量无关,尽管它们与情绪、身体和社会心理功能的测量相关并解释了显着差异。这些分析为心理灵活性与慢性疼痛问题的相关性提供了额外的支持,并为 BPRI 作为这一过程的衡量标准提供了初步证据。
更新日期:2010-05-26
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