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허혜경 ( ) - 연세대학교 원주의과대학 간호학과
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Abstract
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The coping strategy questionnaire( CSQ)(Rosenstiel & Keefe 1983) is a self report instrutment designed to assess six cognitive and two behavioral coping strategies of patients with chronic pain. Studies examining the factor structure of the CSQ have yielded factor that have generally not replicated across samples and are difficult to interpret. Accordingly the CSQ responses for 101 Korean patients with chronic pain was examined for construct validity and concurrent validity.
An item factor anslysis of CSQ revealed an eight factor structure of the eight original subscales : Factor 1, Reinterpreting Pain Sensation, Ignoring Pain Sensation : Factor Z Diverting attention : Factor 3, Ignoring Pain Behavior : Factor 4, Catestrophizing : Factor 5, Praying or Hoping related to God : Factor 6, Increasing Pain Behavior : Factor 7, Increasing Activity Level : Factor 8, Praying or Hoping related to Health Professional.
Because Factor 3 appeared to mix up three subscales, it was renamed´Ignoring Pain Behavior´. The four of eight factor solution obtained in this study is similiar to the five factor subscales obtained by Swartzman et al(1994) and Tuttle, Shutty & DeGood(1987). The eight factors obtained in this study are similar to the theoretical constructs used in developing the CSQ.
The concurrent validity was analyized using the correlation between the seven subscales of the CSQ and depression assessed using Zung´s Depression Scale. The subscales interpreting pain sensation and ignoring pain sensation (Factor 1), ignoring pain behavior (Factor3) and increasing pain behavior (Factor 6) were associated negatively with de. pression(r=.2993, p<.05 : r=.3783, p<.Ol : r=.2859, p<.05), and catestrophi zing (Factor 4) was associated positively with depression (r =.5200. p<.01) but only for patients reporting scores of pain intensity higher than five.
Some individuals cdpe with chronic pain effectively and are emotionally well adjusted, leading an active and full life style. Therefore it is an important to understand how indivduals cope with chronic pain. They results of this study can be used to assess coping strategies that Korean patients use to deal with chronic pain.
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KeyWords
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만성통증, 대응
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원문 및 링크아웃 정보
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등재저널 정보
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