Validación del cuestionario de afrontamiento al dolor crónico reducido (CAD-R)

• Autores: J. Soriano, V. Monsalve Dolz
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 11, Nº. 7, 2004, págs. 27-34
• Idioma: español
• Títulos paralelos:
  • Validation of the reduced chronic pain coping questionnaire (CAD-R)
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 15 Citas
• Resumen
  • español

    Uno de los tópicos de mayor relevancia en las últimas décadas en el estudio del paciente con dolor crónico ha sido el afrontamiento. Dada la importancia de medir y evaluar las diferentes maneras con las que el individuo afronta el dolor, en las últimas décadas se han desarrollado diferentes instrumentos para evaluar dicha dimensión. El cuestionario de afrontamiento al dolor (CAD), inicialmente compuesto por 31 ítems, incluye 6 factores: autoafirmación, búsqueda de información, religión, distracción, catarsis y autocontrol mental. En este estudio se reduce el CAD, proponiendo una versión más corta del mismo, el CAD-R. Se evaluaron 314 sujetos por el Servicio de Psicología de la Unidad Multidisciplinar para el Tratamiento del Dolor del Consorcio Hospital General Universitario de Valencia. Del cuestionario original de 31 ítems (CAD) se eliminaron 7 ítems reduciéndose a una versión con un total de 24 ítems (CAD-R). Se evalúa la validez de esta nueva versión, su consistencia interna y estabilidad temporal, así como las relaciones entre afrontamiento y afecto para determinar las estrategias más adaptativas.

  • English

    Coping has been turned over the last decades in one of the most important topics to board the patient with chronic pain. Given the importance of considering and evaluating the different forms that the individual has to cope with pain, different instruments in the last decades have been developed to evaluate the above mentioned dimension. The coping pain questionnaire (in Spanish, CAD), initially composed by 31 items, gathers 6 factors: autoaffirmation, Look for information, religion, distraction, catharsis and mental autocontrol. In this study the length of the CAD diminishes, proposing a small version of the same (CAD-R). 364 subjects were evaluated by the psychology service of the Multidisciplinary Pain Treatment Unit of the Valencia University General Hospital. Of the original questionnaire of 31 items (CAD), there was eliminated a whole of 7 items remaining reduced to a whole of 24 items (CAD-R). Assessing the validity of this new version designed for chronic pain patients with a sample of Spanish population, its consistence and stability are analyzed again, and the relationships between coping and affect are defined to determine the most adaptative coping skills.

• Referencias bibliográficas
  • Lazarus, R,Folkman, . (1984). Stress, appraisal and coping. Springer. N.Y..
  • Melzack, R,Loeser, J. (1978). Phantom body pain in paraplegics: evidence for a central "pattern generating mechanism" for pain. Pain....
  • Keefe, F,Caldwell, D,Queen, . (1987). Pain coping strategies in osteoerthritis patients. Journal of Consulting and Clinical Psychology. 55....
  • Revenson, TA,Felton, B. (1989). Disability and coping as predictors of psychological adjustment to rheumatoid arthritis. Journal of consulting...
  • Turner, J,Clancy, . (1986). Strategies for coping with chronic low back pain: relationships to pain and disability. Pain. 24. 355
  • Spinhoven, P,Ter Kuile, M,Linssen, . (1989). Pain coping strategies in a Dutch population of chronic low back pain patients. Pain. 37. 77-83
  • Folkman, S,Lazarus, . (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology. 54. 466
  • Lazarus, . (2000). Toward better research on stress and coping. American Psychologist. 55. 665
  • Folkman, S,Lazarus, . (1980). An analysis of coping middle-aged community sample. Journal of Health and Social Behavior. 21. 219
  • Vitaliano, P,Russo, J,Carr, . (1985). The Ways of Coping Checklist: revision and psychometric properties. Multivariate Behavior Research....
  • Brown, G,Nicassio, . (1987). Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients....
  • Flor, H,Behle, D,Birbaumer, . (1993). Assessment of pain-related cognitions in chronic pain patients. Behavior Research and Therapy. 31. 63-73
  • Rosenstiel, A,Keefe, . (1983). The use of coping strategies in chronic low back pain: relationship to patient characteristics and current...
  • Soriano, J,Monsalve, . (1999). Valoración, afrontamiento y emoción en pacientes con dolor crónico. Boletín de Psicología. 62. 43-64
  • Soriano, J,Monsalve, . (2002). CAD: Cuestionario de Afrontamiento ante el Dolor Crónico. Rev Soc Esp Dolor. 9. 13-22
  • Lawson, K,Reesor, K,Keefe, . (1990). Dimensions of pain-related cognitive coping: cross-validation of the factor structure of de Coping Strategy...
  • Monsalve, V,Soriano, . CAD-R: Cuestionario de afrontamiento al dolor crónico reducido: Una propuesta jerárquica del afrontamiento ante el...
  • Carver, C,Scheier, . (1985). Stress and coping Hillsdale. Erlbaum. NJ.
  • Carver, C,Scheier, . (1981). Attention and self-regulation: a control-theory approach to human behavior. Springer-Verlag. Nueva York.
  • Carver, C,Scheier, . (1983). Advances in cognitive-behavioral research and therapy. Academic Press. Nueva York.
  • Carver, C,Scheier, M,Weintraub, . (1989). Assessing coping strategies: a theoretically based approach. Journal of Personality and Social Psychology....
  • Scheier, MF,Carver, C. (1988). Advances in Experimental Social Psychology. Academic Press. Nueva York.
  • Merskey, H,Bogduk, . (1994). Classification of Chronic Pain. IASP PRESS. Seatle.
  • Melzack, R,Wall, P. (1965). Pain mechanisms: a new theory. Science. 150. 971
  • Melzack, R,Casey, K. (1968). The skin senses. Thomas. Springfield^eIll Ill.