The development, standardisation and validation of an instrument designed to measure coping with chronic pain
The purpose of the study was to investigate the structure of coping
with chronic pain and to develop a standardised, reliable and valid
~t to measure coping with chronic pain. The use of this
instrument as a measure of change in the evaluation of a local Pain
Management Programe was investigated.
The Pain Coping Questionnaire was developed from analysis of responses
of 298 chronic pain patients to a self-report questionnaire concerned
with coping with chronic pain. Following empirical psychometric
investigations of reliability and validity, four psychologically
meaningful dimensions were identified. One dimension, the General
Coping Measure, was a measure of psycho-social adjustment to chronic
pain. Three dimensions measured beliefs in the use of cognitive and
behavioural pain coping strategies. One dimension, Active Coping
Strategies, measured active pain coping strategies. Two dimensions,
Avoidance and Use of Drugs, measured passive pain coping strategies.
Belief in the use of active pain coping strategies was predictive of
good psycho-social adjustment. Belief in the use of passive pain
coping strategies was predictive of poor psycho-social adjustment.
The results from outco~e studies indicated that the Pain Coping
Questionnaire was a sensitive measure of change. The Pain Manag~.ment
Programne had beneficial effects with respect to short-term outcome.
Limitations were discussed. It was concluded that the Pain Coping
Questionnaire represents an original contribution that is likely to
have broad applications in the assessment and treatment of chronic