Cross-cultural Adaptation of the German Pain Solutions Questionnaire: an Instrument to Measure Assimilative and Accommodative Coping in Response to Chronic Pain

Overview

Journal J Pain Res

Publisher Dove Medical Press

Date 2017 Jul 8

PMID 28684921

Citations 2

Authors

Robert Sielski

Julia Anna Glombiewski

Winfried Rief

Geert Crombez

Antonia Barke

Affiliations

Soon will be listed here.

Abstract

According to the dual process model of coping, assimilative or accommodative strategies can be applied to deal with aversive life situations. In people with chronic pain, the tenacious focus on achieving analgesia is often referred to as assimilative coping and associated with more disability and catastrophic thinking. In contrast, accommodative coping (accepting one's pain and setting new goals) appears to have beneficial effects. To assess how people with chronic pain use these different coping strategies, questionnaires measuring these concepts are needed. Following international guidelines, a German version of the Pain Solutions Questionnaire (PaSol) was prepared. A sample of 165 participants with chronic low back pain (CLBP; 60% women; age 53 ± 8.4 years) filled in the questionnaire and measures for pain-related disability, affective distress, catastrophic thinking, and attention to pain. Item analyses, an exploratory factor analysis, and correlations with pain-related measures were calculated. In addition, data from 98 participants who received psychological treatment were examined to investigate the PaSol's sensitivity to change. The exploratory factor analysis reproduced the original questionnaire's four-factor structure. Internal consistencies for the subscales ranged from Cronbach's =0.72 to =0.84. Mean item difficulties for the subscales ranged from =0.62 to =0.79. The highest correlations were found for Meaningfulness with catastrophic thinking (=-0.58) and affective distress (=-0.36). The PaSol subscale Meaningfulness predicted pain-related disability; the subscales Meaningfulness and Solving Pain predicted affective distress. Furthermore, the PaSol was found to be sensitive to detect changes over time. The German version of the PaSol is a reliable and valid instrument in the measurement of assimilative and accommodative coping strategies in people suffering from CLBP. It may provide a useful tool when examining temporal dynamics of the changing coping strategies in the transition from acute to chronic pain as well as during pain treatments.

Citing Articles

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References

Gore M, Sadosky A, Stacey B, Tai K, Leslie D . The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2011; 37(11):E668-77. DOI: 10.1097/BRS.0b013e318241e5de. View

Evers A, Kraaimaat F, van Lankveld W, Jongen P, Jacobs J, Bijlsma J . Beyond unfavorable thinking: the illness cognition questionnaire for chronic diseases. J Consult Clin Psychol. 2002; 69(6):1026-36. View

McCracken L, Carson J, Eccleston C, Keefe F . Acceptance and change in the context of chronic pain. Pain. 2004; 109(1-2):4-7. DOI: 10.1016/j.pain.2004.02.006. View

Crombez G, Van Damme S, Eccleston C . Hypervigilance to pain: an experimental and clinical analysis. Pain. 2005; 116(1-2):4-7. DOI: 10.1016/j.pain.2005.03.035. View

SNAITH R, Zigmond A . The hospital anxiety and depression scale. Br Med J (Clin Res Ed). 1986; 292(6516):344. PMC: 1339318. DOI: 10.1136/bmj.292.6516.344. View

Rusu A, Hasenbring M . Multidimensional Pain Inventory derived classifications of chronic pain: evidence for maladaptive pain-related coping within the dysfunctional group. Pain. 2007; 134(1-2):80-90. DOI: 10.1016/j.pain.2007.03.031. View

Samolsky Dekel B, Gori A, Vasarri A, Adversi M, Di Nino G, Melotti R . Psychometric properties and validation of the Italian version of the Mainz pain staging system as a tool for pain-patients referral selection. J Eval Clin Pract. 2014; 20(5):622-30. DOI: 10.1111/jep.12185. View

Lauwerier E, Caes L, Van Damme S, Goubert L, Rosseel Y, Crombez G . Acceptance: what's in a name? A content analysis of acceptance instruments in individuals with chronic pain. J Pain. 2015; 16(4):306-17. DOI: 10.1016/j.jpain.2015.01.001. View

Veehof M, Oskam M, Schreurs K, Bohlmeijer E . Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain. 2011; 152(3):533-542. DOI: 10.1016/j.pain.2010.11.002. View

10.

Crombez G, Eccleston C, Van Hamme G, De Vlieger P . Attempting to solve the problem of pain: a questionnaire study in acute and chronic pain patients. Pain. 2007; 137(3):556-563. DOI: 10.1016/j.pain.2007.10.020. View

11.

Osman A, Barrios F, Gutierrez P, Kopper B, Merrifield T, Grittmann L . The Pain Catastrophizing Scale: further psychometric evaluation with adult samples. J Behav Med. 2000; 23(4):351-65. DOI: 10.1023/a:1005548801037. View

12.

Viane I, Crombez G, Eccleston C, Poppe C, Devulder J, Van Houdenhove B . Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal. Pain. 2003; 106(1-2):65-72. DOI: 10.1016/s0304-3959(03)00291-4. View

13.

Van Damme S, Crombez G, Eccleston C . Retarded disengagement from pain cues: the effects of pain catastrophizing and pain expectancy. Pain. 2002; 100(1-2):111-8. DOI: 10.1016/s0304-3959(02)00290-7. View

14.

Crombez G, Lauwerier E, Goubert L, Van Damme S . Goal Pursuit in Individuals with Chronic Pain: A Personal Project Analysis. Front Psychol. 2016; 7:966. PMC: 4923131. DOI: 10.3389/fpsyg.2016.00966. View

15.

Menezes Costa L, Maher C, Hancock M, McAuley J, Herbert R, Costa L . The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012; 184(11):E613-24. PMC: 3414626. DOI: 10.1503/cmaj.111271. View

16.

Leeuw M, Goossens M, van Breukelen G, de Jong J, Heuts P, Smeets R . Exposure in vivo versus operant graded activity in chronic low back pain patients: results of a randomized controlled trial. Pain. 2008; 138(1):192-207. DOI: 10.1016/j.pain.2007.12.009. View

17.

Brandtstadter J, Renner G . Tenacious goal pursuit and flexible goal adjustment: explication and age-related analysis of assimilative and accommodative strategies of coping. Psychol Aging. 1990; 5(1):58-67. DOI: 10.1037//0882-7974.5.1.58. View

18.

McCracken L, Vowles K, Eccleston C . Acceptance of chronic pain: component analysis and a revised assessment method. Pain. 2004; 107(1-2):159-66. DOI: 10.1016/j.pain.2003.10.012. View

19.

Aldrich S, Eccleston C, Crombez G . Worrying about chronic pain: vigilance to threat and misdirected problem solving. Behav Res Ther. 2000; 38(5):457-70. DOI: 10.1016/s0005-7967(99)00062-5. View

20.

Pollard C . Preliminary validity study of the pain disability index. Percept Mot Skills. 1984; 59(3):974. DOI: 10.2466/pms.1984.59.3.974. View