정신신체의학 (Korean Journal of Psychosomatic Medicine)
- 제10권2호
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- Pages.110-119
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- 2002
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- 1225-6471(pISSN)
한국판 대처 전략 질문지 (K-CSQ)를 이용한 만성 통증 환자의 통증대처 특성
The Characteristics of Pain Coping Strategies in Patients with Chronic Pain by Using Korean Version-Coping Strategies Questionnaire(K-CSQ)
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송지영
(경희대학교 의과대학 신경정신과학교실) ;
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김태
(경희대학교 의과대학 신경정신과학교실) ;
- 윤현상 (윤현상 신경정신과의원) ;
- 김청송 (경기대학교 사회과학부 청소년학과) ;
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염태호
(경희대학교 의과대학 신경정신과학교실)
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Song, Ji-Young
(Department of Psychiatry, College of Medicine, Kyunghee University) ;
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Kim, Tae
(Department of Psychiatry, College of Medicine, Kyunghee University) ;
- Yoon, Hyun-Sang (Yoon Hyun Sang Neuropsychiatric Clinic) ;
- Kim, Chung-Song (Department of Youth Studies, Kyonggi University) ;
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Yeom, Tae-Ho
(Department of Psychiatry, College of Medicine, Kyunghee University)
- 발행 : 2002.12.15
초록
만성 통증 환자들은 통증에 대한 대처 방식이 각자 다르고 이에 따라 적응 상의 차이를 나타낸다. 한국판 대처 전략 질문지 (Korean version-Coping Strategy Questionaire : K-CSQ)로 만성 통증 환자의 통증 대처방식의 특징을 파악하고, 이 검사의 신뢰도를 검증하였다. 방법: 대상자는 만성 통증 환자군 128명과 정상 대조군 252명으로 하였다. 만성 통증 환자군에서의 임상적인 특성을 조사하였고, 양군에서 통증대처전략의 특성을 비교하였으며, K-CSQ의 각 항목의 내적 일치도 (Cronbach
Objectives : Numbers of patients who have chronic pain seem to be increasing in the psychiatric practice. Many investigators have used models of stress and coping to help explain the differences in adjustment found among persons who experience chronic pain. Coping strategies appear to be associated with adjustment in chronic pain patients. The objectives of this study were to develop a self-report questionnaire which is the most widely used measures of pain coping strategies, Coping Strategies Questionnaire (CSQ) into Korean version and to study the different coping strategies with which chronic pain patients frequently use when their pain reaches a moderate or greater level of intensity. Methods : One hundred twenty-eight individuals with chronic pain conditions and two hundred fifty-two normal controls were administered the Korean version-Coping Strategies Questionnaire(KCSQ) to assess the frequency of use and perceived effectiveness of a variety of cognitive and behavioral pain coping strategies. We also obtained their clinical features in chronic pain patients. Reliability of the questionnaire were analyzed and evaluated differences of coping strategies between two groups. Results : Data analysis revealed that the questionnaire was internally reliable. Chronic pain patients reported frequent use of a variety of pain coping strategies, such as coping self-statements, praying and hoping, catastrophizing, and increase behavior scales which were higher compared to the normal controls. Conclusion: K-CSQ revealed to be a reliable self-report questionnaire which is useful for the assessment of coping strategies in clinical setting on chronic pain. And analysis of pain coping strategies may be helpful in understanding pain for chronic pain patients. The individual K-CSQ may have greater utility in terms of examining coping, appraisals, and pain adjustment. A consideration of pain coping strategies may allow one to design pain coping skills training interventions so as to fit the individual chronic pain patient. Further research is needed to determine whether cognitive-behavioral intervention designed to decrease maladaptive coping strategies can reduce pain and improve the physical and psycho-social functioning of chronic patients.
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