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首页> 外文期刊>The clinical journal of pain >CARE Scale-7: Development and Preliminary Validation of a Measure to Assess Factors Impacting Self-Care in Chronic Pain
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CARE Scale-7: Development and Preliminary Validation of a Measure to Assess Factors Impacting Self-Care in Chronic Pain

机译：护理规模-7：对衡量慢性疼痛自我护理影响因素的措施的开发和初步验证

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Objectives:Social and interpersonal factors may impact chronic pain self-care and self-management; however, no integrated measure exists to assess the interplay of these factors. We developed and tested a measure designed to assess salient interpersonal factors, including relationship guilt and worry, and difficulty prioritizing self-care in chronic pain.Methods:We tested self-report items broadly relevant to locus of care, limit-setting capacity, and worry/guilt about relationships in 3 discrete chronic pain samples (total N=1,452): (1) online sample of chronic pain clinic patients (N=729; 21 candidate CARE items, sociodemographics, and measures of psychological and physical functioning). Analytic results supported a final 7-item CARE scale that was next tested in (2) an anonymous online sample of 578 adults with chronic pain. (3) Finally, preliminary validation of the CARE scale was performed in a tertiary pain clinic sample (N=145).Results:Exploratory factor analysis revealed a 7-item, 2-factor solution (difficulty prioritizing self-care and guilt/worry) that accounted for a combined total of 58% of the variance. CARE scale-7 had modest convergent validity with pain intensity, pain-related interference, and emotional distress. Extreme difficulty with both factors was reported by about one-third of the total sample, suggesting that relationship factors significantly impact pain management and self-care.Discussion:Social factors are gaining attention for their influence on the trajectory of chronic pain. The CARE scale is a brief, integrated measure that may be used to reveal specific interpersonal and personal impediments to self-care, and identify important therapeutic targets to optimize self-management behaviors.
机译：目标：社会和人际关系可能会影响慢性疼痛的自我保健和自我管理;但是，不存在综合度量来评估这些因素的相互作用。我们开发并测试了一项旨在评估突出的人际关系的措施，包括关系内疚和担忧，难以在慢性疼痛中优先考虑自我保健。方法：我们测试了与护理基因座，限制设定能力和担心/有罪的3个离散的慢性疼痛样品（总N = 1,452）：（1）慢性疼痛诊所患者的在线样本（n = 729; 21候选护理物品，社会编写物和心理和物理运作措施）。分析结果支持了最终的7项护理规模，下次在（2）中进行了578名成年人的匿名在线样本，慢性疼痛。 （3）最后，在第三次疼痛临床样品中进行护理规模的初步验证（n = 145）。结果：探索性因子分析显示出7项，2因素解决方案（难以确定自我保健和内疚/担心）占差异的总和58％的总和。护理量表-7具有适度的会聚有效性，具有疼痛强度，与疼痛相关的干扰和情绪困扰。据报道，这两个因素的极端难度约为三分之一的总体样本，表明关系因素会显着影响疼痛管理和自我护理。探讨：社会因素正在引起对慢性疼痛轨迹的影响。护理规模是一个简短的综合措施，可用于揭示特定的人际关系和个人障碍，以确定重要的治疗目标，以优化自我管理行为。

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