The Coping Strategies Questionnaire (CSQ), a measure of coping in chronic pain patients, was subjected to item-level exploratory factor analysis.
A sample of 965 chronic pain patients were used in the analysis.
Principal components analysis using a varimax rotation procedure identified nine factors that accounted for 54.5% of the variance. Of these nine factors, the first five represent subscales of the original CSQ subscales. The catastrophizing subscale replicated with significant loadings for all six original items, and ignoring sensations replicated with five of six items. Factors representing reinterpreting pain sensations, coping self-statements, and diverting attention subscales also appeared. The items from the praying and hoping subscale split into separate praying and hoping factors (factors 6 and 8). When reliability coefficients were calculated, factors 7 through 9 had unacceptably low internal consistency and thus were not considered stable factors. Correlations between factors 1 through 6 and other measures of psychological and physical functioning were calculated in the construct validation portion of this study. Previously found relationships were replicated in that the correlations between CSQ factor scores and measures of pain, depression, and disability were in the same direction in this data set as those previously reported.
*Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida; †Pain Management Program, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan; ‡Pain Management Program, Duke University Medical Center, Durham, North Carolina, U.S.A.
Manuscript submitted May 2, 1996; revision received September 12, 1996; accepted for publication November 20, 1996.
Address correspondence and reprint requests to Dr. Michael E. Robinson, Department of Clinical and Health Psychology, P.O. Box 100165 HSC, University of Florida, Gainesville, FL 32610, U.S.A.