Cognitive-emotive Coping, Self-consistency And Adaptation Level In Chronic Low Back Pain Patients

The objective of this study is to investigate the mechanism of how the cognitive- emotive coping influencing adaptation level in chronic low back pain. The study has 3 parts. Part one, theory foundation and hypothesis. The main concepts were defined, conceptual-theoretical-empirical structure was described, and research questions were proposed. Part two, development of the Chinese version of cognitive and adaptation processing scale(CAPS). After CAPS had been translated into Chinese from English, principal component analysis, scree test were used to modify the scale. Thirty-six items were reduced to 28 items. The new scale was named as short form of cognitive and adaptation processing scale(SF-CAPS), which was used to test 120 patient s with chronic low back pain. Reliability and validity of SF-CAPS were evaluated based on the testing results. Part 3, cognitive-emotive coping, self-consistency and adaptation level in chronic low back pain patient. The study used a convenience sample of 120 chronic low back pain patients. short-form of McGill pain questionnaire(SF-MPQ), SF-CAPS,self consistency and congruence scale(SCCS) and MOS 36-item short form health survey(SF-36) were used to measure the their pain, cognitive-emotive coping, self-consistency and adaptation level, respectively. Univariate analysis, correlation, and path analysis were used to analyze the data. Results: The patients'scores of sf-36 subscales were lower than norm. Moderately strong correlation existed between the scores of SF-CAPS, SCCS and SF-36. All the subscales of SF-CAPS: coping strategy and methods, positive coping and negative coping in CAPS could not only directly affect some dimensions of SF-36. Conclusion: In chronic low back pain patients, cognitive-emotive coping has both direct and indirect effects on adaptation level. Cognitive-emotive coping can influence a patient's adaptation level through modifying his self-consistency. In clinical practice, cognitive intervention should be based on the assessment of cognitive-emotive coping and follow the correct procedure. SF-CAPS is a good valid and reliable instrument to measure cognitive-emotive coping.