title: Coping with fibromialgia: usefulness of the Chronic Pain Coping Inventory-42.
abstract: There are few studies on coping with fibromyalgia (FM). The aim of the present study was to assess the usefulness of a Spanish version of the Chronic Pain Coping Inventory-42 (CPCI-42) in patients with FM. A random sample (N=402) of patients with FM was obtained from the Fibromyalgia Association of Aragon, Spain. Patients were assessed with the CPCI-42, the Fibrofatigue Scale (FFS), the EuroQol-5D (EQ-5D), and the Hospital Anxiety and Depression Scale (HADS). The psychometric properties of the CPCI-42 were valid and factor analyses supported the eight-factor structure described in patients with chronic pain. Illness-focused coping strategies (i.e., guarding, resting, and asking for assistance) were strongly correlated with each other, positively correlated with disability and depression, and negatively correlated with quality of life, indicating construct validity. Seeking social support was weakly correlated with any other scale or outcome, confirming it belongs to a different group of coping strategies. The wellness-focused group of coping strategies was the most incoherent group. Task persistence correlated with illness-focused strategies and negative outcomes, indicating that it should be included in the illness-focused group. However, other wellness-focused strategies, including relaxation, exercise, and coping self-statements, were correlated with each other, negatively correlated with depression, and positively correlated with quality of life. Future research directions and clinical implications are discussed.
authors.affiliation: Department of Psychiatry, Miguel Servet University Hospital, Avda Gomez Laguna 52, 4D, 50.009 Zaragoza, Spain University of Zaragoza, Spain Department of Psychiatry, Alcañiz Hospital, Alcañiz, Teruel, Spain Grupo Aragonés de Investigación en Atención Primaria, Red de Actividades Preventivas y Promoción de la Salud (REDIAPP) (G03/170), Instituto Aragonés de Ciencias de la Salud, Spain Faculty of Psychology, Autonomous University of Nuevo Leon, Mexico.
authors.forename: Javier
authors.initials: J
authors.lastname: Garcia-Campayo
authors.forename: Aida
authors.initials: A
authors.lastname: Pascual
authors.forename: Marta
authors.initials: M
authors.lastname: Alda
authors.forename: Monica Teresa Gonzalez
authors.initials: MTG
authors.lastname: Ramirez
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology; D000328:Adult; D001294:Attitude to Health; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000639:trends; D003863:Depression / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D004185:Disability Evaluation; D005081:Exercise Therapy / Q000639:trends; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D011237:Predictive Value of Tests; D011788:Quality of Life / Q000523:psychology; D012064:Relaxation Therapy / Q000639:trends; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012944:Social Support; D011795:Surveys and Questionnaires / Q000592:standards*