Validación del cuestionario de afrontamiento al dolor crónico reducido (CAD-R)

espanolUno de los topicos de mayor relevancia en las ultimas decadas en el estudio del paciente con dolor cronico ha sido el afrontamiento. Dada la importancia de medir y evaluar las diferentes maneras con las que el individuo afronta el dolor, en las ultimas decadas se han desarrollado diferentes instrumentos para evaluar dicha dimension. El cuestionario de afrontamiento al dolor (CAD), inicialmente compuesto por 31 items, incluye 6 factores: autoafirmacion, busqueda de informacion, religion, distraccion, catarsis y autocontrol mental. En este estudio se reduce el CAD, proponiendo una version mas corta del mismo, el CAD-R. Se evaluaron 314 sujetos por el Servicio de Psicologia de la Unidad Multidisciplinar para el Tratamiento del Dolor del Consorcio Hospital General Universitario de Valencia. Del cuestionario original de 31 items (CAD) se eliminaron 7 items reduciendose a una version con un total de 24 items (CAD-R). Se evalua la validez de esta nueva version, su consistencia interna y estabilidad temporal, asi como las relaciones entre afrontamiento y afecto para determinar las estrategias mas adaptativas. EnglishCoping has been turned over the last decades in one of the most important topics to board the patient with chronic pain. Given the importance of considering and evaluating the different forms that the individual has to cope with pain, different instruments in the last decades have been developed to evaluate the above mentioned dimension. The coping pain questionnaire (in Spanish, CAD), initially composed by 31 items, gathers 6 factors: autoaffirmation, Look for information, religion, distraction, catharsis and mental autocontrol. In this study the length of the CAD diminishes, proposing a small version of the same (CAD-R). 364 subjects were evaluated by the psychology service of the Multidisciplinary Pain Treatment Unit of the Valencia University General Hospital. Of the original questionnaire of 31 items (CAD), there was eliminated a whole of 7 items remaining reduced to a whole of 24 items (CAD-R). Assessing the validity of this new version designed for chronic pain patients with a sample of Spanish population, its consistence and stability are analyzed again, and the relationships between coping and affect are defined to determine the most adaptative coping skills.