1. Assessing Family Social Support for Functional Autonomy and Dependence in Pain: A Psychometric Study
- Author
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Bernardes, S. F., Rei, A., and Carvalho, H.
- Subjects
Anesthesiology and Pain Medicine ,Pain coping ,Neurology ,Pain ,Neurology (clinical) ,Functional autonomy/dependence ,Scale development and validation ,Ciências Sociais::Psicologia [Domínio/Área Científica] ,Family social support - Abstract
Assessing family supportive responses to pain behaviors is paramount, as these may help or hinder chronic pain (CP) adjustment. Current self-report measures of pain-specific family supportive dynamics are scarce, covering a limited range of responses. To address this gap, this paper aimed at the psychometric validation of a (revised) novel measure - the Informal Social Support for Autonomy and Dependence in Pain Inventory (ISSADI-PAIN). Three-hundred and three adults participated in this study (53.3% women; Mage = 49.31), 53.5% with current CP, 20.1% with acute pain (AP) in the previous week and 26.4% with no current pain. All participants completed the revised ISSADI-PAIN. Participants reporting AP/CP in the previous week also filled out measures of pain coping/outcomes. Exploratory and confirmatory factor analyzes supported a 3-factor structure: Perceived Promotion of Dependence (PPD; 5 items; α =.82), Perceived Promotion of Autonomy-Emotional (PPA-Emot; 3 items; α =.78), PPA-instrumental (PPA-Inst; 3 items; α =.82). Higher PPD was associated with higher AP disability and less wellness-focused coping; higher PPA-Emot was associated with more wellness-focused CP coping; PPA-Inst was associated with better/worse AP/CP outcomes and more frequent use of wellness-focused CP coping. Men with AP reported more PPD than women. The revised ISSADI-PAIN is an innovative, valid, and reliable measure of relevant functions of pain-related social support, which may influence pain persistence and adaptation. Perspective: This article presents a novel self-report measure (ISSADI-PAIN) that assesses family support for functional autonomy and dependence in pain contexts. This measure may contribute to further research on the complexities of family supportive dynamics surrounding individuals with AP/CP, clarifying their role on pain persistence and adaptation processes. info:eu-repo/semantics/publishedVersion
- Published
- 2023
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