The coping flexibility questionnaire: development and initial validation in patients with chronic rheumatic diseases
Coping flexibility may be beneficial for the adjustment in the context of a progressive and unpredictable course of chronic rheumatic diseases. The aim of this study was to develop and initially validate a self-report measure that assesses coping flexibility. Study participants were 147 outpatients...
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| Veröffentlicht in: | Rheumatology international 2012-08, Vol.32 (8), p.2383-2391 |
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| container_title | Rheumatology international |
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| creator | Vriezekolk, Johanna E. van Lankveld, Wim G. J. M. Eijsbouts, Agnes M. M. van Helmond, Toon Geenen, Rinie van den Ende, Cornelia H. M. |
| description | Coping flexibility may be beneficial for the adjustment in the context of a progressive and unpredictable course of chronic rheumatic diseases. The aim of this study was to develop and initially validate a self-report measure that assesses coping flexibility. Study participants were 147 outpatients with chronic rheumatic diseases (73% women, mean age 59 (range 20–79) years). Principal axis factoring analysis with oblique rotation was applied and internal consistency was determined. To investigate the initial validity of the coping flexibility questionnaire (COFLEX), hypothesised correlations with psychological and physical adjustment outcomes, pain, and coping strategies were examined. Factor analysis yielded a two-factor model of coping flexibility with acceptable internal consistency:
versatility
, the capability of switching between assimilative and accommodative coping strategies according to personal goals and situational demands (α = .88) and
reflective coping
, the capability of generating and considering coping options, and appraising the suitability of a coping strategy in a given situation (α = .70).
Versatility
was correlated with adaptive ways of coping and psychological adjustment, but not with physical adjustment and pain.
Reflective coping
was correlated with both adaptive and maladaptive ways of coping, but it was not correlated with adjustment outcomes. In conclusion, the current study suggests acceptable internal consistency of the COFLEX. Preliminary evidence of the validity of the
versatility
dimension is indicated, while the validity of
reflective coping
could not be firmly established. The associations of
versatility
with favourable adjustment to the disease warrant future confirmatory and validity research in larger samples of patients with chronic rheumatic diseases. |
| doi_str_mv | 10.1007/s00296-011-1975-y |
| format | Article |
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versatility
, the capability of switching between assimilative and accommodative coping strategies according to personal goals and situational demands (α = .88) and
reflective coping
, the capability of generating and considering coping options, and appraising the suitability of a coping strategy in a given situation (α = .70).
Versatility
was correlated with adaptive ways of coping and psychological adjustment, but not with physical adjustment and pain.
Reflective coping
was correlated with both adaptive and maladaptive ways of coping, but it was not correlated with adjustment outcomes. In conclusion, the current study suggests acceptable internal consistency of the COFLEX. Preliminary evidence of the validity of the
versatility
dimension is indicated, while the validity of
reflective coping
could not be firmly established. The associations of
versatility
with favourable adjustment to the disease warrant future confirmatory and validity research in larger samples of patients with chronic rheumatic diseases.</description><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-011-1975-y</identifier><identifier>PMID: 21660453</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Chronic Disease ; Cost of Illness ; Emotions ; Factor Analysis, Statistical ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Netherlands ; Original Article ; Pain - etiology ; Pain - psychology ; Predictive Value of Tests ; Psychometrics ; Reproducibility of Results ; Rheumatic Diseases - complications ; Rheumatic Diseases - diagnosis ; Rheumatic Diseases - psychology ; Rheumatology ; Self Report ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Rheumatology international, 2012-08, Vol.32 (8), p.2383-2391</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-3fa3d305fe465fbf0b66309ca210c3c6c81c999b3c5567c4e82c2cad5ad93f113</citedby><cites>FETCH-LOGICAL-c372t-3fa3d305fe465fbf0b66309ca210c3c6c81c999b3c5567c4e82c2cad5ad93f113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00296-011-1975-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00296-011-1975-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21660453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vriezekolk, Johanna E.</creatorcontrib><creatorcontrib>van Lankveld, Wim G. J. M.</creatorcontrib><creatorcontrib>Eijsbouts, Agnes M. M.</creatorcontrib><creatorcontrib>van Helmond, Toon</creatorcontrib><creatorcontrib>Geenen, Rinie</creatorcontrib><creatorcontrib>van den Ende, Cornelia H. M.</creatorcontrib><title>The coping flexibility questionnaire: development and initial validation in patients with chronic rheumatic diseases</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><addtitle>Rheumatol Int</addtitle><description>Coping flexibility may be beneficial for the adjustment in the context of a progressive and unpredictable course of chronic rheumatic diseases. The aim of this study was to develop and initially validate a self-report measure that assesses coping flexibility. Study participants were 147 outpatients with chronic rheumatic diseases (73% women, mean age 59 (range 20–79) years). Principal axis factoring analysis with oblique rotation was applied and internal consistency was determined. To investigate the initial validity of the coping flexibility questionnaire (COFLEX), hypothesised correlations with psychological and physical adjustment outcomes, pain, and coping strategies were examined. Factor analysis yielded a two-factor model of coping flexibility with acceptable internal consistency:
versatility
, the capability of switching between assimilative and accommodative coping strategies according to personal goals and situational demands (α = .88) and
reflective coping
, the capability of generating and considering coping options, and appraising the suitability of a coping strategy in a given situation (α = .70).
Versatility
was correlated with adaptive ways of coping and psychological adjustment, but not with physical adjustment and pain.
Reflective coping
was correlated with both adaptive and maladaptive ways of coping, but it was not correlated with adjustment outcomes. In conclusion, the current study suggests acceptable internal consistency of the COFLEX. Preliminary evidence of the validity of the
versatility
dimension is indicated, while the validity of
reflective coping
could not be firmly established. The associations of
versatility
with favourable adjustment to the disease warrant future confirmatory and validity research in larger samples of patients with chronic rheumatic diseases.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Chronic Disease</subject><subject>Cost of Illness</subject><subject>Emotions</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Original Article</subject><subject>Pain - etiology</subject><subject>Pain - psychology</subject><subject>Predictive Value of Tests</subject><subject>Psychometrics</subject><subject>Reproducibility of Results</subject><subject>Rheumatic Diseases - complications</subject><subject>Rheumatic Diseases - diagnosis</subject><subject>Rheumatic Diseases - psychology</subject><subject>Rheumatology</subject><subject>Self Report</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0172-8172</issn><issn>1437-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kctKxTAQhoMonuPlAdxIwI2bai5N2roT8QaCGwV3JU2nNoc2rUmr9u3NsSoiuMlkZr75k-FH6ICSE0pIcuoJYZmMCKURzRIRTRtoSWOeRFSSp020JDRhURqOBdrxfkVCLiXZRgtGQ4wFX6LhoQasu97YZ1w18G4K05hhwi8j-MF01irj4AyX8ApN17dgB6xsiY01g1ENflWNKdUaDCXch1sgPH4zQ4117TprNHY1jG3oaFwaD8qD30NblWo87H_FXfR4dflwcRPd3V_fXpzfRZonbIh4pXjJiagglqIqKlJIyUmmFaNEcy11SnWWZQXXQshEx5AyzbQqhSozXlHKd9HxrNu77nOhvDVeQ9MoC93oc0pYknIp0iSgR3_QVTc6G373SYmYcRkHis6Udp33Dqq8d6ZVbgpQvrYkny3JgyX52pJ8CjOHX8pj0UL5M_HtQQDYDPjQss_gfj_9n-oHoe6Zdg</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Vriezekolk, Johanna E.</creator><creator>van Lankveld, Wim G. 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J. M.</au><au>Eijsbouts, Agnes M. M.</au><au>van Helmond, Toon</au><au>Geenen, Rinie</au><au>van den Ende, Cornelia H. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The coping flexibility questionnaire: development and initial validation in patients with chronic rheumatic diseases</atitle><jtitle>Rheumatology international</jtitle><stitle>Rheumatol Int</stitle><addtitle>Rheumatol Int</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>32</volume><issue>8</issue><spage>2383</spage><epage>2391</epage><pages>2383-2391</pages><issn>0172-8172</issn><eissn>1437-160X</eissn><abstract>Coping flexibility may be beneficial for the adjustment in the context of a progressive and unpredictable course of chronic rheumatic diseases. The aim of this study was to develop and initially validate a self-report measure that assesses coping flexibility. Study participants were 147 outpatients with chronic rheumatic diseases (73% women, mean age 59 (range 20–79) years). Principal axis factoring analysis with oblique rotation was applied and internal consistency was determined. To investigate the initial validity of the coping flexibility questionnaire (COFLEX), hypothesised correlations with psychological and physical adjustment outcomes, pain, and coping strategies were examined. Factor analysis yielded a two-factor model of coping flexibility with acceptable internal consistency:
versatility
, the capability of switching between assimilative and accommodative coping strategies according to personal goals and situational demands (α = .88) and
reflective coping
, the capability of generating and considering coping options, and appraising the suitability of a coping strategy in a given situation (α = .70).
Versatility
was correlated with adaptive ways of coping and psychological adjustment, but not with physical adjustment and pain.
Reflective coping
was correlated with both adaptive and maladaptive ways of coping, but it was not correlated with adjustment outcomes. In conclusion, the current study suggests acceptable internal consistency of the COFLEX. Preliminary evidence of the validity of the
versatility
dimension is indicated, while the validity of
reflective coping
could not be firmly established. The associations of
versatility
with favourable adjustment to the disease warrant future confirmatory and validity research in larger samples of patients with chronic rheumatic diseases.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21660453</pmid><doi>10.1007/s00296-011-1975-y</doi><tpages>9</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adult Aged Chronic Disease Cost of Illness Emotions Factor Analysis, Statistical Female Humans Male Medicine Medicine & Public Health Middle Aged Netherlands Original Article Pain - etiology Pain - psychology Predictive Value of Tests Psychometrics Reproducibility of Results Rheumatic Diseases - complications Rheumatic Diseases - diagnosis Rheumatic Diseases - psychology Rheumatology Self Report Surveys and Questionnaires Young Adult |
| title | The coping flexibility questionnaire: development and initial validation in patients with chronic rheumatic diseases |
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