Psychometric properties of the Cognitive Appraisal Inventory for Patients with Chronic Pain in Mexican population

• Published in: Salud mental (México) Vol. 45; no. 6; pp. 277 - 282
• Main Authors: Casarrubias, Vania Barrientos, Garcia, Rebeca Robles, Rosas, Angelica Riveros, Gonzalez-Forteza, Catalina
• Format: Journal Article
• Language: English; Portuguese
• Published: Instituto Nacional de Psiquiatria 01.11.2022; Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
• Subjects: Psychiatry; dolor crónico; Cognitive evaluation; chronic pain; propiedades psicométricas; México; Mexico; psychometric properties; Evaluación cognoscitiva
• ISSN: 0185-3325
• DOI: 10.17711/SM.0185-3325.2022.035

Introduction. Cognitive assessment is the process whereby individuals assess the effect an adverse circumstance has on their well-being (primary assessment) and their ability to cope with it (secondary assessment), which is closely related to the emotional and behavioral response they show as a result. Objective. To determine the validity and internal consistency of the Spanish version of the Cognitive Assessment Inventory (CAI) for patients with chronic pain for Mexican population. Method. A total of 191 adults with chronic pain completed the Spanish version of the CAI, as well as self-report measures of disability, daily activities, anxiety and depression. Results. The confirmatory factor analysis for each type of primary cognitive assessment included in the CAI yielded models with satisfactory goodness of fit and Cronbach's a indices (loss/damage: CMIN/DF = 1.132, NFI = .935, CFI = .992,AGFI = .939, SRMR = .046, RMSEA= .026, a= .73; threat: CM IN/ DF = 1.132, NFI = .935, CFI = .992, AGFI = .939, SRMR = .046, RMSEA= .026, [alpha]= .81; and challenge: CMIN/ DF = 1.567, NFI = .939, CFI = .977, AGFI = .926, SRMR = .044, RMSEA = .055, [alpha] = .86). Cognitive assessments of loss/harm and threat were positively associated with the degree of disability, depression, and anxiety and negatively associated with the performance of daily activities. The opposite occurred with the cognitive assessment of challenge. Discussion and conclusion. The Spanish version of the CAI is a valid, quick, easy, and reliable tool for evaluating the primary cognitive assessment of pain, a construct closely related to physical disability and emotional suffering in response to this experience, which may be modified through brief cognitive interventions. Keywords: Cognitive evaluation, chronic pain, psychometric properties, Mexico. Introduccion. La evaluacion cognoscitiva es el proceso mediante el cual un individuo valora el efecto que ejerce una circunstancia adversa en su bienestar (evaluacion primaria) junto con las capacidades con que cuenta para afrontarla (evaluacion secundaria), con ello guarda una estrecha relacion con la respuesta emocional y conductual que despliega en consecuencia. Objetivo. Determinar la validez y consistencia interna de la version en espafiol del Inventario de Evaluacion Cognoscitiva (IEC) para pacientes con dolor cronico en poblacion mexicana. Metodo. Un total de 191 adultos con dolor cronico completaron la version en espafiol del IEC, asi como medidas de autorreporte de discapacidad, actividades cotidianas, ansiedad y depresion. Resultados. El analisis factorial confirmatorio para cada tipo de evaluacion cognoscitiva primaria incluida en el IEC arrojo modelos con indices de bondad de ajuste y a de Cronbach satisfactorios (perdida/dano: CMIN/ DF = 1.132, NFI = .935, CFI = .992, AGFI = .939, SRMR = .046, RMSEA = .026, [alpha] = .73; amenaza: CMIN/ DF = 1.132, NFI = .935, CFI = .992, AGFI = .939, SRMR = .046, RMSEA = .026, [alpha] = .81; y desafio: CMIN/ DF= 1.567, NFI = .939, CFI = .977, AGFI = .926, SRMR = .044, RMSEA = .055, [alpha] = .86). Las evaluaciones cognoscitivas de perdida/dano y de amenaza se asociaron positivamente con el grado de discapacidad, depresion y ansiedad, y de forma negativa con la ejecucion de actividades cotidianas. Lo contrario ocurrio con la evaluacion cognoscitiva de desafio. Discusion y conclusion. La version en espafiol de la IEC es una herramienta facil, rapida, valida y confiable para evaluar la evaluacion cognoscitiva primaria del dolor, constructs intimamente relacionado con la discapacidad fisica y el sufrimiento emocional ante esta experiencia susceptible de modificacion mediante intervenciones cognoscitivas breves. Palabras clave: Evaluacion cognoscitiva, dolor cronico, propiedades psicometricas, Mexico.