Chronic Pain Coping Inventory™ (CPCI™)
Mark P. Jensen, Ph.D., Judith A. Turner, Ph.D., Joan M. Romano, Ph.D., and
Warren R. Nielson, Ph.D.
Designed to assess the use of coping strategies that are typically targeted for change in multidisciplinary
pain treatment programs, the CPCI addresses several shortcomings of existing measures, including the lack of
behavioral-strategy assessment. It is a 70-item self-report instrument on which the individual is asked to
indicate the number of days during the past week he/she used the listed coping strategy to deal with his/her
pain. This newly standardized version of the CPCI was normed using a sample of 527 patients with chronic pain.
The CPCI was designed to assist numerous health care providers, including psychologists, physicians, psychiatrists, clinical social workers, occupational therapists, and physical therapists, as well as other mental health and health care providers working with adults ages 21-80 years.
The CPCI consists of nine scales that are divided into two domains--the Illness-Focused Coping Domain and
the Wellness-Focused Coping Domain.
Illness-Focused Coping Domain
- Guarding Scale--Assesses the extent to which a patient reports restricting the use/movement of
a body part as a way of coping with pain.
- Resting Scale--Assesses the extent to which a patient uses pain-contingent rest (e.g., lying
down) as a way to cope with pain.
- Asking for Assistance Scale--Assesses the frequency with which a patient asks someone
(e.g., a family member) for help with a chore when he/she is in pain.
Wellness-Focused Coping Domain
- Exercise/Stretch Scale--Assesses how many days per
week a patient stretches various muscle groups, engages in various muscle strengthening exercises, and engages
in aerobic exercise for at least 15 minutes.
- Relaxation Scale--Assesses the frequency with which a patient uses strategies
(e.g., imagery, listening to music, meditation, self-hypnosis) to experience relaxation.
- Task Persistence Scale--Assesses the extent to which a patient continues normal activity
despite his/her pain.
- Coping Self-Statements Scale--Assesses the frequency with which a patient purposefully uses
adaptive cognitions when he/she experiences pain.
- Pacing Scale--Assesses the extent to which a patient is able to conduct activities in a paced,
steady manner that is not contingent on pain.
- Seeking Social Support Scale--Assesses the frequency with which a patient seeks out a
friend/loved one for companionship and support when in pain.
Features of the CPCI
- Standardized on a sample of 527 chronic pain patients.
- T scores and percentiles are included for calculating scores.
- Reliable Change scores are included to assist in determining if there are differences between scores
obtained on two different testing occasions (e.g., pretreatment vs. posttreatment).
- Interpretive guidelines and case examples are included.
- Profile Form includes a skyline for clinically elevated scores and treatment goals.
Reliability and Validity
- Median internal consistency for the nine CPCI scales ranges from .70 to .94 for the four subsamples
of chronic pain patients that compose the standardization sample.
- Corrected correlations for the test-retest stability of the CPCI scales range from .55 to .84.
- The validity of the CPCI is discussed in terms of evidence based on intercorrelations among the CPCI
scales, factor analysis of the CPCI, correlational analyses examining the relationships between the CPCI scores
and scores on related measures (i.e., coping, mental health/psychological functioning, physical
dysfunction/disability, stages of change, pain attitudes/beliefs), and the use of the CPCI as a measure of
treatment outcome.
CPCI Introductory Kit Contents:
• CPCI Professional Manual
• 25 Rating Forms
• 25 Score Summaries/Profile Forms
• 25 Pain Worksheets
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