The purpose of the present study was to analyze the factor structure o
f the Coping Strategies Questionnaire (CSQ). In order to find factors
that are reproducible across samples and to evaluate their relationshi
p to pain, disability, and depressive mood, the subjects used were a g
roup of 224 patients with congenital coagulation defects. Factor analy
sis identified 4 factors in the Coping Strategies Questionnaire that c
ould be categorized as Distraction, Pain Control, Reinterpreting Pain
Sensations, and Catastrophizing. There were positive correlations betw
een pain and Catastrophizing (p<0.005) and between disability and Cata
strophizing (p<0.005). There was also a relationship between Catastrop
hizing and emotional well-being indicating that the lower the feeling
of well-being, the greater the use of Catastrophizing strategies. The
present results confirm that a 4- to 5-factor solution gives reasonabl
e reproducibility across samples and methods.