A Structural Validation of the Brief COPE Scale among Outpatients with Alcohol and Opioid Use Disorders

Melissa Kadi (), Stéphanie Bourion-Bédès, Michael Bisch and Cédric Baumann
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Melissa Kadi: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Stéphanie Bourion-Bédès: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Michael Bisch: Health Care Centre of Accompaniment and Prevention in Addictology (CSAPA), 54520 Laxou, France
Cédric Baumann: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France

IJERPH, 2023, vol. 20, issue 3, 1-13

Abstract: Recovery from substance use disorder requires access to effective coping resources. The most widely self-reported questionnaire used to assess coping responses is the Brief COPE; however, different factorial structures were found in a variety of samples. This study aimed to examine across outpatients with substance use disorders the factor structure of the short dispositional French version of the Brief Coping Orientation to Problem Experienced (COPE) inventory. The French version of the Brief COPE was administered in a sample of 318 outpatients with alcohol or opioid substance use disorder. A clustering analysis on latent variables (CLV) followed by a confirmatory factorial analysis (CFA) was conducted to examine the factor structure of the scale. The internal consistency of the Brief COPE and its subscales were also studied. The analysis revealed a nine-factor structure with a revised 24-item version consisting of functional strategies (four items), problem-solving (four items), denial (two items), substance use (two items), social support seeking (four items), behavioral disengagement (two items), religion (two items), blame (two items), and humor (two items) that demonstrated a good fit to the data. This model explained 53% of the total variance with an overall McDonald’s omega (ω) of 0.96 for the revised scale. The present work offers a robust and valid nine-factor structure for assessing coping strategies in French outpatients with opioid or alcohol substance use disorder. This structure tends to simplify its use and interpretation of results for both clinicians and researchers.

Keywords: Brief COPE; coping; structure validity; substance use disorders; confirmatory factor analysis; clustering analysis on latent variables (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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