scholarly journals Chronic Pain Assessment: A Seven-Factor Model

2008 ◽  
Vol 13 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Megan A Davidson ◽  
Dean A Tripp ◽  
Leandre R Fabrigar ◽  
Paul R Davidson
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Factor Model ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Activity Level ◽  
Mcgill Pain Questionnaire ◽  
Pain Coping ◽  
Pain Experience ◽  
The Core

BACKGROUND: There are many measures assessing related dimensions of the chronic pain experience (eg, pain severity, pain coping, depression, activity level), but the relationships among them have not been systematically established.OBJECTIVE: The present study set out to determine the core dimensions requiring assessment in individuals with chronic pain.METHODS: Individuals with chronic pain (n=126) completed the Beck Anxiety Inventory, Beck Depression Inventory, Beck Hopelessness Scale, Chronic Pain Coping Index, Multidimensional Pain Inventory, Pain Catastrophizing Scale, McGill Pain Questionnaire – Short Form, Pain Disability Index and the Tampa Scale of Kinesiophobia.RESULTS: Before an exploratory factor analysis (EFA) of the nine chronic pain measures, EFAs were conducted on each of the individual measures, and the derived factors (subscales) from each measure were submitted together for a single EFA. A seven-factor model best fit the data, representing the core factors of pain and disability, pain description, affective distress, support, positive coping strategies, negative coping strategies and activity.CONCLUSIONS: Seven meaningful dimensions of the pain experience were reliably and systematically extracted. Implications and future directions for this work are discussed.

The relationship between pain coping variability and committed action in chronic pain adjustment

2016 ◽  
Vol 33 (S1) ◽  
pp. S209-S209
Author(s):  
W. Wong ◽  
P. Chen ◽  
Y. Chow ◽  
H. Lim ◽  
S. Wong ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Independent Predictor ◽  
Pain Catastrophizing ◽  
Chinese Patients ◽  
Pain Coping ◽  
Significant Independent Predictor ◽  
Competing Interest ◽  
Pain Adjustment ◽  
Independent Effects

IntroductionResearch evidenced the association of pain coping strategies with short-term and long-term adjustments to chronic pain. Yet, previous studies mainly assessed the frequency of coping strategies when pain occurs whilst no data is available on one's flexibility/rigidity in using different pain coping strategies, i.e., pain coping variability, in dealing with different situations.ObjectivesThis study aimed to examine the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability. Specifically, we examined the independent effects of pain coping variability and committed action in predicting concurrent pain-related disability in a sample of Chinese patients with chronic pain.MethodsChronic pain patients (n = 287) completed a test battery assessing pain intensity/disability, pain coping strategies and variability, committed action, and pain catastrophizing. Multiple regression modeling compared the association of individual pain coping strategies and pain coping variability with disability (Models 1–2), and examined the independent effects of committed action and pain coping variability on disability (Model 3).ResultsOf the 8 coping strategies assessed, only guarding (std β = 0.17) was emerged as significant independent predictor of disability (Model 1). Pain coping variability (std β = −0.10) was associated with disability after controlling for guarding and other covariates (Model 2) and was emerged as independent predictor of disability (Model 3: std β = −0.11) (all P < 0.05) (Tables 1 and 2).ConclusionsOur data offers preliminary support for the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability, which supplements the existing pain coping data that are largely based on assessing frequency of coping.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Relationship between pain-coping strategies, catastrophizing to pain and severity of depression

2017 ◽  
Vol 41 (S1) ◽  
pp. S522-S522
Author(s):  
B. Batinic ◽  
J. Nesvanulica ◽  
I. Stankovic
Keyword(s):  
Coping Strategies ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Average Score ◽  
Coping Mechanism ◽  
Pain Coping ◽  
Passive Coping ◽  
Somatic Pain ◽  
Severity Of Depression

IntroductionStudies have shown that somatic pain influences the severity of major depressive disorder (MDD), and could be moderated through pain coping strategies and not catastrophizing to pain.ObjectivesThe aim of the study was to ascertain the correlation between pain coping strategies, catastrophizing to pain and severity of depression.MethodsThe study sample consisted of 82 patients diagnosed with MDD, aged between 18 and 65 years old (M = 46.21). Assessment instruments included The Beck Depression Inventory-II (BDI-II), The Brief Pain Inventory-Short Form-BPISF (consisting of two subscales: BPI1-intensity of pain, and BPI2-interference with daily functioning), The Vanderbilt Pain Management Inventory-VPMI (consisting of active-VPMIAC and passive pain coping mechanism subscales-VPMIPC) and The Pain Catastrophizing Scale-PCS (consisting of subscales of rumination, exaggeration and helplessness).ResultsThe average BDI-II score was 27.21 (SD = 11.53); the average score at BPI1 was 2.99 (SD = 2.83) and 3.35 (SD = 3.26) at BPI2; the average scores on the active coping mechanism subscale was 20.72 (SD = 4.87), and on the passive coping mechanism subscale 34.05 (SD = 7.86); the average catastrophizing scale score was 28.78 (SD = 10.72). Active mechanism of pain coping has shown significant negative correlation with depression (r = –0.227, P > 0.05) while passive mechanism of pain coping has shown significant positive correlation with depression (r = 0.269, P > 0.05). Intensity of depression was significantly positively correlated with intensity of catastrophizing to pain (r = 0.358, P > 0.01) and its derivatives: rumination, exaggeration and helplessness.ConclusionInterventions focusing on targeting catastrophizing to pain and pain coping mechanisms should be considered in the treatment of patients with MDD with somatic pain.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Mitsunao Tomioka ◽  
Masako Hosoi ◽  
Tomona Okuzawa ◽  
Kozo Anno ◽  
Rie Iwaki ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Medical Care ◽  
Interpersonal Relationships ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Significant Others ◽  
Pictorial Representation ◽  
Mcgill Pain Questionnaire ◽  
Time Of Admission

Abstract Background Pictorial Representation of Illness and Self Measure (PRISM) is a tool that can be used to visualize and evaluate the burden of suffering caused by an illness. The aim of this study was to identify which aspects of the burden of chronic pain patients are associated with Self/illness separation (SIS), an indicator of the magnitude of suffering. We also examined the effectiveness of PRISM for evaluating changes in the relationships between patients and their medical care and significant others due to our inpatient treatment. Methods Seventy-two patients with chronic pain who were outpatients or admitted to the Department of Psychosomatic Medicine completed PRISM, depression and anxiety scales, and three types of pain-related self-assessment questionnaires (Brief Pain Inventory, Short-form McGill Pain Questionnaire, and Pain Catastrophizing Scale). Outpatients were queried at the time of outpatient visits and inpatients at the time of admission. In addition to PRISM disks related to illness, we asked each patient to place disks related to things important to them and their medical care. Of the inpatients, 31 did PRISM at the time of discharge. Among the reported important factors, which significant other was placed at the time of admission and discharge was evaluated. The distances of self/medical care separation (SMcS) and self/significant others separation (SSoS) were measured. Results Of the 21 scales measured, 10 showed a significant correlation with SIS. Factor analysis of these 10 scales extracted three factors, Life interferences, Negative affects, and Pain intensity. The SMcS and SSoS distances were shorter at discharge than at admission. Conclusions PRISM for patients with chronic pain is an integrated evaluation method that reflects three aspects of pain. By adding medical care and significant others to the usual method of placing only illness on the sheet it became possible to assess changes in the quality of interpersonal relationships.

scholarly journals The nature and prevalence of chronic pain in homeless persons: an observational study

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 164 ◽  
Author(s):  
Rebecca Fisher ◽  
Judith Ewing ◽  
Alice Garrett ◽  
E Katherine Harrison ◽  
Kimberly KT Lwin ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Short Form ◽  
Homeless People ◽  
Brief Pain Inventory ◽  
Homeless Persons ◽  
Lower Limbs ◽  
Mcgill Pain Questionnaire ◽  
Wide Range

Background: Homeless people are known to suffer disproportionately with health problems that reduce physical functioning and quality of life, and shorten life expectancy. They suffer from a wide range of diseases that are known to be painful, but little information is available about the nature and prevalence of chronic pain in this vulnerable group. This study aimed to estimate the prevalence of chronic pain among homeless people, and to examine its location, effect on activities of daily living, and relationship with alcohol and drugs.Methods: We conducted face-to-face interviews with users of homeless shelters in four major cities in the United Kingdom, in the winters of 2009-11. Participants completed the Brief Pain Inventory, Short Form McGill Pain questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs, and detailed their intake of prescribed and unprescribed medications and alcohol. We also recorded each participant’s reasons for homelessness, and whether they slept rough or in shelters.Findings: Of 168 shelter users approached, 150 (89.3%) participated: 93 participants (63%) reported experiencing pain lasting longer than three months; the mean duration of pain experienced was 82.2 months. The lower limbs were most frequently affected. Opioids appeared to afford a degree of analgesia for some, but whilst many reported symptoms suggestive of neuropathic pain, very few were taking anti-neuropathic drugs.Interpretation: The prevalence of chronic pain in the homeless appears to be substantially higher than the general population, is poorly controlled, and adversely affects general activity, walking and sleeping. It is hard to discern whether chronic pain is a cause or effect of homelessness, or both. Pain is a symptom, but in this challenging group it might not always be possible to treat the underlying cause. Exploring the diagnosis and treatment of neuropathic pain may offer a means of improving the quality of these vulnerable people’s lives.

scholarly journals Correlation of digital health use and chronic pain coping strategies

mHealth ◽  
2016 ◽  
Vol 2 ◽  
pp. 35-35 ◽  
Author(s):  
Megan L. Ranney ◽  
Cassandra Duarte ◽  
Janette Baird ◽  
Emily J. Patry ◽  
Traci C. Green
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Digital Health ◽  
Pain Coping

scholarly journals Validation of the Self-Assessment of Treatment Questionnaire among Patients with Postherpetic Neuralgia

2012 ◽  
Vol 2012 ◽  
pp. 1-15 ◽  
Author(s):  
Kathleen W. Wyrwich ◽  
Ariane K. Kawata ◽  
Christine Thompson ◽  
Stefan Holmstrom ◽  
Malcolm Stoker ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Postherpetic Neuralgia ◽  
Factor Model ◽  
Short Form ◽  
Reliability And Validity ◽  
Optimal Solution ◽  
Measurement Properties ◽  
Mcgill Pain Questionnaire ◽  
High Concentration ◽  
Self Assessment

Introduction. A five-item Self-Assessment of Treatment (SAT) was developed to assess improvement and satisfaction with treatment associated with the application of a novel high concentration 8% capsaicin topical patch in clinical trials in patients with postherpetic neuralgia (PHN). This study evaluated the item performance and psychometric properties of the SAT. Methods. The SAT, Brief Pain Inventory, SF-36v2, Short-Form McGill Pain Questionnaire, and Patient and Clinician Global Impression of Change (PGIC; CGIC) scores were measured in two 12-week Phase 3 clinical trials. Factor analysis assessed the underlying factor structure, followed by examination of the reliability and validity of the multi-item domain. Results. Pooled data from 698 patients completing SAT after 12 weeks of treatment were analyzed. A one-factor model combining three of the five items emerged as the optimal solution. Internal consistency reliability of this treatment efficacy factor was high (Cronbach's alpha = 0.89). Construct validity was demonstrated by moderate to high correlations with change in other study endpoints. SAT mean scores consistently discriminated between patient change groups defined by PGIC and CGIC. Conclusions. The measurement properties of the three-item version of SAT are valid and reliable for assessment of treatment with a high concentration capsaicin patch among patients with PHN.

Self-efficacy and outcome expectancies: relationship to chronic pain coping strategies and adjustment

Pain ◽  
1991 ◽  
Vol 44 (3) ◽  
pp. 263-269 ◽  
Author(s):  
Mark P. Jensen ◽  
Judith A. Turner ◽  
Joan M. Romano
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Self Efficacy ◽  
Outcome Expectancies ◽  
Pain Coping

scholarly journals Psychometric Properties and Structural Validity of the Serbian Version of the Copenhagen Burnout Inventory (CBIser)

SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110488
Author(s):  
Marko Živanović ◽  
Emina Borjanić Bolić ◽  
Maša Vukčević Marković
Keyword(s):  
Psychometric Properties ◽  
Factor Model ◽  
Short Form ◽  
Child Welfare Workers ◽  
Structural Validity ◽  
The Core ◽  
Best Fitting ◽  
Serbian Version ◽  
Welfare Workers ◽  
Core Features

Copenhagen Burnout Inventory (CBI) is a tool assessing fatigue and exhaustion as the core features of burnout. Despite its wide use and evidence of good psychometric properties, little is known about its structural validity. Therefore, this study aimed to examine internal psychometric properties and the latent composition of the Serbian version of CBI. A sample of 382 child welfare workers engaged in the work with the domestic population and professionals working with refugees and migrants completed a 19-item version of CBIser. Results showed that full-scale CBI despite having good psychometric properties lacks structural validity. A short-form of the instrument was empirically derived and several concurrent confirmatory models found in previous studies were tested. A three-factor model of personal, work-, and client-related burnout showed to be the best fitting one, and the 13-item form of CBI proved to be a structurally valid and psychometrically sound measure of burnout.

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