Measurement of pain: patient preference does not confound pain measurement.

Abstract:

:Chronic pain patients reported pain intensity on each of 3 pain intensity scales, the visual analog, numerical and adjectival scales, and then ranked the scales in order of perceived best communication of pain intensity. All patients were able to complete an adjectival scale but 11% were unable to complete a visual analog scale and 2% failed at a numeric scale. The intensity of the pain ratings on the 3 scales were significantly correlated and there were no reliable differences in reported intensity as a function of preference. Pain intensity was reliably higher on each scale for depressed-anxious patients as compared to non-depressed/non-anxious patients. Patients completing all 3 scales indicated a significant preference for the adjectival scale but the basis for this preference did not appear related to sex, etiology of pain, affective variables nor selected psychological variables. These data indicate that pain scale preference does not influence pain intensity report. Nevertheless, there are some clinical situations in which a numeric scale is likely to yield a better measure of pain intensity.

journal_name

Pain

journal_title

Pain

authors

Kremer E,Atkinson HJ,Ignelzi RJ

doi

10.1016/0304-3959(81)90199-8

subject

Has Abstract

pub_date

1981-04-01 00:00:00

pages

241-248

issue

2

eissn

0304-3959

issn

1872-6623

pii

00006396-198104000-00011

journal_volume

10

pub_type

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