A comparative analysis of measures used in the assessment of chronic pain patients.

Mikail, Samuel F.; DuBreuil, Susan C.; D'Eon, Joyce L.

doi:10.1037/1040-3590.5.1.117

Cited by 34 publications

(37 citation statements)

References 18 publications

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“…The MPI has excellent psychometric properties 41,42 and the factor structure has been confirmed in several studies. 43,44 In addition, it is sensitive to change 45,46 and is predictive of long-term pain following an acute injury.…”

Section: Participantsmentioning

confidence: 72%

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

2003

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Study design: Postal survey. Objectives: Because of the high prevalence and inadequate control of pain following spinal cord injury (SCI), it is important to have information about the factors associated with the use of specific pain therapies. We conducted this study to evaluate the ability of pain characteristics and psychosocial factors to predict the use of treatments. Setting: The Miami Project to Cure Paralysis (Miami, FL, USA). Methods: People with SCI (n ¼ 120) were mailed a packet containing a questionnaire with questions regarding demographic factors, pain characteristics, and pain treatments along with a copy of the Multidimensional Pain Inventory. Results: A total of 59% of the respondents had been prescribed treatment or self-initiated efforts to treat pain over the previous 18-month period. The most common treatments used by this sample were massage (26.6%), opioids (22.5%) and nonsteroidal anti-inflammatory drugs (NSAIDs) (20%). The most effective treatments overall were 'physical therapies' with 50% receiving these treatments indicating that their pain was 'considerably reduced' or that they were 'pain free.' Opioids and anticonvulsants were perceived to be the most effective pharmacological agents prescribed (33.3 and 23.8% reporting their pain was considerably better or eliminated, respectively). People using prescription medication reported significantly greater pain severity, more widespread pain, more descriptive adjectives, more evoked pain, greater difficulty in dealing with pain, and more interference and decreased activity levels due to pain, compared to people not using prescription medication. A combination of greater difficulty in dealing with pain, intense pain, presence of evoked pain, and higher level of perceived support from significant others was predictive of taking prescription medication. Conclusion: People taking prescription medication reported significantly more intense pain with neuropathic characteristics that significantly affected daily life and routine activities. A substantial percentage of individuals with pain related to SCI did not obtain significant pain relief from prescription medications. None of the factors assessed predicted the use of nonprescription treatments. The results of this study confirm the inadequacy of available modalities to manage chronic pain related to SCI.

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Section: Participantsmentioning

confidence: 72%

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

2003

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“…The MPI assesses pain severity, perceived interference of pain in life activities, affective distress, perceived control over life, support from significant others, responses by significant others, and the performance of a set of common activities. The previous research has demonstrated good reliability and validity with several diverse samples of chronic pain patients (23,29,30).…”

Section: Measurements Multidimensional Pain Inventorymentioning

confidence: 93%

Differential responses by psychosocial subgroups of fibromyalgia syndrome patients to an interdisciplinary treatment

Turk

Okifuji

Sinclair

et al. 1998

Arthritis & Rheumatism

262

135

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“…The score was based on the grand sum of the point values for the 10 sensory, 5 affective, 1 evaluative, and 4 miscellaneous groups of adjectives utilized to describe subjective pain experience (Melzack, 1975). Published data from a large chronic pain sample (Mikail et al, 1993) were used as a normative comparison group. This total sample included 149 male and 166 female chronic pain patients with a mean pain duration of 6.6 years, mean age of 43.5 years, with pain location including 43% low back pain, 25% multiple pain sites, 17.5% extremities, 5.7% cervical pain, and 8% other sites.…”

Section: Methodsmentioning

confidence: 99%

“…Published studies were reviewed to identify ranges of endorsement on the MPQ (Mikail, Dubreuil, & D'Eon, 1993), PDI (Tait et al, 1990), and MSPQ (Main, 1983) that were typical of chronic pain patients. This provided a means of operationally defining malingering as MPQ, PDI, or MSPQ scores rarely produced by actual pain patients.…”

mentioning

confidence: 99%

Exaggerated Pain Report in Litigants With Malingered Neurocognitive Dysfunction

Larrabee¹

2003

The Clinical Neuropsychologist

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Twenty-nine litigants who met criteria for either definite or probable malingered neurocognitive dysfunction and reported chronic pain produced scores on the McGill Pain Questionnaire (MPQ), Pain Disability Index (PDI), and Modified Somatic Perception Questionnaire (MSPQ) that were significantly higher than scores produced by large samples of clinical pain patients. At 0.90 specificity, the MPQ, PDI, and MSPQ yielded sensitivities of 0.21, 0.59, and 0.90, respectively. The MSPQ alone, correlated significantly with the Lees-Haley Fake Bad Scale (FBS). Overall, the MSPQ is superior to the MPQ and PDI for detection of exaggerated pain symptoms.

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A comparative analysis of measures used in the assessment of chronic pain patients.

Cited by 34 publications

References 18 publications

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

Differential responses by psychosocial subgroups of fibromyalgia syndrome patients to an interdisciplinary treatment

Exaggerated Pain Report in Litigants With Malingered Neurocognitive Dysfunction

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