Chronic pain: An investigation of assessment instruments

Murphy, Joseph K.; Sperr, Edwin; Sperr, Shelby J.

doi:10.1016/0022-3999(86)90005-x

Cited by 15 publications

(9 citation statements)

References 18 publications

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“…Despite methodological shortcomings, the Gatchel et al studies are supportive for future research along similar lines. Murphy, Sperr, and Sperr (1986) report the evaluation of the MBHI for the perceived utility of the test by health care professionals and the predictive validity of the MBHI.…”

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Millon Behavioral Health Inventory norms for chronic pain patients

et al. 1989

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The Millon Behavioral Health Inventory (MBHI) is being used more widely in pain treatment settings; however, normative data on a large sample of chronic pain patients have not been published. In the present study, norms were established for 247 chronic pain patients. The chronic pain patient norms then were compared statistically to norms for non-medical population. Overall, the results showed that the score distributions for chronic pain patients and normals were similar on most MBHI scales. The differences that were found are consistent with other research on pain patients and indicate that chronic pain patients are more likely to be depressed and anxious. Differences in scales between chronic pain patients and controls may be explained by state vs. trait factors. In evaluating chronic pain patients by personality tests, one needs to keep in mind state-trait problems and their potential influence on test results.

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Millon Behavioral Health Inventory norms for chronic pain patients

et al. 1989

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“…With the SPI, item one relates to pain severity right now and is included above. However, with the MPQ this is not included (MPQ [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and to be a fairer comparison it should be included in both (MPQ . For an equivalent internal reliability (Cronbach alpha) of the SPI, the MPQ 1-21 needs another 15 classes, each with 2-6 words, namely 36 subclasses.…”

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confidence: 99%

“…Their descriptor word lists involves 10 subclasses (1-10) for the sensory pain rating index (PRI). Yet only five subclasses (11)(12)(13)(14)(15) are used for the affective PRI. The evaluative PRI is from only one subclass.…”

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Comparison of internal reliability and validity of the McGill Pain Questionnaire and the Short Pain Inventory

Kilminster

Mould

2002

International Journal of Pharmaceutical Medicine

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We compared the psychometric properties of the McGill Pain Questionnaire (MPQ) with the 17-item Short Pain Inventory# (SPI) in 60 outpatients with osteoarthritic knee pain. Split-half reliability, Guttman split-half reliability, Cronbach alpha and the correlation between the first and second half of the test were higher in the SPI total pain disturbance than any of the summary or subscales of the MPQ: 0.94, 0.94. 0.88 and 0.90, versus 0.71, 0.70, 0.69 and 0.55 for the MPQ sensory present pain intensity, 0.59, 0.57, 0.65 and 0.43 for the affective and 0.62, 0.55, 0.49 and 0.45 for the evaluative MPQ scale, respectively. The parameters for the SPI total mood disturbance were superior to all MPQ-derived scales. Dividing into high and low 'pain experienced right now' identified screening samples. The SPI 'pain right now' was more discriminating than the comparative MPQ item on both the SPI and MPQ. Additionally, none of the summary scales of the MPQ could show significant internal discrimination whereas the SPI did achieve this.There were 23 significant correlations with the SPI severity compared with 15 with the MPQ. SPI sadness, anxiety, anger, total mood disturbance and total pain disturbance were significantly correlated with the MPQ severity rating. The MPQ variables fared less well than the SPI in the degree of association between various pain parameters and physical severity.Factor analyses revealed that the SPI accounts for the majority of the variance (50%) compared with 17% for Factor 2. This second factor is best indexed by the McGill 'pain now' and also with the SPI 'pain severity now' item. Since the SPI indexes the severity as accurately (0.79) as the McGill, the only difference between the two is the sensory MPQ variance. However, since the SPI (Factor 1) also indexes some of the common variance of the MPQ sensory variable, the SPI also gains in this respect. If it were the case that the outcome of an analgesic clinical trial was the sensory aspects of the pain (cutting, throbbing, rasping) then the McGill should be the obvious outcome measure. For the patient, the most important feature of pain surely must be the physical severity and the unpleasantness of the experience. The MPQ is a rather long procedure and the evaluative scale is of dubious value. The majority of the pain variance is captured by the SPI and, secondly, by the sensory aspect of the MPQ. The SPI measures the emotional aspects of pain well and the McGill assesses the physical or sensory aspects of pain better than any other available. Both have their place according to one's research interests and the clinical relevance. For example, if an investigation involves opiates like morphine, the SPI may be the better placed instrument, since the induced euphoria may present as a patient who can still feel the pain but is no INTERNATIONAL JOURNAL OF PHARMACEUTICAL MEDICINE 2002, 16:87 -95 & 87 1364-9027 # 2002 LIPPINCOTT WILLIAMS & WILKINS longer bothered by it. Algesimetry requires measuring both the physical and emotional sensations of the ...

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“…It assesses relevant personality factors and psychogenic attitudes. The MBHI has been used in the assessment of chronic pain [2–5], sexual dysfunction [6,7], and alcohol use [8]. It has also been used in the assessment of other specific medical populations: coronary bypass surgery patients [9], patients on dialysis [10,11], patients with dysphagia [12], oncology patients [13], and patients with duodenal ulcer [14] and other gastrointestinal disorders [15].…”

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Millon Behavioral Health Inventory Scores of Patients With Chronic Pain Associated with Myofascial Pain Syndrome

Fishbain¹,

Turner

Rosomoff³

et al. 2001

Pain Med

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The pattern of the results indicated that CPPs with MPS, especially males, differ from the MBHI Manual normative data counterparts. These differences appear to be greater than those for CPPs with mixed pain diagnoses. Differences in MBHI scale scores between CPPs with MPS and MBHI Manual normative data counterparts may be related to a number of issues, such as whether differences in state factors reflecting depression and anxiety might affect trait factors purportedly measured by the MBHI.

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Chronic pain: An investigation of assessment instruments

Cited by 15 publications

References 18 publications

Millon Behavioral Health Inventory norms for chronic pain patients

Millon Behavioral Health Inventory norms for chronic pain patients

Comparison of internal reliability and validity of the McGill Pain Questionnaire and the Short Pain Inventory

Millon Behavioral Health Inventory Scores of Patients With Chronic Pain Associated with Myofascial Pain Syndrome

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