Judging patients’ pain from external cues

Igier, Valérie; Sorum, Paul Clay; Mullet, Étienne

doi:10.1177/1359105313475899

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…Facial expression has been shown to be an important factor in real life situations. For example, Igier, Sorum, and Mullet [ 31 ] compared facial expressions, verbalizations, avoidance of movement, and interpersonal contact in the assessment of pain in elderly patients. Three conditions were used: where the illness was not known, arthritis, and cancer.…”

Section: Discussionmentioning

confidence: 99%

Individual Differences and Similarities in the Judgement of Facial Pain: A Mixed Method Study

Glenn

Poole

Oulton

2020

EJIHPE

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Accurate assessment of pain by health-care professionals is essential to ensure optimal management of pain. An under-researched area is whether personality characteristics affect perception of pain in others. The aims were (a) to determine whether individual differences are associated with participants’ ability to assess pain, and (b) to determine facial cues used in the assessment of pain. One hundred and twenty-eight undergraduate students participated. They completed questionnaire assessments of empathy, pain catastrophizing, sensory sensitivity and emotional intelligence. They then viewed and rated four adult facial images (no, medium, and high pain—12 images total) using a 0–10 numerical rating scale, and noted the reasons for their ratings. (a) Empathy was the only characteristic associated with accuracy of pain assessment. (b) Descriptions of eyes and mouth, and eyes alone were most commonly associated with assessment accuracy. This was the case despite variations in the expression of pain in the four faces. Future studies could evaluate the effect on accuracy of pain assessment of (a) training empathic skills for pain assessment, and (b) emphasizing attention to the eyes, and eyes and mouth.

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Section: Discussionmentioning

confidence: 99%

Individual Differences and Similarities in the Judgement of Facial Pain: A Mixed Method Study

Glenn

Poole

Oulton

2020

EJIHPE

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“…Four of these studies investigated more than one vocalization, all thirteen studies scored average on the GRADE scale, and all thirteen studies found an association between vocalization and pain (Abbey & Abbey, 2009;Cohen-Mansfield & Creedon, 2002;Decker, 2009;Gélinas et al, 2018;Igier, Sorum, & Mullet, 2014;Kovach, Griffie, Muchka, Noonan, & Weissman, 2000;Pereira, Morete, Bueno, & Santo, 2011;Rose et al, 2011;Solodiuk, 2013;Swiggum, Hamilton, Gleeson, Roddey, & Mitchell, 2010;Symons, Byiers, Tervo, & Beisang, 2013;van Iersel, Timmerman, & Mullie, 2006;Zwakhalen, van Dongen, Hamers, & Abu-Saad, 2004).…”

Section: Expert Opinionsmentioning

confidence: 99%

Crying out in pain—A systematic review into the validity of vocalization as an indicator for pain

Helmer

Weijenberg

Vries

et al. 2020

European Journal of Pain

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Background Vocalization is often used to assess pain, sometimes combined with other behaviours such as facial expressions. Contrary to facial expressions, however, for vocalization, there is little evidence available on the association with pain. The aim of this systematic review was to critically analyse the association between vocalization and pain, to explore if vocalizations can be used as a “stand‐alone” indicator for pain. Methods The search was performed according to the Prisma Guidelines for systematic reviews and meta‐analysis. The following terms were used: “Pain Measurement,” “Vocalization” and “Verbalization.” The study population included verbal and non‐verbal individuals, including older people and children. The search was performed in three different databases: PubMed, Embase and CINAHL. A total of 35 studies were selected for detailed investigation. Quality assessments were made using two grading systems: Grading of Recommendations Assessment Development and Evaluation system and the Newcastle‐Ottawa scale. Results An association between vocalization and pain was found in most studies, particularly when different types of vocalizations were included in the investigation. Different types of vocalization, but also different types of pain, shape this association. The association is observed within all groups of individuals, although age, amongst others, may have an influence on preferred type of vocalization. Conclusions There is an association between vocalization and pain. However, vocalization as a “stand‐alone” indicator for pain indicates only a limited aspect of this multifactorial phenomenon. Using vocalization as an indicator for pain may be more reliable if other pain indicators are also taken into account. Significance Vocalizations are frequently used in pain scales, although not yet thoroughly investigated as a “single indicator” for pain, like, e.g. facial expression. This review confirms the role of vocalizations in pain scales, and stresses that vocalizations might be more reliable if used in combination with other pain indicators.

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“…Indeed, facial expression of pain is one of the most salient social cues of other’s pain ( Kappesser and Williams, 2002 ; Williams, 2002 ). When we attempt to evaluate other’s pain intensity, facial expression would be the best predictor ( Igier et al, 2014 ).…”

Section: Experiments 1: Physical Cue and Empathy For Pain In Childrenmentioning

confidence: 99%

Physical Cue Influences Children’s Empathy for Pain: The Role of Attention Allocation

Yan

Pei

2018

Front. Psychol.

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Empathy for pain is evolutionally important and context-dependent. The current study explored the effect of physical cue on 4- to 5-year-old children’s empathy for pain with two experiments. Experiment 1 investigated the effect of valid and invalid physical cue as compared to baseline (without cue) in pain evaluation task (evaluating the pain intensity of a facial expression, N = 28). Experiment 2 employed eye-tracking to investigate the attentional process in valid and baseline conditions (evaluating the pain intensity of a body image with an apparently injured arm or leg, N = 65). We found the evaluation of pain intensity was the highest in the valid condition, and higher in baseline condition than invalid. As for eye-tracking results, children fixated more quickly, had more fixations and longer total fixation duration in valid-cue condition. Of attention allocation, compared with baseline condition, children fixated on arm/leg more quickly, more frequently and for longer time in valid condition. Additionally, eye-tracking results were significantly related to their evaluation of pain intensity.

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Judging patients’ pain from external cues

Cited by 9 publications

References 4 publications

Individual Differences and Similarities in the Judgement of Facial Pain: A Mixed Method Study

Individual Differences and Similarities in the Judgement of Facial Pain: A Mixed Method Study

Crying out in pain—A systematic review into the validity of vocalization as an indicator for pain

Physical Cue Influences Children’s Empathy for Pain: The Role of Attention Allocation

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