Preliminary Validation of the Defense and Veterans Pain Rating Scale (DVPRS) in a Military Population

Buckenmaier, Chester C.; Galloway, Kevin T.; Polomano, Rosemary C.; McDuffie, Mary Joan; Kwon, Nancy; Gallagher, Rollin M.

doi:10.1111/j.1526-4637.2012.01516.x

Cited by 176 publications

(78 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As in our prior study, pain intensity was measured with the validated and self-rated Defense and Veterans Pain Rating Scale (DVPRS) (40). With this 11-point visual analog scale, 0 indicates no pain and 10 indicates the most severe pain.…”

Section: Methodsmentioning

confidence: 99%

Transcranial Direct Current Stimulation (tDCS) Targeting Left Dorsolateral Prefrontal Cortex Modulates Task-Induced Acute Pain in Healthy Volunteers

et al. 2015

View full text Add to dashboard Cite

Objective Current chronic pain treatments target nociception rather than affective “suffering” and its associated functional and psychiatric comorbidities. Left dorsolateral prefrontal cortex (DLPFC) has been implicated in affective, cognitive, and attentional aspects of pain and is a primary target of neuromodulation for affective disorders. Transcranial direct current stimulation (tDCS) can noninvasively modulate cortical activity. The present study tests if anodal tDCS targeting left DLPFC will increase tolerability of acute painful stimuli versus cathodal tDCS. Methods Forty tDCS-naive healthy volunteers received anodal and cathodal stimulation targeting left DLPFC in two randomized and counterbalanced sessions. During stimulation, each participant performed cold pressor (CP) and breath holding (BH) tasks. We measured pain intensity with the Defense and Veterans Pain Rating Scale (DVPRS) before and after each task. Results Mixed ANOVA revealed no main effect of stimulation polarity for mean CP threshold, tolerance, or endurance, or mean BH time (all p > 0.27). However, DVPRS rise associated with CP was significantly smaller with anodal versus cathodal tDCS (p = 0.024). We further observed a significant tDCS polarity × stimulation order interaction (p = 0.042) on CP threshold suggesting task sensitization. Conclusions Although our results do not suggest that polarity of tDCS targeting left DLPFC differentially modulates tolerability of CP- and BH-related pain distress in healthy volunteers, there was a significant effect on DVPRS pain ratings. This contrasts with our previous findings that tDCS targeting left dorsal anterior cingulate cortex showed a trend towards higher mean CP tolerance with cathodal versus anodal stimulation. The present results may suggest tDCS-related effects on nociception or DLPFC-mediated attention, or preferential modulation of the affective valence of pain as captured by DVPRS. Sham-controlled clinical studies are needed.

show abstract

Section: Methodsmentioning

confidence: 99%

Transcranial Direct Current Stimulation (tDCS) Targeting Left Dorsolateral Prefrontal Cortex Modulates Task-Induced Acute Pain in Healthy Volunteers

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The PSQ and Defense and Veterans Pain Rating Scale (DVPRS)22 scored equal highest with the GPM in three of the four domains assessed comprising content validity, reliability and internal consistency.…”

Section: Resultsmentioning

confidence: 99%

A review of general pain measurement tools and instruments for consideration of use in COPD clinical practice

Johnson

Smith

2017

COPD

View full text Add to dashboard Cite

BackgroundThe experience of pain can have a significant impact on the everyday life of individuals including those with COPD. Recently, pain has emerged as an area in COPD research. When considering pain measurement in COPD studies, it is important to consider the validity, reliability, responsiveness and interpretability of instruments and tools. This review sought to assess these domains of general pain instruments and tools using the consensus-based standards for the selection of health measurement instruments (COSMIN).MethodsThree separate analyses were used to assess general pain measurement tools and instruments. These comprise COSMIN’s, 1) methodological quality assessment with dichotomous responses, 2) the 4-point rating scale, and 3) overall quality criteria using an assessment scale for clinimetric properties by Terwee.ResultsOverall Pain Sensitivity Questionnaire (PSQ) was found to have the highest rating in all domains of validity, reliability, responsiveness and interpretability. In the first analysis, PSQ and Geriatric Pain Measure (GPM) scored highest in four of the six domains. In the second analysis, using the 4-point rating, the PSQ scored highest in three of four domains. In the third analysis, the GPM scored the highest in all four domains. Overall the PSQ, GPM and Defense and Veterans Pain Rating Scale scores were consistently high in the three separate analyses in this review.ConclusionThis review found variability in the domains of validity, reliability, responsiveness and interpretability in general pain tools and instruments. The PSQ was found to be the most valid and reliable general pain measurement instrument for adult populations.

show abstract

“…Pain scores were entered using the EPIC electronic medical record system; the UFHealth implementation offers education on the administration of the NRS query at the point of data entry to improve the veracity of collected data, including a contextualization using the Defense and Veterans Pain Rating System [8]. Pain scores were generally recorded every 4 hours per nursing protocol, with a repeat query within 1 hour following administration of analgesic medications for breakthrough pain; this documentation schedule was modified as needed for different clinical settings such as the intensive care unit and post-anesthesia care unit, where assessments were recorded more often as needed.…”

Section: Methodsmentioning

confidence: 99%

Markov chain evaluation of acute postoperative pain transition states

Tighe

Bzdega

Fillingim

et al. 2016

Pain

View full text Add to dashboard Cite

Prior investigations on acute postoperative pain dynamicity have focused on daily pain assessments, and so were unable to examine intra-day variations in acute pain intensity. We analyzed 476,108 postoperative acute pain intensity ratings clinically documented on postoperative days 1 to 7 from 8,346 surgical patients using Markov Chain modeling to describe how patients are likely to transition from one pain state to another in a probabilistic fashion. The Markov Chain was found to be irreducible and positive recurrent, with no absorbing states. Transition probabilities ranged from 0.0031 for the transition from state 10 to state 1, to 0.69 for the transition from state zero to state zero. The greatest density of transitions was noted in the diagonal region of the transition matrix, suggesting that patients were generally most likely to transition to the same pain state as their current state. There were also slightly increased probability densities in transitioning to a state of asleep or zero from the current state. Examination of the number of steps required to traverse from a particular first pain score to a target state suggested that overall, fewer steps were required to reach a state of zero (range 6.1–8.8 steps) or asleep (range 9.1–11) than were required to reach a mild pain intensity state. Our results suggest that Markov Chains are a feasible method for describing probabilistic postoperative pain trajectories, pointing toward the possibility of using Markov decision processes to model sequential interactions between pain intensity ratings and postoperative analgesic interventions.

show abstract

Preliminary Validation of the Defense and Veterans Pain Rating Scale (DVPRS) in a Military Population

Abstract: The DVPRS tool demonstrated acceptable psychometric properties in a military population.

Cited by 176 publications

References 43 publications

Transcranial Direct Current Stimulation (tDCS) Targeting Left Dorsolateral Prefrontal Cortex Modulates Task-Induced Acute Pain in Healthy Volunteers

Transcranial Direct Current Stimulation (tDCS) Targeting Left Dorsolateral Prefrontal Cortex Modulates Task-Induced Acute Pain in Healthy Volunteers

A review of general pain measurement tools and instruments for consideration of use in COPD clinical practice

Markov chain evaluation of acute postoperative pain transition states

Contact Info

Product

Resources

About