The German counterpart to McGill Pain Questionnaire

Stein, Christoph; Mendl, Gabriela

doi:10.1016/0304-3959(88)90074-7

Cited by 146 publications

(76 citation statements)

References 6 publications

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“…The second scale was used to assess pain unpleasantness (Price et al, 1983), with 0 indicating ''neutral'' and 10 ''extremely unpleasant''. The German version (Stein and Mendl, 1988) of the MPQ was evaluated according to the methodology originally employed by Melzack and Togerson (Melzack, 1975).…”

Section: Subjective Reportsmentioning

confidence: 99%

Changes in self-perceived role identity modulate pain perception

Kut

Schaffner

Wittwer

et al. 2007

Pain

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Pain is an experience including physiological and psychological factors. We assume that emotions may be elicited and increased through self-perceived role identity and that change of role identity alters quality and intensity of pain perception. We used role-play strategies to assess whether pain can be better tolerated whenever, in an unavoidable and unpleasant context, role identity confers pain a meaningful and thus suitable character. We induced antithetic roles in 21 actors who received heat stimuli on their arms before and after role-play conditions. Pain tolerance, skin conductance and voice signals were measured. Pain tolerance increased for heroes/heroines and decreased for faint-hearts. Men showed higher pain tolerance. Heroes/heroines evaluated heat stimuli as more intense. Faint-hearts found pain stimuli more affectively loaded at lower temperatures. Women showed higher pain ratings. Hence, self-perception influences pain perception. Role-play strategies may be of value for new pain management strategies. AbstractPain is an experience including physiological and psychological factors. We assume that emotions may be elicited and increased through self-perceived role identity and that change of role identity alters quality and intensity of pain perception. We used role-play strategies to assess whether pain can be better tolerated whenever, in an unavoidable and unpleasant context, role identity confers pain a meaningful and thus suitable character. We induced antithetic roles in 21 actors who received heat stimuli on their arms before and after role-play conditions. Pain tolerance, skin conductance and voice signals were measured. Pain tolerance increased for heroes/heroines and decreased for faint-hearts. Men showed higher pain tolerance. Heroes/heroines evaluated heat stimuli as more intense. Faint-hearts found pain stimuli more affectively loaded at lower temperatures. Women showed higher pain ratings. Hence, self-perception influences pain perception. Role-play strategies may be of value for new pain management strategies. Ó

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Section: Subjective Reportsmentioning

confidence: 99%

Changes in self-perceived role identity modulate pain perception

Kut

Schaffner

Wittwer

et al. 2007

Pain

View full text Add to dashboard Cite

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“…McGill Pain Questionnaire German version (Melzack, 1975;Stein and Mendl, 1988). This questionnaire is composed of sensory, affective, evaluative word descriptors in the form of 78 words grouped into 20 subclasses used by patients to specify subjective pain experience and of a visual analogue pain scale for measurement of pain intensity.…”

Section: Assessmentsmentioning

confidence: 99%

Comparison of quality of life and arm complaints after axillary lymph node dissection vs sentinel lymph node biopsy in breast cancer patients

Peintinger¹,

et al. 2003

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The sentinel lymph node biopsy (SLNB) represents a minimal invasive surgical method for axillary staging in patients with primary breast cancer. In a prospective study, evaluation of quality of life (QOL) and arm morbidity was performed before surgery on a total of 56 breast cancer patients. The EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires were used for QOL assessment. Assessment of pain was additionally observed using the McGill Pain Questionnaire. Arm mobility was observed by goniometric measurement of arm movement. Data were collected before surgery (t1), 1 week after discharge (t2) and 9 -12 months after surgery (t3). The type of axillary surgery does not seem to affect global QOL at a short-time follow-up, but patients recover sooner after SLNB. Body image and sexual functioning remain stable in both types of axillary surgery. Arm/shoulder pain was reported in 36% of patients after SLNB in comparison to 68% receiving axillary lymph node dissection (ALND), and 'numbness' was reported only in 4% of patients in the SLNB group vs 19.3% after ALND. Abduction, flexion and horizontal adduction of the affected arm show significant impairment after ALND. Breast cancer patients should be counselled about the benefits of SLNB over ALND concerning QOL and postsurgery side effects in a short-term follow-up. Axillary lymph node dissection (ALND) in breast cancer patients still represents the routine surgical method for axillary staging. Although the axillary node status is the most important prognostic factor for recurrence and survival (Fisher et al, 1984;Carter et al, 1989) and information obtained by axillary dissection is useful for planning adjuvant treatment, it is associated with substantial morbidity (Kissin et al, 1986;Ivens et al, 1992;Keramopoulos et al, 1993;Hack et al, 1999;Kakuda et al, 1999) and psychological distress (Maunsell et al, 1993;Tobin et al, 1993;Shimozuma et al, 1999). Hack et al, showed arm/shoulder pain, weakness or numbness in 72% and impaired range of motion in 73% of breast cancer patients after ALND, whereas high levels of quality of life (QOL) were reported. Moderate to severe pain was reported between 20, 23 and 32% (Van Dam et al, 1993;Kuehn et al, 2000;Ververs et al, 2001) and was not significantly related to time since surgery. Other reports suggest that arm problems after ALND are associated with a negative effect on the overall QOL of breast cancer patients (Maunsell et al, 1993;Kuehn et al, 2000). As a result of the need to reduce axillary morbidity, many investigations have been performed on sentinel lymph node biopsy (SLNB), an alternative procedure. Using vital dye and/or radiocolloid, the sentinel node/s as the first lymph node to receive lymphatic drainage from the primary tumour can be identified by a minimal invasive surgical technique. Recently, published data showed no sensory morbidity after SLNB (Giuliano et al, 2000) at a median follow-up of 39 months. Schrenk et al (2000) reported less postoperative arm pain, numbness and arm motion restriction after SLNB at a foll...

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“…However, the study of Maihöfner et al even extended these findings, showing a shift of the cortical S1 representation of the affected hand toward the lip representation and establishing a correlation between the amount of cortical reorganization and the intensity of CRPS pain and the extent of mechanical hyperalgesia. In contrast to the previous MEG study, Maihöfner et al used the McGill Pain Questionnaire to assess sensory, affective, and evaluative components of chronic pain, 25 instead of rating acute pain alone, which was not related to cortical reorganization. Other clinical features such as motor and autonomic symptoms, including misuse of the affected hand, did not correlate with the amount of cortical reorganization, emphasizing the impact of pain and hyperalgesia for these cortical phenomena.…”

Section: Somatosensory Systemmentioning

confidence: 99%