Validation of the brief pain inventory for chronic nonmalignant pain

Tan, Gabriel; Jensen, Mark P.; Thornby, John; Shanti, Bilal F

doi:10.1016/j.jpain.2003.12.005

Cited by 1,187 publications

(955 citation statements)

References 24 publications

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“…Clinical shoulder pain ratings were assessed with the Brief Pain Inventory (BPI), which includes a numerical rating scale (NRS) for pain intensity (Cleeland and Ryan, 1994;Cleeland et al, 1996;Tan et al, 2004). Subjects used the BPI to rate their shoulder pain intensity over three conditions, the present pain intensity, the worst pain intensity over the past 24 h, and the best pain intensity over the past 24 h. These three ratings were summed and divided by three (arithmetic mean) because that methodology was most consistent with the purposes of this study (Jensen et al, 1996(Jensen et al, , 1999.…”

Section: Methodsmentioning

confidence: 99%

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

George

Wallace

Wright

et al. 2008

Pain

151

128

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The experience of pain is believed to be influenced by social, cultural, environmental, psychological, and genetic factors. Despite this assertion, few studies have included clinically relevant pain phenotypes when investigating interactions among these variables. This study investigated whether psychological variables specific to fear-avoidance models and catechol-O-methyltransferase (COMT) genotype influenced pain ratings for a cohort of patients receiving operative treatment of shoulder pain. Patients (n = 58) completed questionnaires and had COMT genotype determined preoperatively. Then, shoulder pain ratings were collected 3-5 months post-operatively. This cohort consisted of 24 females and 34 males, with mean age of 50.3 (SD = 15.0) and pre-operative pain rating of 4.5/10 (SD = 1.8). The frequency of COMT diplotypes was 34 with "high COMT activity" (LPS group) and 24 with "low COMT activity" (APS/HPS group). Preliminary analysis indicated that of all the fear-avoidance variables considered (fear of pain, kinesiophobia, pain catastrophizing, and anxiety), only pain catastrophizing was a unique contributor to clinical pain ratings. A hierarchical regression model indicated that an interaction between pain catastrophizing and COMT diplotype contributed additional variance in pre-operative pain ratings. The pain catastrophizing × COMT diplotype interaction demonstrated predictive validity as patients with high pain catastrophizing and low COMT activity (APS/HPS group) were more likely (RR = 6.8, 95% CI = 2.8-16.7) to have post-operative pain ratings of 4.0/10 or higher. Our findings suggest that an interaction between pain catastrophizing and COMT diplotype has the potential to influence pain ratings in patients seeking operative treatment of their shoulder pain.

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Section: Methodsmentioning

confidence: 99%

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

George

Wallace

Wright

et al. 2008

Pain

151

128

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“…Interference scores range from 0 to 10, with 10 indicating the most pain-related interference. The BPI has demonstrated strong psychometric properties and appears to be sensitive to changes in pain over time [32].…”

Section: Pain Characteristicsmentioning

confidence: 99%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

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Abstract-Chronic pain and posttraumatic stress disorder (PTSD) co-occur at high rates, and Veterans from recent wars in Iraq and Afghanistan may be particularly vulnerable to both conditions. The objective of this study was to identify key aspects of chronic pain, cognitions, and psychological distress associated with comorbid PTSD among this sample of Veterans. Baseline data were analyzed from a randomized controlled trial testing a stepped-care intervention for chronic musculoskeletal pain. Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with chronic pain only (n = 173) were compared with those with chronic pain and clinically significant posttraumatic stress symptoms (n = 68). Group differences on pain characteristics, pain cognitions, and psychological distress were evaluated. Results demonstrated that OIF/OEF Veterans with comorbid chronic musculoskeletal pain and PTSD experienced higher pain severity, greater painrelated disability and increased pain interference, more maladaptive pain cognitions (e.g., catastrophizing, self-efficacy, pain centrality), and higher affective distress than those with chronic pain alone. Veterans of recent military conflicts in Iraq and Afghanistan may be particularly vulnerable to the compounded adverse effects of chronic pain and PTSD. These results highlight a more intense and disabling pain and psychological experience for those with chronic pain and PTSD than for those without PTSD. Clinical

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“…Measures of efficacy, safety and harm are subjective impressions of the patient and the provider, even when assessed using validated "objective" multidimensional scales such as the Brief Pain Inventory. 4 How much improvement in pain, function and quality of life is enough to say the opioid treatment is efficacious for any given patient? Does a pain score that improves from 9 to 7 on a 10-point scale warrant continued opioid therapy?…”

mentioning

confidence: 99%

Opioid Prescribing: Can the Art Become More Science?

Alford

2013

J GEN INTERN MED

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Validation of the brief pain inventory for chronic nonmalignant pain

Cited by 1,187 publications

References 24 publications

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

Evidence for a biopsychosocial influence on shoulder pain: Pain catastrophizing and catechol- O -methyltransferase (COMT) diplotype predict clinical pain ratings

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Opioid Prescribing: Can the Art Become More Science?

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