Zur Anwendbarkeit des West Haven-Yale Multidimensional Pain Inventory im deutschen Sprachraum

Abstract

The reliability and validity of a German version (MPI-D) of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI) was assessed in a sample of 185 chronic pain patients. MPI-D shows high internal consistency, valid subscales, and a factor structure that is comparable to the American version. The Interference scale of part 1 includes an additional item and one other item was excluded; the Life Control scale had one item added. In section 2, one item was dropped, and in section 3 only 3 instead of 4 activity scales were found. The questionnaire is sensitive to therapeutic change. The German scale means are lower for the scales indicating more disturbance or severity and higher for the scales indicating less disturbance. It is not clear whether this reduced pain impact is characteristic of German pain patients in general, or whether it is due to the less severely affected sample tested in this study.

Electronic diary assessment of pain, disability and psychological adaptation in patients differing in duration of pain

“…The moderate associations in our study may partly be explained by the difference between instruments in both the exact wording of items and the number of items used to represent a construct. The moderate correlation between MPI pain severity and the diary item for pain intensity may be somewhat surprising because singular items, highly similar in terminology were used and because 3 comparable studies in this respect produced correlations of r 0:75, r 0:61 and r 0:64 (Kerns et al, 1988;Flor et al, 1991;Lousberg et al, 1997). But although differences between the time frames of the assessments with the MPI and with the diary were comparable to the two earlier studies, our study yielded a lower correlation of r 0:40.…”

“…It is therefore of interest to investigate to what extend and for which constructs the diary scores are in accordance with those obtained with psychological questionnaires. Two studies investigated the association between diary measures and scales of the Multidimensional Pain Inventory (Flor et al, 1991;Lousberg et al, 1997). With the exception of substantial association between MPI pain severity and the average pain intensity in the diaries of r 0:75 and r 0:61, respectively, the associations were weak or not statistically signi®cant.…”

Effects of Regional Anesthesia on Phantom Limb Pain Are Mirrored in Changes in Cortical Reorganization

“…Pain was assessed by the German version of the West Haven -Yale Multidimensional Pain Inventory (M PI) that was adapted to measure both phantom limb and stump pain (Kerns et al, 1985;Flor et al, 1990) and a phantom limb and stump phenomena interview , which included the pain experience scale (Geissner et al, 1991) and a visual analog scale. All subjects participated in a neurological and psychophysical assessment, including detailed measurements of phantom phenomena, such as telescoping and "facial remapping" (Cronholm, 1951;Katz and Melzack, 1990;Ram-achandran et al, 1992;Flor et al, 1995).…”

Cortical reorganization and phantom phenomena in congenital and traumatic upper-extremity amputees

“…The stimuli were applied to the thenar eminence of the intact hand (both hands in the healthy controls), 6 cm proximal to the amputation line on the amputated arm, a homologous site on the intact arm, and both corners of the mouth. Phantom limb and stump pain were assessed by three methods: (a) the pain intensity scale of the West Haven-Yale Multidimensional Pain Inventory (MPI; Kerns et al 1985;Flor et al 1990), a reliable and valid measure of the amount of pain experienced, which was administered separately for phantom and stump pain; (b) a phantom and stump phenomena interview, including the Pain Experience Scale (Schmerzempfindungsskala; Geissner 1997),which consists of 24 pain adjectives derived from the McGill pain questionnaire. These 24 descriptors were scored on a 4-point scale according to the extent to which they accurately described the subjects pain experience.…”