scholarly journals Tipping the Scales: A Corpus-Based Reconstruction of Adjective Scales in the McGill Pain Questionnaire

2021 ◽  
Author(s):  
Miriam Stern
Keyword(s):  
Pain Assessment ◽  
Clinical Information ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Pain Questionnaire ◽  
Clinical Pain ◽  
Alpha Level ◽  
Predictable Pattern ◽  
Using Data ◽  
The Relationship

Modern medical diagnosis relies on precise pain assessment tools in translating clinical information from patient to physician. The McGill Pain Questionnaire (MPQ) is a clinical pain assessment technique that utilizes 78 adjectives of different intensities in 20 categories to quantify a patient’s pain. The questionnaire’s efficacy depends on a predictable pattern of adjective use by patients experiencing pain. In this study, I recreate the MPQ’s adjective intensity orderings using data gathered from patient forums and modern NLP techniques. I extract adjective intensity relationships by searching for key linguistic contexts, and then combine the relationship information to form robust adjective scales. Of 17 adjective relationships predicted by this research, 10 show agreement with the MPQ, which is statistically significant at the .5 alpha level. The results suggest predictable patterns of adjective use by people experiencing pain, but call into question the MPQ’s categories for grouping adjectives.

scholarly journals Built to Scale: A Corpus-Based Analysis of Adjective Scales in the Mcgill Pain Questionnaire

2021 ◽  
Vol 10 (5) ◽  
pp. 37-54
Author(s):  
Miriam Stern
Keyword(s):  
Pain Assessment ◽  
Clinical Information ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Pain Questionnaire ◽  
Clinical Pain ◽  
Alpha Level ◽  
Predictable Pattern ◽  
Using Data ◽  
The Relationship

Modern medical diagnosis relies on precise pain assessment tools in translating clinical information from patient to physician. The McGill Pain Questionnaire (MPQ) is a clinical pain assessment technique that utilizes 78 adjectives of different intensities in 20 categories to quantify a patient’s pain. The questionnaire’s efficacy depends on a predictable pattern of adjective use by patients experiencing pain. In this study, I recreate the MPQ’s adjective intensity orderings using data gathered from patient forums and modern NLP techniques. I extract adjective intensity relationships by searching for key linguistic contexts, and then combine the relationship information to form robust adjective scales. Of 17 adjective relationships predicted by this research, only 4 diverge from the MPQ’s orderings, which is statistically significant at the 0.1 alpha level. The results suggest predictable patterns of adjective use by people experiencing pain, but call into question the MPQ’s categories for grouping adjectives.

scholarly journals How hospitalized patients evaluate and report their pain together with nurses: A scoping review

2021 ◽  
pp. 205715852110134
Author(s):  
Bente Dale Malones ◽  
Sindre Sylte Kallmyr ◽  
Vera Hage ◽  
Trude Fløystad Eines
Keyword(s):  
Scoping Review ◽  
Pain Assessment ◽  
Health Professionals ◽  
Clinical Care ◽  
Hospitalized Patients ◽  
Assessment Tools ◽  
Post Surgery ◽  
Reliable Assessment ◽  
Scoping Reviews ◽  
The Relationship

Pain assessment tools are often used by patients to report their pain and by health professionals to assess patients’ reported pain. Although valid and reliable assessment of pain is essential for high-quality clinical care, there are still many patients who experience inappropriate pain management. The aim of this scoping review is to examine an overview of how hospitalized patients evaluate and report their pain in collaboration with nurses. Systematic searches were conducted, and ten research articles were included using the PRISMA guidelines for scoping reviews. Content analysis revealed four main themes: 1) the relationship between the patient and nurse is an important factor of how hospitalized patients evaluate and report their post-surgery pain, 2) the patient’s feelings of inconsistency in how pain assessments are administered by nurses, 3) the challenge of hospitalized patients reporting post-surgery pain numerically, and 4) previous experiences and attitudes affect how hospitalized patients report their pain. Pain assessment tools are suitable for nurses to observe and assess pain in patients. Nevertheless, just using pain assessment tools is not sufficient for nurses to obtain a comprehensive clinical picture of each individual patient with pain.

scholarly journals Age Differences in the Quality of Chronic Pain: A Preliminary Study

1997 ◽  
Vol 2 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Lucia Gagliese ◽  
Ronald Melzack
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Age Differences ◽  
Pain Assessment ◽  
Age Groups ◽  
The Elderly ◽  
Chronic Arthritis ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Age Related

BACKGROUND: Recent studies of the relationship between age and the intensity of chronic pain report increases, decreases or no change in pain intensity as a function of age. These inconsistencies may be due in part to the pain assessment tools employed and their appropriateness with different age groups.OBJECTIVES: To assess age differences in chronic pain by using several measures of pain intensity and a multidimensional measure of pain qualities in the same sample; to assess the consistency of pain intensity estimates obtained from different scales within age groups; to determine whether the failure rates for appropriately completing the scale (such as choosing more than one descriptor or making more than one mark on the Visual Analog Scale [VAS]) differ among age groups.SUBJECTS: Seventy-nine adults aged 27 to 79 years with chronic arthritis pain.MEASUREMENTS: The unidimensional pain intensity scales used were the VAS, the Verbal Descriptor Scale and the Behavioural Rating Scale. The multidimensional pain scale used was the short form McGill Pain Questionnaire (SF-MPQ). The Beck Depression Inventory was also administered.RESULTS: Age-related decreases were found in the sensory and affective dimensions of chronic pain as measured with the SF-MPQ. No age differences in pain intensity were measured with any of the unidimensional scales. These results were maintained after controlling for the effects of concurrent depressive symptomatology. Pain intensity estimates differed within groups, with verbal descriptors yielding the most consistent estimates in the elderly group. The elderly were significantly more likely to fail on the VAS than younger subjects. There were no age differences on any other measure.CONCLUSIONS: There may be age-related changes in the quality but not in the intensity of chronic arthritis pain. Implications for clinical pain assessment in the elderly are discussed.

scholarly journals How Well Do Clinical Pain Assessment Tools Reflect Pain in Infants?

PLoS Medicine ◽  
2008 ◽  
Vol 5 (6) ◽  
pp. e129 ◽  
Author(s):  
Rebeccah Slater ◽  
Anne Cantarella ◽  
Linda Franck ◽  
Judith Meek ◽  
Maria Fitzgerald
Keyword(s):  
Pain Assessment ◽  
Assessment Tools ◽  
Clinical Pain

scholarly journals Non-Verbal Pain Assessment: A Literature Review

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Che Badariah AA ◽  
Shamsul Kamalrujan H
Keyword(s):  
Pain Assessment ◽  
Personal Experience ◽  
Stress Hormones ◽  
Verbal Report ◽  
Situational Factors ◽  
Assessment Tools ◽  
Verbal Reports ◽  
Physiological Indicators ◽  
Clinical Pain ◽  
As Stress

Pain is influenced by multiple factors including personal experience, psychological, sociocultural and situational factors. Failure to recognise pain will lead to poor patient management and deleterious effect on the patients’ wellbeing. Assessing pain in paediatric and cognitively compromised patients remains a challenge. Pain assessment in these groups of patients depends on the observers’ assessment and studies have shown the discrepancy between the observers’ assessment and patients’ verbal report. A specific and accurate tool is required to assist in the pain assessment. Although there are assessment tools available using behaviour scoring system and physiological indicators, none of the tool demonstrates its superiority than the others. Biochemical indicators such as stress hormones are frequently measured and used in con-junction with verbal reports; however they are non specific to pain and are increased in inflammation, haemodynamic and emotional changes. The association between immunological indicators e.g. IL-1 , IL-6, IL- 8 and clinical pain has been shown, however; the definite correlation of the changes in the indicators and the level of pain is still unclear and may require further investigation.

Prevalence of Persistent Pain of the Neuropathic Subtype after Total Hip or Knee Arthroplasty

2021 ◽  
pp. e20200056
Author(s):  
Dragana Boljanovic-Susic ◽  
Christina Ziebart ◽  
Joy MacDermid ◽  
Justin de Beer ◽  
Danielle Petruccelli ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Short Form ◽  
Significant Proportion ◽  
Persistent Pain ◽  
Mcgill Pain Questionnaire ◽  
Historical Cohort ◽  
Pain Questionnaire ◽  
Total Hip ◽  
The Difference ◽  
Using Data

Purpose: This study aimed to (1) estimate the point prevalence of persistent postoperative pain (PPP) identified using the Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) after unilateral primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) using data from a registry of total joint arthroplasty (TJA) patients in Ontario, (2) estimate the effect of PPP on function, (3) estimate the prevalence of neuropathic pain (NP) features among patients with persistent pain, (4) determine participant characteristics in order to estimate the potential predictors of NP classification among individuals with persistent pain after TJA, (5) estimate the extent to which the estimates of prevalence depended on the measure used (i.e., S-LANSS vs. NP sub-scale of the Short-Form McGill Pain Questionnaire 2 [NP-SF-MPQ-2]), and (6) determine the difference in characteristics between those with and without NP. Method: This was a prospective follow-up study of a historical cohort of individuals who had undergone primary unilateral THA or TKA. Persistent pain was operationally defined as pain rated as 3 or more (out of 5) on the Oxford Pain Questionnaire 6 months or 1 year after THA or TKA. Participants with persistent pain completed the S-LANSS and the NP-SF-MPQ-2. Results: A total of 1,143 participants were identified as having had a TJA, 148 (13%) of whom had PPP. A total of 67 recipients completed the S-LANSS and the NP-SF-MPQ-2. Of these, an NP subtype was identified among 19 (28%; those with an S-LANSS score ≥ 12) to 29 (43%; those with an NP-SF-MPQ-2 score ≥ 0.91). Individuals with persistent pain of the NP subtype after TJA reported severe pain intensity and higher disability levels 1.5–3.5 years after surgery compared with those without persistent pain. Conclusions: A significant proportion of patients have persistent pain post-unilateral THA or TKA.

scholarly journals The measurements of health-related quality-of-life and pain assessment in the preoperative patients with low back pain

Medicina ◽  
2009 ◽  
Vol 45 (2) ◽  
pp. 111 ◽  
Author(s):  
Kotryna Vereščiagina ◽  
Kazys Ambrozaitis ◽  
Bronius Špakauskas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Quantitative Analysis ◽  
Disc Herniation ◽  
Pain Assessment ◽  
Short Form ◽  
Mcgill Pain Questionnaire ◽  
Low Back ◽  
Pain Questionnaire ◽  
Sf 36

Objective. This prospective observational study of the Short-Form Health Survey (SF-36), Oswestry Disability Index, Lithuanian version of the McGill Pain Questionnaire, and Visual Analogue Scale (VAS) for pain was performed to evaluate their effectiveness in the additional preoperative screening of patients with disc herniation disease. Patients and methods. In the present study, we investigated a cohort of 100 patients with lumbar disc herniation causing low back pain and the second one of 100 patients with nonspecific low back pain by applying physical activity, pain scales and Short-Form 36 General Health Questionnaire. Results. The quantitative analysis of SF-36 domain scores showed the substantial differences in both examined (herniated and control) groups. In the present study, we estimated moderate but statistically significant (P<0.05) correlations between the bodily pain domain scores and assessment of back and leg pain on the VAS, as well as between the physical function and walking/standing ability (Oswestry). According to appropriate pain assessment instruments (Lithuanian version of the McGill Pain Questionnaire), qualitative and quantitative analysis of the preoperative patients was performed. Conclusion. The provided methodology could be used in population-based studies or in clinical samples that focus on specific impairments and seek to control the pain frequency and intensity, for example, follow-up assessments testing the effectiveness of surgical procedures performed, and to elicit the pathways leading to other impairments.

scholarly journals A Cross-sectional Feasibility Study Testing the Use of Abstract Animations for the Communication and Assessment of Pain (Preprint)

2018 ◽  
Author(s):  
Charles Jonassaint ◽  
Nema Rao ◽  
Alex Sciuto ◽  
Galen Switzer ◽  
Laura De Castro ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Pain Assessment ◽  
Point Of Care ◽  
Assessment Method ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Patient Centered ◽  
Cross Sectional ◽  
Pain Experience ◽  
Paindetect Questionnaire

BACKGROUND Pain is the most common medical symptom requiring care, yet the current methods for assessing pain are sorely inadequate. Pain assessment tools either take too long to complete for point of care use or are too simplistic to capture the dynamic pain experience. OBJECTIVE To address this, we developed Painimation, a novel tool that uses graphic visualizations and animations instead of words or numeric scales to assess pain quality, intensity, and course. This study examines the utility of abstract animations as a measure of pain. METHODS Painimation was evaluated in a chronic pain medicine clinic. Eligible patients were receiving treatment for pain and reported pain more days than not for at least 3 months. Using a tablet computer, participating patients completed the Painimation instrument, the McGill Pain Questionnaire (MPQ), and the PainDETECT questionnaire for neuropathic symptoms. RESULTS Participants (N = 207), completed Painimation and indicated it was useful for describing their pain (mean=4.04/5 on a usefulness scale), and 154 out of 196 participants (79%) agreed or strongly agreed that they would use Painimation to communicate with their providers. Animations selected corresponded with pain adjectives endorsed on the MPQ. Further, selection of the electrifying animation was associated with self-reported neuropathic pain (r=.16, P=.03), similar to the association between neuropathic pain and PainDETECT (r=.17, P=.03). Painimation was associated with PainDETECT (r=.35, P<.001). CONCLUSIONS Using animations may be a faster and more patient-centered method for assessing pain and is not limited by age, literacy level, or language; however, more data are needed to assess the validity of this approach. Painimation needs testing in a more homogenous pain population to validate animations as a pain assessment method.

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