[Assessing disability in chronic pain patients.].

Der Schmerz
U DillmannH U Gerbershagen

Abstract

Despite its importance for chronic pain diseases, pain-related disability is a poorly defined concept with theoretical deficits. The distinction between impairment, disability, and handicap proposed by the WHO is an important contribution to clarification of the disability construct. With reference to four criteria (underlying disability construct, degree of behaviour generalization, assessment mode, scope) different assessment procedures of pain-related disability are presented and the advantages and disadvantages of each are discussed. A multidimensional approach to pain-related disability is advocated. Diagnostic information yielded by different assessment procedures should be viewed as complementary rather than as exclusive data sources. A German version of a self-report instrument (Pain Disability Index) that assesses disability in chronic pain patients is presented. The results from four data sets concerning different aspects of reliability and validity confirm the good psychometric properties of the instrument. The instrument can be used in chronic pain research as well as in clinical contexts. It is recommended that subjective disability data be complemented by behavioral observation and additional data sources (e.g. as...Continue Reading

References

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Citations

Dec 4, 2004·Der Schmerz·G LindenaA Schleppers
Jan 1, 1997·European Journal of Pain : EJP·J C TürpC S Stohler
Jan 24, 2007·The Clinical Journal of Pain·Wolfgang WeidenhammerDieter Melchart
Jan 23, 2008·The Clinical Journal of Pain·Marcus BäckerGustav J Dobos
Jan 18, 2008·BMC Health Services Research·Dieter MelchartWolfgang Weidenhammer
Nov 19, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Erik FarinManuela Glattacker
Apr 29, 2006·Forschende Komplementärmedizin = Research in Complementary Medicine·Klaus LindeDieter Melchart
Jun 2, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Gudrun GossrauRainer Sabatowski
May 13, 2011·Current Medical Research and Opinion·Michael A Überall, Gerhard H H Müller-Schwefe
Jan 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Jennifer O FahrniRoland von Känel
Nov 23, 2006·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Volker HugeShahnaz C Azad
Aug 3, 2011·Psychiatry Research·Volker BuschPeter Eichhammer
Aug 26, 2003·European Journal of Pain : EJP·Frank PetrakUlrich Tiber Egle

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