Comparative prospective evaluation of the responsiveness of single-item pediatric pain-intensity self-report scales and their uniqueness from negative affect in a hospital setting

The Journal of Pain : Official Journal of the American Pain Society
Mark Connelly, Kathleen Neville

Abstract

Evaluating pain in verbal children in the hospital setting is done primarily through serial assessments of pain intensity using single-item measures. However, little remains known about intensity scales' relative responsiveness and uniqueness from negative affect in this clinical setting. In the present study, a total of 411 assessments using 3 common pediatric pain intensity measures (the Faces Pain Scale-Revised, a verbally presented numeric rating scale, and a visual analog scale) were obtained over a period of 3 days from 29 children ages 9 to 18 years following a relatively standardized surgical procedure. Hierarchical linear models were used to compare the 3 scales on responsiveness over postoperative recovery time, invariance across baseline variables (age, sex, and baseline mood), and distinctiveness from changes in negative affect. Results showed that all 3 pain-intensity measures were highly interrelated, varied similarly with age and baseline state anxiety, and were comparably related to contemporaneous changes in affect. However, patients tended to rate pain intensity higher on the Numerical Rating Scale, and only this scale failed to reflect a decreasing trend in pain scores with elapsed surgical recovery time. Pot...Continue Reading

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Citations

Jun 27, 2012·Current Opinion in Pediatrics·Rachel E M Cramton, Nancy E Gruchala
Nov 1, 2012·Pain Management·Leanne Bird, C Meghan McMurtry
Jun 30, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Brenna L QuinnMary E Cooley
Feb 6, 2013·The Journal of Pain : Official Journal of the American Pain Society·Elena CastarlenasElisabet Sánchez-Rodríguez
Mar 20, 2012·The Journal of Pain : Official Journal of the American Pain Society·M Gabrielle PagéFiona Campbell
Jun 5, 2012·Journal of Pain and Symptom Management·Terri Voepel-LewisBea Kalisch
Sep 22, 2018·Journal of Patient-reported Outcomes·April N NaegeliMargaret Vernon
Oct 23, 2020·Arthritis Care & Research·Chitra LallooJennifer Stinson

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