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The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure?

  • Dades identificatives

    Identificador: imarina:5132522
    Autors:
    Thong, Ivan S. K.Jensen, Mark P.Miro, JordiTan, Gabriel
    Resum:
    Background and aims: The Numerical Rating Scale (NRS), Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Faces Pain Scale-Revised (FPS-R) are valid measures of pain intensity. However, ratings on these measures may be influenced by factors other than pain intensity. The purpose of this study was to evaluate the influence of non-pain intensity factors on the pain intensity scales. Methods: We administered measures of pain intensity (NRS, VAS, VRS, FPS-R), pain unpleasantness, catastrophizing, depressive symptoms, and pain interference to 101 individuals with chronic lower back or knee pain. Correlation analyses examined the associations among the pain intensity scales, and regression analyses evaluated the contributions of the non-pain intensity factors (depressive symptoms, and pain unpleasantness, catastrophizing, and interference) to the VAS, VRS, and FPS-R ratings, while controlling for NRS, age, and gender. Results: Although the NRS, VAS, VRS, FPR-S, scales were strongly associated with one another, supporting their validity as measures of pain intensity, regression analyses showed that the VRS also reflected pain interference, the FPS-R also reflected pain unpleasantness, and the VAS was not associated with any of the additional non-pain intensity factors when controlling for NRS, age, and gender. Conclusions: The VAS appears to be most similar to the NRS and less influenced by non-pain intensity factors than the VRS or FPS-R. Although the VRS and FPS-R ratings both reflect pain intensity, they also contain additional information about pain interference and pain unpleasantness, respectively. These findings should be kept in mind when selecting pain measures and interpreting the results of research studies using these scales. Implications: The influence of
  • Altres:

    Autor segons l'article: Thong, Ivan S. K.; Jensen, Mark P.; Miro, Jordi; Tan, Gabriel;
    Departament: Psicologia
    Autor/s de la URV: Miró Martínez, Jordi
    Paraules clau: Validity Psychosocial factors Pain rating Pain intensity Pain assessment Pain pain rating pain intensity pain assessment
    Resum: Background and aims: The Numerical Rating Scale (NRS), Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Faces Pain Scale-Revised (FPS-R) are valid measures of pain intensity. However, ratings on these measures may be influenced by factors other than pain intensity. The purpose of this study was to evaluate the influence of non-pain intensity factors on the pain intensity scales. Methods: We administered measures of pain intensity (NRS, VAS, VRS, FPS-R), pain unpleasantness, catastrophizing, depressive symptoms, and pain interference to 101 individuals with chronic lower back or knee pain. Correlation analyses examined the associations among the pain intensity scales, and regression analyses evaluated the contributions of the non-pain intensity factors (depressive symptoms, and pain unpleasantness, catastrophizing, and interference) to the VAS, VRS, and FPS-R ratings, while controlling for NRS, age, and gender. Results: Although the NRS, VAS, VRS, FPR-S, scales were strongly associated with one another, supporting their validity as measures of pain intensity, regression analyses showed that the VRS also reflected pain interference, the FPS-R also reflected pain unpleasantness, and the VAS was not associated with any of the additional non-pain intensity factors when controlling for NRS, age, and gender. Conclusions: The VAS appears to be most similar to the NRS and less influenced by non-pain intensity factors than the VRS or FPS-R. Although the VRS and FPS-R ratings both reflect pain intensity, they also contain additional information about pain interference and pain unpleasantness, respectively. These findings should be kept in mind when selecting pain measures and interpreting the results of research studies using these scales. Implications: The influence of pain interference and pain unpleasantness on VRS and FPS-R, respectively should be kept in mind when selecting pain measures and interpreting the results of research studies using these scales.
    Àrees temàtiques: Neurology (clinical) Clinical neurology Anesthesiology and pain medicine
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 18778860
    Adreça de correu electrònic de l'autor: jordi.miro@urv.cat
    Identificador de l'autor: 0000-0002-1998-6653
    Data d'alta del registre: 2023-02-22
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.degruyter.com/document/doi/10.1515/sjpain-2018-0012/html
    Referència a l'article segons font original: Scandinavian Journal Of Pain. 18 (1): 99-107
    Referència de l'ítem segons les normes APA: Thong, Ivan S. K.; Jensen, Mark P.; Miro, Jordi; Tan, Gabriel; (2018). The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure?. Scandinavian Journal Of Pain, 18(1), 99-107. DOI: 10.1515/sjpain-2018-0012
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI de l'article: 10.1515/sjpain-2018-0012
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2018
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Anesthesiology and Pain Medicine,Clinical Neurology,Neurology (Clinical)
    Validity
    Psychosocial factors
    Pain rating
    Pain intensity
    Pain assessment
    Pain
    pain rating
    pain intensity
    pain assessment
    Neurology (clinical)
    Clinical neurology
    Anesthesiology and pain medicine
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