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

  • Datos identificativos

    Identificador: imarina:5132522
    Autores:
    Thong, Ivan S. K.Jensen, Mark P.Miro, JordiTan, Gabriel
    Resumen:
    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
  • Otros:

    Autor según el artículo: Thong, Ivan S. K.; Jensen, Mark P.; Miro, Jordi; Tan, Gabriel;
    Departamento: Psicologia
    Autor/es de la URV: Miró Martínez, Jordi
    Palabras clave: Validity Psychosocial factors Pain rating Pain intensity Pain assessment Pain pain rating pain intensity pain assessment
    Resumen: 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.
    Áreas temáticas: Neurology (clinical) Clinical neurology Anesthesiology and pain medicine
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 18778860
    Direcció de correo del autor: jordi.miro@urv.cat
    Identificador del autor: 0000-0002-1998-6653
    Fecha de alta del registro: 2023-02-22
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Referencia al articulo segun fuente origial: Scandinavian Journal Of Pain. 18 (1): 99-107
    Referencia 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 Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2018
    Tipo de publicación: Journal Publications
  • Palabras clave:

    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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