Jordi Miró1,2,3, Rocío de la Vega1,2,3, Ester Solé1,2,3, Mélanie Racine4, Mark P Jensen5, Santiago Gálan1,2,3, Joyce M Engel6. 1. a Unit for the Study and Treatment of Pain - ALGOS , Catalonia , Spain. 2. b Department of Psychology , Research Center for Behavior Assessment (CRAMC) , Catalonia , Spain. 3. c Institut d'Investigació Sanitària Pere Virgili; Universitat Rovira i Virgili , Catalonia , Spain. 4. d Department of Clinical and Neurological Sciences , Schulich School of Medicine & Dentistry, University of Western Ontario , London , ON , Canada. 5. e Department of Rehabilitation Medicine , University of Washington , Seattle , WA , USA. 6. f Department of Occupational Science and Technology , University of Wisconsin-Milwaukee , Milwaukee , WI , USA.
Abstract
PURPOSE: The purpose of this study is to identify the cutoffs that are most suitable for classifying average and worst pain intensity as being mild, moderate, or severe in young people with physical disabilities. METHOD: Survey study using a convenience sample of 113 young people (mean age = 14.19; SD = 2.9; age range: 8-20) with physical disabilities (namely, spinal cord injury, cerebral palsy, spina bifida, limb deficiency (acquired or congenital), or neuromuscular disease). RESULTS: The findings support a non-linear association between pain intensity and pain interference. In addition, the optimal cutoffs for classifying average and worst pain as mild, moderate, or severe differed. For average pain, the best cutoffs were the following: 0-3 for mild, 4-6 for moderate, and 7-10 for severe pain, whereas the optimal classification for worst pain was 0-4 for mild, 5-6 for moderate, and 7-10 for severe pain. CONCLUSIONS: The findings provide important information that may be used to help make decisions regarding pain treatment in young people with disabilities and also highlight the need to use different cutoffs for classifying pain intensity in young people with disabilities than those that have been suggested for adults with chronic pain. Implications for rehabilitation Most clinical guidelines make treatment recommendations based on classifications of pain intensity as being mild, moderate, and severe that do not have a clear cut association with pain intensity ratings. Cutoffs that are deemed to be the most appropriate for classifying pain intensity as mild, moderate, and severe appear to depend, at least in part, on the pain population that is being studied and pain domain that is being used. This work helps to advance our knowledge regarding the meaning of pain intensity ratings in young people with physical disabilities. Clinicians can use this information to make empirically guided decisions regarding when to intervene in young people with disabilities and chronic pain.
PURPOSE: The purpose of this study is to identify the cutoffs that are most suitable for classifying average and worst pain intensity as being mild, moderate, or severe in young people with physical disabilities. METHOD: Survey study using a convenience sample of 113 young people (mean age = 14.19; SD = 2.9; age range: 8-20) with physical disabilities (namely, spinal cord injury, cerebral palsy, spina bifida, limb deficiency (acquired or congenital), or neuromuscular disease). RESULTS: The findings support a non-linear association between pain intensity and pain interference. In addition, the optimal cutoffs for classifying average and worst pain as mild, moderate, or severe differed. For average pain, the best cutoffs were the following: 0-3 for mild, 4-6 for moderate, and 7-10 for severe pain, whereas the optimal classification for worst pain was 0-4 for mild, 5-6 for moderate, and 7-10 for severe pain. CONCLUSIONS: The findings provide important information that may be used to help make decisions regarding pain treatment in young people with disabilities and also highlight the need to use different cutoffs for classifying pain intensity in young people with disabilities than those that have been suggested for adults with chronic pain. Implications for rehabilitation Most clinical guidelines make treatment recommendations based on classifications of pain intensity as being mild, moderate, and severe that do not have a clear cut association with pain intensity ratings. Cutoffs that are deemed to be the most appropriate for classifying pain intensity as mild, moderate, and severe appear to depend, at least in part, on the pain population that is being studied and pain domain that is being used. This work helps to advance our knowledge regarding the meaning of pain intensity ratings in young people with physical disabilities. Clinicians can use this information to make empirically guided decisions regarding when to intervene in young people with disabilities and chronic pain.
Entities:
Keywords:
Chronic pain; classifying pain; disabilities; mild, moderate, and severe pain; pain severity; young people
Authors: Tito R Mendoza; Connie Chen; Andrew Brugger; Richard Hubbard; Michael Snabes; Stephen N Palmer; Qiang Zhang; Charles S Cleeland Journal: Pain Date: 2004-05 Impact factor: 6.961
Authors: Dawn M Ehde; Mark P Jensen; Joyce M Engel; Judith A Turner; Amy J Hoffman; Diana D Cardenas Journal: Clin J Pain Date: 2003 Jan-Feb Impact factor: 3.442
Authors: Joyce M Engel; Deborah Kartin; Gregory T Carter; Mark P Jensen; Kenneth M Jaffe Journal: Am J Hosp Palliat Care Date: 2009 Oct-Nov Impact factor: 2.500
Authors: Fabíola Costa; Dora Janela; Maria Molinos; Robert G Moulder; Jorge Lains; Virgílio Bento; Justin Scheer; Vijay Yanamadala; Fernando Dias Correia; Steven P Cohen Journal: J Pain Res Date: 2022-07-03 Impact factor: 2.832