Pain patient profile: A scale to measure psychological distress

Willoughby, Scott G.; Hailey, B. Jo; Wheeler, Lynwood C.

doi:10.1016/s0003-9993(99)90033-3

Cited by 14 publications

(9 citation statements)

References 5 publications

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“…25 High positive correlations (0.69 to 0.90) have been observed between scores on the P-3 depression, anxiety, and somatization subscales and corresponding scores on the Beck Depression Inventory, the StateTrait Anxiety Scale, and the Somatization Scale of the Brief Symptom Inventory, respectively. 26 The P-3 has exhibited adequate internal consistency reliability (Cronbach's coefficient ␣ ϭ 0.85 to 0.91) and test-retest coefficients (r ϭ 0.98 to 0.99 for the subscales). 27 While previously validated in patients 17-yr-of-age and older, the P-3 is written at the 8th grade reading level, and the P-3 questions are considered cognitively appropriate for patients 13 yr and older.…”

Section: The Pedsql Parssmentioning

confidence: 95%

A Clinical Profile of a Cohort of Patients Referred to an Anesthesiology-Based Pediatric Chronic Pain Medicine Program

Vetter

2008

Anesthesia &Amp; Analgesia

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Pediatric chronic pain patients previously under the care of another subspecialist and subsequently referred to an anesthesiology-based pediatric chronic pain medicine program seemed to be experiencing significantly worse health-related quality of life. The routine assessment of chronic pain-related pediatric health-related quality of life seems feasible and worthwhile. Attention also needs to be focused on consistently addressing the strength of a patient's coping mechanisms, the presence of pain-promoting versus pain-reducing parental behaviors, and preexisting parental pain and disability.

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Section: The Pedsql Parssmentioning

confidence: 95%

A Clinical Profile of a Cohort of Patients Referred to an Anesthesiology-Based Pediatric Chronic Pain Medicine Program

Vetter

2008

Anesthesia &Amp; Analgesia

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“…This scale has a good reliability (α) of .88 (Williams, et al, 1997) and has been validated in both younger and older populations (Barnes et al, 2004; Finch, Kolody, & Vega, 2000; Williams, et al, 1997) and in this sample the reliability alpha was .89. Hopelessness was measured with two items, which were part of the Pain Patient Profile (P-3) that measured emotional functioning in patients with pain (Willoughby, Hailey, & Wheeler, 1999). Each item is followed by three general statements about expectations about one’s present and future life, indicating: (1) low, (2) moderate, and (3) high hopelessness.…”

Section: Methodsmentioning

confidence: 99%

Racial disparities in pain management in primary care

Ezenwa

Fleming

2012

The Journal of Pain

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This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African Americans and Caucasians on pain management and QOL, with African Americans faring worse. The proposed mediational model, which included race, perceived discrimination, hopelessness, and pain management was supported: (1) African Americans compared to Caucasians had higher perceived discrimination, (2) perceived discrimination was positively associated with hopelessness, and (3) higher hopelessness was associated with worse pain management. Further, pain management predicted QOL. This is the first study in which an explanatory model for the racial disparities in pain management of primary care patients with chronic nonmalignant pain was examined. Perceived discrimination and hopelessness were implicated as explanatory factors for the disparities.

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“…For instance, the Pain Patient Profile, a self-report instrument, is a measure of anxiety, depression, and somatization in patients presenting with pain. 65 Numerous scales are available to the clinician for determining the severity of the psychiatric state. Scales such as the Hamilton Depression Rating Scale (HAM-D) 66 and the Hamilton Anxiety Rating Scale (HAM-A) 67 have been widely used in patients with a variety of affective and anxiety disorders.…”

Section: Use Of Scales In Mood Disordersmentioning

confidence: 99%

The Coexistence of Neuropathic Pain, Sleep, and Psychiatric Disorders

Argoff¹

2007

The Clinical Journal of Pain

138

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The diagnosis and treatment of neuropathic pain may be complicated by comorbid conditions such as sleep disturbances, depression, and anxiety. The interrelationship between the index neuropathic pain state and these comorbidities is complex: comorbid conditions exacerbate pain, and in turn, pain exacerbates the comorbid conditions. Because comorbidities can negatively impact response to pain treatment, healthcare providers should assess comorbidities as part of the diagnostic work-up, and management strategies should be designed to treat the whole patient, not just the pain. Theoretically, therapies that not only reduce pain, but also improve sleep and reduce anxiety and depression can provide multiple benefits without the risk of increased side effects inherent in combination therapy. Anticonvulsants and antidepressants have demonstrated efficacy in improving neuropathic pain and positively impacting comorbid sleep and mood disturbances. Novel anticonvulsants that can address one or more comorbidities in addition to pain may represent viable treatment options for patients with neuropathic pain.

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Pain patient profile: A scale to measure psychological distress

Cited by 14 publications

References 5 publications

A Clinical Profile of a Cohort of Patients Referred to an Anesthesiology-Based Pediatric Chronic Pain Medicine Program

A Clinical Profile of a Cohort of Patients Referred to an Anesthesiology-Based Pediatric Chronic Pain Medicine Program

Racial disparities in pain management in primary care

The Coexistence of Neuropathic Pain, Sleep, and Psychiatric Disorders

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