Relationship between self-reported pain sensitivity and pain after total knee arthroplasty: a prospective study of 71 patients 8 weeks after a standardized fast-track

Valeberg, Berit Taraldsen; Høvik, Lise Husby; Gjeilo, Kari Hanne

doi:10.2147/jpr.s113258

Cited by 12 publications

(21 citation statements)

References 29 publications

(35 reference statements)

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“…Interestingly, a growing body of evidence points to the fact that pain intensity ratings of daily life situations, measured by the PSQ, may be of clinical value. 19 , 20 In contrast to the PSQ, which consists of 17 items, the multiple correlations found in the current study show that even a single concrete question could potentially be used to evaluate sensitivity to pain, at least in an experimental context. The relevance of this finding to clinical pain is yet to be determined.…”

Section: Discussionmentioning

confidence: 63%

“…The Pain Sensitivity Questionnaire (PSQ), a self-rating instrument based on pain intensity ratings of 17 daily life situations, showed significant associations with both experimental pain measures in healthy subjects 17 and with postoperative pain intensity in patients. 18 – 20 Despite that, the clinical applicability of this 17-item questionnaire in the daily busy clinics is challenging, thereby leaving the question of its practical utility open.…”

Section: Introductionmentioning

confidence: 99%

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Does self-perception of sensitivity to pain correlate with actual sensitivity to experimental pain?

Meiselles¹,

Aviram²,

Suzan³

et al. 2017

JPR

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BackgroundPeople often state that they are “sensitive” or “insensitive” to pain. However, the accuracy and clinical relevance of such statements is unclear.ObjectiveThe aim of this study was to search for associations between self-perception of sensitivity to pain and experimental pain measures, including known psychophysical inhibitory or excitatory pain paradigms.Subjects and methodsSubjective sensitivity to pain was reported by 75 healthy participants and included three self-perceived variables: pain threshold, pain sensitivity and pain intensity in response to a hypothetical painful event (hypothetical pain intensity [HPI]). Experimental pain measures consisted of thermal pain threshold (°C), suprathreshold thermal pain intensity (Visual Analog Scale, 0–100) and the psychophysical paradigms of conditioned pain modulation (CPM) and temporal summation (TS), representing inhibitory and excitatory pain processes, respectively.ResultsNo significant correlations were found between self-perceived pain threshold or pain sensitivity and any of the experimental pain measures. In contrast, the reported HPI correlated with thermal pain threshold (r = −0.282; p = 0.014), suprathreshold thermal pain intensity (r = 0.367; p = 0.001) and CPM (r = 0.233; p = 0.044), but not with TS.ConclusionSelf-perception of pain sensitivity articulated by intangible expressions such as pain threshold or pain sensitivity is unrelated to actual sensitivity to experimental pain. In contrast, when measured by intensity of a hypothetical painful event (HPI), sensitivity to pain is associated with some, but not all, experimental pain reports. Further studies are needed for better understanding of these associations and their potential clinical significance.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Does self-perception of sensitivity to pain correlate with actual sensitivity to experimental pain?

Meiselles¹,

Aviram²,

Suzan³

et al. 2017

JPR

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show abstract

“… 24 In addition, the PSQ scores predicted functional outcome 2 years after lumbar disc herniation surgery. 25 In contrast, Valeberg et al 26 observed that lower scores on one of the PSQ’s subscales were associated with postoperative pain intensity in responders younger than 70 years 8 weeks after total knee arthroplasty.…”

Section: Introductionmentioning

confidence: 95%

Association between self-perceived pain sensitivity and pain intensity after cardiac surgery

Bjørnnes¹,

Lie²,

Parry³

et al. 2018

JPR

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Background and purposeCardiac surgical pain remains a clinical challenge affecting about 40% of individuals in the first six months post-cardiac surgery, and continues up to two years after surgery for about 15–20%. Self-perceived sensitivity to pain may help to identify individuals at risk for persistent cardiac surgical pain to optimize health care responses. The purpose of this study was to assess the relationship between self-perceived pain sensitivity assessed by the Pain Sensitivity Questionnaire (PSQ) and postoperative worst pain intensity up to 12 months after cardiac surgery. Sex differences in baseline characteristics and the PSQ scores were also assessed.MethodsThis study was performed among 416 individuals (23% women) scheduled for elective coronary artery bypass graft and/or valve surgery between March 2012 and September 2013. A secondary data-analysis was utilized to explore the relationship between preoperative PSQ scores and worst pain intensity rated preoperatively, across postoperative Days 1–4, at 2 weeks, and at 1, 3, 6, and 12 months post-surgery. Linear mixed model analyses were performed to estimate changes in pain intensity during 1-year follow-up.ResultsThe mean (±standard deviation) PSQ-total score was 3.3±1.4, with similar scores in men and women. The PSQ-total score was significantly associated with higher worst pain intensity ratings adjusted for participant characteristics (p=0.001).ConclusionUse of the PSQ before surgery may predict cardiac surgical pain intensity. However, previous evidence is limited and not consistent, and more research is needed to substantiate our results.

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“…We chose to use the acute pain episode as an anchoring technique based on an earlier study which showed that the reported intensity of pain of a concrete acute pain episode, even if hypothetical, correlates with actual reports of experimental pain . Moreover, the Pain Sensitivity Questionnaire, which is a self‐rating instrument based on pain intensity ratings of 17 daily life situations, showed significant associations with both experimental pain measures in healthy subjects and clinical pain in patients . The fact that patients in both groups rated the intensity of the painful event equally supports the rationale of using this method as a trustworthy anchoring technique.…”

Section: Discussionmentioning

confidence: 99%

Anchoring the Numeric Pain Scale Changes Pain Intensity Reports in Patients With Chronic But Not With Acute Pain

2018

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Background Despite enormous differences between acute and chronic pain, the numeric pain scale (NRS) is commonly used in pain research and clinical practice for assessing the intensity of both acute and chronic pain. The use of this scale has been challenged as it may fail to accurately reflect the pure intensity of chronic pain. Aim To compare the effect of anchoring the NRS on the intensity of pain reported by patients with acute vs. chronic pain. Methods Patients with acute postoperative or chronic pain (n = 100/group) were requested to rate their: current clinical pain intensity on an NRS from 0 to 100; the intensity of an anchoring pain event on the same scale; and subsequently to rate again their current pain intensity while making reference to the reported intensity of the pain event. The magnitude of correction was compared between the 2 groups. Results The anchoring pain was rated identically between the groups. However, following anchoring, patients with chronic pain made a significantly larger correction of their pain intensity than did those with acute pain (mean ± standard deviation = 9 ± 9, median [interquartile range] = 10 [0 to 10] vs. 3 ± 7, 0 [0 to 5], respectively; P < 0.0001). More patients in the chronic pain group corrected their pain intensity. Logistic regression showed that chronic pain and female gender significantly increased the likelihood of making the correction (chronic pain: odds ratio 7.2, 95% confidence interval 3.5 to 15.1, P < 0.0001; female gender: odds ratio 2.8, 95% confidence interval 1.4 to 5.5, P < 0.0001). Conclusion The results suggest that anchoring the NRS can potentially improve the accuracy of reported chronic pain intensity.

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Relationship between self-reported pain sensitivity and pain after total knee arthroplasty: a prospective study of 71 patients 8 weeks after a standardized fast-track

Cited by 12 publications

References 29 publications

Does self-perception of sensitivity to pain correlate with actual sensitivity to experimental pain?

Does self-perception of sensitivity to pain correlate with actual sensitivity to experimental pain?

Association between self-perceived pain sensitivity and pain intensity after cardiac surgery

Anchoring the Numeric Pain Scale Changes Pain Intensity Reports in Patients With Chronic But Not With Acute Pain

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