The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)

Kerns, Robert D.; Turk, Dennis C.; Rudy, Thomas E.

doi:10.1016/0304-3959(85)90004-1

Cited by 1,998 publications

(1,369 citation statements)

References 12 publications

Supporting

Mentioning

1,315

Contrasting

Unclassified

Order By: Relevance

“…is suggested for assessing the global impact that pain has on the older person's quality of life. [116] Other useful tools for assessing the global impact of pain on quality of life of older adults are the Multidimensional Pain Inventory, [74] the Pain Disability Index, [111] and the Brief Pain Inventory. [27] Lastly, the pain experience is influenced by a wide range of ethnic, cultural, demographic, spiritual, social, and familial factors.…”

Section: Psychosocial and Functional Assessmentmentioning

confidence: 99%

Assessment and measurement of pain in older adults

Herr

Garand

2001

Clinics in Geriatric Medicine

342

251

View full text Add to dashboard Cite

Although the empirical base is still limited when providing clear directions for pain assessment and management in older adults, it is possible to identify recommendations for guiding practice based on consensus and a developing scientific base to support best practice activities. This article offers a brief overview of the epidemiology and consequences of pain, followed by a summary of issues and approaches relevant to pain assessment in older adults. Cohort specific recommendations for comprehensive pain assessment and measurement are then addressed. Prevalence and Consequences of Pain in Older AdultsOlder individuals frequently suffer from both acute and chronic painful diseases, have multiple diseases, and take numerous pain medications, [2] although relatively little investigative or clinical attention has been paid to the assessment of pain in the geriatric population, compared with the general population. This is surprising because populationbased figures indicate that the prevalence of pain is twofold higher in those over age 60 (250 per thousand), compared with those under age 60 (125 per thousand). [24] [79] [108] Further, prevalence estimates suggest that approximately 60% of community-dwelling older adults and up to 80% of elderly long-term care facility residents experience substantial pain.[24] [79] [108] Because pain is often remediable, [2] [25] it is thought that the high prevalence estimates of unrelieved pain in elderly persons may result from underrecognition, which in turn results in undertreatment. [65] [91] [120] The consequences of untreated pain can profoundly impact the older person's quality of life. In addition to physiologic risks associated with untreated pain (e.g., cough suppression with subsequent retention of pulmonary secretions), depression, [58] [39] [90] Therefore, it is imperative that health care professionals' knowledge and skills related to pain assessment in older adults be improved, and aggressive approaches to comprehensive pain assessment be adopted, to ensure and improve the quality of life of our senior citizens. Approaches to Pain Assessment with Older Adults Clinical AssessmentIn the clinical setting, accurate assessment of pain is critical for the identification of appropriate interventions and for evaluating the effectiveness of such interventions. Patients should be assessed regularly for the presence of pain and for improvement, deterioration, or complications attributable to pain treatment.[2] The frequency of the follow-up should be a function of the severity of the pain and the potential for adverse effects of treatment. Documentation of pain assessment formalizes the pain assessment process and is essential in the provision of individualized care from both a legal and professional perspective. [17] Inherent in the assessment of pain among older adults is the understanding of its potentially remediable components. For example, if a patient has acute pain, assessment should focus on the underlying pathology responsible for the pain stimulus. If th...

show abstract

Section: Psychosocial and Functional Assessmentmentioning

confidence: 99%

Assessment and measurement of pain in older adults

Herr

Garand

2001

Clinics in Geriatric Medicine

342

251

View full text Add to dashboard Cite

show abstract

“…29 This set of materials also included: (1) a list of prescribed and self-initiated interventions used in the last 18 months; (2) a numerical scale rating difficulty in dealing with chronic pain; (3) body maps on which to indicate locations of pain; (4) questions about the presence of evoked pain; (5) a list of pain descriptive adjectives; (6) numerical pain intensity rating scales; and (7) a copy of the multidimensional pain inventory (MPI)-SCI. 30,31 Responses to the initial mailing were received from 136 of the original 258 (52%) invited to participate. Additional attempts were made by telephone to contact those who did not respond to the initial mailing.…”

Section: Participantsmentioning

confidence: 99%

“…The MPI The MPI is a 60-item (56 scored) self-report questionnaire 30 designed to assess the impact of pain and adaptation to chronic pain. The MPI has excellent psychometric properties 41,42 and the factor structure has been confirmed in several studies.…”

Section: Participantsmentioning

confidence: 99%

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

2003

View full text Add to dashboard Cite

Study design: Postal survey. Objectives: Because of the high prevalence and inadequate control of pain following spinal cord injury (SCI), it is important to have information about the factors associated with the use of specific pain therapies. We conducted this study to evaluate the ability of pain characteristics and psychosocial factors to predict the use of treatments. Setting: The Miami Project to Cure Paralysis (Miami, FL, USA). Methods: People with SCI (n ¼ 120) were mailed a packet containing a questionnaire with questions regarding demographic factors, pain characteristics, and pain treatments along with a copy of the Multidimensional Pain Inventory. Results: A total of 59% of the respondents had been prescribed treatment or self-initiated efforts to treat pain over the previous 18-month period. The most common treatments used by this sample were massage (26.6%), opioids (22.5%) and nonsteroidal anti-inflammatory drugs (NSAIDs) (20%). The most effective treatments overall were 'physical therapies' with 50% receiving these treatments indicating that their pain was 'considerably reduced' or that they were 'pain free.' Opioids and anticonvulsants were perceived to be the most effective pharmacological agents prescribed (33.3 and 23.8% reporting their pain was considerably better or eliminated, respectively). People using prescription medication reported significantly greater pain severity, more widespread pain, more descriptive adjectives, more evoked pain, greater difficulty in dealing with pain, and more interference and decreased activity levels due to pain, compared to people not using prescription medication. A combination of greater difficulty in dealing with pain, intense pain, presence of evoked pain, and higher level of perceived support from significant others was predictive of taking prescription medication. Conclusion: People taking prescription medication reported significantly more intense pain with neuropathic characteristics that significantly affected daily life and routine activities. A substantial percentage of individuals with pain related to SCI did not obtain significant pain relief from prescription medications. None of the factors assessed predicted the use of nonprescription treatments. The results of this study confirm the inadequacy of available modalities to manage chronic pain related to SCI.

show abstract

“…Depressive symptoms have previously been shown to be more elevated in the PVD population and is an important painrelated outcome 20,38 One such relevant partner cognition is catastrophizing. Greater spousal catastrophizing has been associated with more patient pain in chronic pain and PVD samples [21][22][23] , but the mechanism underlying this relationship has not been investigated. Previous findings regarding the effects of catastrophizing on partner behavioral responses have been mixed, and most studies have focused on patient catastrophizing only.…”

Section: Introductionmentioning

confidence: 99%

“…In one study, patient catastrophizing predicted negative partner responses, but not solicitous responses 4,31,33 . One influence may be pain duration, as catastrophizing is related to negative responses over longer pain duration, but solicitousness over shorter duration 5,21,31 . This could indicate changes in partners' ability or desire to respond in positive ways as time goes on, suggesting that positive behavioral responding may take more self-regulation.…”

Section: Introductionmentioning

confidence: 99%