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The measurement of clinical pain intensity: a comparison of six methods
Abstract
The measurement of subjective pain intensity continues to be important to both researchers and clinicians. Although several scales are currently used to assess the intensity construct, it remains unclear which of these provides the most precise, replicable, and predictively valid measure. Five criteria for judging intensity scales have been considered in previous research: ease of administration of scoring; relative rates of incorrect responding; sensitivity as defined by the number of available response categories; sensitivity as defined by statistical power; and the magnitude of the relationship between each scale and a linear combination of pain intensity indices. In order to judge commonly used pain intensity measures, 75 chronic pain patients were asked to rate 4 kinds of pain (present, least, most, and average) using 6 scales. The utility and validity of the scales was judged using the criteria listed above. The results indicate that, for the present sample, the scales yield similar results in terms of the number of subjects who respond correctly to them and their predictive validity. However, when considering the remaining 3 criteria, the 101-point numerical rating scale appears to be the most practical index.
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“Validity and utility of the 11-point NRS is sufficient and it is responsive to changes in individuals [20-22].”
From Staying at work with chronic nonspecific musculoskeletal pain: a qualitative study of workers' experiences (2011) · cites this paper as [20]
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Metadata
- Authors
- Jensen, M. P., Karoly, P., & Braver, S.
- Affiliations
- Arizona State University (US)
- Venue
- Pain
- Published
- 1986-10
- Volume
- 27
- Issue
- 1
- Pages
- 117-126
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2064475745
- Cited by
- 3,275
- References
- 26
- Citations by year
- 2026: 110 · 2025: 119 · 2024: 116 · 2023: 108 · 2022: 129 · 2021: 155 · 2020: 149 · 2019: 143 · 2018: 130 · 2017: 119 · 2016: 114 · 2015: 106 · 2014: 112 · 2013: 120 · 2012: 118
- FWCI
- 13.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain intensity assessment, pain intensity scales, chronic pain, numerical rating scale, scale validity, predictive validity, scale sensitivity
- MeSH terms
- Adult, Age Factors, Female, Humans, Male, Middle Aged, Pain Measurement, Surveys and Questionnaires
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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