Validation of the Brief Pain Inventory in Patients Six Months After Cardiac Surgery
Open accessAbstract
The Brief Pain Inventory (BPI) is a questionnaire developed to assess the severity of pain and the impact of pain on daily function. The purpose of the current study was to evaluate the psychometric properties of the BPI for use in patients undergoing cardiac surgery. Between September 2004 and September 2005, 534 patients completed the BPI before surgery and 462 responded six months after surgery. The BPI was validated with respect to construct validity, internal consistency, criterion validity, and responsiveness. To evaluate the criterion validity, the BPI was validated against the bodily pain (BP) scale of the Medical Outcomes Study Short-Form Health Survey (SF-36). The factor analysis resulted in two distinct factors, supporting the validity of the two-factor structure of the original BPI, with high loadings on pain severity and pain interference. Results indicated acceptable internal consistency, with Cronbach's alpha coefficients between 0.84 and 0.94. The association between the BPI and the SF-36 BP dimension supported the criterion validity, with correlation coefficients between 0.47 and 0.65. The pain severity scale and the pain interference scale declined from baseline to follow-up. These results supported the responsiveness of the BPI. The study confirmed that the BPI shows good psychometric properties of reliability, validity, and responsiveness, enabling it to be used to measure pain in patients after cardiac surgery. Validating pain measures for use in this population is an important part of establishing a foundation for future studies on chronic pain after cardiac surgery.
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In surgical cardiac patients, the BPI pain interference subscale demonstrated good internal consistency before surgery (Cronbach's alpha = 0.91) and six months after surgery (Cronbach's alpha = 0.94), and it showed responsiveness between pre- and post-surgical time points.
“In surgical cardiac patients, this measure demonstrated good internal consistency both prior to surgery (Cronbach’s α = 0.91) and six months following surgery (Cronbach’s α = 0.94) and demonstrated responsiveness between pre- and post-surgical time points (Gjeilo, Stenseth, Wahba, Lydersen, & Klepstad, 2007).”
From Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments: Reliability and Validity in Veterans Following Orthopedic Surgery. (2020) · cites this paper as Gjeilo, Stenseth, Wahba, Lydersen, & Klepstad, 2007
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- Authors
- Gjeilo, K. H., Stenseth, R., Wahba, A., Lydersen, S., & Klepstad, P.
- Affiliations
- St Olav's University Hospital (NO)
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Gjeilo, Kari Hanne
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 34
- Issue
- 6
- Pages
- 648-656
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W1976666040
- Cited by
- 100
- References
- 3
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 4 · 2023: 1 · 2022: 7 · 2021: 12 · 2020: 7 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 11 · 2015: 6 · 2014: 8 · 2013: 3 · 2012: 4
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- Brief Pain Inventory, cardiac surgery, postoperative pain, chronic pain, psychometric validation, pain intensity, pain interference, SF-36 bodily pain, construct validity, responsiveness, internal consistency
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Pain Measurement, Postoperative Pain, Psychometrics, Reproducibility of Results
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