Cited by 100Pain Management and Opioid UseAnesthesia and Pain ManagementPediatric Pain Management Techniques

Validation of the Brief Pain Inventory in Patients Six Months After Cardiac Surgery

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Gjeilo, Kari Hanne, Stenseth, Roar, Wahba, Alexander, Lydersen, Stian, Klepstad, Pål·2007·Journal of Pain and Symptom Management

Abstract

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).”

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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
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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