Computerized dynamic assessment of pain: Comparison of chronic pain patients and healthy controls
Computerized dynamic assessment of pain: Comparison of chronic pain patients and healthy controls
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DOI：
10.1111/j.1526-4637.2004.04032.x
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发表时间：
2004-06-01
期刊：
影响因子：
3.1
通讯作者：
Baird, JC
中科院分区：
文献类型：
--
作者：
Jamison, RN;Fanciullo, GJ;Baird, JC
Objective.计算机化软件具有通过传统纸笔方法无法获得的慢性疼痛患者疼痛体验的新评估的潜力。本研究的目的是测试动态计算机管理程序用于评估疼痛的可行性和判别有效性。设计，创建了三个计算机管理程序来评估疼痛的强度（动态视觉模拟量表[DVAS]）、特征（动态言语评分）和位置（动态疼痛图）。这些项目被用于115名从医院疼痛管理项目中招募的慢性疼痛患者和115名年龄和性别匹配的无疼痛的健康个体。健康对照组被要求做出反应，就像他们有慢性疼痛一样。分析显示，疼痛患者DVAS疼痛强度评分显著高于健康组的评分。与对照组相比，患者在描述疼痛时选择了更多的词，对这些词的评分更高，并标记了更多的疼痛部位。然而，患者和健康人之间的情绪影响的DVAS评分没有差异。慢性疼痛患者的疼痛强度和疼痛位置的评估与使用一种新的计算机疼痛评估程序的健康人不同。虽然还需要进一步的调查，这些初步的研究结果支持使用计算机的方法来有效地评估疼痛。
Objective. Computerized software holds the potential for the novel assessment of the pain experience of patients with chronic pain not available through traditional paper-and-pencil methods. The aim of this study was to test the feasibility and discriminant validity of a dynamic computer-administered program for the assessment of pain.Design, Three computer-administered programs were created to assess the intensity (dynamic visual analog scale [DVAS]), character (dynamic verbal ratings), and location (dynamic pain drawings) of pain. The programs were administered to 115 chronic pain patients recruited from a hospital-based pain management program and 115 age- and gender-matched healthy individuals without pain. The healthy controls were instructed to respond as if they had chronic pain.Results. Analyses showed pain patient DVAS pain intensity ratings to be significantly higher than ratings by the healthy group. Patients selected more words in describing their pain, rated those words higher, and marked significantly more pain locations than the comparison group. However, no differences were found in the DVAS ratings of emotional impact between patients and healthy individuals.Conclusions. Chronic pain patients were shown to differ from healthy individuals in their assessments of degree of pain intensity and pain location with the use of a novel computerized pain assessment program. Although further investigations are needed, these initial findings support the use of computer methods for the effective assessment of pain.