A visual analog scale to measure psychological and physical pain: A preliminary validation of the PPP-VAS in two independent samples of depressed patients.
Depression
Psychological pain
Suicidal ideas
Visual analog scale
Journal
Progress in neuro-psychopharmacology & biological psychiatry
ISSN: 1878-4216
Titre abrégé: Prog Neuropsychopharmacol Biol Psychiatry
Pays: England
ID NLM: 8211617
Informations de publication
Date de publication:
02 03 2019
02 03 2019
Historique:
received:
22
05
2018
revised:
25
09
2018
accepted:
30
10
2018
pubmed:
6
11
2018
medline:
23
4
2019
entrez:
5
11
2018
Statut:
ppublish
Résumé
Psychological pain lies at the heart of human experience. However, it may also be abnormally intense and/or prolonged in pathological states, with negative outcomes. A simple and reliable measure of psychological pain for clinical use would be useful. In this study, we present a preliminary validation of a simple visual analog scale jointly measuring psychological and physical pain. Two samples of adult (non elderly) depressed patients and healthy controls were independently recruited in two locations in Canada and the USA (N = 46/48 and 200/20, respectively). Six dimensions were successively scored on a paper visual analog scale measuring current, mean and worst pain over the last 15 days, for physical then psychological pain. All physical and psychological pain dimensions discriminated depressed from non-depressed subjects. Among depressed patients, psychological pain scores were higher than physical pain scores for a given period of assessment. Moreover, correlations between dimensions from the same pain category (physical or psychological) were higher than between different pain categories. Psychological pain was mainly correlated with depression and hopelessness scales while physical pain was mainly correlated with anxiety scales. Secondary analyses showed that psychological (and some physical) pain measures were correlated with suicidal ideas in one location, but no difference in pain scores was found between patients with vs. without a history of suicidal acts in both samples. Childhood trauma positively correlated with several pain dimensions. The PPP-VAS appears to be a valid tool in terms of discriminative capacities and convergent-divergent validities. Validation in different samples, including adolescents and elderly, and in various psychiatric and medical conditions will have to be conducted, in addition to the assessment of concurrent and predictive validities, and the confirmation of sensitivity to change. The role of psychological pain in the suicidal process needs to be further elucidated.
Identifiants
pubmed: 30391308
pii: S0278-5846(18)30383-X
doi: 10.1016/j.pnpbp.2018.10.018
pmc: PMC6463884
mid: NIHMS1512974
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
55-61Subventions
Organisme : NIA NIH HHS
ID : P01 AG012411
Pays : United States
Organisme : NIGMS NIH HHS
ID : P30 GM110702
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000039
Pays : United States
Organisme : Canadian Institutes for Health Research
Pays : International
Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.
Références
Suicide Life Threat Behav. 1999 Winter;29(4):287-94
pubmed: 10636323
Acad Emerg Med. 2001 Dec;8(12):1153-7
pubmed: 11733293
Child Abuse Negl. 2003 Feb;27(2):169-90
pubmed: 12615092
Br J Med Psychol. 1959;32(1):50-5
pubmed: 13638508
Arch Gen Psychiatry. 1961 Jun;4:561-71
pubmed: 13688369
J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62
pubmed: 14399272
Suicide Life Threat Behav. 2003 Fall;33(3):219-30
pubmed: 14582833
Trends Cogn Sci. 2004 Jul;8(7):294-300
pubmed: 15242688
Brain. 2006 Sep;129(Pt 9):2494-507
pubmed: 16799175
J Affect Disord. 2010 Jan;120(1-3):226-30
pubmed: 19394086
World J Biol Psychiatry. 2011 Aug;12(5):319-39
pubmed: 21385016
J Psychiatr Res. 2011 Nov;45(11):1504-10
pubmed: 21831397
Trends Neurosci. 2012 Jan;35(1):14-23
pubmed: 22177979
Am J Psychiatry. 2011 Dec;168(12):1266-77
pubmed: 22193671
Nat Rev Neurosci. 2012 May 03;13(6):421-34
pubmed: 22551663
J Clin Psychol. 2012 Sep;68(9):1019-27
pubmed: 22644790
Br J Clin Psychol. 1990 Feb;29 ( Pt 1):83-90
pubmed: 2310873
Psychother Psychosom. 2013;82(2):67-73
pubmed: 23295405
Mol Psychiatry. 2013 Nov;18(11):1211-7
pubmed: 23958960
Suicide Life Threat Behav. 2014 Feb;44(1):78-88
pubmed: 24106764
J Clin Psychol. 2014 Jul;70(7):681-92
pubmed: 24307489
Curr Psychiatry Rep. 2014 May;16(5):443
pubmed: 24633938
Psychosom Med. 2014 Jul-Aug;76(6):445-51
pubmed: 24988311
Psychol Assess. 2015 Dec;27(4):1500-6
pubmed: 25915787
Am J Psychiatry. 2016 May 1;173(5):491-8
pubmed: 26684923
Pain. 2016 Aug;157(8):1799-809
pubmed: 27075429
J Affect Disord. 2016 Jul 15;199:73-80
pubmed: 27085659
Front Psychiatry. 2016 Jun 20;7:108
pubmed: 27378956
Prog Neuropsychopharmacol Biol Psychiatry. 2016 Oct 27;:null
pubmed: 27984159
Psychother Psychosom. 2017;86(2):116-118
pubmed: 28183088
J Clin Psychiatry. 2018 May/Jun;79(3):null
pubmed: 28872267
Psychiatry Res. 2018 Apr;262:549-557
pubmed: 28967442
J Consult Clin Psychol. 1988 Dec;56(6):893-7
pubmed: 3204199
J Consult Clin Psychol. 1974 Dec;42(6):861-5
pubmed: 4436473
J Consult Clin Psychol. 1979 Apr;47(2):343-52
pubmed: 469082
Psychol Rep. 1974 Apr;34(2):445-6
pubmed: 4820501
J Nerv Ment Dis. 1993 Mar;181(3):145-7
pubmed: 8445372
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57
pubmed: 9881538