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Development of an observation method for assessing pain behavior in rheumatoid arthritis patients.

Publication ,  Journal Article
McDaniel, LK; Anderson, KO; Bradley, LA; Young, LD; Turner, RA; Agudelo, CA; Keefe, FJ
Published in: Pain
February 1986

Four studies examined the reliability and validity of a behavioral observation method for the assessment of pain associated with rheumatoid arthritis (RA). The major purpose of experiment 1 was to evaluate the interobserver reliability of the observation method. Two observers recorded the frequencies of pain behaviors displayed by 20 RA patients. Each of 3 types of reliability estimates indicated that the pain behavior could be reliably observed. The purpose of experiment 2 was to examine the concurrent validity of the observation system by correlating 53 patients' self-reports of pain with the frequencies of their pain behaviors. Significant and positive correlations were found between patients' total pain behavior and 3 self-report measures of pain and functional disability. Furthermore, unlike the self-reports of pain, total pain behavior was only minimally related to self-report of depression. Experiment 3 was performed in order to assess the observation method's construct validity. Naive observers viewed video recordings of 25 RA patients and made global estimates of patients' pain severity and unpleasantness. Highly significant and positive correlations were found between these global estimates and total pain behavior. In experiment 4, the pain behaviors of 11 RA patients were recorded prior to and immediately following cognitive-behavioral treatment for the reduction of RA pain. There was a significant decrease in total pain behavior from pretreatment to posttreatment. The data indicate that the observation method provides a reliable, valid, and relatively objective measure of RA patient pain behavior. Future validation studies of the observation method are discussed.

Duke Scholars

Published In

Pain

DOI

ISSN

0304-3959

Publication Date

February 1986

Volume

24

Issue

2

Start / End Page

165 / 184

Location

United States

Related Subject Headings

  • Video Recording
  • Sick Role
  • Self-Assessment
  • Self Stimulation
  • Respiratory Sounds
  • Posture
  • Pain
  • Middle Aged
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McDaniel, L. K., Anderson, K. O., Bradley, L. A., Young, L. D., Turner, R. A., Agudelo, C. A., & Keefe, F. J. (1986). Development of an observation method for assessing pain behavior in rheumatoid arthritis patients. Pain, 24(2), 165–184. https://doi.org/10.1016/0304-3959(86)90039-4
McDaniel, Lisa K., Karen O. Anderson, Laurence A. Bradley, Larry D. Young, Robert A. Turner, Carlos A. Agudelo, and Francis J. Keefe. “Development of an observation method for assessing pain behavior in rheumatoid arthritis patients.Pain 24, no. 2 (February 1986): 165–84. https://doi.org/10.1016/0304-3959(86)90039-4.
McDaniel LK, Anderson KO, Bradley LA, Young LD, Turner RA, Agudelo CA, et al. Development of an observation method for assessing pain behavior in rheumatoid arthritis patients. Pain. 1986 Feb;24(2):165–84.
McDaniel, Lisa K., et al. “Development of an observation method for assessing pain behavior in rheumatoid arthritis patients.Pain, vol. 24, no. 2, Feb. 1986, pp. 165–84. Pubmed, doi:10.1016/0304-3959(86)90039-4.
McDaniel LK, Anderson KO, Bradley LA, Young LD, Turner RA, Agudelo CA, Keefe FJ. Development of an observation method for assessing pain behavior in rheumatoid arthritis patients. Pain. 1986 Feb;24(2):165–184.
Journal cover image

Published In

Pain

DOI

ISSN

0304-3959

Publication Date

February 1986

Volume

24

Issue

2

Start / End Page

165 / 184

Location

United States

Related Subject Headings

  • Video Recording
  • Sick Role
  • Self-Assessment
  • Self Stimulation
  • Respiratory Sounds
  • Posture
  • Pain
  • Middle Aged
  • Male
  • Humans