Skip to main content

Validity of pain behaviors in persons with mild to moderate cognitive impairment.

Publication ,  Journal Article
Shega, JW; Rudy, T; Keefe, FJ; Perri, LC; Mengin, OT; Weiner, DK
Published in: J Am Geriatr Soc
September 2008

OBJECTIVES: To evaluate the validity of traditional pain behaviors (guarding, bracing, rubbing, grimacing, and sighing) in persons with and without cognitive impairment and chronic low back pain (CLBP). DESIGN: Prospective observational study. SETTING: Outpatient clinics. PARTICIPANTS: Thirty-seven cognitively intact and 40 cognitively impaired participants with and without CLBP. MEASUREMENTS: Frequency of traditional pain behaviors. RESULTS: Forty-six of the participants were pain free, and 31 had CLBP. The internal consistency reliability coefficient of the five pain behaviors was 0.32, suggesting that a unidimensional scale did not exist. Multivariate analysis of variance analysis according to the independent variables pain status (pain free vs CLBP) and cognitive status (intact vs impaired) with the dependent variable frequency of pain behaviors found significant differences according to pain status (F[5,61]=3.06, P=.02) and cognitive status (F[5,61]=5.41, P<.001) but without evidence of an interaction (F[5,61]=1.14, P=.35). Participants with CLBP exhibited significantly higher levels of grimacing (P<.001) and guarding (P=.02) than pain-free participants. Intact subjects exhibited fewer guarding (P=.02) and rubbing behaviors (P<.001) but a higher number of bracing behaviors (P=.03) than cognitively impaired participants. CONCLUSION: These results support the utility of facial grimacing in assessing pain in patients with mild to moderate cognitive impairment and call into question the validity of guarding and rubbing in assessing pain in persons with mild to moderate cognitive impairment.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

September 2008

Volume

56

Issue

9

Start / End Page

1631 / 1637

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Psychometrics
  • Pain Measurement
  • Observer Variation
  • Nonverbal Communication
  • Mental Status Schedule
  • Male
  • Low Back Pain
  • Illness Behavior
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shega, J. W., Rudy, T., Keefe, F. J., Perri, L. C., Mengin, O. T., & Weiner, D. K. (2008). Validity of pain behaviors in persons with mild to moderate cognitive impairment. J Am Geriatr Soc, 56(9), 1631–1637. https://doi.org/10.1111/j.1532-5415.2008.01831.x
Shega, Joseph W., Thomas Rudy, Francis J. Keefe, Lisa Caitlin Perri, Olga Telgarska Mengin, and Debra K. Weiner. “Validity of pain behaviors in persons with mild to moderate cognitive impairment.J Am Geriatr Soc 56, no. 9 (September 2008): 1631–37. https://doi.org/10.1111/j.1532-5415.2008.01831.x.
Shega JW, Rudy T, Keefe FJ, Perri LC, Mengin OT, Weiner DK. Validity of pain behaviors in persons with mild to moderate cognitive impairment. J Am Geriatr Soc. 2008 Sep;56(9):1631–7.
Shega, Joseph W., et al. “Validity of pain behaviors in persons with mild to moderate cognitive impairment.J Am Geriatr Soc, vol. 56, no. 9, Sept. 2008, pp. 1631–37. Pubmed, doi:10.1111/j.1532-5415.2008.01831.x.
Shega JW, Rudy T, Keefe FJ, Perri LC, Mengin OT, Weiner DK. Validity of pain behaviors in persons with mild to moderate cognitive impairment. J Am Geriatr Soc. 2008 Sep;56(9):1631–1637.

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

September 2008

Volume

56

Issue

9

Start / End Page

1631 / 1637

Location

United States

Related Subject Headings

  • Reproducibility of Results
  • Psychometrics
  • Pain Measurement
  • Observer Variation
  • Nonverbal Communication
  • Mental Status Schedule
  • Male
  • Low Back Pain
  • Illness Behavior
  • Humans