Study of Cancer Pain Distress: Association With Pain Severity, Functional Interference, Symptom Distress and Quality of Life

2.50
Hdl Handle:
http://hdl.handle.net/10755/165455
Category:
Abstract
Type:
Presentation
Title:
Study of Cancer Pain Distress: Association With Pain Severity, Functional Interference, Symptom Distress and Quality of Life
Author(s):
Dugue, L.; Morales, E.; Davis, C.; Cogswell, J.; Chang, V.; Hwang, S.
Author Details:
L. Dugue, Dept. of Veteran Affairs, New Jersey Healthcare System, East Orange, New Jersey, USA; E. Morales; C. Davis; J. Cogswell; V. Chang; S. Hwang
Abstract:
With pain as a fifth vital sign at VA Health Care Systems, clinicians use the 0-10 pain rating scale to assess pain severity. However, the interpretation of responses is limited by the lack of a common understanding of the meaning of pain scores. Purpose: We hypothesized that an answer to "how much does your pain distress you?" could complement assessments of pain severity. The purpose of this study was to define the cancer pain distress threshold based on its association with pain severity and multidimensional pain related QOL measures Theoretical/Scientific Framework: The assessment was based on the multidimensional QOL framework. Methods: The dataset was composed of responses from 503 patients who completed the Brief Pain Inventory(BPI), Memorial Symptom Assessment Scale-Short Form(MSAS-SF) and Functional Assessment Cancer Therapy(FACT-G). The pain distress rating from MSAS-SF has six different levels (no pain, not at all, a little bit, somewhat, quite a bit and very much distress). Data Analysis: Pearson correlation with pain severity was performed to assess correlation with pain distress and oneway analysis of variance (ANOVA) was performed to examine the sensitivity of multidimensional QOL variables to different distress levels. Findings and Implications: Patient responses to pain distress correlated significantly with BPI pain severity(r=.52 to 0.82, all p< 0.0001). Through comparison with the no pain group, we observed a ladder relationship between pain distress level and multidimensional QOL measures, which enabled us to define the pain distress threshold. Increasing pain distress levels corresponded to increasing symptom distress. In addition, different domains of QOL were affected by different levels of pain distress. The results support the validity of pain distress assessment and suggest cutoff point of worst pain severity in relation to each distress level. Patients with increased pain severity or pain distress should have multidimensional QOL assessment.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
29th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Anaheim, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleStudy of Cancer Pain Distress: Association With Pain Severity, Functional Interference, Symptom Distress and Quality of Lifeen_GB
dc.contributor.authorDugue, L.en_US
dc.contributor.authorMorales, E.en_US
dc.contributor.authorDavis, C.en_US
dc.contributor.authorCogswell, J.en_US
dc.contributor.authorChang, V.en_US
dc.contributor.authorHwang, S.en_US
dc.author.detailsL. Dugue, Dept. of Veteran Affairs, New Jersey Healthcare System, East Orange, New Jersey, USA; E. Morales; C. Davis; J. Cogswell; V. Chang; S. Hwangen_US
dc.identifier.urihttp://hdl.handle.net/10755/165455-
dc.description.abstractWith pain as a fifth vital sign at VA Health Care Systems, clinicians use the 0-10 pain rating scale to assess pain severity. However, the interpretation of responses is limited by the lack of a common understanding of the meaning of pain scores. Purpose: We hypothesized that an answer to &quot;how much does your pain distress you?&quot; could complement assessments of pain severity. The purpose of this study was to define the cancer pain distress threshold based on its association with pain severity and multidimensional pain related QOL measures Theoretical/Scientific Framework: The assessment was based on the multidimensional QOL framework. Methods: The dataset was composed of responses from 503 patients who completed the Brief Pain Inventory(BPI), Memorial Symptom Assessment Scale-Short Form(MSAS-SF) and Functional Assessment Cancer Therapy(FACT-G). The pain distress rating from MSAS-SF has six different levels (no pain, not at all, a little bit, somewhat, quite a bit and very much distress). Data Analysis: Pearson correlation with pain severity was performed to assess correlation with pain distress and oneway analysis of variance (ANOVA) was performed to examine the sensitivity of multidimensional QOL variables to different distress levels. Findings and Implications: Patient responses to pain distress correlated significantly with BPI pain severity(r=.52 to 0.82, all p&lt; 0.0001). Through comparison with the no pain group, we observed a ladder relationship between pain distress level and multidimensional QOL measures, which enabled us to define the pain distress threshold. Increasing pain distress levels corresponded to increasing symptom distress. In addition, different domains of QOL were affected by different levels of pain distress. The results support the validity of pain distress assessment and suggest cutoff point of worst pain severity in relation to each distress level. Patients with increased pain severity or pain distress should have multidimensional QOL assessment.en_GB
dc.date.available2011-10-27T12:18:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:18:51Z-
dc.conference.date2004en_US
dc.conference.name29th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationAnaheim, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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