McGill Pain Questionnaire: Difference between revisions
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'''Original Editor '''- | '''Original Editor '''- [[User:Sinead Greenan|Sinead Greenan]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Objective == | |||
= | The '''McGill Pain Questionnaire''' (MPQ) is a self-reporting measure of pain used for patients with a number of diagnoses. It assesses both quality and intensity of subjective pain. The MPQ is a multi-dimesional tool for pain assessment and it has three components, which are the sensory intensity, the cognitive evaluation of pain and the emotional impact of pain. <ref name=":0" /> | ||
Validated for patients with Cancer, Chronic Pelvic Pain, Fibromyalgia, Headaches, Herniated intervertebral discs, Ischemic muscular pain, Low back pain, Lumbago-sciatica, Orthodontics / Dental pain, Postoperative complications, Rheumatic pain, Trigeminal neuralgia and atypical facial pain, Vulvar pain | == Intended Population == | ||
Validated for patients with Cancer, Chronic Pelvic Pain, Fibromyalgia, Headaches, Herniated intervertebral discs, Ischemic muscular pain, Low back pain, Lumbago-sciatica, Orthodontics / Dental pain, Postoperative complications, Rheumatic pain, Trigeminal neuralgia and atypical facial pain, Vulvar pain | |||
== Method of Use == | == Method of Use == | ||
The MPQ is composed of 78 words, of which respondents choose those that best describe their experience of pain. Seven words are selected from the following categories: dimension 1 to 10 (pain descriptors), three words; dimensions 11 to 15 (affective components of pain), dimension 16 (evaluation of pain) one word, and dimension 17 to 20 (miscellaneous) one word. Scores are tabulated by summing values associated with each word; scores range from 0 (no pain) to 78 (severe pain). Qualitative differences in pain may be reflected in respondent’s word choice <ref>Melzack, R. "The McGill Pain Questionnaire: major properties and scoring methods." Pain 1975 1(3): 277-299</ref> | The MPQ is composed of 78 words, of which respondents choose those that best describe their experience of pain. Seven words are selected from the following categories: dimension 1 to 10 (pain descriptors), three words; dimensions 11 to 15 (affective components of pain), dimension 16 (evaluation of pain) one word, and dimension 17 to 20 (miscellaneous) one word. Scores are tabulated by summing values associated with each word; scores range from 0 (no pain) to 78 (severe pain). Qualitative differences in pain may be reflected in respondent’s word choice <ref name=":0">Melzack, R. "The McGill Pain Questionnaire: major properties and scoring methods." Pain 1975 1(3): 277-299</ref> | ||
{{#ev:youtube|Mw0peX6knuo|300}} | |||
<br> | |||
'''MPQ Dimensions''' | '''MPQ Dimensions''' | ||
{| width="200" border="1" cellpadding="1" cellspacing="1" | {| width="200" border="1" cellpadding="1" cellspacing="1" | ||
Line 24: | Line 27: | ||
| colspan="2" | <u>Sensory</u> | | colspan="2" | <u>Sensory</u> | ||
|- | |- | ||
| 1 | | 1 | ||
| Flickering/beating | | Flickering/beating | ||
|- | |- | ||
| 2 | | 2 | ||
| Jumping/shooting | | Jumping/shooting | ||
|- | |- | ||
| 3 | | 3 | ||
| Pricking/lancinating | | Pricking/lancinating | ||
|- | |- | ||
| 4 | | 4 | ||
| Sharp/lacerating | | Sharp/lacerating | ||
|- | |- | ||
| 5 | | 5 | ||
| Pinching/crushing | | Pinching/crushing | ||
|- | |- | ||
| 6 | | 6 | ||
| Tugging/wrenching | | Tugging/wrenching | ||
|- | |- | ||
| 7 | | 7 | ||
| Hot/searing | | Hot/searing | ||
|- | |- | ||
| 8 | | 8 | ||
| Tingling/stinging | | Tingling/stinging | ||
|- | |- | ||
| 9 | | 9 | ||
| Dull/heavy | | Dull/heavy | ||
|- | |- | ||
| 10 | | 10 | ||
| Tender/splitting | | Tender/splitting | ||
|- | |- | ||
| colspan="2" | <u>Affective:</u> | | colspan="2" | <u>Affective:</u> | ||
|- | |- | ||
| 11 | | 11 | ||
| Tiring/exhausting | | Tiring/exhausting | ||
|- | |- | ||
| 12 | | 12 | ||
| Sickening/suffocating | | Sickening/suffocating | ||
|- | |- | ||
| 13 | | 13 | ||
| Fearful/terrifying | | Fearful/terrifying | ||
|- | |- | ||
| 14 | | 14 | ||
| Punishing/killing | | Punishing/killing | ||
|- | |- | ||
| 15 | | 15 | ||
| Wretched/blinding | | Wretched/blinding | ||
|- | |- | ||
| colspan="2" | <u>Evaluative:</u> | | colspan="2" | <u>Evaluative:</u> | ||
|- | |- | ||
| 16 | | 16 | ||
| Annoying/unbearable | | Annoying/unbearable | ||
|- | |- | ||
| colspan="2" | <u>Miscellaneous:</u> | | colspan="2" | <u>Miscellaneous:</u> | ||
|- | |- | ||
| 17 | | 17 | ||
| Spreading/piercing | | Spreading/piercing | ||
|- | |- | ||
| 18 | | 18 | ||
| Tight/tearing | | Tight/tearing | ||
|- | |- | ||
| 19 | | 19 | ||
| Cold/freezing | | Cold/freezing | ||
|- | |- | ||
| 20 | | 20 | ||
| Nagging/torturing | | Nagging/torturing | ||
|} | |} | ||
<br> | |||
=== Reliability === | === Reliability === | ||
<u>Test-retest Reliability:</u> | <u>Test-retest Reliability:</u> | ||
<u></u>(Ferraz et al., 1990; n = 91 (66 literate & 25 illiterate) <ref>Ferraz, M. B., Quaresma, M. R., et al. "Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis." J Rheumatol 1990 17(8): 1022-1024</ref><br>Excellent test-retest reliability (literate) r = 0.96<br>Excellent test-retest reliability (illiterate) r = 0.95 | <u></u>(Ferraz et al., 1990; n = 91 (66 literate & 25 illiterate) <ref>Ferraz, M. B., Quaresma, M. R., et al. "Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis." J Rheumatol 1990 17(8): 1022-1024</ref><br>Excellent test-retest reliability (literate) r = 0.96<br>Excellent test-retest reliability (illiterate) r = 0.95 | ||
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=== Validity === | === Validity === | ||
<u>Criterion Validity:</u> | <u>Criterion Validity:</u> | ||
<u></u>''Lung, Head or Neck, and Prostate Cancer:''<br>(Fisher et al., 2010; n = 302; mean age = 60.5 (11.5) years; all patients undergoing radiation treatment) <ref>Fischer, D. J., Villines, D., et al. "Anxiety, depression, and pain: differences by primary cancer." Support Care Cancer 2010 18(7): 801-810</ref> | <u></u>''Lung, Head or Neck, and Prostate Cancer:''<br>(Fisher et al., 2010; n = 302; mean age = 60.5 (11.5) years; all patients undergoing radiation treatment) <ref>Fischer, D. J., Villines, D., et al. "Anxiety, depression, and pain: differences by primary cancer." Support Care Cancer 2010 18(7): 801-810</ref> | ||
Concurrent validity: number of words chosen predicted by (using standardized regression coefficients, Beta): | Concurrent validity: number of words chosen predicted by (using standardized regression coefficients, Beta): | ||
*State Anxiety (Beta = 0.06) | *State Anxiety (Beta = 0.06) | ||
*Depression (Beta = 0.07) | *Depression (Beta = 0.07) | ||
*Greater number of coping strategies used (Beta = 0.16) | *Greater number of coping strategies used (Beta = 0.16) | ||
<br> | |||
<u>Construct Validity:</u> | |||
''Low Back Pain:''<br>(Byrne et al, 1982; n = 98 (63 female, 35 male); mean age 41.7 (male); 48.1 (female) years; mean duration of back pain 5.5 and 7.7 years respectively) <ref>Byrne, M., Troy, A., et al. "Cross-validation of the factor structure of the McGill Pain Questionnaire." Pain 13(2): 193-201Byrne, M., Troy, A., et al. (1982). "Cross-validation of the factor structure of the McGill Pain Questionnaire." Pain 1982 13(2): 193-201</ref> | |||
*Factor analyses was used, loadings were compared to prior research (e.g. Prieto et al., 1980<ref>Prieto, E. J., Hopson, L., et al. "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 8(1): 11-19.Prieto, E. J., Hopson, L., et al. (1980). "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 1980 8(1): 11-19.</ref>). Comparisons suggest a similar pattern of factor loadings. | *Factor analyses was used, loadings were compared to prior research (e.g. Prieto et al., 1980<ref>Prieto, E. J., Hopson, L., et al. "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 8(1): 11-19.Prieto, E. J., Hopson, L., et al. (1980). "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 1980 8(1): 11-19.</ref>). Comparisons suggest a similar pattern of factor loadings. | ||
<br> | |||
<u>Content Validity:</u> | |||
''Literature Review:''<br>(Melzack, 1975; measure development) <ref>Melzack, R. "The McGill Pain Questionnaire: major properties and scoring methods." Pain 1975 1(3): 277-299</ref> | |||
*Subject Matter Experts classified 102 words gleaned from the extant literature. | *Subject Matter Experts classified 102 words gleaned from the extant literature. | ||
*Words were categorized into 3 classes and 16 subclasses, these include: | *Words were categorized into 3 classes and 16 subclasses, these include: | ||
Sensory qualities: temporal, spatial, pressure, thermal and "other" properties of pain<br>Affective qualities: tension fear and automatic properties of pain<br>Evaluative terms: a subjective assessment of overall pain intensity. | Sensory qualities: temporal, spatial, pressure, thermal and "other" properties of pain<br>Affective qualities: tension fear and automatic properties of pain<br>Evaluative terms: a subjective assessment of overall pain intensity. | ||
*Groups of doctors, patients and students then assigned numeric intensity values to each word | *Groups of doctors, patients and students then assigned numeric intensity values to each word | ||
High levels of agreement were observed despite difference in cultural, socio-economic and educational levels | High levels of agreement were observed despite difference in cultural, socio-economic and educational levels | ||
=== Responsiveness === | === Responsiveness === | ||
Not established | |||
== Links == | == Links == | ||
[https://www.sralab.org/sites/default/files/2017-07/McGill%20Pain%20Questionnaire%20%281%29.pdf McGill Pain Questionnaire] | |||
== References == | == References == | ||
<references /> | |||
[[Category:Outcome_Measures]] | |||
[[Category:Pain]] | |||
[[Category:Lumbar Spine - Outcome Measures]] |
Latest revision as of 11:25, 1 September 2023
Original Editor - Sinead Greenan
Top Contributors - Sinead Greenan, Tolulope Adeniji, Evan Thomas, WikiSysop, Kim Jackson and Lucinda hampton
Objective[edit | edit source]
The McGill Pain Questionnaire (MPQ) is a self-reporting measure of pain used for patients with a number of diagnoses. It assesses both quality and intensity of subjective pain. The MPQ is a multi-dimesional tool for pain assessment and it has three components, which are the sensory intensity, the cognitive evaluation of pain and the emotional impact of pain. [1]
Intended Population[edit | edit source]
Validated for patients with Cancer, Chronic Pelvic Pain, Fibromyalgia, Headaches, Herniated intervertebral discs, Ischemic muscular pain, Low back pain, Lumbago-sciatica, Orthodontics / Dental pain, Postoperative complications, Rheumatic pain, Trigeminal neuralgia and atypical facial pain, Vulvar pain
Method of Use[edit | edit source]
The MPQ is composed of 78 words, of which respondents choose those that best describe their experience of pain. Seven words are selected from the following categories: dimension 1 to 10 (pain descriptors), three words; dimensions 11 to 15 (affective components of pain), dimension 16 (evaluation of pain) one word, and dimension 17 to 20 (miscellaneous) one word. Scores are tabulated by summing values associated with each word; scores range from 0 (no pain) to 78 (severe pain). Qualitative differences in pain may be reflected in respondent’s word choice [1]
MPQ Dimensions
Sensory | |
1 | Flickering/beating |
2 | Jumping/shooting |
3 | Pricking/lancinating |
4 | Sharp/lacerating |
5 | Pinching/crushing |
6 | Tugging/wrenching |
7 | Hot/searing |
8 | Tingling/stinging |
9 | Dull/heavy |
10 | Tender/splitting |
Affective: | |
11 | Tiring/exhausting |
12 | Sickening/suffocating |
13 | Fearful/terrifying |
14 | Punishing/killing |
15 | Wretched/blinding |
Evaluative: | |
16 | Annoying/unbearable |
Miscellaneous: | |
17 | Spreading/piercing |
18 | Tight/tearing |
19 | Cold/freezing |
20 | Nagging/torturing |
Reliability[edit | edit source]
Test-retest Reliability:
(Ferraz et al., 1990; n = 91 (66 literate & 25 illiterate) [2]
Excellent test-retest reliability (literate) r = 0.96
Excellent test-retest reliability (illiterate) r = 0.95
Validity[edit | edit source]
Criterion Validity:
Lung, Head or Neck, and Prostate Cancer:
(Fisher et al., 2010; n = 302; mean age = 60.5 (11.5) years; all patients undergoing radiation treatment) [3]
Concurrent validity: number of words chosen predicted by (using standardized regression coefficients, Beta):
- State Anxiety (Beta = 0.06)
- Depression (Beta = 0.07)
- Greater number of coping strategies used (Beta = 0.16)
Construct Validity:
Low Back Pain:
(Byrne et al, 1982; n = 98 (63 female, 35 male); mean age 41.7 (male); 48.1 (female) years; mean duration of back pain 5.5 and 7.7 years respectively) [4]
- Factor analyses was used, loadings were compared to prior research (e.g. Prieto et al., 1980[5]). Comparisons suggest a similar pattern of factor loadings.
Content Validity:
Literature Review:
(Melzack, 1975; measure development) [6]
- Subject Matter Experts classified 102 words gleaned from the extant literature.
- Words were categorized into 3 classes and 16 subclasses, these include:
Sensory qualities: temporal, spatial, pressure, thermal and "other" properties of pain
Affective qualities: tension fear and automatic properties of pain
Evaluative terms: a subjective assessment of overall pain intensity.
- Groups of doctors, patients and students then assigned numeric intensity values to each word
High levels of agreement were observed despite difference in cultural, socio-economic and educational levels
Responsiveness[edit | edit source]
Not established
Links[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Melzack, R. "The McGill Pain Questionnaire: major properties and scoring methods." Pain 1975 1(3): 277-299
- ↑ Ferraz, M. B., Quaresma, M. R., et al. "Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis." J Rheumatol 1990 17(8): 1022-1024
- ↑ Fischer, D. J., Villines, D., et al. "Anxiety, depression, and pain: differences by primary cancer." Support Care Cancer 2010 18(7): 801-810
- ↑ Byrne, M., Troy, A., et al. "Cross-validation of the factor structure of the McGill Pain Questionnaire." Pain 13(2): 193-201Byrne, M., Troy, A., et al. (1982). "Cross-validation of the factor structure of the McGill Pain Questionnaire." Pain 1982 13(2): 193-201
- ↑ Prieto, E. J., Hopson, L., et al. "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 8(1): 11-19.Prieto, E. J., Hopson, L., et al. (1980). "The language of low back pain: factor structure of the McGill pain questionnaire." Pain 1980 8(1): 11-19.
- ↑ Melzack, R. "The McGill Pain Questionnaire: major properties and scoring methods." Pain 1975 1(3): 277-299