Monu Tamang , Mark P. Jensen , Anupa Pathak , Karma Phuentsho , Saurab Sharma
{"title":"评估非西方国家人们的疼痛强度:一项多中心研究比较了不丹成人肌肉骨骼疼痛的四种疼痛量表。","authors":"Monu Tamang , Mark P. Jensen , Anupa Pathak , Karma Phuentsho , Saurab Sharma","doi":"10.1016/j.jpain.2025.105492","DOIUrl":null,"url":null,"abstract":"<div><div>Although the Numerical Rating Scale (NRS) is commonly recommended for use in research and clinical practice internationally, recent research in non-western countries questions its utility in some countries. We aimed to evaluate validity and utility of four commonly used pain intensity measures in a sample of participants with musculoskeletal pain in Bhutan. Two hundred forty-seven adults with musculoskeletal pain visiting three hospitals rated their one-week recalled worst and average pain using all four scales, and indicated their preferred scale. For analysis, participant responses were classified as being a correct or an incorrect response, where an “incorrect response” was defined as a response that did not meet pre-defined criteria. All four scales demonstrated adequate construct validity. The VAS and NRS had significantly higher incorrect response rates (9% each) than the other scales. Participants who were older and with less education had higher rates of incorrect responses on the NRS and VAS. The FPS-R (45%) was the most preferred scale, followed by the NRS (26%); there were no significant differences in preference rates between the VRS (15%) and VAS (5%). The findings suggest that the FPS-R should be used to assess pain intensity in Bhutanese people with musculoskeletal pain, especially in individuals with no formal education.</div></div><div><h3>Perspective</h3><div>This study evaluated the utility and validity of four commonly used pain intensity scales in Bhutan. The findings could help clinicians and researchers select the most appropriate scale for measuring pain intensity in Bhutanese individuals.</div></div>","PeriodicalId":51095,"journal":{"name":"Journal of Pain","volume":"34 ","pages":"Article 105492"},"PeriodicalIF":4.0000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing pain intensity in people from non-western countries: A multicenter study comparing four pain scales in adults with musculoskeletal pain in Bhutan\",\"authors\":\"Monu Tamang , Mark P. Jensen , Anupa Pathak , Karma Phuentsho , Saurab Sharma\",\"doi\":\"10.1016/j.jpain.2025.105492\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Although the Numerical Rating Scale (NRS) is commonly recommended for use in research and clinical practice internationally, recent research in non-western countries questions its utility in some countries. We aimed to evaluate validity and utility of four commonly used pain intensity measures in a sample of participants with musculoskeletal pain in Bhutan. Two hundred forty-seven adults with musculoskeletal pain visiting three hospitals rated their one-week recalled worst and average pain using all four scales, and indicated their preferred scale. For analysis, participant responses were classified as being a correct or an incorrect response, where an “incorrect response” was defined as a response that did not meet pre-defined criteria. All four scales demonstrated adequate construct validity. The VAS and NRS had significantly higher incorrect response rates (9% each) than the other scales. Participants who were older and with less education had higher rates of incorrect responses on the NRS and VAS. The FPS-R (45%) was the most preferred scale, followed by the NRS (26%); there were no significant differences in preference rates between the VRS (15%) and VAS (5%). The findings suggest that the FPS-R should be used to assess pain intensity in Bhutanese people with musculoskeletal pain, especially in individuals with no formal education.</div></div><div><h3>Perspective</h3><div>This study evaluated the utility and validity of four commonly used pain intensity scales in Bhutan. The findings could help clinicians and researchers select the most appropriate scale for measuring pain intensity in Bhutanese individuals.</div></div>\",\"PeriodicalId\":51095,\"journal\":{\"name\":\"Journal of Pain\",\"volume\":\"34 \",\"pages\":\"Article 105492\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pain\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1526590025007199\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1526590025007199","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Assessing pain intensity in people from non-western countries: A multicenter study comparing four pain scales in adults with musculoskeletal pain in Bhutan
Although the Numerical Rating Scale (NRS) is commonly recommended for use in research and clinical practice internationally, recent research in non-western countries questions its utility in some countries. We aimed to evaluate validity and utility of four commonly used pain intensity measures in a sample of participants with musculoskeletal pain in Bhutan. Two hundred forty-seven adults with musculoskeletal pain visiting three hospitals rated their one-week recalled worst and average pain using all four scales, and indicated their preferred scale. For analysis, participant responses were classified as being a correct or an incorrect response, where an “incorrect response” was defined as a response that did not meet pre-defined criteria. All four scales demonstrated adequate construct validity. The VAS and NRS had significantly higher incorrect response rates (9% each) than the other scales. Participants who were older and with less education had higher rates of incorrect responses on the NRS and VAS. The FPS-R (45%) was the most preferred scale, followed by the NRS (26%); there were no significant differences in preference rates between the VRS (15%) and VAS (5%). The findings suggest that the FPS-R should be used to assess pain intensity in Bhutanese people with musculoskeletal pain, especially in individuals with no formal education.
Perspective
This study evaluated the utility and validity of four commonly used pain intensity scales in Bhutan. The findings could help clinicians and researchers select the most appropriate scale for measuring pain intensity in Bhutanese individuals.
期刊介绍:
The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.