O'Brien Julia A, Drake Jermon A, Bearden Donald J, Ono Kim E, Sil Soumitri, Cohen Lindsey L, Karras Alana, Novelli Enrico M, Jonassaint Charles R
School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Pain Rep. 2024 Dec 9;10(1):e1189. doi: 10.1097/PR9.0000000000001189. eCollection 2025 Feb.
Accurate assessment of pain severity is important for caring for patients with sickle cell disease (SCD). The Brief Pain Inventory was developed to address limitations of previous pain-rating metrics and is available in a short form (BPI-SF). However, the BPI-SF is a self-report scale dependent on patient comprehension and interpretation of items.
To examine patterns in how patients completed the BPI-SF and determine whether incorrectly completing the BPI-SF was related to cognitive functioning or education.
A secondary analysis was completed using data from a study examining brain aging and cognitive impairment in SCD. T-tests were performed to examine whether neurocognitive function (immediate and delayed memory, visuospatial skills, attention, and language), word reading, and years of education differed based on correct BPI-SF completion.
The sample (n = 71) was 43.7% male, 98.6% African American or mixed race. Of that, 53.5% had sickle cell anemia, and the mean years of education was 13.6. Overall, 21.1% of participants (n = 15) incorrectly completed the BPI-SF pain severity items, and 57.7% completed the body map item incorrectly. Those who completed the severity items incorrectly had statistically significant differences in education. Group differences in neurocognitive function were no longer significant after familywise error rates were controlled for. Literacy was not associated with error rates.
Education level may influence patients' ability to correctly complete the BPI-SF. Findings suggest that careful consideration is warranted for use of the BPI in patients with SCD. Recommended revisions to the BPI include simplifying the language, shortening sentence length, and clearly specifying the timeframes.
准确评估疼痛严重程度对于照顾镰状细胞病（SCD）患者至关重要。简明疼痛问卷（Brief Pain Inventory）旨在解决先前疼痛评分指标的局限性，有简版（BPI-SF）可供使用。然而，BPI-SF是一种依赖患者对项目理解和解释的自我报告量表。
研究患者完成BPI-SF的方式模式，并确定错误完成BPI-SF是否与认知功能或教育程度有关。
使用一项关于SCD患者脑老化和认知障碍研究的数据进行二次分析。进行t检验以检查基于正确完成BPI-SF的情况，神经认知功能（即时和延迟记忆、视觉空间技能、注意力和语言）、单词阅读和受教育年限是否存在差异。
样本（n = 71）中男性占43.7%，非裔美国人或混血占98.6%。其中，53.5%患有镰状细胞贫血，平均受教育年限为13.6年。总体而言，21.1%的参与者（n = 15）错误完成了BPI-SF疼痛严重程度项目，57.7%错误完成了身体部位图项目。那些错误完成严重程度项目的参与者在教育程度上有统计学显著差异。在控制了家族性错误率后，神经认知功能的组间差异不再显著。读写能力与错误率无关。
教育水平可能会影响患者正确完成BPI-SF的能力。研究结果表明，在SCD患者中使用BPI时需要谨慎考虑。对BPI的建议修订包括简化语言、缩短句子长度以及明确规定时间范围。
