ID

42789

Description

Kerns, R.D., Turk, D.C., & Rudy, T.E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI). Measurement Instrument Database for the Social Science. Retrieved 30.08.2020, from www.midss.ie Primary use / Purpose: The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI) is designed to provide a brief, psychometrically-sound, and comprehensive assessment of the important components of the chronic pain experience. The instrument is recommended for use as part of behavioral and psychological assessment strategies in the evaluation of chronic pain patients in a clinical or research setting. Background: The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI; Kerns, Turk, and Rudy, 1985) is a 52-item, 12-scale inventory that is divided into three parts. Part I includes five scales designed to measure important dimensions of the chronic pain experience including; 1) perceived interference of pain in vocational, social/recreational, and family/marital functioning, 2) support or concern from spouse or significant other, 3) pain severity, 4) perceived life control, and 5) affective distress. Part II assesses patients’ perceptions of the degree to which spouses or significant others display Solicitous, Distracting or Negative responses to their pain behaviors and complaints. Part III assesses patients’ report of the frequency with which they engage in four categories of common everyday activities; Household Chores, Outdoor Work, Activities Away from Home, and Social Activities. In addition to the individual scale scores, a General Activity scale score, obtained from the combination of all four activity scale scores, has been recommended for some purposes (Turk & Rudy, 1990). Patient’s responses to WHYMPI items are made on a 7-point scale. Psychometrics: Kerns, Turk and Rudy (1985) demonstrated that the internal reliability coefficients of all WHYMPI scales range from .70 to .90; the test-retest reliabilities of these scales over a 2-week interval range from .62 to .91. The validity of the WHYMPI has been supported by the results of confirmatory and exploratory factor analytic procedures. The procedures revealed that the WHYMPI scales were significantly correlated with several criterion measures of anxiety, depression, marital satisfaction, pain severity, and health locus of control. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.256 Compendium: Reference: Kerns, R.D., Turk, D.C., & Rudy, T.E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23, 345-356. Language: English Contact Name and Address: Robert D. Kerns, Ph.D. Chief, Psychology Service VA Connecticut HCS, 950 Campbell Avenue West Haven, CT 06516. Copyright: Copyright © 1985, Robert D. Kerns, Dennis C. Turk, and Thomas E. Rudy. 1. Origin: The instrument is original. It is theoretically linked to the cognitive-behavioral conceptualization of chronic pain (Turk et al., 1983) and health assessment (Turk & Kerns, 1985). 2. Purpose: The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI) is designed to provide a brief, psychometrically-sound, and comprehensive assessment of the important components of the chronic pain experience. 3. Population: The WHYMPI has been demonstrated to be applicable across a variety of clinical pain conditions including chronic low back pain, temporomandibular disorders, headaches (Turk & Rudy; 1988; 1990), fibromyalgia (Turk et al., 1996), and cancer pain (Turk et al., 1998a). The WHYMPI has been demonstrated to be sensitive to change following rehabilitation (Kerns & Haythornthwaite, 1988; Kerns, Turk, Holzman & Rudy, 1986; Turk et al., 1993; Turk et al., 1998b). Its brevity, validity/reliability, self-report nature and ease of scoring make it ideal for both clinical and research purposes. The WHYMPI has been used cross culturally and has been translated into several languages including Swedish (Bergstrom et al., 1999), Dutch (Lousberg et al., 1999), German (Flor et al., 1990), Italian, Spanish, Portuguese, French, Icelandic, and Japanese. 4. Administration: Rater: The WHYMPI is a self-report questionnaire that may be administered by a qualified therapist or research assistant. Time required: 20 minutes Training: Individuals administering the WHYMPI should have an understanding of the subscales and how they relate to the cognitive-behavioral perspective of pain. Scoring: Hand scored. Part I Interference: (Question 2+3+4+8+9+13+14+17+19)/9 Support: (Question 5+10+15)/3 Pain Severity: (Question 1+7+12)/3 Life-Control: (Question 11+16)/2 Affective Distress: (6-Question 6) +18+20)/3 Part II Negative Responses: (Question 1+4+7+10)/4 Solicitous Responses: (Question 2+5+8+11+13+14)/6 Distracting Responses: (Question 3+6+9+12)/4 Part III Household Chores: (Question 1+5+9+13+17)/5 Outdoor Work: (Question 2+6+10+14+18)/5 Activities Away from Home: (Question 3+7+11+15)/4 Social Activities: (Question 4+8+12+16)/4 General Activity: (Sum of all questions in Part III)/18 *** To account for sporadic missing data, sums should be divided by the number of non-missing items. Any scale with more than 25% of its items missing should be considered missing. 5. Description: The WHYMPI (Kerns, Turk, and Rudy, 1985) is a 52-item, 12-scale inventory that is divided into three parts. Part I includes five scales designed to measure important dimensions of the chronic pain experience including; 1) perceived interference of pain in vocational, social/recreational, and family/marital functioning, 2) support or concern from spouse or significant other, 3) pain severity, 4) perceived life control, and 5) affective distress. Part II assesses patients’ perceptions of the degree to which spouses or significant others display Solicitous, Distracting or Negative responses to their pain behaviors and complaints. Part III assesses patients’ report of the frequency with which they engage in four categories of common everyday activities; Household Chores, Outdoor Work, Activities Away from Home, and Social Activities. In addition to the individual scale scores, a General Activity scale score, obtained from the combination of all four activity scale scores, has been recommended for some purposes (Turk & Rudy, 1990). Patient’s responses to WHYMPI items are made on a 7-point scale. 6. Coverage: The instrument is recommended for use as part of behavioral and psychological assessment strategies in the evaluation of chronic pain patients in a clinical or research setting. 7. Reliability: Kerns, Turk and Rudy (1985) demonstrated that the internal reliability coefficients of all WHYMPI scales range from .70 to .90; the test-retest reliabilities of these scales over a 2-week interval range from .62 to .91. 8. Validity: The validity of the WHYMPI has been supported by the results of confirmatory and exploratory factor analytic procedures. The procedures revealed that the WHYMPI scales were significantly correlated with several criterion measures of anxiety, depression, marital satisfaction, pain severity, and health locus of control 9. Responsiveness: Studies have demonstrated the sensitivity of the WHYMPI to improvements in pain and functioning (Kerns & Haythornthwaite, 1988; Kerns, Turk, Holzman & Rudy, 1986; Turk et al., 1993; Turk et al., 1998b); the ability of several of its scales to discriminate level of depressive symptom severity (Kerns & Haythornthwaite, 1988); the viability of the Pain Severity and Activity scales as brief and reliable measures of pain intensity and adaptive functioning (Holmes & Stevenson, 1990; Rudy, Turk, Kubinski, & Zaki, 1995); and the predictive utility of the Part II scales in the role of social interaction in the maintenance of pain and disability (Kerns, Haythornthwaite, Southwick, & Giller, 1990; Faucet & Levine, 1991). 10. Strengths: The strengths of the WHYMPI are its brevity, ease of administration, demonstrated reliability and validity, face validity and patient acceptance, and demonstrated utility in multiple clinical and research investigations. 11. Weakness: One weakness of the WHYMPI is that the Life-Control subscale is comprised of only two items. 12. Bibliography:

Link

www.midss.ie

Keywords

  1. 9/2/20 9/2/20 -
  2. 9/17/21 9/17/21 -
Copyright Holder

Kerns, R.D., Turk, D.C., Rudy, T.E.

Uploaded on

September 17, 2021

DOI

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License

Creative Commons BY-NC 4.0

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Measurement Instrument Database for the Social Science (MIDSS)

The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)

BEFORE YOU BEGIN, PLEASE ANSWER 2 PRE-EVALUATION QUESTIONS: 1. Some of the questions in this questionnaire refer to your “significant other”. A significant other is a person with whom you feel closest. This includes anyone that you relate to on a regular or infrequent basis. It is very important that you identify someone as your “significant other”. Please indicate below who your significant other is (check one):
Description

BEFORE YOU BEGIN, PLEASE ANSWER 2 PRE-EVALUATION QUESTIONS: 1. Some of the questions in this questionnaire refer to your “significant other”. A significant other is a person with whom you feel closest. This includes anyone that you relate to on a regular or infrequent basis. It is very important that you identify someone as your “significant other”. Please indicate below who your significant other is (check one):

Alias
UMLS CUI-1
C2911685
UMLS CUI-2
C0332152
Spouse
Description

Spouse

Data type

boolean

Alias
UMLS CUI [1]
C0162409
Partner/Companion
Description

Partner/Companion

Data type

boolean

Alias
UMLS CUI [1]
C0682323
Housemate/Roommate
Description

Housemate/Roomate

Data type

boolean

Alias
UMLS CUI [1]
C3829617
UMLS CUI [2]
C0682338
Friend
Description

Friend

Data type

boolean

Alias
UMLS CUI [1]
C0079382
Neighbor
Description

Neighbor

Data type

boolean

Alias
UMLS CUI [1]
C1553702
Parent/Child/Other relative
Description

Parent/Child/Other relative

Data type

boolean

Alias
UMLS CUI [1]
C0030551
UMLS CUI [2]
C0008059
UMLS CUI [3]
C3174795
Other
Description

Other

Data type

boolean

Alias
UMLS CUI [1]
C0205394
Other: please describe
Description

Other

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0678257
2. Do you currently live with this person?
Description

Living with significant other

Data type

boolean

Alias
UMLS CUI [1]
C2135569
When you answer questions in the following pages about “your significant other”, always respond in reference to the specific person you just indicated above.
Description

When you answer questions in the following pages about “your significant other”, always respond in reference to the specific person you just indicated above.

Alias
UMLS CUI-1
C0682323
A. In the following 20 questions, you will be asked to describe your pain and how it affects your life. For each question is a scale to record your answer. Read each question carefully and then choose a number on the scale for that question to indicate how that specific question applies to you.
Description

A. In the following 20 questions, you will be asked to describe your pain and how it affects your life. For each question is a scale to record your answer. Read each question carefully and then choose a number on the scale for that question to indicate how that specific question applies to you.

Alias
UMLS CUI-1
C0030193
UMLS CUI-2
C1280500
UMLS CUI-3
C0376558
1.Rate the level of your pain at the present moment. Scale: 0 (no pain) to 6 (very intense pain)
Description

current pain level

Data type

integer

Alias
UMLS CUI [1,1]
C0518087
UMLS CUI [1,2]
C0521116
2. In general, how much does your pain problem interfere with your day to day activities? Scale: 0 (no interference) to 6 (extreme interference)
Description

pain interference daily activities

Data type

integer

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C0030193
UMLS CUI [1,3]
C0518214
3. Since the time you developed a pain problem, how much has your pain changed your ability to work? Scale: 0 (No change) to 6 (extreme change)
Description

pain ability to work

Data type

integer

Alias
UMLS CUI [1,1]
C4274891
UMLS CUI [1,2]
C0030193
3. Check here, if you have retired for reasons other than your pain problem
Description

Retired for other reasons

Data type

boolean

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0035345
4. How much has your pain changed the amount of satisfaction or enjoyment you get from participating in social and recreational activities? Scale: 0 (no change) to 6 (extreme change)
Description

pain quality of life

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0518214
5. How supportive or helpful is your spouse (significant other) to you in relation to your pain? Scale: 0 (not at all supportive) to 6 (extremely supportive)
Description

Support significant other

Data type

integer

Alias
UMLS CUI [1,1]
C1521721
UMLS CUI [1,2]
C0682323
UMLS CUI [1,3]
C0030193
6. Rate your overall mood during the PAST WEEK. Scale: 0 (extremely low mood) to 6 (extremely high mood)
Description

Overall mood past week

Data type

integer

Alias
UMLS CUI [1,1]
C0026516
UMLS CUI [1,2]
C2987125
7. On the average, how severe has your pain been during the LAST WEEK? Scale: 0 (not at all severe) to 6 (extremely severe)
Description

Pain severity past week

Data type

integer

Alias
UMLS CUI [1,1]
C1507013
UMLS CUI [1,2]
C2987125
8. How much has your pain changed your ability to participate in recreational and other social activities? Scale: 0 (no change) to 6 (extreme change)
Description

pain participation activities

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0577451
9. How much has your pain changed the amount of satisfaction you get from family-related activities? Scale: 0 (no change) to 6 (extreme change)
Description

pain satisfaction family-related activities

Data type

integer

Alias
UMLS CUI [1,1]
C0023292
UMLS CUI [1,2]
C0015576
UMLS CUI [1,3]
C0030193
UMLS CUI [1,4]
C0242428
10. How worried is your spouse (significant other) about you in relation to your pain problem? Scale: 0 (not at all worried) to 6 (extremely worried)
Description

significant other worry pain

Data type

integer

Alias
UMLS CUI [1,1]
C0682323
UMLS CUI [1,2]
C0233481
UMLS CUI [1,3]
C0030193
11. During the PAST WEEK, how much control do you feel that you have had over your life? Scale: 0 (not at all in control) to 6 (extremely in control)
Description

past week control over life

Data type

integer

Alias
UMLS CUI [1,1]
C2587213
UMLS CUI [1,2]
C0376558
UMLS CUI [1,3]
C2987125
12. How much SUFFERING do you experience because of your pain? Scale: 0 (no suffering) to 6 (extreme suffering)
Description

suffering pain

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0518881
13. How much has your pain changed your marriage and other family relationships? Scale: 0 (no change) to 6 (extreme change)
Description

pain change relationships

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0021797
14. How much has your pain changed the amount of satisfaction or enjoyment you get from work? Scale: 0 (no change) to 6 (extreme change)
Description

pain satisfaction enjoyment work

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0022397
14. Check here, if you are not presently working.
Description

not presently working

Data type

boolean

Alias
UMLS CUI [1]
C0041674
15. How attentive is your spouse (significant other) to your pain problem? Scale: 0 (not at all attentive) to 6 (extremely attentive)
Description

spouse attentive pain

Data type

integer

Alias
UMLS CUI [1,1]
C0233413
UMLS CUI [1,2]
C0682323
UMLS CUI [1,3]
C0030193
16. During the PAST WEEK, how much do you feel that you’ve been able to deal with your problems? Scale: 0 (not at all) to 6 (extremely well)
Description

past week ability to deal with problems

Data type

integer

Alias
UMLS CUI [1,1]
C0577645
UMLS CUI [1,2]
C2987125
UMLS CUI [1,3]
C0009967
17. How much has your pain changed your ability to do household chores? Scale: 0 (no change) to 6 (extreme change)
Description

pain ability household chores

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C4288408
18. During the PAST WEEK, how irritable have you been? Scale: 0 (not at all irritable) to 6 (extremely irritable)
Description

past week irritability

Data type

integer

Alias
UMLS CUI [1,1]
C0022107
UMLS CUI [1,2]
C2987125
19. How much has your pain changed your friendships with people other than your family? Scale: 0 (no change) to 6 (extreme change)
Description

pain interference with friendships

Data type

integer

Alias
UMLS CUI [1,1]
C0030193
UMLS CUI [1,2]
C0815198
UMLS CUI [1,3]
C0392747
20. During the PAST WEEK, how tense or anxious have you been? Scale: 0 (not at all tense or anxious) to 6 (extremely tense or anxious)
Description

past week tense anxiety

Data type

integer

Alias
UMLS CUI [1,1]
C3641757
UMLS CUI [1,2]
C2987125
UMLS CUI [2,1]
C0003467
UMLS CUI [2,2]
C2987125
B. In this section, we are interested in knowing how your significant other (this refers to the person you indicated above) responds to you when he or she knows that you are in pain. On a scale from 0 (never) to 6 (very often), choose a number to indicate HOW OFTEN your significant other generally responds to you in that particular way WHEN YOU ARE IN PAIN.
Description

B. In this section, we are interested in knowing how your significant other (this refers to the person you indicated above) responds to you when he or she knows that you are in pain. On a scale from 0 (never) to 6 (very often), choose a number to indicate HOW OFTEN your significant other generally responds to you in that particular way WHEN YOU ARE IN PAIN.

Alias
UMLS CUI-1
C0030193
UMLS CUI-2
C0871261
UMLS CUI-3
C0682323
1. Ignores me.
Description

Ignoring

Data type

integer

Alias
UMLS CUI [1]
C1554079
2. Asks me what he/she can do to help.
Description

Supportive

Data type

integer

Alias
UMLS CUI [1]
C0018896
3. Reads to me.
Description

Reading

Data type

integer

Alias
UMLS CUI [1]
C0237429
4. Expresses irritation at me.
Description

Irritated

Data type

integer

Alias
UMLS CUI [1,1]
C2700617
UMLS CUI [1,2]
C0009452
5. Takes over my jobs or duties.
Description

Helping

Data type

integer

Alias
UMLS CUI [1]
C0018896
6. Talks to me about something else to take my mind off the pain.
Description

distracting

Data type

integer

Alias
UMLS CUI [1]
C4060717
7. Expresses frustration at me.
Description

Frustration

Data type

integer

Alias
UMLS CUI [1,1]
C0016770
UMLS CUI [1,2]
C0009452
8. Tries to get me to rest.
Description

Encourage resting

Data type

integer

Alias
UMLS CUI [1,1]
C0035253
UMLS CUI [1,2]
C0870494
9. Tries to involve me in some activity.
Description

Distracting

Data type

integer

Alias
UMLS CUI [1]
C4060717
10. Expresses anger at me.
Description

Angry

Data type

integer

Alias
UMLS CUI [1,1]
C0002957
UMLS CUI [1,2]
C0009452
11. Gets me some pain medications.
Description

Pain medication

Data type

integer

Alias
UMLS CUI [1]
C0002771
12. Encourages me to work on a hobby.
Description

Encourage leisure activity

Data type

integer

Alias
UMLS CUI [1,1]
C0023292
UMLS CUI [1,2]
C0037438
13. Gets me something to eat or drink.
Description

Bring food drinks

Data type

integer

Alias
UMLS CUI [1]
C0013470
UMLS CUI [2]
C0684271
14. Turns on the T.V. to take my mind off my pain
Description

Television distraction

Data type

integer

Alias
UMLS CUI [1,1]
C0871498
UMLS CUI [1,2]
C4060717
C. Listed below are 18 common daily activities. Please indicate HOW OFTEN you do each of these activities by choosing a number on a scale from 0 (never) to 6 (very often). Please complete ALL 18 questions.
Description

C. Listed below are 18 common daily activities. Please indicate HOW OFTEN you do each of these activities by choosing a number on a scale from 0 (never) to 6 (very often). Please complete ALL 18 questions.

Alias
UMLS CUI-1
C0001288
UMLS CUI-2
C0439603
1. Wash dishes.
Description

washing dishes

Data type

integer

Alias
UMLS CUI [1]
C4050473
2. Mow the lawn.
Description

mowing lawn

Data type

integer

Alias
UMLS CUI [1]
C2986650
3. Go out to eat.
Description

eating out

Data type

integer

Alias
UMLS CUI [1]
C4289683
4. Play cards or other games.
Description

playing games

Data type

integer

Alias
UMLS CUI [1,1]
C0032214
UMLS CUI [1,2]
C4042911
5. Go grocery shopping.
Description

grocery shopping

Data type

integer

Alias
UMLS CUI [1]
C0518517
6. Work in the garden.
Description

gardening

Data type

integer

Alias
UMLS CUI [1]
C0868963
7. Go to a movie.
Description

go to cinema

Data type

integer

Alias
UMLS CUI [1]
C0442562
8. Visit friends.
Description

visiting friends

Data type

integer

Alias
UMLS CUI [1]
C3842671
9. Help with the house cleaning.
Description

house cleaning

Data type

integer

Alias
UMLS CUI [1]
C2372074
10. Work on the car.
Description

work on car

Data type

integer

Alias
UMLS CUI [1]
C0577549
11. Take a ride in a car.
Description

driving

Data type

integer

Alias
UMLS CUI [1]
C0004379
12. Visit relatives.
Description

visiting relatives

Data type

integer

Alias
UMLS CUI [1]
C3842671
13. Prepare a meal.
Description

preparing a meal

Data type

integer

Alias
UMLS CUI [1]
C1290962
14. Wash the car.
Description

washing car

Data type

integer

Alias
UMLS CUI [1,1]
C0441648
UMLS CUI [1,2]
C0004381
15. Take a trip.
Description

travel

Data type

integer

Alias
UMLS CUI [1]
C0040802
16. Go to a park or beach.
Description

park beach

Data type

integer

Alias
UMLS CUI [1]
C0562547
UMLS CUI [2]
C0331781
17. Do a load of laundry.
Description

laundry

Data type

integer

Alias
UMLS CUI [1]
C1830412
18. Work on a needed house repair.
Description

undefined item

Data type

integer

Alias
UMLS CUI [1,1]
C4319951
UMLS CUI [1,2]
C0442519

Similar models

The West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
BEFORE YOU BEGIN, PLEASE ANSWER 2 PRE-EVALUATION QUESTIONS: 1. Some of the questions in this questionnaire refer to your “significant other”. A significant other is a person with whom you feel closest. This includes anyone that you relate to on a regular or infrequent basis. It is very important that you identify someone as your “significant other”. Please indicate below who your significant other is (check one):
C2911685 (UMLS CUI-1)
C0332152 (UMLS CUI-2)
Spouse
Item
Spouse
boolean
C0162409 (UMLS CUI [1])
Partner/Companion
Item
Partner/Companion
boolean
C0682323 (UMLS CUI [1])
Housemate/Roomate
Item
Housemate/Roommate
boolean
C3829617 (UMLS CUI [1])
C0682338 (UMLS CUI [2])
Friend
Item
Friend
boolean
C0079382 (UMLS CUI [1])
Neighbor
Item
Neighbor
boolean
C1553702 (UMLS CUI [1])
Parent/Child/Other relative
Item
Parent/Child/Other relative
boolean
C0030551 (UMLS CUI [1])
C0008059 (UMLS CUI [2])
C3174795 (UMLS CUI [3])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Other
Item
Other: please describe
text
C0205394 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Living with significant other
Item
2. Do you currently live with this person?
boolean
C2135569 (UMLS CUI [1])
Item Group
When you answer questions in the following pages about “your significant other”, always respond in reference to the specific person you just indicated above.
C0682323 (UMLS CUI-1)
Item Group
A. In the following 20 questions, you will be asked to describe your pain and how it affects your life. For each question is a scale to record your answer. Read each question carefully and then choose a number on the scale for that question to indicate how that specific question applies to you.
C0030193 (UMLS CUI-1)
C1280500 (UMLS CUI-2)
C0376558 (UMLS CUI-3)
current pain level
Item
1.Rate the level of your pain at the present moment. Scale: 0 (no pain) to 6 (very intense pain)
integer
C0518087 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
pain interference daily activities
Item
2. In general, how much does your pain problem interfere with your day to day activities? Scale: 0 (no interference) to 6 (extreme interference)
integer
C0001288 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
C0518214 (UMLS CUI [1,3])
pain ability to work
Item
3. Since the time you developed a pain problem, how much has your pain changed your ability to work? Scale: 0 (No change) to 6 (extreme change)
integer
C4274891 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
Retired for other reasons
Item
3. Check here, if you have retired for reasons other than your pain problem
boolean
C3840932 (UMLS CUI [1,1])
C0035345 (UMLS CUI [1,2])
pain quality of life
Item
4. How much has your pain changed the amount of satisfaction or enjoyment you get from participating in social and recreational activities? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C0518214 (UMLS CUI [1,2])
Support significant other
Item
5. How supportive or helpful is your spouse (significant other) to you in relation to your pain? Scale: 0 (not at all supportive) to 6 (extremely supportive)
integer
C1521721 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
Overall mood past week
Item
6. Rate your overall mood during the PAST WEEK. Scale: 0 (extremely low mood) to 6 (extremely high mood)
integer
C0026516 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
Pain severity past week
Item
7. On the average, how severe has your pain been during the LAST WEEK? Scale: 0 (not at all severe) to 6 (extremely severe)
integer
C1507013 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
pain participation activities
Item
8. How much has your pain changed your ability to participate in recreational and other social activities? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C0577451 (UMLS CUI [1,2])
pain satisfaction family-related activities
Item
9. How much has your pain changed the amount of satisfaction you get from family-related activities? Scale: 0 (no change) to 6 (extreme change)
integer
C0023292 (UMLS CUI [1,1])
C0015576 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C0242428 (UMLS CUI [1,4])
significant other worry pain
Item
10. How worried is your spouse (significant other) about you in relation to your pain problem? Scale: 0 (not at all worried) to 6 (extremely worried)
integer
C0682323 (UMLS CUI [1,1])
C0233481 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
past week control over life
Item
11. During the PAST WEEK, how much control do you feel that you have had over your life? Scale: 0 (not at all in control) to 6 (extremely in control)
integer
C2587213 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
C2987125 (UMLS CUI [1,3])
suffering pain
Item
12. How much SUFFERING do you experience because of your pain? Scale: 0 (no suffering) to 6 (extreme suffering)
integer
C0030193 (UMLS CUI [1,1])
C0518881 (UMLS CUI [1,2])
pain change relationships
Item
13. How much has your pain changed your marriage and other family relationships? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C0021797 (UMLS CUI [1,2])
pain satisfaction enjoyment work
Item
14. How much has your pain changed the amount of satisfaction or enjoyment you get from work? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C0022397 (UMLS CUI [1,2])
not presently working
Item
14. Check here, if you are not presently working.
boolean
C0041674 (UMLS CUI [1])
spouse attentive pain
Item
15. How attentive is your spouse (significant other) to your pain problem? Scale: 0 (not at all attentive) to 6 (extremely attentive)
integer
C0233413 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
past week ability to deal with problems
Item
16. During the PAST WEEK, how much do you feel that you’ve been able to deal with your problems? Scale: 0 (not at all) to 6 (extremely well)
integer
C0577645 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
C0009967 (UMLS CUI [1,3])
pain ability household chores
Item
17. How much has your pain changed your ability to do household chores? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C4288408 (UMLS CUI [1,2])
past week irritability
Item
18. During the PAST WEEK, how irritable have you been? Scale: 0 (not at all irritable) to 6 (extremely irritable)
integer
C0022107 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
pain interference with friendships
Item
19. How much has your pain changed your friendships with people other than your family? Scale: 0 (no change) to 6 (extreme change)
integer
C0030193 (UMLS CUI [1,1])
C0815198 (UMLS CUI [1,2])
C0392747 (UMLS CUI [1,3])
past week tense anxiety
Item
20. During the PAST WEEK, how tense or anxious have you been? Scale: 0 (not at all tense or anxious) to 6 (extremely tense or anxious)
integer
C3641757 (UMLS CUI [1,1])
C2987125 (UMLS CUI [1,2])
C0003467 (UMLS CUI [2,1])
C2987125 (UMLS CUI [2,2])
Item Group
B. In this section, we are interested in knowing how your significant other (this refers to the person you indicated above) responds to you when he or she knows that you are in pain. On a scale from 0 (never) to 6 (very often), choose a number to indicate HOW OFTEN your significant other generally responds to you in that particular way WHEN YOU ARE IN PAIN.
C0030193 (UMLS CUI-1)
C0871261 (UMLS CUI-2)
C0682323 (UMLS CUI-3)
Ignoring
Item
1. Ignores me.
integer
C1554079 (UMLS CUI [1])
Supportive
Item
2. Asks me what he/she can do to help.
integer
C0018896 (UMLS CUI [1])
Reading
Item
3. Reads to me.
integer
C0237429 (UMLS CUI [1])
Irritated
Item
4. Expresses irritation at me.
integer
C2700617 (UMLS CUI [1,1])
C0009452 (UMLS CUI [1,2])
Helping
Item
5. Takes over my jobs or duties.
integer
C0018896 (UMLS CUI [1])
distracting
Item
6. Talks to me about something else to take my mind off the pain.
integer
C4060717 (UMLS CUI [1])
Frustration
Item
7. Expresses frustration at me.
integer
C0016770 (UMLS CUI [1,1])
C0009452 (UMLS CUI [1,2])
Encourage resting
Item
8. Tries to get me to rest.
integer
C0035253 (UMLS CUI [1,1])
C0870494 (UMLS CUI [1,2])
Distracting
Item
9. Tries to involve me in some activity.
integer
C4060717 (UMLS CUI [1])
Angry
Item
10. Expresses anger at me.
integer
C0002957 (UMLS CUI [1,1])
C0009452 (UMLS CUI [1,2])
Pain medication
Item
11. Gets me some pain medications.
integer
C0002771 (UMLS CUI [1])
Encourage leisure activity
Item
12. Encourages me to work on a hobby.
integer
C0023292 (UMLS CUI [1,1])
C0037438 (UMLS CUI [1,2])
Bring food drinks
Item
13. Gets me something to eat or drink.
integer
C0013470 (UMLS CUI [1])
C0684271 (UMLS CUI [2])
Television distraction
Item
14. Turns on the T.V. to take my mind off my pain
integer
C0871498 (UMLS CUI [1,1])
C4060717 (UMLS CUI [1,2])
Item Group
C. Listed below are 18 common daily activities. Please indicate HOW OFTEN you do each of these activities by choosing a number on a scale from 0 (never) to 6 (very often). Please complete ALL 18 questions.
C0001288 (UMLS CUI-1)
C0439603 (UMLS CUI-2)
washing dishes
Item
1. Wash dishes.
integer
C4050473 (UMLS CUI [1])
mowing lawn
Item
2. Mow the lawn.
integer
C2986650 (UMLS CUI [1])
eating out
Item
3. Go out to eat.
integer
C4289683 (UMLS CUI [1])
playing games
Item
4. Play cards or other games.
integer
C0032214 (UMLS CUI [1,1])
C4042911 (UMLS CUI [1,2])
grocery shopping
Item
5. Go grocery shopping.
integer
C0518517 (UMLS CUI [1])
gardening
Item
6. Work in the garden.
integer
C0868963 (UMLS CUI [1])
go to cinema
Item
7. Go to a movie.
integer
C0442562 (UMLS CUI [1])
visiting friends
Item
8. Visit friends.
integer
C3842671 (UMLS CUI [1])
house cleaning
Item
9. Help with the house cleaning.
integer
C2372074 (UMLS CUI [1])
work on car
Item
10. Work on the car.
integer
C0577549 (UMLS CUI [1])
driving
Item
11. Take a ride in a car.
integer
C0004379 (UMLS CUI [1])
visiting relatives
Item
12. Visit relatives.
integer
C3842671 (UMLS CUI [1])
preparing a meal
Item
13. Prepare a meal.
integer
C1290962 (UMLS CUI [1])
washing car
Item
14. Wash the car.
integer
C0441648 (UMLS CUI [1,1])
C0004381 (UMLS CUI [1,2])
travel
Item
15. Take a trip.
integer
C0040802 (UMLS CUI [1])
park beach
Item
16. Go to a park or beach.
integer
C0562547 (UMLS CUI [1])
C0331781 (UMLS CUI [2])
laundry
Item
17. Do a load of laundry.
integer
C1830412 (UMLS CUI [1])
undefined item
Item
18. Work on a needed house repair.
integer
C4319951 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])

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