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Pain and Pain-Related Impairment in Adults with Cystic Fibrosis
Authors:Jake Epker  Ann Matt Maddrey  Randall Rosenblatt
Affiliation:(1) Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, Texas;(2) Department of Internal Medicine, St. Paul Medical Center, Dallas, Texas;(3) Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Texas
Abstract:The Multidimensional Pain Inventory (MPI) was utilized in a sample of adult outpatients with cystic fibrosis (CF) to assess their perception of pain and its psychosocial consequences. Subsequently, the data were compared to the ratings of pain and pain-related impairment in these patients as perceived by two nurses from the CF treatment team, as well as to a quantitative measure of illness severity. The results of these comparisons demonstrate that the majority of adult outpatients with CF reported experiencing lower levels of pain and pain-related impairment than expected, although the male patients tend to report experiencing significantly less impact in these domains than do the female patients. Additionally, the nurses do not underestimate the degree to which patients, especially males, experience pain and pain-related interference from chronic illness. Finally, there was no significant relationship between patients' self-report of pain severity or pain-related interference and an objective measure of disease severity.
Keywords:pain  pain-related impairment  cystic fibrosis (CF)  biopsychosocial  Multidimensional Pain Inventory (MPI)
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