The pain behavior scale: Modification and validation for outpatient use

The present study investigated the validity of an inpatient pain behavior rating scale modified for outpatient use. A series of 43 consecutive outpatients referred for evaluation of chronic pain was examined using the Pain Behavior Scale (PBS) and other psychometric instruments. Analyses revealed significantly higher Pain Behavior Scale scores for low back and multiple pain-site groups. The results also indicated a high degree of internal consistency of the scale. A multiple regression analysis, predicting observed pain behavior from reported pain behavior, indicated that decreased activity accounted for 32% of the variance in the PBS score. A similar regression for pain experience found that the pain level and the sensory scale score on the McGill Pain Questionnaire accounted for 39% of the PBS variance. Psychological characteristics including disease conviction, self-control, depression, and anxiety explained 45% of the variability in the PBS score. Thus, the scale is related to pain intensity, interference with activities, and a variety of psychological characteristics. The scale provides a measure of observable pain behavior that is also relatively independent of these clinical data sources. The Pain Behavior Scale as modified for outpatient use provides a brief index of pain behavior with potential use in the comprehensive evaluation of the pain patient.     

A critical review of theS/L reliability index

The meaning and properties of a commonly used index of reliability, S/L,were examined critically. It was found that the index does not reflect any conventional concept of reliability. When used for an identical behavioral observation session, it is not statistically correlated with other reliability indices. Within an observation session, the standardizing measure of Lis beyond the control of the investigator. Furthermore, the reason for the choice of Las the standard is unclear. The role of chance agreement in S/Lis not known. The exact interpretation of the index depends on which observer reports L.Overall the conceptual and mathematical meaning of S/Lis dubious. It is suggested that the S/Lindex should not be used until its nature is shown to be a measure of reliability. Other approaches such as the intraclass correlations and generalizability coefficients should be used instead.The authors are indebted to Johnny Matson for his critique of an earlier version of this paper.     

Sensation-seeking and selection of entertainment

The relationship between entertainment activity preference and sensation-seeking was investigated by survey and actual movie selection and viewing. Cardiac rate and rate change was monitored during movie selection and viewing. High sensation-seeking (HSS) females reported preferences for activities centered about alcohol, sexually-explicit materials and ‘rock’ music. HSS males reported preferences for sexually-explicit materials and news/documentary reports. Low sensation-seeking (LSS) males and females reported preferences for the musical stage, theatrical drama and comedy, and romantic/dramatic novels. HSS males and HSS females allotted high proportions of viewing time to an ‘action’ movie, and changed channels more frequently than LSS. The indices of cardiac response utilized in this study were unrelated to movie viewing activities, a result which does not support the ‘optimal level of arousal’ view of sensation-seeking proposed by Zuckerman (1979).     

The contribution of sex distribution,job content,and occupational classification to job sextyping: Two studies

The distribution of males and females on a job, occupational classification, and job content as defined by the DOT analysis of job activity demands were examined as predictors of job sex stereotypes in two studies. Results indicate that the actual base rate of males and females in the job is the most important predictor of job sextypes, accounting for 48 and 70% of the adjusted variance in sextypes in the two studies. The results lend little support to the proposition that job content makes a significant contribution to the perception of job sextypes.     

Early selective-attention effect on evoked potential reinterpreted

In a dichotic listening situation stimuli were presented one at a time and at random to either ear of the subject at constant inter-stimulus intervals of 800 msec. The subject's task was to detect and count occasional slightly different stimuli in one ear. In Experiment 1, these ‘signal’ stimuli were slightly louder, and in Experiment 2 they had a slightly higher pitch, than the much more frequent, ‘standard’, stimuli. In both experiments signals occured randomly at either ear. Separate evoked potentials from three different locations were recorded for each of the four kinds of stimuli (attended signals, unattended signals, attended standards, unattended standards). Contrary to Hillyard et al. (1973), no early (N₁ component) evoked-potential enhancement was observed to stimuli to the attended ear as compared with those to the unattended ear, but there was a later negative shift superimposed on potentials elicited by the former stimuli. This negative shift was considered identical to the N₁ enhancement of Hillyard and his colleagues which in the present study was forced, by the longer inter-stimulus interval used, to demonstrate temporal dissociation with the N₁ component. The ‘Hillyard effect’ was, consequently, explained as being caused by a superimposition of a CNV kind of negative shift on the evoked potential to the attended stimuli rather than by a growth of the ‘real’ N₁ component of the evoked potential.