Sensation and Distress of Pain Scales: reliability, validity, and sensitivity

J Nurs Meas. 2001 Winter;9(3):219-38.

Abstract

Psychometric properties of the Sensation and Distress of Pain Visual Analogue Scales (VAS) are compared to dual numerical rating scales (NRS) with data from a randomized controlled trial of postoperative patients. On postoperative days 1 and 2, 15-minute test-retest reliability was .73 to .82 for the VAS and slightly lower for the NRS, r = .72 to .78, while convergent validity of the scales ranged from r = .90 to .92; construct validity of sensation and distress ranged from r = .72 to .85; and discriminant validity was lower, r = .65 to .78. Both instruments were significantly associated with pain reduction following treatment, p < .05 to .01. The VAS scores were significantly lower, p < .01 to .001, and more evenly distributed than NRS scores. It is recommended that the VAS be used in research to produce continuous scores that are more suited to parametric analysis.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Humans
  • Pain Measurement / instrumentation
  • Pain Measurement / methods*
  • Pain Measurement / trends
  • Pain, Postoperative / diagnosis*
  • Pain, Postoperative / nursing
  • Postoperative Care
  • Psychometrics
  • Randomized Controlled Trials as Topic
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Somatosensory Disorders / diagnosis
  • Somatosensory Disorders / nursing