Assessment of Chronic Pain: Domains, Methods, and Mechanisms

Roger B. Fillingim, John D. Loeser, Ralf Baron, Robert R. Edwards

Research output: Contribution to journalReview article

Abstract

Accurate classification of chronic pain conditions requires reliable and valid pain assessment. Moreover, pain assessment serves several additional functions, including documenting the severity of the pain condition, tracking the longitudinal course of pain, and providing mechanistic information. Thorough pain assessment must address multiple domains of pain, including the sensory and affective qualities of pain, temporal dimensions of pain, and the location and bodily distribution of pain. Where possible, pain assessment should also incorporate methods to identify pathophysiological mechanisms underlying the pain. This article discusses assessment of chronic pain, including approaches available for assessing multiple pain domains and for addressing pathophysiological mechanisms. We conclude with recommendations for optimal pain assessment. Perspective Pain assessment is a critical prerequisite for accurate pain classification. This article describes important features of pain that should be assessed, and discusses methods that can be used to assess the features and identify pathophysiological mechanisms contributing to pain.

Original languageEnglish (US)
Pages (from-to)T10-T20
JournalJournal of Pain
Volume17
Issue number9
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Fingerprint

Chronic Pain
Pain
Pain Measurement

Keywords

  • neuropathic pain
  • Pain assessment
  • pain intensity
  • pain mechanisms
  • quantitative sensory testing

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Fillingim, R. B., Loeser, J. D., Baron, R., & Edwards, R. R. (2016). Assessment of Chronic Pain: Domains, Methods, and Mechanisms. Journal of Pain, 17(9), T10-T20. https://doi.org/10.1016/j.jpain.2015.08.010

Assessment of Chronic Pain : Domains, Methods, and Mechanisms. / Fillingim, Roger B.; Loeser, John D.; Baron, Ralf; Edwards, Robert R.

In: Journal of Pain, Vol. 17, No. 9, 01.09.2016, p. T10-T20.

Research output: Contribution to journalReview article

Fillingim, RB, Loeser, JD, Baron, R & Edwards, RR 2016, 'Assessment of Chronic Pain: Domains, Methods, and Mechanisms', Journal of Pain, vol. 17, no. 9, pp. T10-T20. https://doi.org/10.1016/j.jpain.2015.08.010
Fillingim, Roger B. ; Loeser, John D. ; Baron, Ralf ; Edwards, Robert R. / Assessment of Chronic Pain : Domains, Methods, and Mechanisms. In: Journal of Pain. 2016 ; Vol. 17, No. 9. pp. T10-T20.
@article{af8832535fc845fe9ee62953de2d87cb,
title = "Assessment of Chronic Pain: Domains, Methods, and Mechanisms",
abstract = "Accurate classification of chronic pain conditions requires reliable and valid pain assessment. Moreover, pain assessment serves several additional functions, including documenting the severity of the pain condition, tracking the longitudinal course of pain, and providing mechanistic information. Thorough pain assessment must address multiple domains of pain, including the sensory and affective qualities of pain, temporal dimensions of pain, and the location and bodily distribution of pain. Where possible, pain assessment should also incorporate methods to identify pathophysiological mechanisms underlying the pain. This article discusses assessment of chronic pain, including approaches available for assessing multiple pain domains and for addressing pathophysiological mechanisms. We conclude with recommendations for optimal pain assessment. Perspective Pain assessment is a critical prerequisite for accurate pain classification. This article describes important features of pain that should be assessed, and discusses methods that can be used to assess the features and identify pathophysiological mechanisms contributing to pain.",
keywords = "neuropathic pain, Pain assessment, pain intensity, pain mechanisms, quantitative sensory testing",
author = "Fillingim, {Roger B.} and Loeser, {John D.} and Ralf Baron and Edwards, {Robert R.}",
year = "2016",
month = "9",
day = "1",
doi = "10.1016/j.jpain.2015.08.010",
language = "English (US)",
volume = "17",
pages = "T10--T20",
journal = "Journal of Pain",
issn = "1526-5900",
publisher = "Churchill Livingstone",
number = "9",

}

TY - JOUR

T1 - Assessment of Chronic Pain

T2 - Domains, Methods, and Mechanisms

AU - Fillingim, Roger B.

AU - Loeser, John D.

AU - Baron, Ralf

AU - Edwards, Robert R.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - Accurate classification of chronic pain conditions requires reliable and valid pain assessment. Moreover, pain assessment serves several additional functions, including documenting the severity of the pain condition, tracking the longitudinal course of pain, and providing mechanistic information. Thorough pain assessment must address multiple domains of pain, including the sensory and affective qualities of pain, temporal dimensions of pain, and the location and bodily distribution of pain. Where possible, pain assessment should also incorporate methods to identify pathophysiological mechanisms underlying the pain. This article discusses assessment of chronic pain, including approaches available for assessing multiple pain domains and for addressing pathophysiological mechanisms. We conclude with recommendations for optimal pain assessment. Perspective Pain assessment is a critical prerequisite for accurate pain classification. This article describes important features of pain that should be assessed, and discusses methods that can be used to assess the features and identify pathophysiological mechanisms contributing to pain.

AB - Accurate classification of chronic pain conditions requires reliable and valid pain assessment. Moreover, pain assessment serves several additional functions, including documenting the severity of the pain condition, tracking the longitudinal course of pain, and providing mechanistic information. Thorough pain assessment must address multiple domains of pain, including the sensory and affective qualities of pain, temporal dimensions of pain, and the location and bodily distribution of pain. Where possible, pain assessment should also incorporate methods to identify pathophysiological mechanisms underlying the pain. This article discusses assessment of chronic pain, including approaches available for assessing multiple pain domains and for addressing pathophysiological mechanisms. We conclude with recommendations for optimal pain assessment. Perspective Pain assessment is a critical prerequisite for accurate pain classification. This article describes important features of pain that should be assessed, and discusses methods that can be used to assess the features and identify pathophysiological mechanisms contributing to pain.

KW - neuropathic pain

KW - Pain assessment

KW - pain intensity

KW - pain mechanisms

KW - quantitative sensory testing

UR - http://www.scopus.com/inward/record.url?scp=84992220735&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84992220735&partnerID=8YFLogxK

U2 - 10.1016/j.jpain.2015.08.010

DO - 10.1016/j.jpain.2015.08.010

M3 - Review article

C2 - 27586827

AN - SCOPUS:84992220735

VL - 17

SP - T10-T20

JO - Journal of Pain

JF - Journal of Pain

SN - 1526-5900

IS - 9

ER -