x Acta Scientific | International Open Library | Open Access Journals Publishing Group

Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 6 Issue 1

Validity of Brief Pain Inventory Questionnaire in Describing Trigeminal Neuralgia and Temporomandibular Joint Disorder Patients

K Caroline Sunitha1* and Arvind Muthukrishnan2

1Consultant, Oral Medicine and Radiology, Hyderabad, India
2Professor, Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, India

*Corresponding Author: K Caroline Sunitha, Consultant, Oral Medicine and Radiology, Hyderabad, India.

Received: October 25, 2021; Published: December 02, 2021

Reprints View PDF Related Articles

Abstract

Background and Objectives: Multidimensional pain assessment plays an important role in evaluating diagnosis and treatment. The aim and objectives of the present study is to identify the descriptors for trigeminal neuralgia and temporomandibular joint disorder patients using the brief pain inventory questionnaire and to evaluate its validity and assess the discriminative capacity of the questionnaire in the same patients respectively.

Materials and Methods: Total sample of 144 patients was divided into two groups’ i.e., trigeminal neuralgia (72) and temporomandibular joint disorder (72). After obtaining ethical clearance and consent from pain patients with trigeminal neuralgia or temporomandibular joint disorder, using the Standard English version of brief pain inventory questionnaire, the patients were asked to select a descriptor which best describes their pain intensity and the pain severity and interference was graded. The attending oral physician interviewed and filled in the questionnaire based on the patient’s responses (clinician administered questionnaire). After completion of the questionnaire, the scores were analyzed and necessary treatments were given to all the patients.

Results: Patients in trigeminal neuralgia group chose “sharp, stabbing, shooting, burning, numb and unbearable” and in temporomandibular joint disorder group chose “aching, nagging” to describe their pain. Chi-square test was done to compare the proportions between these two pain groups p- value was significant (p < 0.001). Correlations between pain intensity and pain interference scores in both the study groups showed a positive value for Pearson’s coefficient (r) =0.614 and high statistical significance (p < 0.001). Factor analysis done with rotated component matrix and Varimax with Kaiser Normalization method to identify factor loadings for pain intensity and pain interference scores revealed two factors and the p-value was significant. Receiver operating curve analysis was done to find a best cut off value for activity score to categorize between trigeminal neuralgia and temporomandibular joint disorder and the area under the curve was 0.624 with a sensitivity, specificity, negative predictive value, positive predictive value, overall accuracy to be 45.8%, 76.4%, 58.5%, 66.0%, 61.1% respectively. For sleep score, the area under curve was 0.651 and the sensitivity, specificity, negative predictive value, positive predictive value and overall accuracy was 68.1%, 58.3%, 64.6%, 62%, and 63.2% respectively.

Conclusion: Though area under curve, sensitivity and specificity of BPI are not excellent, it has higher value than a random classifier. In conclusion, brief pain inventory use as a diagnostic tool alone can be improved by developing new questions and precision tests in further clinical studies.

Keywords: Pain, Trigeminal Neuralgia; Temporomandibular Joint Disorder; Brief Pain Inventory; Validity

References

  1. Hapak L., et al. “Differentiation between musculoligamentous, dentoalveolar, and neurologically based craniofacial pain with a diagnostic questionnaire”. Journal of Orofacial Pain4 (1994): 357-368.
  2. Mark A Lumley., et al. “Pain and Emotion: A Biopsychosocial Review of Recent Research”. Journal of Clinical Psychology9 (2011): 942-968.
  3. Talbot K., et al. “The sensory and affective components of pain: are they differentially modifiable dimensions or inseparable aspects of a unitary experience? A systematic review”. British Journal of Anesthesia2 (2019): e263-e272.
  4. Cleeland CS. “Pain control: public and physicians’ attitudes”. In hill CS JR, fields WS Eds, Advances in Pain Research and Therapy. Newyork: raven press 11 (1989): 81-89.
  5. Marzinski LR. “The tragedy of dementia: clinically assessing pain in the confused non-verbal elderly”. Journal of Gerontological Nursing6 (1991): 25-28.
  6. Cleeland CS and Ryan KM. “Pain assessment: global use of the brief pain inventory”. Annals of the Academy of Medicine Singapore2 (1994): 129-138.
  7. Toda K. “Trigeminal neuralgia - symptoms, diagnosis, classification and related disorders”. Oral Science International1 (2007): 1-9.
  8. Dworkin SF and Leresche L. “Research diagnostic criteria for Temporomandibular disorders: review, criteria, examinations and specifications, critique”. Journal of Craniomandibular Disorders : Facial and Oral Pain 4 (1992): 301-355.
  9. Merskey H and Bogduk N. "Part III: Pain Terms, A Current List with Definitions and Notes on Usage". Classification of chronic pain, Second Edition, IASP Task Force on Taxonomy, edited IASP Press, Seattle, © (1994): 209-214.
  10. Stubhaug A., et al. “Assessment of Pain”. British Journal of Anaesthesia 1 (2008): 17-24.
  11. Rahul Srivastava., et al. “Diagnostic criteria and management of trigeminal neuralgia: A review”. Asian Pacific Journal of Health Sciences1 (2015): 108-118.
  12. Lipton JA., et al. “Estimated prevalence and distribution of reported orofacial pain in the United States”. Journal of American Dental Association10 (1993): 115-121.
  13. Katusic S., et al. “Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984”. Annals of Neurology1 (1990): 89-95.
  14. Manfredini D., et al. “Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings”. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics 112 (2011): 453-462.
  15. Wadhwa S and Kapila S. “TMJ Disorders: future innovations in diagnostics and therapeutics”. Journal Dental Education 8 (2008): 930-947.
  16. , et al. “Trigeminal neuralgia: a study on 242 patients”. Pakistan Oral and Dental Journal 25.2 (2005): 163-166.
  17. Dubuisson D and Melzack R. “Classification of clinical pain descriptions by multiple group discriminant analysis”. Experimental Neurology2 (1976): 480-487.
  18. Chen AC and Treede RD. “The Mc Gill pain questionnaire in the assessment of phasic and tonic experimental pain: behavioural evaluation of the ‘pain inhibiting pain’ effect”. Pain 1 (1985): 67-79.
  19. Grushka M and Sessle BJ. “Applicability of the McGill Pain Questionnaire to the differentiation of 'toothache' pain”. Pain1 (1984): 49-57.
  20. Kremer EF., et al. “The language of pain: Affective descriptors of pain are a better predictor of psychological disturbance than pattern of sensory and affective descriptors”. Pain 2 (1983): 185-192.
  21. Wagstaff S., et al. “Verbal pain descriptors used by patients with arthritis”. Annals of Rheumatic Disease4 (1985): 262-265.
  22. Melzack R. “The short-form McGill pain questionnaire”. Pain2 (1987): 191-197.
  23. Mongini F and Italiano M. “TMJ disorders and myogenic facial pain: a discriminative analysis using the McGill Pain Questionnaire”. Pain3 (2001): 323-330.
  24. Pedroni C R., et al. “Pain characteristics of temporomandibular disorder - a pilot study in patients with cervical spine dysfunction”. Journal of Applied Oral Sciences5 (2006): 388-392.
  25. Wagner AM., et al. “Pain prevalence and pain treatments for residents in Oregon nursing homes”. Geriatric Nursing 6 (1997): 268-272.
  26. Fishbain DA. “Approaches to treatment decisions for psychiatric comorbidity in the management of the chronic pain patient”. The Medical Clinics of North America3 (1999) :737-760.
  27. Hansen GR and Streltzer J. “The psychology of pain”. Emergency Medicine Clinics of North America2 (2005): 339-348.
  28. Gureje O., et al. “Persistent pain and well-being: A World Health Organization study in primary care”. JAMA 2 (1998): 147-151.
  29. Rummans TA., et al. “Quality of life and pain in patients with recurrent breast and gynaecologic cancer”. Psychosomatics 5 (1998): 437-445.
  30. Anderson RB., et al. “Physical Symptoms Distress Index: a sensitive tool to evaluate the impact of pharmacological agents on quality of life”. Archives of Internal Medicine7 (1999): 693-700.
  31. Hunfeld JA., et al. “Chronic pain and its impact on quality of life in adolescents and their families”. Journal of Pediatric Psycholoy 3 (2001): 145-153.
  32. Fredheim OMS., et al. “Validation and comparison of the health related quality of life instruments EORTC-QLQ-C30 and SF-36 in assessment of patients with chronic non-malignant pain”. Journal of Pain and Symptom Management6 (2007): 657-65.
  33. Fredheim OMS., et al. “Chronic non-malignant pain patients report as poor health-related quality of life as palliative cancer patients”. Acta Anaesthesiologica Scandinavica1 (2008): 143-148.
  34. Erdemoglu AK and Koc R. “Brief Pain Inventory score identifying and discriminating neuropathic and nociceptive pain”. Acta Neurologica Scandivica5 (2013): 351-358.
  35. Klepstad P., et al. “The Norwegian brief pain inventory questionnaire: translation and validation in cancer pain patients”. Journal of Pain and Symptom Management5 (2002): 517-525.
  36. Radbruch L., et al. “Validation of the German version of the Brief Pain Inventory”. Journal of Pain and Symptom Management 3 (1999): 180-187.
  37. Van Buren J and Kleinknecht R A. “An evaluation of the McGill pain questionnaire for use in dental pain assessment”. Pain1 (1979): 23-33.
  38. Dworkin RH., et al. “Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations”. Journal of Pain: official journal of the American Pain Society2 (2008): 105-121.
  39. Ger LP., et al. “Validation of the Brief Pain Inventory in a Taiwanese population”. Journal of Pain Symptom Management 5 (1999): 316-122.
  40. Aisyaturridha A., et al. “Validation of the Malay Brief Pain Inventory questionnaire to measure cancer pain”. Journal of Pain Symptom Management1 (2006): 13-21.
  41. Kalyadina SA., et al. “Russian Brief Pain Inventory: validation and application in cancer pain”. Journal of Pain and Symptom Management1 (2008): 95-102.

Citation

Citation: K Caroline Sunitha and Arvind Muthukrishnan. “Validity of Brief Pain Inventory Questionnaire in Describing Trigeminal Neuralgia and Temporomandibular Joint Disorder Patients". Acta Scientific Dental Sciences 6.1 (2022): 03-14.

Copyright

Copyright: © 2022 K Caroline Sunitha and Arvind Muthukrishnan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US





+91 9182824667

     info@acta-scientific.com

Creative Commons License Open Access by Acta Scientific is licensed under a Creative Commons Attribution 4.0 International License
Based on a work at https://actascientific.com

ff

Acta-Publications

ff

© 2021 Acta Scientific, All rights reserved.