Printable brief pain inventory form 2025

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The Brief Pain Inventory (BPI) is a multidimensional pain inventory that can reliably provide a measure of the effect of pain on an individuals physical and social functioning. The BPI consists of a nine-part questionnaire and is available in a short (15 items) (Fig. 9.3) and a long format (32 items).
Evaluating cut-off values for mild, moderate, and severe pain resulted in the optimal cut-off being (a) a score of 0 = no pain; (b) 13 = mild pain; (c) 46 = moderate pain; and (d) 7 = severe pain (F-value = 11.8).
The patient is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a 10 point
Brief Pain Inventory (BPI) Monitors change in both pain intensity and pain interference with many aspects of a persons life throughout a treatment program. (MDC = 1/10, MCID = 2+/10) This is sensitive to the initial severity and the individual circumstances.
Vowles et al. found that the average CPAQ-20 score of chronic pain patients with low acceptance is 29.1 (Standard deviation = 10.8) (17). Thus, standard deviation (SD) multiplied by 1.64 and then plus the average score, which is 46.8, could be used as the cut-off point to distinguish low and high acceptance.
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For screening purposes, we considered scores 12 indicative of nociceptive pain, scores between 13 and 18 as unclear, and scores 19 indicative of neuropathic-like symptoms.
Scoring Patients are asked to rate their current symptoms, their average experiences of pain, and the minimum and maximum intensities of their symptoms on scales that range from 0 to 10. A total pain severity score can be found by averag- ing these items or a single item can be treated as the primary outcome measure.
The most commonly used version of this scale uses an 11-point numeric rating scale where 0 = no interference and 11 = complete pain-related interference in 7 domains, including general activity, mood, walking ability, normal work including outside the home, relations with others, enjoyment of life, and sleep.

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