Multidimensional Pain Inventory – SCI Version (MPI-SCI)

Description: A spinal cord injury version of the MPI [1] that assesses the severity and impact of chronic pain, emotional and physical adaptation to persistent pain, and social support.

Format: 60 items [2]; 50 items [3] It consists of 3 sections: (1) Pain Impact, (2) Responses by Significant Others, and (3) Activities. The sections are separated into 12 sub-scales.

Eight of the 12 sub-scales measure cognitive, affective, social, and behavioural responses: Pain Severity (PS); Life Interference (LI); Life Control (LC); Affective Distress (AD); Support (S); Negative Responses (NR); Solicitous Responses (SR); and Distracting Responses (DR). The remaining sub-scales assess the degree of participation in various types of daily activities, and are often combined into a single General Activity (GA) scale.

Scoring: Each item is scored on a 7-point scale. Scale scores are computed by summing over all items and then the mean is composed based on the number of scale items. It is not possible to obtain a total score.

Administration and Burden: Interviewer-administered; Self-administered; Proxy-administered. Approximately 15-20 minutes.

Psychometrics for SCI: The internal consistency of the MPI-SCI sub-scales ranged from fair (.60) for affective distress to substantial (.94) for pain interference with activities. With the exception of the support and life control sub-scales, all others showed adequate test-retest reliability [3].

Languages: English.

QoL Concept: The MPI-SCI measures impact of pain on activities of daily living, which corresponds to Boxes C (achievements; activities of daily living) and E (subjective evaluations and reactions) of Dijker’s Model.

Permissions/Where to Obtain: Copyrighted; Please contact Dr. Eva Widerström-Noga at the Miami Project to Cure Paralysis to get details on how to obtain the MPI-SCI.

**CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE RIGHT TO READ HOW THE MPI-SCI HAS BEEN USED WITH A PARTICULAR CONDITION**

References:

1. Turk DC, Meichenbaum D, Genest M. Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective.  New York: Guilford; 1983.
2. Widerstrom-Noga EG, Duncan R, Felipe-Cuervo E, Turk DC. Assessment of the impact of pain and impairments associated with spinal cord injuries. Arch Phys Med Rehabil 2002;83:395-404.
3. Widerström-Noga EG, Cruz-Almeida Y, Martinez-Arizala A, Turk DC. Internal consistency, stability, and validity of the spinal cord injury version of the multidimensional pain inventory. Arch Phys Med Rehabil 2006;87:516-23.