Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment

Facial expression is a key aspect in observational scales developed to improve pain assessment in individuals with cognitive impairments. Although these scales are used internationally in individuals with different types of cognitive impairments, it is not known whether observing facial expressions...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Miriam Kunz, Petra Crutzen-Braaksma, Lydia Giménez-Llort, Sara Invitto, Gaya Villani, Marina deTommaso, Laura Petrini, Lene Vase, Susan Tomczak Matthiesen, Hanne Gottrup, Jone Ansuategui Echeita, Stefan Lautenbacher, Ruth Defrin
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	pain cognitive impairment facial expression cultural differences dementia mild cognitive impairment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/a90aedb324ab4e708cd95d6287a7e551
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a90aedb324ab4e708cd95d6287a7e551
record_format	dspace
spelling	oai:doaj.org-article:a90aedb324ab4e708cd95d6287a7e5512021-11-25T16:57:44ZObserving Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment10.3390/brainsci111114552076-3425https://doaj.org/article/a90aedb324ab4e708cd95d6287a7e5512021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1455https://doaj.org/toc/2076-3425Facial expression is a key aspect in observational scales developed to improve pain assessment in individuals with cognitive impairments. Although these scales are used internationally in individuals with different types of cognitive impairments, it is not known whether observing facial expressions of pain might differ between regions or between different types of cognitive impairments. In a pilot study, facial responses to standardized experimental pressure pain were assessed among individuals with different types of cognitive impairments (dementia, mild cognitive impairment, Huntington’s disease, and intellectual disability) from different countries (Denmark, Germany, Italy, Israel, and Spain) and were analyzed using facial descriptors from the PAIC scale (Pain Assessment in Impaired Cognition). We found high inter-rater reliability between observers from different countries. Moreover, facial responses to pain did not differ between individuals with dementia from different countries (Denmark, Germany, and Spain). However, the type of cognitive impairment had a significant impact; with individuals with intellectual disability (all being from Israel) showing the strongest facial responses. Our pilot data suggest that the country of origin does not strongly affect how pain is facially expressed or how facial responses are being scored. However, the type of cognitive impairment showed a clear effect in our pilot study, with elevated facial responses in individuals with intellectual disability.Miriam KunzPetra Crutzen-BraaksmaLydia Giménez-LlortSara InvittoGaya VillaniMarina deTommasoLaura PetriniLene VaseSusan Tomczak MatthiesenHanne GottrupJone Ansuategui EcheitaStefan LautenbacherRuth DefrinMDPI AGarticlepaincognitive impairmentfacial expressioncultural differencesdementiamild cognitive impairmentNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1455, p 1455 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pain cognitive impairment facial expression cultural differences dementia mild cognitive impairment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	pain cognitive impairment facial expression cultural differences dementia mild cognitive impairment Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Miriam Kunz Petra Crutzen-Braaksma Lydia Giménez-Llort Sara Invitto Gaya Villani Marina deTommaso Laura Petrini Lene Vase Susan Tomczak Matthiesen Hanne Gottrup Jone Ansuategui Echeita Stefan Lautenbacher Ruth Defrin Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
description	Facial expression is a key aspect in observational scales developed to improve pain assessment in individuals with cognitive impairments. Although these scales are used internationally in individuals with different types of cognitive impairments, it is not known whether observing facial expressions of pain might differ between regions or between different types of cognitive impairments. In a pilot study, facial responses to standardized experimental pressure pain were assessed among individuals with different types of cognitive impairments (dementia, mild cognitive impairment, Huntington’s disease, and intellectual disability) from different countries (Denmark, Germany, Italy, Israel, and Spain) and were analyzed using facial descriptors from the PAIC scale (Pain Assessment in Impaired Cognition). We found high inter-rater reliability between observers from different countries. Moreover, facial responses to pain did not differ between individuals with dementia from different countries (Denmark, Germany, and Spain). However, the type of cognitive impairment had a significant impact; with individuals with intellectual disability (all being from Israel) showing the strongest facial responses. Our pilot data suggest that the country of origin does not strongly affect how pain is facially expressed or how facial responses are being scored. However, the type of cognitive impairment showed a clear effect in our pilot study, with elevated facial responses in individuals with intellectual disability.
format	article
author	Miriam Kunz Petra Crutzen-Braaksma Lydia Giménez-Llort Sara Invitto Gaya Villani Marina deTommaso Laura Petrini Lene Vase Susan Tomczak Matthiesen Hanne Gottrup Jone Ansuategui Echeita Stefan Lautenbacher Ruth Defrin
author_facet	Miriam Kunz Petra Crutzen-Braaksma Lydia Giménez-Llort Sara Invitto Gaya Villani Marina deTommaso Laura Petrini Lene Vase Susan Tomczak Matthiesen Hanne Gottrup Jone Ansuategui Echeita Stefan Lautenbacher Ruth Defrin
author_sort	Miriam Kunz
title	Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
title_short	Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
title_full	Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
title_fullStr	Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
title_full_unstemmed	Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment
title_sort	observing pain in individuals with cognitive impairment: a pilot comparison attempt across countries and across different types of cognitive impairment
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a90aedb324ab4e708cd95d6287a7e551
work_keys_str_mv	AT miriamkunz observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT petracrutzenbraaksma observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT lydiagimenezllort observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT sarainvitto observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT gayavillani observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT marinadetommaso observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT laurapetrini observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT lenevase observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT susantomczakmatthiesen observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT hannegottrup observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT joneansuateguiecheita observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT stefanlautenbacher observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment AT ruthdefrin observingpaininindividualswithcognitiveimpairmentapilotcomparisonattemptacrosscountriesandacrossdifferenttypesofcognitiveimpairment
_version_	1718412855566401536

Observing Pain in Individuals with Cognitive Impairment: A Pilot Comparison Attempt across Countries and across Different Types of Cognitive Impairment

Ejemplares similares