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Updated: Jun 21, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

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Published on: April 14, 2016

The Cancer Pain Inventory: preliminary development and validation.

Teresa L Deshields¹, Raymond C Tait, Jamie Manwaring

¹Psycho-Oncology Service, Alvin J. Siteman Cancer Center, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, MO 63110, USA. tld2593@bjc.org

Psycho-Oncology

|July 29, 2009

Summary

A new Cancer Pain Inventory (CPI) was developed to assess patient beliefs about cancer pain. The CPI demonstrated reliability and validity, identifying five key factors in cancer pain experiences.

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Area of Science:

Oncology
Psychometrics
Pain Management

Background:

Cancer pain is a complex experience influenced by patient beliefs and concerns.
Existing measures may not fully capture the unique dimensions of cancer-related pain.
A validated instrument is needed to assess these specific beliefs and concerns.

Purpose of the Study:

To develop and pilot test a preliminary Cancer Pain Inventory (CPI).
To evaluate the psychometric properties, including reliability and validity, of the CPI.
To measure cancer patients' beliefs and concerns regarding their pain.

Main Methods:

Recruitment of patients from oncology services at a comprehensive cancer center.
Administration of 50 potential CPI items alongside established pain and psychological measures.
Analysis of associations between CPI items and other measures using principal components analysis.

Main Results:

262 out of 366 eligible patients completed the study questionnaires.
Principal components analysis identified five factors: Catastrophizing, Interference with Functioning, Stoicism, Social Aspects, and Concerns about Pain Medication.
Correlations supported the construct validity of the five CPI factors.

Conclusions:

The Cancer Pain Inventory (CPI) is a valid measure of five constructs relevant to cancer pain.
Cancer-related pain possesses unique features distinct from non-cancer chronic pain.
The CPI provides a valuable tool for understanding the multifaceted nature of cancer pain.