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BPI · Brief Pain Inventory

6 min · 0–10 severity; 0–10 interference · lower is better

Free — register with the owner first

1 Before you use it

What it is

Two constructs, cleanly separated: a severity score (worst, least, average, now) and a 7-item interference score — general activity, mood, walking, work, relations, sleep, enjoyment of life.

The interference scale is the useful half and it is what distinguishes BPI from a pain rating.

When to reach for it

Persistent pain, and any presentation where you want interference measured properly rather than inferred. Widely used in cancer and palliative settings, which is where you'll see it referenced.

2 Giving it

Scoring

Severity: mean of four 0–10 items. Interference: mean of seven 0–10 items. Report both. A body diagram is included.

Short and long forms exist.

What it doesn’t measure

Fear, catastrophising or self-efficacy.

3 Reading the score

Interpreting it

Severity and interference diverging is the finding. High severity with low interference is a different patient from the reverse.

Is the change real?

MCID 1 point on the Interference score. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in chronic musculoskeletal pain.

Student trap. Reporting severity only. The interference half is why you chose this instrument.

Official source: mdanderson.org. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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