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Faces Pain Scale - Revised
Please visit this website for more information and to obtain a copy of the instrument: Faces Pain Scale – Revised
Supplemental - Highly Recommended: Myalgic encephalomyelitis/Chronic fatigue syndrome (ME/CFS) for capturing the severity of pain experience in pediatric patients.
Supplemental: Spinal Cord Injury (SCI)-Pediatric (ages 4-8)
Short Description of Instrument
The FPS-R is a self-report measure of children's pain intensity adapted from the Faces Pain Scale (FPS). The revised scale has six faces, in contrast to the seven of the FPS (Hicks et al., 2001).
The scale uses a picture of a face that represents the child's pain intensity (von Baeyer, 2006).
Comments/Special Instructions
The FPS-R is easy to administer and requires no additional equipment besides the pictures of the faces. The scale shows a linear relationship with visual analog pain scales across the age of 4-16 years.
The scale is easier than visual analog scales (VAS), because subjects are only required to match how they feel to a picture as opposed to quantifying pain, which is simpler and preferred by children (von Baeyer, 2006).
In a study comparing four types of face scales using self-report for pain intensity in children, it was found that although children prefer the Wong-Baker Faces Pain Rating Scale (WBFPRS), the FPS-R has been recommended based on utility and psychometric features. Psychometric features included construct validity, reliability and responsiveness (Tomlinson et al., 2010).
This is a self-report scale, with scores ranging from 0-10 ("0" equals "no pain" and "10" equals "very much pain").
Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain. 2001;93(2):173-183.
Huguet A, Stinson JN, McGrath PJ. Measurement of self-reported pain intensity in children and adolescents. J Psychosom Res. 2010;68:329-336.
Tomlinson D, von Baeyer CL, Stinson JN, Sung L. A systematic review of faces scales for the self-report of pain intensity in children. Pediatrics. 2010;126(5): e1168-e1198.
von Baeyer CL. Children's self-reports of pain intensity: scale selection, limitations and interpretation. Pain Res Manag. 2006;11(3):157-162.


Document last updated April 2020