BPI (Brief)COMM CPOT DIRE Score FLACC / NIPS MME/MED Calc ORT-R PAINAD PEG Score VAS/NRS Scale Widespread Pain Index

COMM

Please answer each question honestly based on how you have been feeling over the past 30 days.

1. In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?

2. In the past 30 days, how often do people complain that you are not completing your tasks or responsibilities at home or work?

3. In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief?

4. In the past 30 days, how often have you taken your medications differently from how they are prescribed?

5. In the past 30 days, how often have you seriously thought about hurting yourself?

6. In the past 30 days, how much of your time was spent thinking about opioid medications?

7. In the past 30 days, how often have you been in an argument?

8. In the past 30 days, how often have you had trouble controlling your anger?

9. In the past 30 days, how often have you needed to take pain medication belonging to someone else?

10. In the past 30 days, how often have you been worried about how you're handling your medications?

11. In the past 30 days, how often have others been worried about how you're handling your medications?

12. In the past 30 days, how often have you had to make an emergency clinic visit regarding your pain?

13. In the past 30 days, how often have your medications made it hard for you to meet your responsibilities?

14. In the past 30 days, how often have you had to get help for your emotional problems?

15. In the past 30 days, how often have you noticed that your pain medication has made you sleepy?

16. In the past 30 days, how often have you had to take more of your medication than prescribed because your pain was worse?

17. In the past 30 days, how often have you borrowed pain medication from someone else?

Total COMM Score

0/ 68

Low Risk for Current Misuse

A cutoff of ≥ 9 suggests aberrant behavior.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Used continuously to monitor patients already actively receiving extended opioid therapy for non-cancer pain.

Unlike the ORT (which predicts future risk before prescribing), the COMM detects concurrent misuse, abuse, or psychological distress resulting from therapy.

Last Comprehensive Review: 2026

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