Quality of life in persons with irritable bowel syndrome - Development and validation of a new measure

被引:682
作者
Patrick, DL
Drossman, DA
Frederick, IO
Dicesare, J
Puder, KL
机构
[1] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA
[2] Univ N Carolina, Chapel Hill, NC USA
[3] Novartis Pharmaceut Corp, Pharmacoecon Dept, E Hanover, NJ USA
[4] Columbia Univ, Sch Publ Hlth, Div Hlth Policy & Management, New York, NY USA
关键词
irritable bowel syndrome; quality of life; validation; gastrointestinal disease;
D O I
10.1023/A:1018831127942
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
How irritable bowel syndrome (IBS) and its treatment affect quality of life (QOL) is important, To develop a quality-of-life measure specific to irritable bowel syndrome, items were generated using a conceptual model and qualitative interviews with persons diagnosed using the Rome criteria, Symptom frequency and bothersomeness indices were created, Psychometric evaluation methods involved an initial cross-sectional survey followed by a repeat survey. The resulting 34-item measure demonstrated high internal consistency (Cronbach's alpha = 0.95) and high reproducibility (ICC = 0.86) with average time of seven days (SD = 1), For discriminant validity: number of symptoms (P < 0.05), self-reported severity of symptoms (P < 0.001), and the functional bowel disorder severity index (P < 0.001) significantly predicted IBS-QOL scores, Convergent validity and analyses confirmed predictions that scores are more closely related to psychological well-being (0.45) than to function (0.36), We conclude this measure meets established psychometric criteria for reliability and validity; testing of its responsiveness is warranted.
引用
收藏
页码:400 / 411
页数:12
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