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
相关论文
共 30 条
[21]  
Patrick DL., 1993, Health status and health policy: Quality of life in health care evaluation and resource allocation
[22]  
Patrick DL., 1994, Quality of life assessment: International perspectives, P19
[23]  
SZABO S, 1995, QUALITY LIFE PHARMAC, P355
[24]   MEDICAL COSTS IN COMMUNITY SUBJECTS WITH IRRITABLE-BOWEL-SYNDROME [J].
TALLEY, NJ ;
GABRIEL, SE ;
HARMSEN, WS ;
ZINSMEISTER, AR ;
EVANS, RW .
GASTROENTEROLOGY, 1995, 109 (06) :1736-1741
[25]  
Thompson W. G., 1992, GASTROENTEROL INT, V5, P75
[26]   Quality of life of persons with urinary incontinence: Development of a new measure [J].
Wagner, TH ;
Patrick, DL ;
Bavendam, TG ;
Martin, ML ;
Buesching, DP .
UROLOGY, 1996, 47 (01) :67-71
[27]   THE MOS 36-ITEM SHORT-FORM HEALTH SURVEY (SF-36) .1. CONCEPTUAL-FRAMEWORK AND ITEM SELECTION [J].
WARE, JE ;
SHERBOURNE, CD .
MEDICAL CARE, 1992, 30 (06) :473-483
[28]   SYMPTOMS OF PSYCHOLOGIC DISTRESS ASSOCIATED WITH IRRITABLE BOWEL SYNDROME - COMPARISON OF COMMUNITY AND MEDICAL CLINIC SAMPLES [J].
WHITEHEAD, WE ;
BOSMAJIAN, L ;
ZONDERMAN, AB ;
COSTA, PT ;
SCHUSTER, MM .
GASTROENTEROLOGY, 1988, 95 (03) :709-714
[29]   Impact of irritable bowel syndrome on quality of life [J].
Whitehead, WE ;
Burnett, CK ;
Cook, EW ;
Taub, E .
DIGESTIVE DISEASES AND SCIENCES, 1996, 41 (11) :2248-2253
[30]   Measuring health-related quality of life in persons with genital herpes [J].
Wild, D ;
Patrick, D ;
Johnson, E ;
Berzon, R ;
Wald, A .
QUALITY OF LIFE RESEARCH, 1995, 4 (06) :532-539