Int J Rheum Dis. 2014 Feb;17(2):181-5. doi: 10.1111/1756-185X.12215.
To validate the Thai version of the Health Assessment Questionnaire (HAQ) for patients with psoriatic arthritis (PsA).
The Thai version of the HAQ was administered to 47 patients with PsA attending our rheumatology clinic. Clinical assessments included the measures of disease activity, disease severity and functional status. The correlation of the single items and total score of the Thai HAQ with the measures of disease activity, disease severity and functional status was assessed using Pearson’s correlation or Spearman rank correlation, as appropriate.
Of 47 patients who fulfilled the Classification Criteria for Psoriatic Arthritis (CASPAR), 21 were male. Their mean age ± standard deviation (SD) and mean disease duration ± SD were 49 ± 10 years and 6.97 ± 6.17 years, respectively. Spondylitis was the most common manifestation (38%). The mean Thai HAQ score was 0.47. The single items and total score of the Thai HAQ were moderately to highly correlated with several measures of disease activity (r = 0.32–0.81, P < 0.01), except for swollen joint count (r = 0.16). For functional status and disease severity, the Thai HAQ was moderately correlated with grip strength (r = -0.39, P < 0.01), but poorly correlated with the range of spinal movement and the number of damaged joints.(r = -0.01 to 0.17). Cronbach’s alpha coefficient for internal consistency reliability was 0.88. These results were comparable to the original version.
The Thai version of the HAQ is valid for assessing functional status in patients with PsA; however, its validity may be limited in patients who have axial involvement or permanent joint damage.
验证用于评估银屑病关节炎（PsA）患者的健康评估问卷（HAQ）泰文版。
HAQ 泰文版用于评估在我院风湿科就诊的 47 例 PsA 患者。临床评估包括疾病活动度、疾病严重程度和功能状态的测量。HAQ 泰文版的各单项和总分与疾病活动度、疾病严重程度和功能状态的测量结果之间的相关性，采用 Pearson 相关或 Spearman 秩相关进行评估，具体采用哪种方法取决于数据类型。
在满足银屑病关节炎分类标准（CASPAR）的 47 例患者中，21 例为男性，其平均年龄（±标准差）和平均病程（±标准差）分别为 49±10 岁和 6.97±6.17 年。最常见的表现是脊柱关节炎（38%）。HAQ 泰文版的平均得分为 0.47。HAQ 泰文版的各单项和总分与多项疾病活动度的测量结果呈中度到高度相关（r = 0.32-0.81，P < 0.01），但与肿胀关节计数（r = 0.16）无关。对于功能状态和疾病严重程度，HAQ 泰文版与握力（r = -0.39，P < 0.01）中度相关，但与脊柱活动范围和受损关节数量（r = -0.01 至 0.17）的相关性较差。内部一致性信度的 Cronbach's alpha 系数为 0.88。这些结果与原始版本相当。
HAQ 泰文版可用于评估 PsA 患者的功能状态；但对于有中轴受累或永久性关节损伤的患者，其有效性可能有限。
