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修订版纤维肌痛影响问卷日文版的心理测量评估:信度与效度

Psychometric assessment of the Japanese version of the Revised Fibromyalgia Impact Questionnaire: reliability and validity.

作者信息

Isomura Tatsuya, Nakamura Ikuro, Kawaguchi Mika, Sato Emiko, Inuzuka Kyoko, Osada Kenichi, Nishioka Kenya, Hayakawa Kazuhiro

机构信息

Clinical Study Support Inc., Nagoya, Japan.

Institute of Medical Science, Tokyo Medical University, Tokyo, Japan.

出版信息

Int J Rheum Dis. 2017 Sep;20(9):1088-1094. doi: 10.1111/1756-185X.12574. Epub 2015 May 4.

Abstract

AIM

To assess the psychometric properties of the Japanese version of the Revised Fibromyalgia Impact Questionnaire (JFIQR) in fibromyalgia (FM) patients.

METHOD

The reliability and validity of the JFIQR were assessed using online data collected from Japanese FM patients. Reliability was evaluated based on test-retest reliability results and internal consistency; validity was evaluated on the basis of concurrent and known-group validity.

RESULTS

A total of 105 patients completed the online questionnaire. Intra-class correlation coefficients for test-retest were 0.91 for the JFIQR total score with a range of 0.84-0.90 in three domains: function, overall impact and symptoms. Internal consistency results indicated a Cronbach's alpha of 0.90 for the total score with a range of 0.83 and 0.85 for the domains. Concurrent validity results showed that the total score was correlated to all external criteria (Japanese version of the Fibromyalgia Impact Questionnaire, Fibromyalgia Activity Scale-31, Medical Outcomes Study 36-item Short-Form health survey) from a moderate to strong degree with most indicating a strong correlation. Results of known-group validity showed that the JFIQR total score is capable of discriminating between FM and the other groups, such as rheumatic arthritis and no chronic pain (P < 0.0001 for all pairwise comparisons).

CONCLUSION

The current psychometric assessment of the JFIQR demonstrated that it is a reliable and valid questionnaire in Japanese patients with FM. Usefulness of the JFIQR in clinical studies and medical practice for Japanese-speaking populations is expected.

摘要

目的

评估修订版纤维肌痛影响问卷日语版(JFIQR)在纤维肌痛(FM)患者中的心理测量学特性。

方法

使用从日本FM患者收集的在线数据评估JFIQR的信度和效度。基于重测信度结果和内部一致性评估信度;基于同时效度和已知组效度评估效度。

结果

共有105名患者完成了在线问卷。JFIQR总分的组内相关系数为0.91,在功能、总体影响和症状三个领域的范围为0.84 - 0.90。内部一致性结果表明,总分的Cronbach's alpha为0.90,各领域的范围为0.83至0.85。同时效度结果显示,总分与所有外部标准(纤维肌痛影响问卷日语版、纤维肌痛活动量表 - 31、医学结局研究36项简短健康调查)呈中度至高度相关,大多数显示强相关。已知组效度结果表明,JFIQR总分能够区分FM与其他组,如类风湿性关节炎和无慢性疼痛组(所有两两比较P < 0.0001)。

结论

目前对JFIQR的心理测量学评估表明,它是一份适用于日本FM患者的可靠且有效的问卷。预计JFIQR在日语人群的临床研究和医疗实践中具有实用性。

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