Celiker Reyhan, Altan Lale, Rezvani Aylin, Aktas Ilknur, Tastekin Nurettin, Dursun Erbil, Dursun Nigar, Sarıkaya Selda, Ozdolap Senay, Akgun Kenan, Zateri Coskun, Birtane Murat
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Acibadem University, Turkey.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Uludag University, Turkey.
J Phys Ther Sci. 2017 Feb;29(2):340-344. doi: 10.1589/jpts.29.340. Epub 2017 Feb 24.
[Purpose] An easy-to-use, psychometrically validated screening tool for fibromyalgia is needed. This study aims to evaluate the reliability and validity of the Turkish version of the Fibromyalgia Rapid Screening Tool by correlating it with 2013 American College of Rheumatology alternative diagnostic criteria and the Hospital Anxiety and Depression Scale. [Subjects and Methods] Subjects were 269 Physical Medicine and Rehabilitation clinic outpatients. Patients completed a questionnaire including the Fibromyalgia Rapid Screening Tool (twice), 2013 American College of Rheumatology alternative diagnostic criteria, and the Hospital Anxiety and Depression Scale. Scale reliability was examined by test-retest. The 2013 American College of Rheumatology alternative diagnostic criteria was used for comparison to determine criterion validity. The sensitivity, specificity, and positive and negative likelihood ratios were calculated according to 2013 American College of Rheumatology alternative diagnostic criteria. Logistic regression analysis was conducted to find the confounding effect of the Hospital Anxiety and Depression Scale on Fibromyalgia Rapid Screening Tool to distinguish patients with fibromyalgia syndrome. [Results] The Fibromyalgia Rapid Screening Tool was similar to the 2013 American College of Rheumatology alternative diagnostic criteria in defining patients with fibromyalgia syndrome. Fibromyalgia Rapid Screening Tool score was correlated with 2013 American College of Rheumatology alternative diagnostic criteria subscores. Each point increase in Fibromyalgia Rapid Screening Tool global score meant 10 times greater odds of experiencing fibromyalgia syndrome. [Conclusion] The Turkish version of the Fibromyalgia Rapid Screening Tool is reliable for identifying patients with fibromyalgia.
[目的] 需要一种易于使用且经过心理测量学验证的纤维肌痛筛查工具。本研究旨在通过将纤维肌痛快速筛查工具的土耳其语版本与2013年美国风湿病学会替代诊断标准及医院焦虑抑郁量表进行关联,来评估其信度和效度。[对象与方法] 研究对象为269名物理医学与康复门诊患者。患者完成了一份包含纤维肌痛快速筛查工具(两次)、2013年美国风湿病学会替代诊断标准以及医院焦虑抑郁量表的问卷。通过重测法检验量表的信度。使用2013年美国风湿病学会替代诊断标准进行比较以确定效标效度。根据2013年美国风湿病学会替代诊断标准计算敏感度、特异度、阳性似然比和阴性似然比。进行逻辑回归分析以找出医院焦虑抑郁量表对纤维肌痛快速筛查工具区分纤维肌痛综合征患者的混杂效应。[结果] 在定义纤维肌痛综合征患者方面,纤维肌痛快速筛查工具与2013年美国风湿病学会替代诊断标准相似。纤维肌痛快速筛查工具得分与2013年美国风湿病学会替代诊断标准各子得分相关。纤维肌痛快速筛查工具总体得分每增加1分,患纤维肌痛综合征的几率就高出10倍。[结论] 纤维肌痛快速筛查工具的土耳其语版本在识别纤维肌痛患者方面是可靠的。