Department of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
J Psychosom Res. 2017 Dec;103:42-62. doi: 10.1016/j.jpsychores.2017.10.005. Epub 2017 Oct 12.
The aim of this review is to critically appraise the evidence on measurement properties of self-report questionnaires measuring somatization in adult primary care patients and to provide recommendations about which questionnaires are most useful for this purpose.
We assessed the methodological quality of included studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. To draw overall conclusions about the quality of the questionnaires, we conducted an evidence synthesis using predefined criteria for judging the measurement properties.
We found 24 articles on 9 questionnaires. Studies on the Patient Health Questionnaire-15 (PHQ-15) and the Four-Dimensional Symptom Questionnaire (4DSQ) somatization subscale prevailed and covered the broadest range of measurement properties. These questionnaires had the best internal consistency, test-retest reliability, structural validity, and construct validity. The PHQ-15 also had good criterion validity, whereas the 4DSQ somatization subscale was validated in several languages. The Bodily Distress Syndrome (BDS) checklist had good internal consistency and structural validity. Some evidence was found for good construct validity and criterion validity of the Physical Symptom Checklist (PSC-51) and good construct validity of the Symptom Check-List (SCL-90-R) somatization subscale. However, these three questionnaires were only studied in a small number of primary care studies.
Based on our findings, we recommend the use of either the PHQ-15 or 4DSQ somatization subscale for somatization in primary care. Other questionnaires, such as the BDS checklist, PSC-51 and the SCL-90-R somatization subscale show promising results but have not been studied extensively in primary care.
本综述的目的是批判性地评价用于测量成人初级保健患者躯体化的自评问卷的测量特性，并就哪些问卷对此最有用提供建议。
我们使用共识基础的健康测量仪器选择标准（COSMIN）清单评估纳入研究的方法学质量。为了根据判断测量特性的预设标准得出问卷总体质量的结论，我们进行了证据综合。
我们发现了 9 种问卷的 24 篇文章。关于患者健康问卷-15（PHQ-15）和四维度症状问卷（4DSQ）躯体化分量表的研究居多，涵盖了最广泛的测量特性。这些问卷具有最佳的内部一致性、重测信度、结构有效性和构念有效性。PHQ-15 也具有良好的标准相关性，而 4DSQ 躯体化分量表在多种语言中得到了验证。身体不适综合征（BDS）检查表具有良好的内部一致性和结构有效性。在一些小型初级保健研究中，发现了物理症状检查表（PSC-51）具有良好的构念有效性和标准相关性，以及症状检查表-90-R 躯体化分量表具有良好的构念有效性的证据。
根据我们的发现，我们建议在初级保健中使用 PHQ-15 或 4DSQ 躯体化分量表来测量躯体化。其他问卷，如 BDS 检查表、PSC-51 和 SCL-90-R 躯体化分量表，显示出有希望的结果，但在初级保健中尚未广泛研究。
