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[功能性运动障碍问卷的编制与内容效度验证]

[Development and content validation of a questionnaire for functional movement disorders].

作者信息

Michaelis Rosa, Brüggemann Norbert, Ebersbach Georg, Ganos Christos, Münchau Alexander, Schmidt Tamara, Weißbach Anne, Schlegel Uwe, Popkirov Stoyan

机构信息

Klinik für Neurologie, Universitätskrankenhaus Knappschaftskrankenhaus Bochum, Ruhr-Universität Bochum, In der Schornau 23-25, 44892, Bochum, Deutschland.

Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.

出版信息

Nervenarzt. 2022 Oct;93(10):1009-1018. doi: 10.1007/s00115-021-01247-1. Epub 2021 Dec 23.

Abstract

From shell shock tremors to TikTok tics, functional movement disorders have long been assumed to be motor expressions of emotional turmoil. However, psychodynamic explanations are increasingly complemented by neurophysiological findings, meaning that specialized physiotherapy is gaining in importance alongside psychotherapy. Still, there is no disease-specific outcome measure that adequately assesses patient-relevant aspects of this heterogeneous condition. Such a questionnaire was developed and its content was validated in a multistage development process. The relevance and comprehensibility of the items were first evaluated by a panel of experts and then by affected patients, and questions and possible response categories were adjusted accordingly. The resultant revised questionnaire yields good content-related validity and thus allows, for the first time, a quantification of the subjective complaints and implications associated with functional movement disorders. The next step will be a multicenter study to analyze the psychometric properties and factorial structure of this new instrument.

摘要

从炮弹休克震颤到TikTok抽搐,功能性运动障碍长期以来一直被认为是情绪紊乱的运动表现。然而,心理动力学解释越来越多地得到神经生理学研究结果的补充,这意味着专业物理治疗在心理治疗的同时正变得越来越重要。尽管如此,目前还没有一种针对疾病的结果测量方法能够充分评估这种异质性疾病与患者相关的方面。为此开发了这样一份问卷,并在一个多阶段的开发过程中对其内容进行了验证。首先由专家小组评估项目的相关性和可理解性,然后由受影响的患者进行评估,并据此对问题和可能的回答类别进行调整。由此产生的修订后的问卷具有良好的内容效度,从而首次能够对与功能性运动障碍相关的主观症状和影响进行量化。下一步将进行一项多中心研究,以分析这一新工具的心理测量特性和因子结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13b/9534974/5e5f239b7234/115_2021_1247_Fig1_HTML.jpg

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