DEVELOPMENT OF MENSTRUAL SYMPTOM QUESTIONNAIRE
DEVELOPMENT OF MENSTRUAL SYMPTOM QUESTIONNAIRE
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DOI：
10.1016/0005-7967(75)90028-5
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发表时间：
1975-01-01
影响因子：
4.1
通讯作者：
TASTO, DL
中科院分区：
文献类型：
--
作者：
CHESNEY, MA;TASTO, DL
文献认为原发性痛经有两种不同的生理基础和不同的病理学报道。本研究旨在根据道尔顿（1969）提出的原发性痛经的充血型和痉挛型理论，编制原发性痛经的问卷，获得问卷的重测信度，并对问卷进行因素分析，对原发性痛经的两型理论进行实证研究。第一组51个项目的平均重测信度为0.76，并产生了两个明显不同的因素，支持两种类型的假设。当因子负荷小于±0.35的项目被丢弃时，剩下25个项目。这些项目的平均重测信度为0.78。再次，两个明显不同的因素出现定义充血性和痉挛性痛经与文献一致。第一份问卷中的保留项目和第二份问卷中的项目在两次加载相同的因素。结论是，两种类型的痛经，事实上，存在，这项研究提供了一个可靠的手段来区分它们。从治疗的角度来看，类型的准确诊断可能是处方适当治疗的先决条件。
The literature has suggested that there are two separate types of primary dysmenorrhea with different physiological bases and different reported symptomatology. The purpose of this study was to construct a questionnaire based on suggestions from Dalton's (1969) theory of congestive and spasmodic types of primary dysmenorrhea, to obtain test-retest reliabilities of items, and to factor analyze the instrument to empirically investigate the two-type theory. The first set of 51 items had mean test-retest reliabilities of 0.76 and yielded two clearly distinct factors in support of the two-type hypothesis. When items with factor loadings less than ±0.35 were discarded, 25 items remained. The mean test-retest reliabilities of these items was 0.78. Again, two clearly distinct factors emerged defining congestive and spasmodic dysmenorrhea consistent with the literature. The retained items from the first questionnaire and the items from the second questionnaire loaded on the same factors both times. It was concluded that two types of dysmenorrhea do, in fact, exist and that this study has provided a reliable means of differentiating them. From a therapeutic standpoint, accurate diagnosis of type may be a prerequisite for prescribing appropriate treatment.