The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties
The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties
复制标题
DOI：
10.1186/ar2830
复制
发表时间：
2009-01-01
影响因子：
4.9
通讯作者：
Ross, Rebecca L.
中科院分区：
文献类型：
--
作者：
Bennett, Robert M.;Friend, Ronald;Ross, Rebecca L.
简介 纤维肌痛影响问卷 (FIQ) 是评估纤维肌痛 (FM) 患者的常用工具。在过去的 18 年里，自最初的 FIQ 发布以来，一些缺陷已经变得明显，而繁琐的评分算法已经成为广泛临床使用的障碍。本文的目的是描述和验证 FIQ 的修订版本：FIQR。方法 FIQR 是在患者焦点小组的帮助下针对 FIQ 的已知缺陷而开发的。 FIQR 与 FIQ 具有相同的 3 个领域（即功能、总体影响和症状）。它与 FIQ 的不同之处在于修改了功能问题，并包含了有关记忆、柔情、平衡和环境敏感性的问题。所有问题均按照 0-10 的数字等级进行评分。 FIQR 在线进行，并将结果与同一患者对 36 项简短健康调查 (SF-36) 和原始 FIQ 的在线回答进行比较。结果 FIQR 由 202 名 FM 患者、51 名类风湿性关节炎 (RA) 或系统性红斑狼疮 (SLE) 患者（31 名 RA 和 20 名 SLE）、11 名重度抑郁症 (MDD) 患者和 11 名重度抑郁症 (MDD) 患者在线完成。 213 名健康对照 (HC)。平均 FIQR 总分为 56.6 +/- 19.9，而 FIQ 总分为 60.6 +/- 17.8 (P < 0.03)。 FIQR 和 FIQ 总分密切相关（r = 0.88，P < 0.001）。 FIQR 的 3 个域中的每一个都与 3 个相关的 FIQ 域相关性良好（r = 0.69 至 0.88，P < 0.01）。 FIQR 显示出与 SF-36 中的可比较域的良好相关性，多元回归分析显示，三个 FIQR 域得分预测了 8 个 SF-36 子量表得分。 FIQR对FM和其他3组有很好的区分能力；总 FIQR 评分为 HC (12.1 +/- 11.6)、RA/SLE (28.6 +/- 21.2) 和 MDD (17.3 +/- 11.8)。患者完成时间为1.3分钟；评分大约需要1分钟。 结论 FIQR是FIQ的更新版本，具有良好的心理测量特性，可以在不到2分钟的时间内完成，并且易于评分。它具有与原始 FIQ 相当的评分特征，使得可以将过去的 FIQ 结果与未来的 FIQR 结果进行比较。
Introduction The Fibromyalgia Impact Questionnaire (FIQ) is a commonly used instrument in the evaluation of fibromyalgia ( FM) patients. Over the last 18 years, since the publication of the original FIQ, several deficiencies have become apparent and the cumbersome scoring algorithm has been a barrier to widespread clinical use. The aim of this paper is to describe and validate a revised version of the FIQ: the FIQR.Methods The FIQR was developed in response to known deficiencies of the FIQ with the help of a patient focus group. The FIQR has the same 3 domains as the FIQ ( that is, function, overall impact and symptoms). It differs from the FIQ in having modified function questions and the inclusion of questions on memory, tenderness, balance and environmental sensitivity. All questions are graded on a 0-10 numeric scale. The FIQR was administered online and the results were compared to the same patient's online responses to the 36-Item Short Form Health Survey (SF-36) and the original FIQ.Results The FIQR was completed online by 202 FM patients, 51 rheumatoid arthritis ( RA) or systemic lupus erythematosus (SLE) patients ( 31 RA and 20 SLE), 11 patients with major depressive disorder (MDD) and 213 healthy controls (HC). The mean total FIQR score was 56.6 +/- 19.9 compared to a total FIQ score of 60.6 +/- 17.8 (P < 0.03). The total scores of the FIQR and FIQ were closely correlated (r = 0.88, P < 0.001). Each of the 3 domains of the FIQR correlated well with the 3 related FIQ domains (r = 0.69 to 0.88, P < 0.01). The FIQR showed good correlation with comparable domains in the SF-36, with a multiple regression analysis showing that the three FIQR domain scores predicted the 8 SF-36 subscale scores. The FIQR had good discriminant ability between FM and the 3 other groups; total FIQR scores were HC (12.1 +/- 11.6), RA/SLE (28.6 +/- 21.2) and MDD (17.3 +/- 11.8). The patient completion time was 1.3 minutes; scoring took about 1 minute.Conclusions The FIQR is an updated version of the FIQ that has good psychometric properties, can be completed in less than 2 minutes and is easy to score. It has scoring characteristics comparable to the original FIQ, making it possible to compare past FIQ results with future FIQR results.