The Japanese version of the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and the Fibromyalgia Symptom Scale : reliability and validity
The Japanese version of the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and the Fibromyalgia Symptom Scale : reliability and validity
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2010 年美国风湿病学会纤维肌痛初步诊断标准和纤维肌痛症状量表日文版：信度和效度
DOI：
10.1007/s10165-011-0462-3
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
他9名
中科院分区：
文献类型：
--
作者：
臼井千恵、中島利博;他9名
本研究的目的是调查日本版的2010年美国流变学学会纤维肌痛初步诊断标准（ACR 2010-J）的信度和效度，及其量化量表，纤维肌痛症状量表（FS-J）。在这项研究中，我们根据1990年ACR纤维肌痛诊断标准将除抑郁症外无精神疾病的慢性疼痛患者分为两组，纤维肌痛组和非纤维肌痛组（类风湿性关节炎、骨关节炎和痛风）。使用ACR 2010-J和FS-J对两组患者进行评估。纤维肌痛组94例患者中有77例（82%）符合ACR 2010-J，而非纤维肌痛组9%（4/43）符合ACR 2010-J，灵敏度为82%，特异性为91%，阳性预测值为95%，阴性预测值为70%，阳性似然比为8.8。FS-J的平均总分显著区分纤维肌痛组和非纤维肌痛组。该量表具有较高的评分者间信度和内部一致性。以10分为临界值，阳性似然比为10.1。我们的研究结果表明，ACR 2010-J和FS-J具有较高的信度和效度，可用于评估日本慢性疼痛人群的纤维肌痛。关于阳性似然比，FS-J的似然比可能适合作为阳性试验。
The aim of this study was to investigate the reliability and the validity of the Japanese version of the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia (ACR 2010-J), and its quantification scale, the Fibromyalgia Symptom Scale (FS-J). In this study, we divided patients with chronic pain without psychiatric disorders other than depression into two groups according to the 1990 ACR Diagnostic Criteria for Fibromyalgia, a fibromyalgia group and a non-fibromyalgia group (rheumatoid arthritis, osteoarthritis, and gout). Patients in both groups were assessed using the ACR 2010-J and FS-J. Seventy-seven of 94 (82%) patients in the fibromyalgia group met the ACR 2010-J, whereas 9% (4/43) of the non-fibromyalgia group did so, with a sensitivity of 82%, specificity of 91%, positive predictive value of 95%, negative predictive value of 70%, and positive likelihood ratio of 8.8. Mean total scores on the FS-J significantly differentiated the fibromyalgia from the non-fibromyalgia group. The scale had high inter-rater reliability and high internal consistency. With a cutoff score of 10, the positive likelihood ratio was 10.1. Our findings indicate that the ACR 2010-J and FS-J have high reliability and validity, and are useful for assessing fibromyalgia in Japanese populations with chronic pain. As regards the positive likelihood ratio, that of the FS-J might be suitable as a positive test.