纤维肌痛调查问卷在智利纤维肌痛女性中的心理测量特性。

Psychometric Properties of the Fibromyalgia Survey Questionnaire in Chilean Women With Fibromyalgia.

机构信息

From the Escuela de Psicología, Facultad de Ciencias Sociales.

Departamento de Inmunología Clínica y Reumatología.

出版信息

J Clin Rheumatol. 2021 Sep 1;27(6S):S284-S293. doi: 10.1097/RHU.0000000000001547.

DOI:10.1097/RHU.0000000000001547

PMID:32897990

Abstract

OBJECTIVE

The aim of this study was to evaluate the psychometric properties of the Chilean version of the Fibromyalgia Survey Questionnaire (FSQ).

METHODS

Women with fibromyalgia (FM; n = 214), women with rheumatoid arthritis (RA; n = 97), and women without chronic pain (being followed by Gynecology, G; n = 117) from the Red de Salud UC CHRISTUS (Santiago, Chile) participated. Women with FM completed the FSQ, Fibromyalgia Impact Questionnaire (Revised Version), Numerical Pain Rating Scale, Pain Catastrophizing Scale, Pain Vigilance and Awareness Questionnaire, Patient Health Questionnaire 15, and Short-Form Health Survey. Two weeks later, they completed the FSQ again by phone (n = 120).

RESULTS

The FSQ total scale showed excellent to good internal consistency at T1 (α = 0.91, ω = 0.91) and T2 (α = 0.78, ω = 0.78), and good test-retest reliability (intraclass correlation coefficient, 0.79; 95% confidence interval [CI], 0.72-0.85). It showed medium to large correlations with the other measures. Discriminant analysis between the FM group and the control group (RA and G) revealed that the FSQ total scale reached a classification accuracy of 81.3%. Receiver operating characteristic curve (adjusted area under the curve, 0.88; 95% CI, 0.85-0.92) showed that the best FSQ cutoff was 17, resulting in sensitivity of 89% (95% CI, 0.84-0.93) and specificity of 75% (95% CI, 0.69-0.80). Considering the FM diagnosis performed by a rheumatologist as the criterion standard, sensitivity and specificity of the modified 2010 American College of Rheumatology preliminary criteria for FM were 92.8% (95% CI, 0.88-0.96) and 63.4% (95% CI, 0.57-0.70), respectively.

CONCLUSIONS

The Chilean version of the FSQ presents good psychometric properties and is a useful tool in clinical settings to assist in FM diagnosis and symptom assessment. A cutoff score of 17 or higher seems to be the most appropriate for Chilean population.

摘要

目的

本研究旨在评估智利版纤维肌痛调查问卷（FSQ）的心理测量特性。

方法

来自智利红丝带 UC CHRISTUS（圣地亚哥）的纤维肌痛（FM；n=214）、类风湿关节炎（RA；n=97）和无慢性疼痛的女性（由妇科随访，G；n=117）参与了研究。FM 女性完成 FSQ、纤维肌痛影响问卷（修订版）、数字疼痛评分量表、疼痛灾难化量表、疼痛警觉和意识问卷、患者健康问卷 15 和简明健康调查。两周后，她们通过电话再次完成 FSQ（n=120）。

结果

FSQ 总量表在 T1（α=0.91，ω=0.91）和 T2（α=0.78，ω=0.78）时表现出优秀到良好的内部一致性，并且具有良好的重测信度（组内相关系数，0.79；95%置信区间[CI]，0.72-0.85）。它与其他测量指标呈中到大相关。FM 组与对照组（RA 和 G）之间的判别分析显示，FSQ 总量表的分类准确率达到 81.3%。接收器工作特征曲线（调整曲线下面积，0.88；95%CI，0.85-0.92）表明，FSQ 的最佳截断值为 17，其灵敏度为 89%（95%CI，0.84-0.93），特异性为 75%（95%CI，0.69-0.80）。考虑到由风湿病学家进行的 FM 诊断作为标准标准，美国风湿病学院修订的 2010 年 FM 初步标准的灵敏度和特异性分别为 92.8%（95%CI，0.88-0.96）和 63.4%（95%CI，0.57-0.70）。