Item-Level Assessment of the Irritable Bowel Syndrome Quality of Life Questionnaire in Patients With Diarrheal Irritable Bowel Syndrome

BACKGROUNDDyspepsia and irritable bowel syndrome are suitable conditions for assessment of quality of life. Their similarities justify the elaboration of a single specific questionnaire for the two conditions.AIMSTo examine the process leading to the validation of the psychometric properties of the functional digestive disorders quality of life questionnaire (FDDQL).METHODSInitially, the questionnaire was given to 154 patients, to assess its acceptability and reproducibility, analyse its content, and reduce the number of items. Its responsiveness was tested during two therapeutic trials which included 428 patients. The questionnaire has been translated into French, English, and German. The psychometric validation study was conducted in France, United Kingdom, and Germany by 187 practitioners. A total of 401 patients with dyspepsia or irritable bowel syndrome, defined by the Rome criteria, filled in the FDDQL and generic SF-36 questionnaires.RESULTSThe structure of the FDDQL scales was checked by factorial analysis. Its reliability was expressed by a Cronbach’s α coefficient of 0.94. Assessment of its discriminant validity showed that the more severe the functional digestive disorders, the more impaired the quality of life (p<0.05). Concurrent validity was supported by the correlation found between the FDDQL and SF-36 questionnaire scales. The final version of the questionnaire contains 43 items belonging to eight domains.CONCLUSIONSThe properties of the FDDQL questionnaire, available in French, English, and German, make it appropriate for use in clinical trials designed to evaluate its responsiveness to treatment among patients with dyspepsia and irritable bowel syndrome.

Download Full-text

Evaluation of a new quality of life questionnaire for patients with irritable bowel syndrome

Alimentary Pharmacology & Therapeutics ◽

10.1046/j.1365-2036.1997.00168.x ◽

1997 ◽

Vol 11 (3) ◽

pp. 547-552 ◽

Cited By ~ 112

Author(s):

B. A. Hahn ◽

L. J. Kirchdoerfer ◽

S. Fullerton ◽

E. Mayer

Keyword(s):

Quality Of Life ◽

Irritable Bowel Syndrome ◽

Life Questionnaire ◽

Quality Of Life Questionnaire ◽

Irritable Bowel

Download Full-text

Psychometric evaluation of the Bengali version of irritable bowel syndrome quality of life questionnaire: A cross-sectional study

Journal of Clinical Sciences ◽

10.4103/jcls.jcls_44_20 ◽

2021 ◽

Vol 18 (1) ◽

pp. 42

Author(s):

Mohan Giri ◽

Swastika Roy ◽

Laijun Nahar ◽

Swapan Paul ◽

Abhijit Chattopadhyay ◽

...

Keyword(s):

Quality Of Life ◽

Irritable Bowel Syndrome ◽

Psychometric Evaluation ◽

Cross Sectional Study ◽

Life Questionnaire ◽

Sectional Study ◽

Cross Sectional ◽

Quality Of Life Questionnaire ◽

Irritable Bowel

Download Full-text

Evaluation of the Impact of Self-Efficacy-Based Training on Depression, Self-Care Behaviors, and Quality of Life in Patients with Irritable Bowel Syndrome

10.32592/ajnpp.2021.8.2.105 ◽

2020 ◽

pp. 90-95

Keyword(s):

Quality Of Life ◽

Irritable Bowel Syndrome ◽

Self Efficacy ◽

Self Care ◽

Control Group ◽

Life Questionnaire ◽

Irritable Bowel ◽

The Impact

Background and Objectives: Irritable bowel syndrome is the most common diagnosis among patients with gastrointestinal diseases and can adversely affect their quality of life. In this regard, the present study aimed to evaluate the effectiveness of self-efficacy-based training on depression, self-care behaviors, and the quality of life of patients with irritable bowel syndrome. Materials and Methods: This applied quasi-intervention study was conducted based on a pretest-posttest design with a control group and follow-up. The statistical population included all patients with irritable bowel syndrome who referred to Khorshid Hospital in Isfahan, Iran from September to November 2019. The samples were selected using the convenience sampling method. In total, 30 patients with irritable bowel syndrome were included in the study and randomly divided into two groups of intervention and control. The data were collected using Beck depression inventory, self-care questionnaire, and quality of life questionnaire. The intervention group received four sessions of self-efficacy training (one session per week for 90 min), while the control group did not receive any training. Two months later, the follow-up period was completed. The collected data were analyzed using repeated measures of analysis of variance in SPSS software (version 22). Results: The results showed that self-efficacy training was effective in decreasing depression (P<0.0001, F=35.39) and increasing quality of life (P<0.0001, F=120.30) and self-care behaviors (P<0.0001, F=70.50) in patients with irritable bowel syndrome. Conclusion: It can be concluded that training based on self-efficacy theory can effectively reduce depression and increase self-care behaviors and quality of life in patients with irritable bowel syndrome.

Download Full-text

Defense Mechanisms in Patients with Irritable Bowel Syndrome and Their Relationship with Symptom Severity and Quality of Life

Middle East Journal of Digestive Diseases ◽

10.15171/mejdd.2019.143 ◽

2019 ◽

Vol 11 (3) ◽

pp. 158-165

Author(s):

Fahimeh Saeed ◽

Mansour Salehi ◽

Kaveh Alavi ◽

Hossein Ajdarkosh ◽

Fatemeh Kashaninasab ◽

...

Keyword(s):

Quality Of Life ◽

Irritable Bowel Syndrome ◽

Defense Mechanisms ◽

Control Group ◽

Life Questionnaire ◽

Acting Out ◽

The Mean ◽

Irritable Bowel ◽

Passive Aggression

BACKGROUND Despite the fact that there is theoretical evidence about the association between unconscious defense mechanisms and irritable bowel syndrome (IBS), experimental evidence in this regard is limited. The aim of the present study was to compare the defense mechanisms used by the patients with IBS and a control group, and to investigate the relationship between these mechanisms with the severity of the disease and patients’ quality of life. METHODS Fourty-five patients with IBS (mean age of 37.1 years; 14 males) and 45 controls (mean age of 38.0 years; 13 males) were evaluated. IBS diagnosis was determined based on Rome III criteria and the predominant pattern of the disease was determined based on the patient’s history (13 diarrheapredominant, 16 constipation-predominant, and 16 alternating IBS). Defense Style Questionnaire-40, IBS Severity Scale, and IBS-Quality of Life questionnaire were used. RESULTS The mean scores of projection, acting-out, somatization, autistic fantasy, passive-aggression, and reaction formation in the IBS group were significantly higher than the control group and the mean scores of humor and anticipation mechanisms were higher in the control group. There was no significant correlation between the score of defense mechanisms and the severity of IBS and the patients’ quality of life. CONCLUSION The severity of immature defenses in the IBS group was significantly higher, whereas the severity of mature defenses was higher in the control group. These defenses were not correlated with the severity of IBS. Considering the limited sample size, these relationships need to be more investigated.

Download Full-text

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20170044 ◽

2017 ◽

Vol 6 (2) ◽

pp. 275 ◽

Cited By ~ 6

Author(s):

Ramesh Rooprai ◽

Naresh Bhat ◽

Rajesh Sainani ◽

Mayur M. Mayabhate

Keyword(s):

Quality Of Life ◽

Irritable Bowel Syndrome ◽

Dietary Habits ◽

Functional Constipation ◽

Life Questionnaire ◽

Comorbid Conditions ◽

Patient Assessment ◽

Stool Form ◽

Irritable Bowel

Background: Evaluate prevalence of functional constipation (FC) and irritable bowel syndrome-constipation (IBS-C) in Indian constipated patients and assess their demographic/socio-economic/clinical characteristics.Methods: Patients (≥18 years) who visited their general physician with symptoms of constipation (Rome III criteria for FC or IBS-C as per physician assessment) and willing to participate were enrolled in this prospective, clinical-epidemiological study. Demographic, socioeconomic status, lifestyle and dietary habits, comorbid conditions, treatment history, concomitant medications, stool form (Bristol stool form scale), severity of constipation (constipation scoring system [CSS]), constipation-related symptoms (patient assessment of constipation symptoms [PAC-SYM]) and quality of life (patient assessment of constipation-quality of life questionnaire [PAC-QoL]) were recorded.Results: Out of 925 constipated patients, 75.6% were diagnosed with FC against 24.4% with IBS-C (P < 0.0001). Patients of both subtypes had high average scores of PAC-SYM (FC: 27.1 ± 6; IBS-C: 30.1 ± 4.9) and CSS (FC: 8.4 ± 3.1; IBS-C: 11.2 ± 3), leading to high PAC-QoL score (FC: 38.1 ± 16.8; IBS-C: 42.2 ± 13.6). Hypertension (16%) and diabetes (10%) in patients with FC while acid peptic disorders (21.7%) amongst IBS-C patients were the most common comorbid conditions observed. Laxatives were the most common medication used; osmotic (32.6% versus 40.7%) and bulk laxatives (22.8% versus 37.4%) were the commonest laxatives. However, about 1/5th patients of FC were using home remedies.Conclusions: There was a higher prevalence of FC over IBS-C in Indian constipated patients; both subtypes had high frequency and severity of constipation-related symptoms and poor QoL.

Download Full-text