Dyspepsia: how should we measure it?

Abstract:

:This study developed and validated a multidimensional measure of dyspepsia. A questionnaire was administered to 126 patients with dyspepsia who presented for care at a VA outpatient clinic and a family physician's private office. Dyspepsia-specific health was measured by self-report using: (1) an existing dyspepsia scale that produces an aggregate score by summing ratings across pain and non-pain symptoms; (2) adaptations of two scales originally designed to measure back pain; and (3) a new scale measuring satisfaction with dyspepsia-related health. Generic health was measured using the SF-36. Results from factor analysis revealed four dimensions of dyspepsia-related health: pain intensity, pain disability, non-pain symptoms, and satisfaction with dyspepsia-related health. After refinements, scales representing the four dimensions conformed to psychometric standards for reliability, and convergent and discriminant validity. The importance of measuring dyspepsia using a multidimensional approach was confirmed by demonstrating that classification of dyspepsia severity depended on the dimension that was assessed. We conclude that dyspepsia is best measured using a multidimensional approach.

journal_name

J Clin Epidemiol

authors

Kuykendall DH,Rabeneck L,Campbell CJ,Wray NP

doi

10.1016/s0895-4356(97)00245-x

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

99-106

issue

2

eissn

0895-4356

issn

1878-5921

pii

S089543569700245X

journal_volume

51

pub_type

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