TAILIEUCHUNG - báo cáo hóa học: " Development of a self-reporting tool to obtain a "

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí hóa học quốc tế đề tài : Development of a self-reporting tool to obtain a | Vallejo et al. Health and Quality of Life Outcomes 2010 8 2 http content 8 1 2 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Development of a self-reporting tool to obtain a Combined Index of Severity of Fibromyalgia ICAF Miguel A Vallejo1 3 Javier Rivera23 Joaquim Esteve-Vives33 Group ICAF Abstract Background Fibromyalgia is a syndrome with heterogeneous symptoms. The evaluation in the clinical setting usually fails to cover the complexity of the syndrome. This study aims to determine how different aspects of fibromyalgia are inter-related when measured by means of a self-reporting tool. The objective is to develop a more complete evaluation model adjusted to the complexity and multi-dimensional nature of the syndrome. Methods Application was made of the Fibromyalgia Impact Questionnaire the Hospital Anxiety and Depression Scale the Brief Pain Inventory the Fatigue Assessment Scale the Health Assessment Questionnaire the General Health Questionnaire GHQ-28 the Chronic Pain Coping Inventory the Arthritis Self-efficacy Scale and the Sleep Quality Scale. An assessment was made on the basis of clinical interviews case histories and specific tests of the patient sociodemographic data comorbidity physical exploration and other clinical indexes. An exploratory factor analysis was made with comparisons of the clinical index scores in extreme groups of patients. Results The ICAF composed of 59 items was obtained offering four factors that explain 64 of the variance and referred to as Emotional Factor Physical-Activity 15 Active Coping 9 and Passive Coping . A t-test between the extreme scores of these factors in the 301 patients revealed statistically significant differences in occupational status medically unexplained syndromes number of tender points the six-minutes walk test comorbidity and health care costs. Conclusions This study offers a tool allowing more complete and rapid evaluation of patients with fibromyalgia. The test .

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