Abstract
Background
Instruments for measuring the presence and severity of specific irritable bowel syndrome (IBS) symptoms, comparable to those used in Western countries, have been lacking in Japan. The aim of this study was to develop, validate, and confirm the reliability of the Japanese version of the Rome II modular questionnaire for IBS (RIIMQ-J) and the IBS severity index (IBSSI-J).
Methods
Forty-nine patients in the university hospital with chronic or recurrent abdominal pain and discomfort and/or altered bowel habits were enrolled. With Rome II criteria, 27 patients were diagnosed as having IBS, and the other 22 patients were evaluated as having other functional bowel disorders (FBDs). The English versions of RIIMQ and IBSSI were translated into Japanese. After back-translation and approval of the questionnaire, subjects completed both questionnaires twice within 14 days.
Results
Cronbach's alpha of the RIIMQ-J was high (0.72). The sensitivity of RIIMQ-J for the diagnosis of IBS was also high (89%). The specificity of RIIMQ-J for denial of IBS among patients with other FBD was satisfactory (73%). The IBSSI-J showed high internal consistency (0.69) and reproducibility (intraclass correlation coefficient, 0.86, P < 0.001).
Conclusions
The RIIMQ-J and IBSSI-J are valid, reliable, and appropriate instruments for detecting and assessing the severity of IBS status in Japanese patients.
Similar content being viewed by others
References
DA Drossman WE Whitehead M Camilleri (1997) ArticleTitleIrritable bowel syndrome: a technical review for practice guideline development Gastroenterology 112 2120–37 Occurrence Handle9178709 Occurrence Handle1:STN:280:DyaK2szit1Smtw%3D%3D Occurrence Handle10.1053/gast.1997.v112.agast972120
WG Thompson GF Longstreth DA Drossman KW Heaton EJ Invine SA Muller-Lissner (1999) ArticleTitleFunctional bowel disorders and functional abdominal pain Gut 45 IssueIDSuppl II II43–7 Occurrence Handle10457044 Occurrence Handle10.1136/gut.45.2008.ii43
PM Boyce NA Koloski NJ Talley (2000) ArticleTitleIrritable bowel syndrome according to varying diagnostic criteria: are the new Rome II criteria unnecessarily restrictive for research and practice? Am J Gastroenterol 95 3176–83 Occurrence Handle11095338 Occurrence Handle1:STN:280:DC%2BD3M%2FnsFKisA%3D%3D Occurrence Handle10.1111/j.1572-0241.2000.03197.x
DA Drossman NJ Talley WE Whitehead E Corazziari (2000) Research diagnostic questions for functional gastrointestinal disorders: Rome II modular questionnaire: investigations and respondent forms DA Drossman E Corazziari NJ Talley WG Thompson (Eds) Rome II: the functional gastrointestinal disorders EditionNumber2nd ed. Degnon Associates McLean, VA 669–714
WG Thompson EJ Irvine P Pare S Ferrazzi L Rance (2002) ArticleTitleFunctional gastrointestinal disorders in Canada: first population-based survey using Rome II criteria with suggestions for improving the questionnaire Dig Dis Sci 47 225–35 Occurrence Handle11837727 Occurrence Handle1:STN:280:DC%2BD387gsV2hsg%3D%3D Occurrence Handle10.1023/A:1013208713670
SD Parry R Stansfield D Jelley W Gregory E Phillips JR Barton et al. (2003) ArticleTitleDoes bacterial gastroenteritis predispose people to functional gastrointestinal disorders? A prospective, community-based, case–control study Am J Gastroenterol 98 1970–5 Occurrence Handle14499773
DA Drossman Z Li BB Toner NE Diamant FH Creed D Thompson et al. (1995) ArticleTitleFunctional bowel disorders. A multicenter comparison of health status and development of illness severity index Dig Dis Sci 40 986–95 Occurrence Handle7729289 Occurrence Handle1:STN:280:DyaK2M3ks1GrsQ%3D%3D Occurrence Handle10.1007/BF02064187
CY Francis J Morris PJ Whorwell (1997) ArticleTitleThe irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress Aliment Pharmacol Ther 11 395–402 Occurrence Handle9146781 Occurrence Handle1:STN:280:DyaK2s3pt1answ%3D%3D Occurrence Handle10.1046/j.1365-2036.1997.142318000.x
J Svedlund I SjodIn G Dotevall (1988) ArticleTitleGSRS—a clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease Dig Dis Sci 33 129–34 Occurrence Handle3123181 Occurrence Handle1:STN:280:DyaL1c7htV2htg%3D%3D Occurrence Handle10.1007/BF01535722
M Kanazawa Y Endo WE Whitehead M Kano M Hongo S Fukudo (2004) ArticleTitlePatients and nonconsulters with irritable bowel syndrome reporting a parental history of bowel problems have more impaired psychological distress Dig Dis Sci 49 1046–53 Occurrence Handle15309899 Occurrence Handle10.1023/B:DDAS.0000034570.52305.10
WE Whitehead OS Palsson RL Levy AD Feld M Von Korff DA Drossman et al. (2003) ArticleTitleAgreement of Rome criteria with clinical diagnosis of irritable bowel syndrome (IBS) Gastroenterology 124 A397 Occurrence Handle10.1053/gast.2003.50110
PO Vandvik L Aabakken PG Farup (2004) ArticleTitleDiagnosing irritable bowel syndrome: poor agreement between general practitioners and the Rome II criteria Scand J Gastroenterol 39 448–53 Occurrence Handle15180182 Occurrence Handle1:STN:280:DC%2BD2c3otVWnug%3D%3D Occurrence Handle10.1080/00365520310008782
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shinozaki, M., Kanazawa, M., Sagami, Y. et al. Validation of the Japanese version of the Rome II modular questionnaire and irritable bowel syndrome severity index. J Gastroenterol 41, 491–494 (2006). https://doi.org/10.1007/s00535-006-1799-9
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00535-006-1799-9