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    The fibromyalgia bladder index

    Access Status
    Fulltext not available
    Authors
    Brand, K.
    Littlejohn, G.
    Kristjanson, Linda
    Wisniewski, S.
    Hassard, T.
    Date
    2007
    Type
    Journal Article
    
    Metadata
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    Citation
    Brand, Kaye and Littlejohn, Geoffrey and Kristjanson, Linda and Wisniewski, Stan and Hassard, Thomas. 2007. The fibromyalgia bladder index. Clinical Rheumatology. 26: pp. 2097-2103.
    Source Title
    Clinical Rheumatology
    DOI
    10.1007/s10067-007-0626-x
    ISSN
    07703198
    Faculty
    School of Nursing and Midwifery
    Faculty of Health Sciences
    Western Australian Centre for Cancer and Palliative Care (WACCP)
    School
    WA Centre for Cancer and Palliative Care (WACCPC)
    Remarks

    The original publication is available at : www.springerlink.com

    URI
    http://hdl.handle.net/20.500.11937/27956
    Collection
    • Curtin Research Publications
    Abstract

    AB The aim of this study was to determine whether an existing outcome measure, the Interstitial Cystitis Symptom and Problem Index (ICSI/ICPI), is a valid, reliable, and clinically relevant instrument to assess the sensory urinary symptoms in women with fibromyalgia syndrome (FM). Ninety women with American College of Rheumatology 90 FM and who had at least two sensory bladder symptoms participated in the study. All underwent urological screening to exclude lower urinary tract pathology. All participants completed the following: ICSI/ICPI, Fibromyalgia Impact Questionnaire (FIQ), Medical Outcome Study Short Form 36, King's Health Questionnaire (KHQ), and Vulval Symptom Assessment Scale. Assessment was made for internal consistency reliability, test-retest reliability, and concurrent validity. Factor analysis was used to assess the internal structure of the scale. Factor analysis displayed two separate components of symptom and problem combinations as distinct from the original ICSI/ICPI developed for the interstitial cystitis population. The eight items of the index configured differently and formed two subscales of a newly developed Fibromyalgia Bladder Index. The two subscales of this index include the Bladder Urgency and Pain Subscale and the Bladder Frequency and Nocturia Subscale. This index has high internal consistency reliability (Cronbach's alpha coefficient of 0.81), test-retest reliability showing intraclass correlation of 0.85, and high concurrent validity through correlations between the Fibromyalgia Bladder Index and the KHQ (0.735, p = 0.000) and the FIQ (0.433, p = 0.000). This more specific configuration of the ICSI/ICPI better reflects FM bladder symptomatology. The Fibromyalgia Bladder Index is a validated FM-specific instrument that captures information about the sensory bladder symptoms and their impact in this fibromyalgia population. This instrument should allow for better understanding and management of this important fibromyalgia-associated problem.

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