Journal of Gastroenterology

, Volume 41, Issue 5, pp 491–494 | Cite as

Validation of the Japanese version of the Rome II modular questionnaire and irritable bowel syndrome severity index

  • Masae Shinozaki
  • Motoyori Kanazawa
  • Yasuhiro Sagami
  • Yuka Endo
  • Michio Hongo
  • Douglas A. Drossman
  • William E. Whitehead
  • Shin Fukudo
Rapid communication

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.

Key words

irritable bowel syndrome (IBS) Rome II modular questionnaire (RIIMQ) IBS severity index (IBSSI) validation study. 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Drossman, DA, Whitehead, WE, Camilleri, M 1997Irritable bowel syndrome: a technical review for practice guideline developmentGastroenterology112212037PubMedCrossRefGoogle Scholar
  2. 2.
    Thompson, WG, Longstreth, GF, Drossman, DA, Heaton, KW, Invine, EJ, Muller-Lissner, SA 1999Functional bowel disorders and functional abdominal painGut45II437PubMedCrossRefGoogle Scholar
  3. 3.
    Boyce, PM, Koloski, NA, Talley, NJ 2000Irritable bowel syndrome according to varying diagnostic criteria: are the new Rome II criteria unnecessarily restrictive for research and practice?Am J Gastroenterol95317683PubMedCrossRefGoogle Scholar
  4. 4.
    Drossman, DA, Talley, NJ, Whitehead, WE, Corazziari, E 2000

    Research diagnostic questions for functional gastrointestinal disorders: Rome II modular questionnaire: investigations and respondent forms

    Drossman, DACorazziari, ETalley, NJThompson, WG eds. Rome II: the functional gastrointestinal disorders2nd ed.Degnon AssociatesMcLean, VA669714
    Google Scholar
  5. 5.
    Thompson, WG, Irvine, EJ, Pare, P, Ferrazzi, S, Rance, L 2002Functional gastrointestinal disorders in Canada: first population-based survey using Rome II criteria with suggestions for improving the questionnaireDig Dis Sci4722535PubMedCrossRefGoogle Scholar
  6. 6.
    Parry, SD, Stansfield, R, Jelley, D, Gregory, W, Phillips, E, Barton, JR,  et al. 2003Does bacterial gastroenteritis predispose people to functional gastrointestinal disorders? A prospective, community-based, case–control studyAm J Gastroenterol9819705PubMedGoogle Scholar
  7. 7.
    Drossman, DA, Li, Z, Toner, BB, Diamant, NE, Creed, FH, Thompson, D,  et al. 1995Functional bowel disorders. A multicenter comparison of health status and development of illness severity indexDig Dis Sci4098695PubMedCrossRefGoogle Scholar
  8. 8.
    Francis, CY, Morris, J, Whorwell, PJ 1997The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progressAliment Pharmacol Ther11395402PubMedCrossRefGoogle Scholar
  9. 9.
    Svedlund, J, SjodIn, I, Dotevall, G 1988GSRS—a clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer diseaseDig Dis Sci3312934PubMedCrossRefGoogle Scholar
  10. 10.
    Kanazawa, M, Endo, Y, Whitehead, WE, Kano, M, Hongo, M, Fukudo, S 2004Patients and nonconsulters with irritable bowel syndrome reporting a parental history of bowel problems have more impaired psychological distressDig Dis Sci49104653PubMedCrossRefGoogle Scholar
  11. 11.
    Whitehead, WE, Palsson, OS, Levy, RL, Feld, AD, Von Korff, M, Drossman, DA,  et al. 2003Agreement of Rome criteria with clinical diagnosis of irritable bowel syndrome (IBS)Gastroenterology124A397CrossRefGoogle Scholar
  12. 12.
    Vandvik, PO, Aabakken, L, Farup, PG 2004Diagnosing irritable bowel syndrome: poor agreement between general practitioners and the Rome II criteriaScand J Gastroenterol3944853PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Masae Shinozaki
    • 1
  • Motoyori Kanazawa
    • 1
  • Yasuhiro Sagami
    • 2
  • Yuka Endo
    • 2
  • Michio Hongo
    • 3
  • Douglas A. Drossman
    • 4
  • William E. Whitehead
    • 4
  • Shin Fukudo
    • 1
  1. 1.Department of Behavioral MedicineTohoku University Graduate School of MedicineSendaiJapan
  2. 2.Department of Psychosomatic MedicineTohoku University Graduate School of MedicineSendaiJapan
  3. 3.Department of Comprehensive MedicineTohoku University Graduate School of MedicineSendaiJapan
  4. 4.Center for Functional GI & Motility DisordersUniversity of North Carolina at Chapel HillChapel HillUSA

Personalised recommendations