Description

Dyspepsia is a feeling of upper abdominal pain or discomfort and can be assessed by use of a multidimensional questionnaire. The following instrument consists of 4 scales measuring different aspects of dyspepsia and its impact on patients. Initially starting with 18 questions, 4 were discarded and 14 were used in the final version.


 

4 Scales with 14 questions:

(1) severity of common symptoms (non pain symptom scale): 7 questions

(2) pain intensity: 2 questions

(3) pain disability: 3 questions

(4) satisfaction with dyspepsia-related health: 2 questions

 

The 7 common symptoms (burping, heartburn, bloating, passing gas, sour taste, nausea and bad breath) are graded from no problem (1 point) to very severe problem (5 points).

 

where:

• Mild problem: can be ignored when you do not think about it.

• Moderate problem: cannot be ignored but does not influence daily activities.

• Severe problem: influences your concentration on daily activities.

• Very severe problem: markedly influences your daily activities and/or requires rest.

 

The 2 pain intensity questions were 10 cm VAS anchored at no discomfort (0 cm) to extreme discomfort (10 cm):

(1) worst abdominal discomfort

(2) average abdominal discomfort

 

The 3 pain disability questions were 10 cm VAS anchored at no interference or change (0 cm) to extreme interference or change (10 cm) associated with the abdominal discomfort:

(1) interference with daily activities

(2) ability to participate in recreational, social or family activities

(3) ability to work

 

The 2 questions dealing with dyspepsia-related health (satisfaction, pleased about level of control) were graded from definitely true (1 point) to definitely false (5 points).

 

Interpretation:

• responses to each scale is linearly transformed to a 0 to 100 range, with 0 indicating most severe and 100 least severe symptoms

• more severe dyspepsia has a score of 50 or less

• less severe dyspepsia has a score of 51-100

 

Equations to convert scores to 0-100 range

 

severity of common symptoms (non pain symptom scale) =

= (-100 / 28 * (score)) + (3500/28)

 

pain intensity =

= (-5 * (score)) + (100)

 

pain disability =

= (-10 / 3 * (score)) + (100)

 

satisfaction with dyspepsia-related health =

= (-25 / 2 * (score)) + (125)

 


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