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Review article: self-report measures to evaluate constipation.

G L McCrea1, C Miaskowski, N A Stotts

  • 1Department of Physiological Nursing, University of California, San Francisco, CA, USA. lindsay.mccrea@ucsf.edu

Alimentary Pharmacology & Therapeutics
|January 29, 2008
PubMed
Summary
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Patient self-report is crucial for evaluating constipation. The Chinese Constipation Questionnaire and Patient Assessment of Constipation-Symptom Questionnaire show promise, but more research is needed for comprehensive adult constipation measures.

Area of Science:

  • Gastroenterology
  • Clinical Epidemiology
  • Health Outcomes Research

Background:

  • Constipation is a subjective condition requiring patient self-report for accurate evaluation.
  • Validated and reliable constipation measures are vital for diagnosis, severity assessment, and treatment efficacy.
  • Standardized assessment tools are essential for consistent clinical practice and research.

Purpose of the Study:

  • To systematically compare and contrast existing self-report constipation measures.
  • To evaluate measures based on their development, content, characteristics, psychometric properties, and clinical utility.
  • To identify the most suitable patient self-report instruments for assessing constipation.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (MEDLINE, CINAHL, Cochrane, Web of Science) from 1966 to 2007.

Related Experiment Videos

  • Inclusion criteria specified self-report measures exclusively for constipation, psychometric testing, adult use, and English language.
  • Seven distinct self-report constipation measures were identified for analysis.

    • Main Results:

    • Significant variation exists in the content areas covered by the identified constipation measures.
    • Only two of the seven measures demonstrated adequate validity, reliability, and sensitivity to change.
    • Limited psychometric validation across multiple samples was observed for most measures.

    Conclusions:

    • The Chinese Constipation Questionnaire and the Patient Assessment of Constipation-Symptom Questionnaire exhibit adequate psychometric properties.
    • Further research is recommended to develop or enhance a more comprehensive self-report measure for adult constipation.
    • Improved assessment tools are needed to better evaluate constipation in clinical and research settings.