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Related Experiment Videos

The development of a cognitive scale for functional bowel disorders

B B Toner1, N Stuckless, A Ali

  • 1Women's Mental Health Research Programme, Clarke Institute of Psychiatry, Toronto, Ontario, Canada.

Psychosomatic Medicine
|August 26, 1998
PubMed
Summary

A new Cognitive Scale for Functional Bowel Disorders (FBD) was developed and validated. This reliable instrument accurately assesses cognitions in FBD patients, aiding in treatment and understanding.

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Area of Science:

  • Psychiatry
  • Gastroenterology
  • Psychometrics

Background:

  • Psychosocial factors significantly impact Functional Bowel Disorders (FBD).
  • Existing psychosocial measures lack validation for the FBD population.
  • International recommendations highlight the need for FBD-specific psychosocial instruments.

Purpose of the Study:

  • To develop a reliable and valid instrument for assessing cognitions in FBD patients.
  • To enhance understanding and treatment of FBD through a targeted cognitive assessment tool.

Main Methods:

  • Generated 204 items from patient thought diaries.
  • Refined items with international FBD expert consultation.
  • Administered a 95-item scale and validating questionnaires to 75 FBD patients.

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Main Results:

  • The final 25-item scale demonstrated high reliability (Cronbach's alpha = .93).
  • High concurrent validity (r = .71) with life interference due to bowel symptoms.
  • Acceptable convergent validity (r = .38) with the Dysfunctional Attitudes Scale.

Conclusions:

  • The Cognitive Scale for Functional Bowel Disorders is a valid and reliable assessment tool.
  • The scale can serve as an outcome measure for psychotherapeutic interventions in FBD.
  • It is a valuable assessment tool for healthcare professionals treating FBD patients.