Use of the Functional Bowel Disorder Severity Index (FBDSI) in a study of patients with the irritable bowel syndrome and fibromyalgia
Abstract
Objective The purpose of this study was to evaluate the utility of the Functional Bowel Disorder Severity Index (FBDSI) as a measure of severity of disease among patients with the irritable bowel syndrome (IBS) and matched controls. Methods A total of 75 IBS patients and 69 matched controls completed questionnaires on bowel symptoms, health status, quality of life, psychological distress, concerns, anxiety, and sense of coherence. All participants also were tested for fibromyalgia (FS), a functional disorder of the musculoskeletal system. All participants were administered a questionnaire that included the FBDSI. On the basis of their responses to the questionnaire, the controls were subdivided as healthy controls (n = 48) or IBS nonpatients (n = 21). On the basis of the FS classification, 75 IBS patients were subdivided as IBS only (n = 50) or IBS and FS combined (n = 25). Results The mean FBDSI score was higher for the IBS patients than the controls (100.5+/-12.7 and 23.5+/-3.9, respectively; p Conclusions An association was found between the FBDSI and IBS patient status: IBS nonpatients, patients with IBS only, and patients with both IBS and fibromyalgia had increasingly severe scores. The results provide support for the validity of FBDSI as a measure of illness severity in functional gastrointestinal disorders.
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The same pattern of more severe disorders in patients with both IBS and FMS than in those with IBS only held true for the Sense of Coherence Index and the Functional Bowel Disorder Severity Index.
“The same pattern held true for the Sense of Coherence Index (a measure of coping ability)29 and the Functional Bowel Disorder Severity Index.30”
From Irritable Bowel Syndrome and Co-morbid Gastrointestinal and Extra-gastrointestinal Functional Syndromes (2010) · cites this paper as [30]
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- Authors
- Sperber, A. D., Carmel, S., Atzmon, Y., Weisberg, I., Shalit, Y., Neumann, L., Fich, A., Friger, M., & Buskila, D.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Venue
- The American Journal of Gastroenterology
- Published
- 2000-04
- Volume
- 95
- Issue
- 4
- Pages
- 995-998
- ISSN
- 0002-9270 (ISSN-L)
- 1572-0241
- OpenAlex
- W1977600628
- Cited by
- 88
- References
- 6
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 4 · 2012: 2
- FWCI
- 5.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- irritable bowel syndrome, fibromyalgia, disease severity assessment, functional gastrointestinal disorders, questionnaire validity, health status, quality of life, psychological distress, anxiety, sense of coherence
- MeSH terms
- Adult, Colonic Diseases, Functional, Female, Fibromyalgia, Health Services Misuse, Humans, Male, Middle Aged, Quality of Life, Sick Role, Comorbidity, Sickness Impact Profile
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