Yoon, KJ., Park, YB., Park, YJ. et al. Development and validation of a Lao Juan (劳倦) questionnaire., Chin. J. Integr. Med. 21, 500–506 (2015). https://doi.org/10.1007/s11655-015-2079-4
Kyu-Jin Yoon, Young-Bae Park, Young-Jae Park, et al. Development and validation of a Lao Juan (劳倦) questionnaire[J]. Chinese Journal of Integrative Medicine, 2015,21(7):500-506.
Yoon, KJ., Park, YB., Park, YJ. et al. Development and validation of a Lao Juan (劳倦) questionnaire., Chin. J. Integr. Med. 21, 500–506 (2015). https://doi.org/10.1007/s11655-015-2079-4DOI:
Kyu-Jin Yoon, Young-Bae Park, Young-Jae Park, et al. Development and validation of a Lao Juan (劳倦) questionnaire[J]. Chinese Journal of Integrative Medicine, 2015,21(7):500-506. DOI: 10.1007/s11655-015-2079-4.
Development and validation of a Lao Juan (劳倦) questionnaire
摘要
Lao Juan (LJ
劳倦) is a syndrome described in Chinese medicine (CM) that manifests with fatigue
fever
spontaneous sweating
indigestion
work-induced pain
weakness of the limbs
and shortness of breath. The present study was conducted to examine the reliability and validity of a Lao Juan Questionnaire (LJQ). A total of 151 outpatients and 73 normal subjects were asked to complete the LJQ. Seventy-three normal subjects were additionally asked to complete the Chalder Fatigue Scale (CFS). Twelve clinicians determined whether the 151 outpatients exhibited LJ or not. The internal consistency and construct validity for the LJQ were estimated using data from the outpatient subjects. The CFS data were used to examine the concurrent validity of the LJQ. Total LJQ scores and the clinicians᾿diagnoses of the outpatients were used to perform receiver operating characteristics (ROC) curve analyses and to define an optimum cut-off score for the LJQ. The 19-item LJQ had satisfactory internal consistency (α=0.828) and concurrent validity
with significant correlations between the LJQ and the CFS subscales. In the test of construct validity using principal component analysis
a total of six factors were extracted
and the overall variance explained by all factors was 59.5%. In ROC curve analyses
the sensitivity
specificity
and area under the curve were 76.0%
59.2%
and 0.709
respectively. The optimum cut-off score was defined as six points. Our results suggest that the LJQ is a reliable and valid instrument for evaluating LJ.
Abstract
Lao Juan (LJ
劳倦) is a syndrome described in Chinese medicine (CM) that manifests with fatigue
fever
spontaneous sweating
indigestion
work-induced pain
weakness of the limbs
and shortness of breath. The present study was conducted to examine the reliability and validity of a Lao Juan Questionnaire (LJQ). A total of 151 outpatients and 73 normal subjects were asked to complete the LJQ. Seventy-three normal subjects were additionally asked to complete the Chalder Fatigue Scale (CFS). Twelve clinicians determined whether the 151 outpatients exhibited LJ or not. The internal consistency and construct validity for the LJQ were estimated using data from the outpatient subjects. The CFS data were used to examine the concurrent validity of the LJQ. Total LJQ scores and the clinicians᾿diagnoses of the outpatients were used to perform receiver operating characteristics (ROC) curve analyses and to define an optimum cut-off score for the LJQ. The 19-item LJQ had satisfactory internal consistency (α=0.828) and concurrent validity
with significant correlations between the LJQ and the CFS subscales. In the test of construct validity using principal component analysis
a total of six factors were extracted
and the overall variance explained by all factors was 59.5%. In ROC curve analyses
the sensitivity
specificity
and area under the curve were 76.0%
59.2%
and 0.709
respectively. The optimum cut-off score was defined as six points. Our results suggest that the LJQ is a reliable and valid instrument for evaluating LJ.
关键词
Chinese MedicineChronic Fatigue SyndromeChinese medicine-pattern
Keywords
Chinese MedicineChronic Fatigue SyndromeChinese medicine-pattern
references
Fernández A, Pérez Martín A, Izquierdo Martínez M, ArrutiBustillo M, Barbado Hernández FJ, de la Cruz Labrado J, et al. Chronic fatigue syndrome: etiology, diagnosis and treatment. Psychiatry 2009;9(Suppl):S1.
Chen M. The epidemiology of self-perceived fatigue among adults. Prev Med 1986;15:74᾿1.
Griffith JP, Zarrouf FA. A systemic review of chronic fatigue syndrome: don’t assume it’s depression. J Clin Psychiatry 2008;10:120᾿28.
Zou J, Tian D, Cong L, eds. Diagnostics of traditional Chinese medicine: differentiation of syndromes according to pathologic changes of the viscera and their interrelations. Shanghai: Shanghai University Press of Traditional Chinese Medicine;1999:313᾿52.
Zhang E, Shi L, Zhang W, eds. Basic theory of traditional Chinese medicine (II): pathogenic factors. Shanghai: Shanghai University Press of Traditional Chinese Medicine;1999: 36᾿7.
Li G. Dongyuanshishu (东垣十书). Seoul: Daesung Moonwhasa Press;1983.
Mastrangelo G, Perticaroli S, Camipo G, Priolo G, Leva A, de Merich D, et al. Working and health conditions and preventive measures in a random sample of 5000 workers in the Veneto Region examined by telephone interview. Med Lav 2008;99(Suppl 1):9᾿0.
Centers for disease control and prevention. Chronic fatigue syndrome. Available at:www.cdc.gov/cfs. Accessed Jul 8, 2011.
Yang WY, Wang HM, Yan HB, eds. Diagnosis of Chinese medicine: Zhang-Fu pattern identification. Beijing: People’s Medical Publishing House;2002:695᾿96.
Hu B, An HM, Shen KP. Pharmacological study of Buzhong Yiqi Decoction: a review. J Integr Chin Med (Chin) 2008;6:752᾿55.
Yoon KJ, Park YJ, Park YB, Lee SC, Oh HS. Development of questionnaire for pathogenesis analysis of Bojungikgitang symptom. J Kor Inst Orient Med Diagn (Kor) 2007;11:61᾿1.
Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res 1993;37:147᾿53.
Park CK, Lee S, Park HJ, Baik YS, Park YB, Park YJ. Autonomic function, voice, and mood states. Clin Auton Res 2011;21:103᾿10.
Goldberg DP, Williams P, eds. A users guide to the General Health Questionnaire. Windsor: NFER-Nelson, 1988.
Yun YH, Wang XS, Lee JS, Roh JW, Lee CG, Lee WS, et al. Validation study of the Korean version of the Brief Fatigue Inventory. J Pain Symptom Manage 2005;29:165᾿72.
Lee BK, Park YB, Kim TH, eds. Textbook of oriental medicine: differential diagnosis. Seoul: Sungbosa Press;1988:205᾿06.
Zou J, Tian D, Cong L, eds. Basic theory of traditional Chinese medicine (I): Five viscera. Shanghi: Shanghi University Press of Traditional Chinese Medicine;1999:88᾿3.
Hong WS, ed. History of Chinese medicine: traditional Chinese medicine of the Jin-Yuan Dynasty. Seoul: The Institute for Oriental Medicine;1984:198᾿00.
Patient-reported outcomes (pros): An approach to evaluate treatment efficacy of Chinese medicine or integrative medicine
Future view and development of immunology: Exploring the immunology based on Chinese medicine and culture
Cost-effectiveness analysis of combined Chinese medicine and Western medicine for ischemic stroke patients
Objective tongue inspection on 142 liver cancer patients with damp-heat syndrome
Effect of Ermiao Recipe (二妙方) with medicinal guide Angelicae Pubescentis Radix on promoting the homing of bone marrow stem cells to treat cartilage damage in osteoarthritis rats
相关作者
暂无数据
相关机构
Research and Development Division, School of Chinese Medicine, Hong Kong Baptist University
Georg-August-Universität Göttingen, Göttingen
The Key Laboratory of Geriatrics, Beijing Hospital and Beijing Institute of Geriatrics’ Ministry of Public Health
Medical Informatics Center, Peking University
Department of Hospital Management, Peking University Health Science Center, Peking University