Empirical validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for suspected Lyme disease

التفاصيل البيبلوغرافية
العنوان: Empirical validation of the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for suspected Lyme disease
المؤلفون: Maryalice Citera, Richard I. Horowitz, Phyllis R. Freeman
المصدر: International Journal of General Medicine
بيانات النشر: Informa UK Limited, 2017.
سنة النشر: 2017
مصطلحات موضوعية: 0301 basic medicine, medicine.medical_specialty, 030106 microbiology, Babesia, factor analysis, International Journal of General Medicine, 03 medical and health sciences, PTLDS, Post-Treatment Lyme Disease Syndrome, Lyme disease, Cronbach's alpha, Internal medicine, medicine, MSIDS, Borrelia burgdorferi, Original Research, biology, business.industry, Discriminant validity, Construct validity, General Medicine, medicine.disease, biology.organism_classification, LYME, Convergent validity, Immunology, business, Multiple Systemic Infectious Disease Syndrome
الوصف: Purpose Lyme disease is spreading worldwide, with multiple Borrelia species causing a broad range of clinical symptoms that mimic other illnesses. A validated Lyme disease screening questionnaire would be clinically useful for both providers and patients. Three studies evaluated such a screening tool, namely the Horowitz Multiple Systemic Infectious Disease Syndrome (MSIDS) Questionnaire. The purpose was to see if the questionnaire could accurately distinguish between Lyme patients and healthy individuals. Methods Study 1 examined the construct validity of the scale examining its factor structure and reliability of the questionnaire among 537 individuals being treated for Lyme disease. Study 2 involved an online sample of 999 participants, who self-identified as either healthy (N=217) or suffering from Lyme now (N=782) who completed the Horowitz MSIDS Questionnaire (HMQ) along with an outdoor activity survey. We examined convergent validity among components of the scale and evaluated discriminant validity with the Big Five personality characteristics. The third study compared a sample of 236 patients with confirmed Lyme disease with an online sample of 568 healthy individuals. Results Factor analysis results identified six underlying latent dimensions; four of these overlapped with critical symptoms identified by Horowitz – neuropathy, cognitive dysfunction, musculoskeletal pain, and fatigue. The HMQ showed acceptable levels of internal reliability using Cronbach’s coefficient alpha and exhibited evidence of convergent and divergent validity. Components of the HMQ correlated more highly with each other than with unrelated traits. Discussion The results consistently demonstrated that the HMQ accurately differentiated those with Lyme disease from healthy individuals. Three migratory pain survey items (persistent muscular pain, arthritic pain, and nerve pain/paresthesias) robustly identified individuals with verified Lyme disease. The results support the use of the HMQ as a valid, efficient, and low-cost screening tool for medical practitioners to decide if additional testing is warranted to distinguish between Lyme disease and other illnesses.
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تدمد: 1178-7074
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a686d1f79c6164f770a8d3b5419a7700
https://doi.org/10.2147/ijgm.s140224
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....a686d1f79c6164f770a8d3b5419a7700
قاعدة البيانات: OpenAIRE