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Gastrointestinal specific anxiety in irritable bowel syndrome: validation of the Japanese version of the visceral sensitivity index for university students


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Title: Gastrointestinal specific anxiety in irritable bowel syndrome: validation of the Japanese version of the visceral sensitivity index for university students
Authors: Saigo, Tatsuo / Tayama, Jun / Hamaguchi, Toyohiro / Nakaya, Naoki / Tomiie, Tadaaki / Bernick, Peter J / Kanazawa, Motoyori / Labus, Jennifer S / Naliboff, Bruce D / Shirabe, Susumu / Fukudo, Shin
Issue Date: 21-Mar-2014
Publisher: BioMed Central
Citation: BioPsychoSocial Medicine, 8(1), 10; 2014
Abstract: Objective: The visceral sensitivity index (VSI) is a useful self-report measure of the gastrointestinal symptom-specific anxiety (GSA) of patients with irritable bowel syndrome (IBS). Previous research has shown that worsening GSA in IBS patients is related to the severity of GI symptoms, suggesting that GSA is an important endpoint for intervention. However, there is currently no Japanese version of the VSI. We therefore translated the VSI into Japanese (VSI-J) and verified its reliability and validity.Material and methods: Participants were 349 university students aged 18 and 19 years and recruited from an academic class. We analyzed data from the VSI-J, Anxiety Sensitivity Index (ASI), Hospital Anxiety and Depression scale (HAD), and Irritable Bowel Syndrome Severity Index (IBS-SI). The internal consistency, stability, and factor structure of the VSI-J and its associations with anxiety, depression and severity measures were investigated.Results: The factor structure of the VSI-J is unidimensional and similar to that of the original VSI (Cronbach's α = 0.93). Construct validity was demonstrated by significant correlations with ASI (r = 0.43, p < 0.0001), HAD-ANX (r = 0.19, p = 0.0003), and IBS-SI scores (r = 0.45, p < 0.0001). Furthermore, the VSI-J was a significant predictor of severity scores on the IBS-SI and demonstrated good discriminant (p < 0.0001) and incremental (p < 0.0001) validity.Conclusion: These findings suggest that the VSI-J is a reliable and valid measure of visceral sensitivity.
Keywords: Gastrointestinal-specific anxiety / Irritable bowel syndrome (IBS) / Motility / Psychosomatics / Validation / Visceral sensitivity index (VSI)
URI: http://hdl.handle.net/10069/34447
ISSN: 17510759
DOI: 10.1186/1751-0759-8-10
Rights: © 2014 Saigo et al.; licensee BioMed Central Ltd. / This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/34447

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