A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?

Creamer, Felicity; Orlando, A.; Brunner, M. J.; Buntzen, Steen; Dennis, A. R.; Gómez-Fernández, Laura; Handtrack, Claudia; Hanly, Ann; Matzel, Klaus E.; Duyos, Arantxa Muñoz; Meurette, G.; O’Connell, P. Ronan; Alonso, Cristina Pérez; Ribas, Yolanda; Rydningen, Mona; Wyart, Vincent; Vaizey, C. J.; Maeda, Yasuko

doi:10.1007/s00384-021-03836-7

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…An additional unexpected finding was that a non-negligible number of women in the control group also experienced some form of pelvic floor dysfunction that they did not disclose to any healthcare professional. This was probably related to the well-known fact that women with PFD frequently do not consult with their physician for fear of disclosing symptoms that they perceive as embarrassing [ 29 , 30 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Molina-Barea,

Slim,

Calandre

2024

Healthcare

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Pelvic floor dysfunction comprises various disorders, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and chronic pelvic pain. This study aimed to evaluate health-related quality of life (HRQoL), anxiety, depression, sleep disturbance, and sexual functioning in women with pelvic floor dysfunction of colorectal etiology compared with control women. Patients were recruited from a specialized colorectal unit and controls were selected from among the patients’ friends and relatives. Sociodemographic and clinical data were collected. Pelvic floor dysfunction distress and impact, HRQoL, depression, anxiety, insomnia, and sexual functioning were assessed using the following validated questionnaires: Short-Form Pelvic Floor Distress Inventory (PFDI-20), Short Form Pelvic Floor Impact Questionnaire (PFIQ-7), 36-Item Short-Form Health Survey (SF-36), Beck Depression Inventory II (BDI-II), Beck Anxiety Inventory (BAI), Insomnia Severity Index (ISI), and Changes in Sexual Functioning Scale (CSFQ). Statistical analyses included Welch’s t-test, Fisher’s exact test, and Spearman’s correlation coefficients. Eighty-four patients and 57 controls were included. Compared with controls, patients were more likely to be obese or overweight, have had higher numbers of deliveries, more vaginal deliveries, more frequent use of forceps, and have had more associated comorbidities, mainly in the urinary, neurological, and psychiatric domains. As expected, patients scored significantly higher than controls on both the PFDI-20 and PFIQ-7 and their respective sub-scales, with the highest mean values in the patient group on the sub-scales related to the colorectal–anal domain. QoL, depression, anxiety, insomnia, and sexual functioning were significantly worse in patients than in controls (p < 0.0001 in every case). In patients, PFIQ-7 scores correlated significantly with HRQoL (p < 0.001 for the physical component and p < 0.01 for the mental component), depression (p < 0.001), anxiety (p < 0.001), insomnia (p < 0.05), and sexual functioning scores (p < 0.05). Colorectal pelvic floor dysfunction had a markedly deleterious impact on the HRQoL, depression, anxiety, sleep disturbance, and sexual functioning of patients. It is concluded that colorectal pelvic floor dysfunction exerts a considerable burden on patients’ lives. Addressing these issues in clinical settings could significantly improve patients’ well-being.

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Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Molina-Barea,

Slim,

Calandre

2024

Healthcare

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Translation and validation of the international consultation on incontinence questionnaire—Bowel in Danish men and women with pelvic floor disorders

Due,

Hulbaek,

Majgaard

et al. 2024

Neurourology and Urodynamics

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BackgroundWe lack a comprehensive validated Danish questionnaire to evaluate symptoms and bother regarding anal incontinence (AI). The International Consultation on Incontinence Questionnaire‐Bowel (ICIQ‐B) is an internationally recommended questionnaire containing 21 items, of which 17 are scored in three subscales: bowel pattern, bowel control, and quality of life.AimsTo translate the ICIQ‐B into Danish and to validate the Danish version in pelvic floor disorder (PFD) patients with and without AI.MethodsThe ICIQ‐B was translated by a panel of healthcare professionals followed by cognitive interviews with PFD patients attending an outpatient clinic. Revisions were undertaken using an iterative process, and a backward translation was performed for the final version. Pretesting and test‐retest of the ICIQ‐B were done online and administrated together with the St. Mark's score. Content, structural, convergent and discriminant validity were assessed, followed by an evaluation of relative and absolute reliability, including the smallest real difference (SRD).ResultsThirty cognitive patient interviews were performed, resulting in three revisions. The Danish ICIQ‐B was found to be comprehensible and relevant but lacked items addressing the psychological impact of bowel problems. The ICIQ‐B was completed online by 227 PFD patients with and without AI. The structural validity of the bowel pattern subscale could not be retrieved. Patients indicating AI had significantly higher ICIQ‐B and St. Mark's scores than patients without AI, and ICIQ‐B subscale scores correlated moderately with St. Mark's scores.Internal consistency was good except for the bowel pattern subscale. Seventy‐six patients completed test‐retest. Relative reliability was excellent for subscale scores and moderate or good for single items except for the item concerning stool consistency, which was weak. The SRD was found to be 2.8 for the bowel pattern subscale, 4.3 for bowel control subscale, and 3.6 for the quality‐of‐life subscale.ConclusionThe Danish version of the ICIQ‐B can be used for Danish patients with PFD, and discriminant validity is good. The structural validity and the internal consistency of the bowel pattern subscale are questionable, indicating that some items do not represent the underlying construct. Test‐retest reliability of the ICIQ‐B is acceptable, but the change needed to reflect a real change above the measurement error in each subscale is three to four points.

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The impact of anal incontinence: psychosocial and sexual consequences and factors associated with QoL in a Norwegian outpatient population

Saga,

Follestad,

Blekken

2024

Scandinavian Journal of Gastroenterology

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A European snapshot of psychosocial characteristics and patients’ perspectives of faecal incontinence—do they correlate with current scoring systems?

Cited by 3 publications

References 30 publications

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Translation and validation of the international consultation on incontinence questionnaire—Bowel in Danish men and women with pelvic floor disorders

The impact of anal incontinence: psychosocial and sexual consequences and factors associated with QoL in a Norwegian outpatient population

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