Medical Outcomes Study Pain Measures (MOS)

BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet

Test: Illness Behaviour Questionnaire (IBQ)

Year: 1975, 1983

Domain: Psychological

Assessment Tool Category: Pain

Variations/Translations: The original version contained 52 questions, the extended contains 62 items. A 30 item abbreviation has also been used.

Setting: Clinical

Method of Delivery: Self-administered questionnaire.

Description: The IBQ assesses maladaptive responses to illness, hypochondriacally responses, denial, and changes in affect. The test is self-administered that uses a yes/no response format. The IBQ is introduced to the patient as a survey containing “a number of questions about your illness and how it affects you”. These 62 questions are grouped into seven dimensions identified empirically via factor analysis.

Scoring/Interpretation: From the seven dimensions: General Hypochondriasis – A high score suggests an element of interpersonal alienation secondary to the patient’s phobic concern. Disease Conviction – Affirmation that physical disease exists with symptom preoccupation.

Time to Administer: N/A

Availability: Available in source article (Pilowsky & Spence, 1983).

Software: N/A

Website: N/A

Quantitative/Qualitative: Quantitative

Validity (Quantitative): Pilowsky reposted evidence for the validity of the 10 questions on hypochondriasis. The score (based on 118 patients) were compared with their spouses’ perceptions of what the patients’ responses would have been. A correlation of 0.65 was obtained. For the 62 item version, evidence for convergent and divergent validity was obtained from correlations with the Center for Epidemiologic Studies depression scale (CES-D). High Pearson correlations for effective disturbance were 0.55, 0.50 for disease conviction, and 0.47 for hypochondriasis.

Reliability (Quantitative): Test-retest correlations for the seven scales reported for 42 cases range from 0.67 to 0.87 (after 1 to 12 weeks), with only three coefficients below 0.84. The ten hypochondriasis items showed a test-retest correlation of 0.81 (N=71). Coefficient theta internal consistency for all scales ranged from 0.36 to 0.72 with an overall alpha of 0.62.

References:

Pilowsky, I., Spence, N.D., (1983). Manual for the illness behaviour questionnaire (IBQ). 2nd ed. Adelaide, Australia: University of Adelaide.

McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.

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