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01.06.2019 | Original Article

Development and Validation of RLS Diagnostic Questionnaire for Indian Population

verfasst von: Ravi Gupta, Richard P. Allen, Ramjan Ali

Erschienen in: Sleep and Vigilance | Ausgabe 1/2019

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Abstract

Purpose

Restless legs syndrome is a common condition affecting nearly 2% Indian population. Certain questionnaires for screening or diagnostic purpose have been developed in the West, and they were translated to Hindi. However, those questionnaires have been found to have limitations in Indian context considering the cultural effect on vocabulary for the description of symptoms.

Method

Based on the IRLSSG criteria, a 12-item questionnaire was developed. Most of the items had dichotomous responses. This questionnaire was tested in subjects having RLS. Control group consisted of subjects suffering from clinically significant anxiety, myalgia of legs, arthralgia in legs, burning feet syndrome, nocturnal leg cramps and somatic symptoms disorder persistent pain type; conditions that could mimic RLS. Face validity and content validity were examined. Internal consistency of the questionnaire was assessed. Diagnostic outcome from the new questionnaire was assessed against clinical diagnosis, which is considered as gold standard at present.

Results

This study included 49 cases of RLS and 44 subjects in control group. Female preponderance was noted in both groups (69.4% in RLS group and 63.6% in control group; P = 0.55). Mean age of subjects in both groups was comparable (38.1 ± 2.3 years in RLS and 40.1 ± 2.5 years in control group; P = 0.10). New diagnostic questionnaire had sensitivity of 73.4% (95% CI = 58.9–85.0) and specificity of 88.6% (95% CI = 75.4–96.2). Positive predictive value was 87.8% (95% CI = 75.6–94.3%) and negative predictive value was 75% (95% CI = 65–82.8) with the diagnostic accuracy of 80.6% (95% CI = 71.1–88.1). New questionnaire correlated well with clinical diagnosis (r = 0.62; P < 0.001).

Conclusion

This questionnaire is a short and reliable method for diagnosis of RLS in Indian population.
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Literatur
1.
Zurück zum Zitat Allen RP, Picchietti DL, Garcia-Borreguero D, Ondo WG, Walters AS, Winkelman JW, et al. Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria – history, rationale, description, and significance. Sleep Med. 2014;15:860–73.CrossRefPubMed Allen RP, Picchietti DL, Garcia-Borreguero D, Ondo WG, Walters AS, Winkelman JW, et al. Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria – history, rationale, description, and significance. Sleep Med. 2014;15:860–73.CrossRefPubMed
2.
Zurück zum Zitat Koo BB. Restless legs syndrome: relationship between prevalence and latitude. Sleep Breath. 2012;16:1237–45.CrossRefPubMed Koo BB. Restless legs syndrome: relationship between prevalence and latitude. Sleep Breath. 2012;16:1237–45.CrossRefPubMed
3.
Zurück zum Zitat American Academy of Sleep Medicine. International Classification of Sleep Disorders. 3rd ed. Darian: American Academy of Sleep Medicine; 2014. American Academy of Sleep Medicine. International Classification of Sleep Disorders. 3rd ed. Darian: American Academy of Sleep Medicine; 2014.
4.
Zurück zum Zitat Rangarajan S, Rangarajan S, D’Souza GA. Restless legs syndrome in an Indian urban population. Sleep Med. 2007;9:88–93.CrossRefPubMed Rangarajan S, Rangarajan S, D’Souza GA. Restless legs syndrome in an Indian urban population. Sleep Med. 2007;9:88–93.CrossRefPubMed
5.
Zurück zum Zitat Gupta R, Ulfberg J, Allen RP, Goel D. High prevalence of restless legs syndrome/Willis Ekbom Disease (RLS/WED) among people living at high altitude in the Indian Himalaya. Sleep Med. 2017;35:7–11.CrossRefPubMed Gupta R, Ulfberg J, Allen RP, Goel D. High prevalence of restless legs syndrome/Willis Ekbom Disease (RLS/WED) among people living at high altitude in the Indian Himalaya. Sleep Med. 2017;35:7–11.CrossRefPubMed
6.
Zurück zum Zitat Walters AS, Rye DB. Evidence continues to mount on the relationship of restless legs syndrome/periodic limb movements in sleep to hypertension, cardiovascular disease, and stroke. Sleep. 2010;33:287.CrossRefPubMedPubMedCentral Walters AS, Rye DB. Evidence continues to mount on the relationship of restless legs syndrome/periodic limb movements in sleep to hypertension, cardiovascular disease, and stroke. Sleep. 2010;33:287.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Silva GE, Goodwin JL, Vana KD, Vasquez MM, Wilcox PG, Quan SF. Restless legs syndrome, sleep, and quality of life among adolescents and young adults. J Clin Sleep Med. 2014;10:779–86.PubMedPubMedCentral Silva GE, Goodwin JL, Vana KD, Vasquez MM, Wilcox PG, Quan SF. Restless legs syndrome, sleep, and quality of life among adolescents and young adults. J Clin Sleep Med. 2014;10:779–86.PubMedPubMedCentral
8.
Zurück zum Zitat Walters AS, Frauscher B, Allen R, Benes H, Chaudhuri KR, Garcia-Borreguero D, et al. Review of diagnostic instruments for the restless legs syndrome/Willis-Ekbom Disease (RLS/WED): critique and recommendations. J Clin Sleep Med. 2014;10:1343–9.PubMedPubMedCentral Walters AS, Frauscher B, Allen R, Benes H, Chaudhuri KR, Garcia-Borreguero D, et al. Review of diagnostic instruments for the restless legs syndrome/Willis-Ekbom Disease (RLS/WED): critique and recommendations. J Clin Sleep Med. 2014;10:1343–9.PubMedPubMedCentral
9.
Zurück zum Zitat Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ. The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia. Am J Hematol. 2013;88:261–4.CrossRefPubMed Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ. The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia. Am J Hematol. 2013;88:261–4.CrossRefPubMed
10.
Zurück zum Zitat Gupta R, Allan RP, Pundeer A, Das S, Dhyani M, Goel D. Hindi translation and validation of Cambridge-Hopkins Diagnostic Questionnaire for RLS (CHRLSq). Ann Indian Acad Neurol. 2015;18:303–8.CrossRefPubMedPubMedCentral Gupta R, Allan RP, Pundeer A, Das S, Dhyani M, Goel D. Hindi translation and validation of Cambridge-Hopkins Diagnostic Questionnaire for RLS (CHRLSq). Ann Indian Acad Neurol. 2015;18:303–8.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Gupta R, Goel D, Ahmed S, Dhar M, Lahan V. What patients do to counteract the symptoms of Willis-Ekbom disease (RLS/WED): effect of gender and severity of illness. Ann Indian Acad Neurol. 2014;17:405–8.CrossRefPubMedPubMedCentral Gupta R, Goel D, Ahmed S, Dhar M, Lahan V. What patients do to counteract the symptoms of Willis-Ekbom disease (RLS/WED): effect of gender and severity of illness. Ann Indian Acad Neurol. 2014;17:405–8.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Pattanayak RD, Sagar R. Depressive disorders in Indian context: a review and clinical update for Physicians. JAPI. 2014;62:55–60. Pattanayak RD, Sagar R. Depressive disorders in Indian context: a review and clinical update for Physicians. JAPI. 2014;62:55–60.
13.
Zurück zum Zitat Kalibatseva Z, Leong FTL. Depression among Asian Americans: review and Recommendations. Depress Res Treat. 2011;2011:320902.PubMedPubMedCentral Kalibatseva Z, Leong FTL. Depression among Asian Americans: review and Recommendations. Depress Res Treat. 2011;2011:320902.PubMedPubMedCentral
14.
Zurück zum Zitat Gupta R, Ahmad S, Dhar M, Goel D, Lahan V. Clinical presentation of restless legs syndrome: Does the gender matter? Sleep Biol Rhythms 2014;12. Gupta R, Ahmad S, Dhar M, Goel D, Lahan V. Clinical presentation of restless legs syndrome: Does the gender matter? Sleep Biol Rhythms 2014;12.
15.
Zurück zum Zitat Ohayon MM, O’Hara R, Vitiello MV. Epidemiology of restless legs syndrome: a synthesis of the literature. Sleep Med Rev. 2012;16:283–95.CrossRefPubMed Ohayon MM, O’Hara R, Vitiello MV. Epidemiology of restless legs syndrome: a synthesis of the literature. Sleep Med Rev. 2012;16:283–95.CrossRefPubMed
16.
Zurück zum Zitat Mery V, Kimoff RJ, Suarez I, Benedetti A, Kaminska M, Robinson A, et al. High false-positive rate of questionnaire-based restless legs syndrome diagnosis in multiple sclerosis. Sleep Med. 2015;16:877–82.CrossRefPubMed Mery V, Kimoff RJ, Suarez I, Benedetti A, Kaminska M, Robinson A, et al. High false-positive rate of questionnaire-based restless legs syndrome diagnosis in multiple sclerosis. Sleep Med. 2015;16:877–82.CrossRefPubMed
17.
Zurück zum Zitat American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: American Psychiatric Association; 2013.CrossRef
18.
Zurück zum Zitat Benson J, Clark F. A guide for instrument development and validation. Am J Occup Ther. 1982;36:789–800.CrossRefPubMed Benson J, Clark F. A guide for instrument development and validation. Am J Occup Ther. 1982;36:789–800.CrossRefPubMed
19.
Zurück zum Zitat Anna Clark L, Watson D. Constructing validity: basic issues in objective scale development. Psychol Assess. 1995;7:309–19.CrossRef Anna Clark L, Watson D. Constructing validity: basic issues in objective scale development. Psychol Assess. 1995;7:309–19.CrossRef
20.
Zurück zum Zitat Allen RP, Burchell BJ, MacDonald B, Hening WA, Earley CJ. Validation of the self-completed Cambridge-Hopkins questionnaire (CH-RLSq) for ascertainment of restless legs syndrome (RLS) in a population survey. Sleep Med. 2009;10:1097–100.CrossRefPubMed Allen RP, Burchell BJ, MacDonald B, Hening WA, Earley CJ. Validation of the self-completed Cambridge-Hopkins questionnaire (CH-RLSq) for ascertainment of restless legs syndrome (RLS) in a population survey. Sleep Med. 2009;10:1097–100.CrossRefPubMed
21.
Zurück zum Zitat McGartland Rubio D, Berg-Weger M, Tebb SS, Suzanne Lee E, Rauch S. Objectifying content validity: conducting a content validity study in social. Soc Work Res. 2003;27:94–104.CrossRef McGartland Rubio D, Berg-Weger M, Tebb SS, Suzanne Lee E, Rauch S. Objectifying content validity: conducting a content validity study in social. Soc Work Res. 2003;27:94–104.CrossRef
22.
Zurück zum Zitat Hinkin TR, Tracey JB, Enz CA. Scale construction: developing reliable and valid measurement instruments. Hinkin TR, Tracey JB, Enz CA. Scale construction: developing reliable and valid measurement instruments.
23.
Zurück zum Zitat Beneš H, Kohnen R. Validation of an algorithm for the diagnosis of Restless Legs Syndrome: the restless legs syndrome-diagnostic Index (RLS-DI). Sleep Med. 2009;10:515–23.CrossRefPubMed Beneš H, Kohnen R. Validation of an algorithm for the diagnosis of Restless Legs Syndrome: the restless legs syndrome-diagnostic Index (RLS-DI). Sleep Med. 2009;10:515–23.CrossRefPubMed
24.
Zurück zum Zitat Hening WA, Allen RP, Washburn M, Lesage S, Earley CJ. Validation of the Hopkins telephone diagnostic interview for restless legs syndrome. Sleep Med. 2008;9:283–9.CrossRefPubMed Hening WA, Allen RP, Washburn M, Lesage S, Earley CJ. Validation of the Hopkins telephone diagnostic interview for restless legs syndrome. Sleep Med. 2008;9:283–9.CrossRefPubMed
25.
Zurück zum Zitat Allen RP, Burchell BJ, MacDonald B, Hening WA, Earley CJ. Validation of the self-completed Cambridge-Hopkins questionnaire (CH-RLSq) for ascertainment of restless legs syndrome (RLS) in a population survey. Sleep Med. 2009;10:1097–100.CrossRefPubMed Allen RP, Burchell BJ, MacDonald B, Hening WA, Earley CJ. Validation of the self-completed Cambridge-Hopkins questionnaire (CH-RLSq) for ascertainment of restless legs syndrome (RLS) in a population survey. Sleep Med. 2009;10:1097–100.CrossRefPubMed
28.
Zurück zum Zitat Schmitt N. Use and abuses of coefficient alpha. Psychol Assess. 1996;8:350–3.CrossRef Schmitt N. Use and abuses of coefficient alpha. Psychol Assess. 1996;8:350–3.CrossRef
29.
Zurück zum Zitat Sijtsma K. On the use, the misuse, and the very limited usefulness of Cronbach’s alpha. Psychometrika. 2009;74:107–20.CrossRefPubMed Sijtsma K. On the use, the misuse, and the very limited usefulness of Cronbach’s alpha. Psychometrika. 2009;74:107–20.CrossRefPubMed
Metadaten
Titel
Development and Validation of RLS Diagnostic Questionnaire for Indian Population
verfasst von
Ravi Gupta
Richard P. Allen
Ramjan Ali
Publikationsdatum
01.06.2019
Verlag
Springer Singapore
Erschienen in
Sleep and Vigilance / Ausgabe 1/2019
Elektronische ISSN: 2510-2265
DOI
https://doi.org/10.1007/s41782-019-00061-9

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