Psychometric Properties of the Persian Version of the PARADISE‑24 Questionnaire

Amirreza Azimi, Rozita Doosti, Sara Mohammad Vali Samani, Bita Roostaei, Sara Hamtaei Gashti, Samira Navardi, Mahsa Ghajarzadeh

Abstract


Background: Patients with multiple sclerosis(MS) suffer from a wide range of psychological problems. Application of a valid and reliable tool for psychosocial assessment is required for Iranian patients. The aim of this study is to determine the psychometric properties of the Persian version of the PARADISE‑24 questionnaire in Iranian patients with multiple sclerosis.

Methods: One hundred and thirteen multiple sclerosis cases were enrolled in this study. Participants were asked to answer the
valid and reliable Persian version of the fatigue severity scale, social support scale, Pittsburg sleep quality index, and hospital anxiety and depression scale and translated version of the PARADISE‑24 questionnaire. Twenty cases filed the questionnaire 2weeks later to assess reliability. The intraclass correlation coefficient, Cronbach’s alpha, correlation coefficients, and multiple regression analysis were used.

Results: Mean age and mean duration of the disease were 35.8±9.9 and 8.7±5.6years, respectively. The intraclass correlation coefficientsranged from 0.8 to 0.94 and Cronbach’s alpha values(Cronbach’s alpha was calculated as 0.91 for the whole questionnaire) were also significant. There were significant correlations between PARADISE‑24 score and expanded disability status scale(r=0.42, P<0.001), fatigue severity scale(r=0.62, P<0.001), anxiety(r=0.43, P<0.001) and Pittsburg sleep quality index scores(r=0.46, P<0.001). Regression analysis by considering PARADISE‑24 as dependent and other variables as independent showed that expanded disability status scale, fatigue severity scale, anxiety score, and Pittsburg sleep quality index were positive predictors of PARADISE‑24 score.

Conclusions: Persian version of PARADISE‑24 questionnaire is a valid and reliable instrument for evaluating psychosocial aspects in patients with multiple sclerosis.


Keywords


Iran; multiple sclerosis; psychology; questionnaire

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References


Lassmann H, Brück W, Lucchinetti CF. The immunopathology

of multiple sclerosis: An overview. Brain Pathol 2007;17:210‑8.

Giovannetti AM, Schiavolin S, Raggi A, Quintas R,

Cerniauskaite M, Confalonieri P, et al. Psychosocial difficulties

of individuals with multiple sclerosis: The PARADISE‑24

questionnaire. Int J Rehabil Res 2016;39:339‑45.

Ghajarzadeh M, Owji M, Sauraian MA, Naser Moghadasi A,

Azimi A. Emotional intelligence (EI) of patients with Multiple

sclerosis (MS). Iran J Public Health 2014;43:1550‑6.

Ghajarzadeh M, Jalilian R, Sahraian MA, Moghadasi AN,

Azimi A, Mohammadifar M, et al. Pain in patients with multiple

sclerosis. Maedica 2018;13:125‑30.

Askari F, Ghajarzadeh M, Mohammadifar M, Azimi A,

Sahraian MA, Owji M. Anxiety in patients with multiple

sclerosis: Association with disability, depression, disease type

and sex. Acta Med Iran 2014;52:889‑92.

Ghajarzadeh M, Jalilian R, Eskandari G, Ali Sahraian M,

Reza Azimi A. Validity and reliability of persian version of

Modified fatigue impact scale (MFIS) questionnaire in Iranian

patients with multiple sclerosis. Disabil Rehabil 2013;35:1509‑12.

Ghajarzadeh M, Jalilian R, Eskandari G, Sahraian MA, Azimi A,

Mohammadifar M. Fatigue in multiple sclerosis: Relationship

with disease duration, physical disability, disease pattern, age

and sex. Acta Neurol Belg 2013;113:411‑4.

Ghajarzadeh M, Sahraian MA, Fateh R, Daneshmand A. Fatigue,

depression and sleep disturbances in Iranian patients with

multiple sclerosis. Acta Med Iran 2012;50:244‑9.

Giordano A, Granella F, Lugaresi A, Martinelli V, Trojano M,

Confalonieri P, et al. Anxiety and depression in multiple sclerosis

patients around diagnosis. J Neurol Sci 2011;307:86‑91.

Cieza A, Bostan C, Ayuso‑Mateos JL, Oberhauser C,

Bickenbach J, Raggi A, et al. The psychosocial difficulties

in brain disorders that explain short term changes in health

outcomes. BMC Psychiatry 2013;13:78.

Raggi A, Leonardi M, Covelli V, Sattin D, Scaratti C,

Schiavolin S, et al. The ICF as a framework to collect

and interpret data on the extent and variety of disability in

neurological conditions. NeuroRehabilitation 2015;36:17‑22.

Cieza A, Sabariego C, Anczewska M, Ballert C, Bickenbach J,

Cabello M, et al. PARADISE 24: A measure to assess the

impact of brain disorders on people’s lives. PLoS One

;10:e0132410.

Abolhassani S, Yazdannik A, Taleghani F, Zamani A. Social

aspects of multiple sclerosis for Iranian individuals. Disabil

Rehabil 2015;37:319‑26.

Aghaei N, Karbandi S, Gorji MA, Golkhatmi MB, Alizadeh B.

Social support in relation to fatigue symptoms among patients

with multiple sclerosis. Indian J Palliat Care 2016;22:163‑7.

Cieza A, Anczewska M, Ayuso‑Mateos JL, Baker M,

Bickenbach J, Chatterji S, et al. Understanding the impact

of brain disorders: Towards a ‘horizontal epidemiology’of

psychosocial difficulties and their determinants. PLoS One

;10:e0136271.

Azimian M, Shahvarughi Farahani A, Dadkhah A, Fallahpour M,

Karimlu M. Fatigue severity scale: The psychometric properties

of the persian‑version in patients with multiple sclerosis. Res J

Biol Sci 2009;4:974‑7.

Bagherian‑Sararoudi R, Hajian A, Ehsan HB, Sarafraz MR,

Zimet GD. Psychometric properties of the Persian version of the

multidimensional scale of perceived social support in Iran. Int J

Prev Med 2013;4:1277.

Moghaddam JF, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A.

Reliability and validity of the persian version of the Pittsburgh

sleep quality index (PSQI‑P). Sleep Breath 2012;16:79‑82.

Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The

Hospital anxiety and depression scale (HADS): Translation

and validation study of the Iranian version. Health Qual Life

Outcomes 2003;1:14.

Kroencke DC, Lynch SG, Denney DR. Fatigue in multiple

sclerosis: Relationship to depression, disability, and disease

pattern. Mult Scler J 2000;6:131‑6.

Amato M, Ponziani G, Rossi F, Liedl C, Stefanile C, Rossi L.

Quality of life in multiple sclerosis: The impact of depression,

fatigue and disability. Mult Scler J 2001;7:340‑4.

Janssens A, Van Doorn P, De Boer J, Van der Meche F,

Passchier J, Hintzen R. Impact of recently diagnosed multiple

sclerosis on quality of life, anxiety, depression and distress of

patients and partners. Acta Neurol Scand 2003;108:389‑95.

Garfield A, Lincoln N. Factors affecting anxiety in multiple

sclerosis. Disabil Rehabil 2012;34:2047‑52.

Jalilian R, Ghajarzadeh M, Fateh R, Togha M, Sahraian MA,

Azimi A. Comparison of sleep quality in women with migraine

moreover, multiple sclerosis. Acta Med Iran 2014:690‑3.

Ghajarzadeh M, Sahraian MA, Fateh R, Daneshmand A. Fatigue,

depression and sleep disturbances in Iranian patients with

multiple sclerosis. Acta Med Iran 2012:244‑9.

Stanton B, Barnes F, Silber E. Sleep and fatigue in multiple

sclerosis. Mult Scler J 2006;12:481‑6.

Wineman NM. Adaptation to multiple sclerosis: The role of

social support, functional disability, and perceived uncertainty.

Nurs Res 1990;39:294‑9.

Schwartz C, Frohner R. Contribution of demographic, medical,

and social support variables in predicting the mental health

dimension of quality of life among people with multiple

sclerosis. Health Soc Work 2005;30:203‑12.

Arnett PA, Barwick FH, Beeney JE. Depression in multiple

sclerosis: Review and theoretical proposal. J Int Neuropsychol

Soc 2008;14:691‑724.