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Original article| Volume 93, ISSUE 10, P1774-1781, October 2012

Validity and Reliability of the Perceived Deficit Questionnaire to Assess Cognitive Symptoms in People With Chronic Whiplash-Associated Disorders

  • Hiroshi Takasaki
    Correspondence
    Correspondence to Hiroshi Takasaki, MSc, CCRE Spine, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland 4072, Australia
    Affiliations
    National Health and Medical Research Council Centre of Clinical Research Excellence – Spinal Pain, Injury and Health, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
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  • Chi-Wen Chien
    Affiliations
    Occupational Therapy Division, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
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  • Venerina Johnston
    Affiliations
    National Health and Medical Research Council Centre of Clinical Research Excellence – Spinal Pain, Injury and Health, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
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  • Julia Treleaven
    Affiliations
    National Health and Medical Research Council Centre of Clinical Research Excellence – Spinal Pain, Injury and Health, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
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  • Gwendolen Jull
    Affiliations
    National Health and Medical Research Council Centre of Clinical Research Excellence – Spinal Pain, Injury and Health, Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Brisbane, Queensland, Australia
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      Abstract

      Takasaki H, Chien C-W, Johnston V, Treleaven J, Jull G. Validity and reliability of the Perceived Deficit Questionnaire to assess cognitive symptoms in people with chronic whiplash-associated disorders.

      Objective

      To investigate the validity and reliability of the Perceived Deficit Questionnaire (PDQ) for use in people with chronic whiplash-associated disorders.

      Design

      Cross-sectional.

      Setting

      Tertiary institution.

      Participants

      Patients (N=105) with chronic whiplash-associated disorders and asymptomatic controls (n=50).

      Interventions

      Not applicable.

      Main Outcome Measures

      The 20-item PDQ inclusive of 4 sections (attention/concentration, retrospective memory, prospective memory, and organization/planning) rated on a 5-point scale.

      Results

      Internal construct validity of the PDQ was examined by Rasch analysis, confirming the appropriateness of its 5-point scale and the unidimensionality of each section after modification by eliminating 1 item each from the attention/concentration and retrospective memory sections. Preliminary evidence was also gained for external construct validity (convergent validity) of the modified PDQ by demonstrating significant (P<.05) correlations of all sections with a global measure of disability due to neck pain (the Neck Disability Index). The whiplash group demonstrated significantly (P<.05) higher scores in each section of the modified PDQ than did the control group, indicating evidence for discriminant validity. In addition, the modified PDQ demonstrated good internal consistency (Rasch-generated reliability >.8) and acceptable test-retest reliability with 1-month interval (intraclass correlation coefficients >.8).

      Conclusions

      The modified PDQ appears to be a valid and reliable questionnaire and could be used quickly in clinical practice to gain a basic understanding of perceived cognitive symptoms in people with chronic whiplash-associated disorders.

      Key Words

      List of Abbreviations:

      MnSq (mean square), NDI (Neck Disability Index), PDQ (Perceived Deficits Questionnaire), WAD (whiplash-associated disorders), Zstd (standardized Z value)
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