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Functional Bowel Symptoms (Rome III)

The Rome III IBS Diagnostic Questionnaire is a survey to assess whether individuals meet the diagnistic criteria for Irritable Bowel Syndrome (IBS).
The Rome III diagnostic criteria are set forth by the Rome Foundation.
The Rome III Survey was implemented in general assessment 2A and was used in additional assessments DEEP and DAG3.

Background

Lifelines repeatedly assessed the presence of IBS by self-report. However, recent studies indicate that this method misses ~69% of IBS diagnoses¹⁾.
The Rome III IBS DQ assesses whether participants meet the diagnostic criteria for IBS, and is able to distinguish between IBS and functional constipation, functional bloating and functional diarrhea.

Scoring

The Rome III IBS Diagnostic Questionnaire contains 26 items assessing the frequency of bowel complaints (i.e. recurrent abdominal pain or uncomfortable sensations not described as pain) in the last 3 months, with onset at least 6 months, associated with 2 or more of the following:

Improvement of pain/discomfort as a result of defecation; and/or
Onset associated with a change in frequency of stool; and/or
Onset associated with a change in form (appearance) of stool

Variables

Questions English	Questions Dutch	Variable	Assessment	Age
How often did you have abdominal pain or an unpleasant feeling in your abdomen in the past 3 months?	Hoe vaak had u in de afgelopen 3 maanden last van buikpijn of van een vervelend gevoel in uw buik?	ROME1	2A NEXT	18+
For women: did you have this unpleasant feeling in your belly only during your menstruation and not at other times?	Voor vrouwen: had u alleen tijdens uw menstruatie last van dit vervelende gevoel in uw buik of van deze buikpijn en niet op andere momenten?	ROME2	2A NEXT	18+
Have you had this unpleasant feeling in your abdomen or this abdominal pain for 6 months or longer?	Hebt u dit vervelende gevoel in uw buik of deze buikpijn al 6 maanden of langer?	ROME3	2A NEXT	18+
How long have you had an unpleasant feeling in the abdomen or abdominal pain (in years)	Hoe lang een vervelend gevoel in de buik of buikpijn (in jaren)	ROME3A	2A NEXT	18+
How long have you had an unpleasant feeling in the abdomen or abdominal pain (in months)	Hoe lang een vervelend gevoel in de buik of buikpijn (in maanden)	ROME3B	2A NEXT	18+
How often did this unpleasant feeling in your abdomen or abdominal pain improve or disappear after bowel movement?	Hoe vaak verminderde of verdween dit vervelende gevoel in uw buik of deze buikpijn na de ontlasting?	ROME4	2A NEXT	18+
Did you have more frequent bowel movements after this unpleasant feeling in your abdomen or abdominal pain started?	Had u, nadat dit vervelende gevoel in uw buik of deze buikpijn begon, vaker ontlasting?	ROME5	2A NEXT	18+
Did you have less frequent bowel movements after this unpleasant feeling in your abdomen or abdominal pain started?	Had u, nadat dit vervelende gevoel in uw buik of deze buikpijn begon, minder vaak ontlasting?	ROME6	2A NEXT	18+
Were the stools softer or thinner after this unpleasant feeling in your abdomen started?	Was de ontlasting dunner of zachter nadat dit vervelende gevoel in uw buik of deze buikpijn begon?	ROME7	2A NEXT	18+
How often did you have harder stools after this unpleasant feeling in your abdomen or abdominal pain started?	Hoe vaak had u, nadat dit vervelende gevoel in uw buik of deze buikpijn begon, last van hardere ontlasting?	ROME8	2A NEXT	18+
How often did you have fewer than 3 (0-2) bowel movements a week in the past 3 months?	In de afgelopen 3 maanden, hoe vaak had u minder dan 3 keer (0-2 keer) ontlasting per week?	ROME9	2A NEXT	18+
In the past 3 months, how often did you have hard or pellet-like stools?	In de afgelopen 3 maanden, hoe vaak had u last van harde of keutelige ontlasting?	ROME10	2A NEXT	18+
In the past 3 months, how often did you have to strain during bowel movements?	In de afgelopen 3 maanden, hoe vaak moest u persen tijdens de stoelgang?	ROME11	2A NEXT	18+
In the past 3 months, how often did you have the feeling that your intestines were not quite empty after bowel movements?	In de afgelopen 3 maanden, hoe vaak had u na de stoelgang het gevoel dat uw darmen niet helemaal leeg waren?	ROME12	2A NEXT	18+
In the past 3 months, how often did you have the feeling that your stools did not want to pass during bowel movements (i.e. were blocked)?	In de afgelopen 3 maanden, hoe vaak had u het gevoel dat uw ontlasting tijdens de stoelgang niet wilde passeren (ofwel geblokkeerd werd)?	ROME13	2A NEXT	18+
In the past 3 months, how often did you press on or around the anus or removed stools manually to complete bowel movements?	In de afgelopen 3 maanden, hoe vaak hebt u op of rond de anus gedrukt of ontlasting handmatig verwijderd om de stoelgang te voltooien?	ROME14	2A NEXT	18+
Did one or more of the symptoms of constipation listed in ROME9 to ROME14 start more than 6 months ago?	Zijn één of meer symptomen van obstipatie zoals genoemd in vraag ROME9 t/m ROME14, meer dan 6 maanden geleden begonnen?	ROME15	2A NEXT	18+
I the past 3 months, how often did you have thin, loose or watery stools?	Hoe vaak had u in de afgelopen 3 maanden last van dunne, brijige of waterige ontlasting?	ROME16	2A NEXT	18+
Was at least three-quarters (3/4) of your stools thin, loose or watery in the past three months?	Was in de afgelopen 3 maanden minstens driekwart (¾) van uw ontlasting dun, brijig of waterig?	ROME17	2A NEXT	18+
Have you regularly had thin, loose or watery stools for longer than 6 months?	Hebt u al langer dan 6 maanden regelmatig dunne, brijige of waterige ontlasting?	ROME18	2A NEXT	18+
How often did you have intestinal gas or a swollen/hard belly in the past 3 months?	Hoe vaak had u in de afgelopen 3 maanden last van gasvorming of een opgezette/harde buik?	ROME19	2A NEXT	18+
Did your symptoms of intestinal gas or a swollen/hard belly start more than 6 months ago?	Zijn uw symptomen van gasvorming of een opgezette/harde buik meer dan 6 maanden geleden begonnen?	ROME20	2A NEXT	18+
How often did you have an unpleasantly full feeling after a regular-sized meal in the past 3 months?	Hoe vaak had u in de afgelopen 3 maanden een onprettig vol gevoel na een maaltijd van normale omvang?	ROME21	2A NEXT	18+
Have you had this bloated feeling after meals for longer than 6 months?	Hebt u al langer dan 6 maanden last van dit onprettig volle gevoel na de maaltijd?	ROME22	2A NEXT	18+
How often were you unable to finish a regular-sized meal in the past 3 months?	Hoe vaak was u in de afgelopen 3 maanden niet in staat om een normale maaltijd volledig op te eten?	ROME23	2A NEXT	18+
Have you had this problem with eating a complete meal for longer than 6 months?	Hebt u al langer dan 6 maanden last van dit onvermogen om een normale maaltijd volledig op te eten?	ROME24	2A NEXT	18+
How often did you have pain or a burning feeling in the centre of your abdomen, above your belly button, but not in the chest, in the past 3 months?	Hoe vaak had u de afgelopen 3 maanden pijn of een branderig gevoel in het midden van de buik, boven uw navel, maar niet in de borst?	ROME25	2A NEXT	18+
Have you had this pain or burning feeling for longer than 6 months?	Hebt u al langer dan 6 maanden deze pijn of dit branderige gevoel?	ROME26	2A NEXT	18+
To what extent did your abdominal complaints hamper your normal activities (both work outside the home and household chores) in the past 6 months?	In welke mate hebben buikklachten u de afgelopen 6 maanden belemmerd bij uw normale werkzaamheden (zowel werk buitenshuis als huishoudelijk werk)?	ROME27	2A NEXT	18+

¹⁾

Whitehead WE et al. (2006) Development and validation of the Rome III diagnostic questionnaire. In Rome III: The Functional Gastrointestinal Disorders, 3rd edn Degnon Associates: McLean, VA, 835–853

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Functional Bowel Symptoms (Rome III)

Background

Scoring

Variables

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Functional Bowel Symptoms (Rome III)

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Scoring

Variables

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