The Spanish version of the esophageal hypervigilance and anxiety score shows strong psychometric properties: Results of a large prospective multicenter study in Spain and Latin America

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dc.contributor.authorCisternas, Daniel
dc.contributor.authorTaft, Tiffany
dc.contributor.authorCarlson, Dustin A.
dc.contributor.authorGlasinovic, Esteban
dc.contributor.authorMonrroy, Hugo
dc.contributor.authorRey, Paula
dc.contributor.authorHani, Albis
dc.contributor.authorArdila-Hani, Andrés
dc.contributor.authorLeguizamo, Ana Maria
dc.contributor.authorBilder, Claudio
dc.contributor.authorDitaranto, Andres
dc.contributor.authorVarela, Amanda
dc.contributor.authorAgotegaray, Joaquin
dc.contributor.authorRemes-Troche, Jose Maria
dc.contributor.authorRuiz de León, Antonio
dc.contributor.authorPérez de la Serna, Julio
dc.contributor.authorMarin, Ingrid
dc.contributor.authorSerra, Jordi
dc.date.accessioned2022-05-03T16:35:25Z
dc.date.available2022-05-03T16:35:25Z
dc.date.issued2021
dc.description.abstractBackground: Anxiety is a significant modulator of sensitivity along the GI tract. The recently described Esophageal Hypervigilance and Anxiety Score (EHAS) evaluates esophageal-specific anxiety. The aims of this study were as follows: 1. translate and validate an international Spanish version of EHAS. 2. Evaluate its psychometric properties in a large Hispano-American sample of symptomatic individuals. Methods: A Spanish EHAS version was developed by a Delphi process and reverse translation. Patients referred for high-resolution manometry (HRM) were recruited prospectively from seven Spanish and Latin American centers. Several scores were used: EHAS, Hospital Anxiety and Depression Scale (HADS), Eckardt score (ES), Gastroesophageal Reflux Questionnaire (GERDQ), and the Brief Esophageal Dysphagia Questionnaire (BEDQ). Standardized psychometric analyses were performed. Key results: A total of 443 patients were recruited. Spanish EHAS showed excellent reliability (Cronbach´s alpha = 0.94). Factor analysis confirmed the presence of two factors, corresponding to the visceral anxiety and hypervigilance subscales. Sufficient convergent validity was shown by moderate significant correlations between EHAS and other symptomatic scores. Patients with high EHAS scores had significantly more dysphagia. There was no difference in EHAS scores when compared normal vs abnormal or major manometric diagnosis. Conclusions and inferences: A widely usable Spanish EHAS version has been validated. We confirm its excellent psychometric properties in our patients, confirming the appropriateness of its use in different populations. Our findings support the appropriateness of evaluating esophageal anxiety across the whole manometric diagnosis spectrum.es
dc.description.versionVersión Publicadaes
dc.identifier.citationCisternas D, Taft T, Carlson DA, Glasinovic E, Monrroy H, Rey P, Hani A, Ardila-Hani A, Leguizamo AM, Bilder C, Ditaranto A, Varela A, Agotegaray J, Remes-Troche JM, Ruiz de León A, Pérez de la Serna J, Marin I, Serra J. The Spanish version of the esophageal hypervigilance and anxiety score shows strong psychometric properties: Results of a large prospective multicenter study in Spain and Latin America. Neurogastroenterol Motil. 2021 Sep;33(9):e14102. doi: 10.1111/nmo.14102. Epub 2021 Feb 13. PMID: 33580617.es
dc.identifier.urihttps://doi.org/10.1111/nmo.14102es
dc.identifier.urihttp://hdl.handle.net/11447/6052
dc.language.isoenes
dc.subjectDysphagia evaluationes
dc.subjectEsophageal hypervigilance and anxiety score.es
dc.subjectEsophageal-specific anxietyes
dc.subjectHigh-resolution manometryes
dc.subjectPsychometric evaluationes
dc.subjectReliabilityes
dc.subjectValidityes
dc.titleThe Spanish version of the esophageal hypervigilance and anxiety score shows strong psychometric properties: Results of a large prospective multicenter study in Spain and Latin Americaes
dc.typeArticlees
dcterms.sourceNeurogastroenterology & Motilityes

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