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(Chest. 1998;113:619-624.)
© 1998 American College of Chest Physicians

Validation of a New Dyspnea Measure

The UCSD Shortness of Breath Questionnaire

Elizabeth G. Eakin PhD1; Pamela M. Resnikoff MD2; Lela M. Prewitt 2; Andrew L. Ries MD, MPH, FCCP2; and Robert M. Kaplan PhD3

1 From the Joint Doctoral Program in Clinical Psychology, University of California, San Diego/San Diego State University, San Diego
2 From the Division of Pulmonary and Critical Care Medicine, University of California, San Diego
3 From the Department of Family and Preventive Medicine, University of California, San Diego

Objective: Evaluate the reliability and validity of a new version of the University of California, San Diego Shortness of Breath Questionnaire (SOBQ), a 24-item measure that assesses self-reported shortness of breath while performing a variety of activities of daily living.

Design: Patients enrolled in a pulmonary rehabilitation program were asked to complete the SOBQ, the Quality of Weil-Being Scale, the Center for Epidemiologic Studies Depression Scale, and a 6-min walk with modified Borg scale ratings of perceived breathlessness following the walk.

Setting: University medical center pulmonary rehabilitation program.

Patients: Thirty-two male subjects and 22 female subjects with a variety of pulmonary diagnoses: COPD (n=28), cystic fibrosis (n=9), and postlung transplant (n=17).

Measurements and results: The current version of the SOBQ was compared with the previous version, the format of which often resulted in a significant number of "not applicable" answers. The results demonstrated that the SOBQ had excellent internal consistency (a=0.96). The SOBQ was also significantly correlated with all validity criteria.

Conclusions: The SOBQ is a valuable assessment tool in both clinical practice and research in patients with moderate-to-severe lung disease.

Key Words: COPD • dyspnea • outcomes assessment • shortness of breath

Submitted on June 11, 1996
Accepted on September 2, 1997




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