The purpose of this study was to use the International Classification of Functioning, Disability and Health (ICF) to identify physical and psychosocial problems associated with symptoms of Behçet's disease (BD) in Japanese patients. Thirty patients with BD were interviewed in a pilot study using the "ICF Checklist", and a team of medical experts selected categories related to physical and psychosocial aspects of BD. To identify specific physical and psychosocial problems of Japanese patients with BD, 100 new patients were interviewed using the selected categories. Among the 128 categories in the original ICF Checklist, 80 categories were identified as impaired, and another 12 ICF categories were added based on expert discussion of patients input. The number of problem categories was significantly greater in patients with BD with eye involvement and fatigue (eye involvement, 25.7 categories; fatigue, 25.2 categories; both P < 0.001). Specifically, patients with eye involvement had more difficulties with problems in daily life, such as writing (odds ratio 4.2), understanding such nonverbal messages as gestures and facial expressions (13.7), moving (5.7), walking in intense sunlight and bright light (17.6), and patients with fatigue had more difficulties with climate problems such as symptoms getting worse at the turn of the seasons or on cold days (2.5), compared to those without these symptoms. This study demonstrated that support focusing not only on physical symptoms but on other aspects of life as well is necessary for patients with BD, particularly patients with eye involvement and fatigue.

中文翻译：

---

根据贝塞特氏病患者的症状识别身体和社会心理问题。

这项研究的目的是使用国际功能，残疾与健康分类（ICF）来确定与日本患者白塞病（BD）症状相关的身体和社会心理问题。使用“ ICF检查表”在一项试点研究中采访了30名BD患者，并且一组医疗专家选择了与BD的身体和社会心理方面有关的类别。为了确定日本BD患者的特定身体和心理社会问题，使用所选类别对100名新患者进行了访谈。在原始ICF检查表中的128个类别中，有80个类别被确定为受损的，并且根据对患者意见的专家讨论，添加了另外12个ICF类别。患有眼部受累和疲劳的BD患者的问题类别数量显着增加（眼部受累，25.7类别；疲劳，25.2类别；均P <0.001）。具体而言，眼部受累患者在日常生活中遇到更多困难，例如书写（比值4.2​​），理解手势和面部表情（13.7），移动（5.7），在强烈的阳光和明亮的光线下行走（ 17.6），与没有这些症状的患者相比，患有疲劳的患者在气候问题上面临更多的困难，例如在季节交替或寒冷天气时症状变得更糟（2.5）。这项研究表明，对于BD患者，不仅要关注身体症状，而且要关注生活的其他方面，