Reliability and Determinants of Self-Evaluation of Breathing Questionnaire (SEBQ) Score: A Symptoms-Based Measure of Dysfunctional Breathing

Dysfunctional breathing is characterised by an abnormal breathing pattern leading to respiratory symptoms. The 25-item Self Evaluation of Breathing Questionnaire (SEBQ) has been developed to measure breathing-related symptoms and their severity but lacks thorough evaluation. To determine reproducibility, internal consistency and predictors of SEBQ score, 180 participants completed an online SEBQ with additional demographic and lifestyle questions. Two weeks later, 155 of those repeated SEBQ. Test-retest correlation of the SEBQ was high [intraclass correlation coefficient (3, 1) = 0.89; 95 % CI 0.85-0.92]. There was no difference in SEBQ score between test and retest (15.1 (11.6) [mean (SD)] versus 14.7 (12.4); P = 0.4) and the score showed a typical error (standard error of measurement) of 4.0. Internal consistency was high (Cronbach's α = 0.93), and a single factor structure for items was shown. Smoking status, reported respiratory disease, recent respiratory illness and female gender were positively-associated predictors of SEBQ score, and together explained 25.6 % of score variance (P ≤ 0.001). The SEBQ has high test-retest reproducibility and its score may be predicted by current smoking, chronic respiratory disease, recent respiratory illness and female gender, thus may be a useful clinical screening tool for dysfunctional breathing.

Keywords: Abnormal breathing pattern disorders; Breathing dysfunction; Breathing symptom questionnaire; Hyperventilation; Reproducibility; Test–retest reliability.

Similar articles

Stephen S, Brandt C, Olivier B. Stephen S, et al. Physiother Can. 2021 Oct 20;74(2):158-164. doi: 10.3138/ptc-2020-0085. eCollection 2022 May. Physiother Can. 2021. PMID: 37323709 Free PMC article.

La Touche R, Pardo-Montero J, Gil-Martínez A, Paris-Alemany A, Angulo-Díaz-Parreño S, Suárez-Falcón JC, Lara-Lara M, Fernández-Carnero J. La Touche R, et al. Pain Physician. 2014 Jan-Feb;17(1):95-108. Pain Physician. 2014. PMID: 24452650

Xia J, Yang C, Ge S, Feng X, Sun W. Xia J, et al. Asia Pac J Clin Nutr. 2021 Sep;30(3):504-511. doi: 10.6133/apjcn.202109_30(3).0017. Asia Pac J Clin Nutr. 2021. PMID: 34587710

Boulding R, Stacey R, Niven R, Fowler SJ. Boulding R, et al. Eur Respir Rev. 2016 Sep;25(141):287-94. doi: 10.1183/16000617.0088-2015. Eur Respir Rev. 2016. PMID: 27581828 Free PMC article. Review.

Barker N, Everard ML. Barker N, et al. Paediatr Respir Rev. 2015 Jan;16(1):53-61. doi: 10.1016/j.prrv.2014.10.001. Epub 2014 Nov 25. Paediatr Respir Rev. 2015. PMID: 25499573 Review.

Cited by

Mohan V, Rathinam C, Yates D, Paungmali A, Boos C. Mohan V, et al. BMJ Open Respir Res. 2024 Apr 16;11(1):e001884. doi: 10.1136/bmjresp-2023-001884. BMJ Open Respir Res. 2024. PMID: 38626928 Free PMC article. Review.

Pawar M, Venkatesan P, Mysore S, Bhat G. Pawar M, et al. Sleep Breath. 2024 Jun;28(3):1099-1104. doi: 10.1007/s11325-023-02982-2. Epub 2023 Dec 30. Sleep Breath. 2024. PMID: 38158509 Free PMC article.

Stephen S, Brandt C, Olivier B. Stephen S, et al. Physiother Can. 2021 Oct 20;74(2):158-164. doi: 10.3138/ptc-2020-0085. eCollection 2022 May. Physiother Can. 2021. PMID: 37323709 Free PMC article.

Lewis A, Kal E, Nolan CM, Cave P, Grillo L, Conway J, Jones M. Lewis A, et al. BMJ Open Respir Res. 2022 Sep;9(1):e001414. doi: 10.1136/bmjresp-2022-001414. BMJ Open Respir Res. 2022. PMID: 36104105 Free PMC article.

Twomey R, DeMars J, Franklin K, Culos-Reed SN, Weatherald J, Wrightson JG. Twomey R, et al. Phys Ther. 2022 Apr 1;102(4):pzac005. doi: 10.1093/ptj/pzac005. Phys Ther. 2022. PMID: 35079817 Free PMC article.