Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigationClose Drawer MenuOpen Drawer Menu
Previous article
Next article
Originalia

Messung chronischer Erschöpfung – Teststatistische Prüfung der Fatigue Skala (FS)

Published Online:January 25, 2010https://doi.org/10.1026/1616-3443/a000010

Abstract

Zusammenfassung.Theoretischer Hintergrund: Die Fatigue Skala (FS) stellt ein international verbreitetes Instrument zur Diagnostik anhaltender Erschöpfungszustände dar. Fragestellung: Ziel zweier Studien war die psychometrische Überprüfung der deutschen FS. Methode: Rekrutiert wurden 2510 Personen der deutschen Allgemeinbevölkerung und 100 Patienten aus klinisch-therapeutischen Einrichtungen, um die FS und weitere Skalen (SOMS-7T, WHO-5, SF-8, FAQ) zu bearbeiten. Bestimmt wurden Reliabilität, konvergente (Studien 1, 2), faktorielle Validität und Normwerte (Studie 1). Ergebnisse: Es zeigten sich hohe interne Konsistenzen und sehr gute Retest-Reliabilität (24h) der Gesamtskala, Bestätigung der Zweifaktorenstruktur, mittlere Zusammenhänge von Fatigue mit somatoformen Beschwerden, Wohlbefinden und Lebensqualität sowie eine hohe Übereinstimmung mit Erschöpfung, erfasst mittels Alternativtest. Schlussfolgerungen: Die FS erscheint bei guten bis sehr guten psychometrischen Charakteristika für den diagnostischen Einsatz und Therapieevaluation geeignet.


The assessment of chronic fatigue: psychometric properties of the Fatigue Scale (FS)

Abstract.Background: The Fatigue Scale (FS) is a widely used instrument to assess severity and symptoms of chronic fatigue. Objective: The aim of the present studies consisted in the psychometric foundation of the German version of the FS. Methods: A total of N = 2510 of the German population (study 1) and N = 100 patients with psychosomatic/mental disorders (study 2) filled in the FS and additional scales (SOMS-7T, WHO-5, SF-8, FAQ). Results showed high internal consistency and retest-reliability of the fatigue severity score, confirmation of the 2-factor-structure and associations between fatigue and somatoform symptoms, well-being and quality-of-life. Conclusions: Based on its psychometric properties the FS seems to be an adequate instrument for the individual assessment and treatment evaluation of chronic fatigue.

Literatur

  • Armes, J. , Chalder, T. , Addington-Hall, J. , Richardson, A. , Hotopf, M. (2007). A randomized controlled trial to evaluate the effectiveness of a brief, behaviorally oriented intervention for cancer-related fatigue. Cancer, 110, 1385–1395. First citation in articleCrossref, Google Scholar

  • Bates, D. W. , Schmitt, W. , Buchwald, D. , Ware, N. C. , Lee, J. , Thoyer, E. , et al. (1993). Prevalence of fatigue and chronic fatigue syndrome in primary care practice. Archives of Internal Medicine, 153, 2759–2765. First citation in articleCrossref, Google Scholar

  • Bech, P. (2004). Measuring the dimensions of psychological well-being by the WHO-5. QoL Newsletter, 32, 15–16. First citation in articleGoogle Scholar

  • Bech, P. , Olsen, R. L. , Kjoller, M. , Rasmussen, N. K. (2003). Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 Mental Health subscale and the WHO-Five Well-Being Scale. International Journal of Methods in Psychiatric Research, 12, 85–91. First citation in articleCrossref, Google Scholar

  • Beutel, M. E. , Hinz, A. , Albani, C. , Brähler, E. (2006). Fatigue Assessment Questionnaire: Standardization of a cancer-specific instrument based on the general population. Oncology, 70, 351–357. First citation in articleCrossref, Google Scholar

  • Bonsignore, M. , Barkow, K. , Jensen, F. , Heun, R. (2001). Validity of the five-item WHO-well-being index (WHO-5) in an elderly population. European Archives of Psychiatry and Clinical Neurosciences, 251 (suppl. 2), II27–31. First citation in articleGoogle Scholar

  • Brähler, E. , Mühlan, H. , Albani, C. , Schmidt, S. (2007). Test-statistische Prüfung und Normierung der deutschen Versionen des EUROHIS-QOL Lebensqualitäts-Index und des WHO-5 Wohlbefindens-Index. Diagnostica, 53, 83–96. First citation in articleLink, Google Scholar

  • Browne, M. W. (1984). Asymptotically distribution-free methods for the analysis of covariance structures. British Journal of Mathematical and Statistical Psychology, 37, 62–83. First citation in articleCrossref, Google Scholar

  • Bullinger, M. , Kirchberger, I. (1998). SF-36 Der SF-36 Fragebogen zum Gesundheitszustand. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Chalder, T. , Berelowitz, G. , Pawlikowska, T. , Watts, L. , Wessely, S. , Wright, D. et al. (1993). The development of a Fatigue Scale. Journal of Psychosomatic Research, 37, 147–153. First citation in articleCrossref, Google Scholar

  • Deale, A. , Chalder, T. , Marks, I. , Wessely, S. (1997). Cognitive behavior therapy for chronic fatigue syndrome: A randomized controlled trial. American Journal of Psychiatry, 154, 408–414. First citation in articleCrossref, Google Scholar

  • Dittner, A. J. , Wessely, S. C. , Brown, R. G. (2004). The assessment of fatigue. A practical guide for clinicians and researchers. Journal of Psychosomatic Research, 56, 157–170. First citation in articleCrossref, Google Scholar

  • Ellert, U. , Lampert, T. , Ravens-Sieberer, U. (2005). Messung der gesundheitsbezogenen Lebensqualität mit dem SF-8 – Eine Normstichprobe für Deutschland {Measuring health-related quality of life with the SF-8. Normal sample of the German population}. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 48, 1330–1337. First citation in articleCrossref, Google Scholar

  • Fisk, J. D. , Pontefract, A. , Ritvo, P. G. , Archibald, C. J. , Murray, T. J. (1994). The impact of fatigue on patients with multiple sclerosis. Can J Neurol Sci, 21 (1), 9–14. First citation in articleGoogle Scholar

  • Flachenecker, P. , Müller, G. , König, H. , Meissner, H. , Toyka, K. , Rieckmann, P. (2006). „Fatigue” bei multipler Sklerose – Entwicklung und Validierung des „Würzburger Erschöpfungsinventars bei MS”. Der Nervenarzt, 77, 165–174. First citation in articleCrossref, Google Scholar

  • Fukuda, K. , Straus, S. E. , Hickie, I. , Sharpe, M. C. , Dobbins, J. G. , Komaroff, A. , et al. (1994). The chronic fatigue syndrome: A comprehensive approach to its definition and study. Annals of Internal Medicine, 121, 953–959. First citation in articleCrossref, Google Scholar

  • Glaus, A. , Müller, S. (2001). Messung der Müdigkeit bei Krebskranken im deutschen Sprachraum: die Entwicklung des Fatigue Assessment Questionnaires. Pflege, 14, 161–170. First citation in articleLink, Google Scholar

  • Häuser, W. , Muthny, F. A. (2004). Entwicklung einer Kurzform der Fatigue Impact Scale (FIS – D15). Praxis Klinische Verhaltensmedizin und Rehabilitation, 65, 53–60. First citation in articleGoogle Scholar

  • Hayduk, L. A. (1987). Structural equation modeling with LISREL: Essentials and advances. Baltimore: John Hopkins University Press. First citation in articleGoogle Scholar

  • Hu, L. , Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. First citation in articleCrossref, Google Scholar

  • Jöreskog, K. , Sörbom, D. (1996). LISREL 8: User’s reference guide. Lincolnwood, IL: Scientific Software. First citation in articleGoogle Scholar

  • Karlsen, K. , Larsen, J. P. , Tandberg, E. , Jorgensen, K. (1999). Fatigue in patients with Parkinson’s disease. Movement Disorders, 14 (2), 237–241. First citation in articleCrossref, Google Scholar

  • Kim, C. H. , Shin, H. C. , Won, C. W. (2005). Prevalence of chronic fatigue and chronic fatigue syndrome in Korea: community-based primary care study. J Korean Med Sci, 20, 529–534. First citation in articleCrossref, Google Scholar

  • Koch, M. , Uyttenboogaart, M. , van Harten, A. , Heerings, M. , De Keyser, J. (2008). Fatigue, depression and progression in multiple sclerosis. Mult Scler, 14 (6), 815–822. First citation in articleCrossref, Google Scholar

  • Levy, M. R. (2008). Cancer fatigue: a neurobiological review for psychiatrists. Psychosomatics, 49 (4), 283–291. First citation in articleCrossref, Google Scholar

  • Loge, J. H. , Ekeberg, O. , Kaasa, S. (1998). Fatigue in the general Norwegian population: normative data and associations. Journal of Psychosomatic Research, 45, 53–65. First citation in articleCrossref, Google Scholar

  • Martin, A. , Chalder, T. , Rief, W. , Brähler, E. (2007). The relationship between Chronic Fatigue and Somatisation Syndrome: a general population survey. Journal of Psychosomatic Research, 63, 147–156. First citation in articleCrossref, Google Scholar

  • Morriss, R. K. , Wearden, A. J. , Mullis, R. (1998). Exploring the validity of the Chalder Fatigue Scale in Chronic Fatigue Syndrome. Journal of Psychosomatic Research, 45, 411–417. First citation in articleCrossref, Google Scholar

  • Moss-Morris, R. , Sharon, C. , Tobin, R. , Baldi, J. C. (2005). A randomized controlled graded exercise trial for chronic fatigue syndrome: Outcomes and mechanisms of change. Journal of Health Psychology, 10, 245–259. First citation in articleCrossref, Google Scholar

  • Orre, I. J. , Fosså, S. D. , Murison, R. , Bremnes, R. , Dahl, O. , Klepp, O. et al. (2008). Chronic cancer-related fatigue in long-term survivors of testicular cancer. J Psychosom Res, 64 (4), 363–371. First citation in articleCrossref, Google Scholar

  • Pawlikowska, T. , Chalder, T. , Hirsch, S. R. , Wallace, P. , Wright, D. J. M. , Wessely, S. C. (1994). A Population based study of fatigue and psychological distress. British Medical Journal, 308, 763–766. First citation in articleCrossref, Google Scholar

  • Reske, D. , Pukrop, R. , Scheinig, K. , Haupt, W. F. , Petereit, H.-F. (2006). Messbarkeit von Fatigue bei multipler Sklerose mithilfe standardisierter Methoden im deutschsprachigen Raum Fortschritte der Neurologie. Psychiatrie, 74, 497–502. First citation in articleGoogle Scholar

  • Rief, W. , Hiller, W. (2008). SOMS Screening für Somatoforme Störungen – Manual (2ed.). Bern: Hans Huber. First citation in articleGoogle Scholar

  • Rief, W. , Hiller, W. (2003). A new approach to the assessment of the treatment effects of somatoform disorders. Psychosomatics, 44, 492–498. First citation in articleCrossref, Google Scholar

  • Schermelleh-Engel, K. , Moosbrugger, H. , Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8, 23–74. First citation in articleGoogle Scholar

  • Sivo, S. A. , Fan, X. , Witta, E. L. , Willse, J. T. (2006). The search for „optimal” cutoff properties: Fit index criteria in structural equation modelling. The Journal of Experimental Education, 74, 267–288. First citation in articleCrossref, Google Scholar

  • Steele, L. , Dobbins, J. G. , Fukuda, K. , Reyes, M. , Randall, B. , Koppelman, M. et al. (1998). The epidemiology of chronic fatigue in San Francisco. Am J Med, 105, 83–90. First citation in articleCrossref, Google Scholar

  • Stubhaug, B. , Lie, S. A. , Ursin, H. , Eriksen, H. R. (2008). Cognitive-behavioural therapy v. mirtrazapine for chronic fatigue and neurasthenia: randomised placebo-controlled trial. The British Journal of Psychiatry, 192, 217–223. First citation in articleCrossref, Google Scholar

  • van Kessel, K. , Moss-Morris, R. , Willoughby, E. , Chalder, T. , Johnson, M. H. , Robinson, E. (2008). A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosomatic Medicine, 70, 205–213. First citation in articleCrossref, Google Scholar

  • Ware, J. E. , Kosinski, M. et al. (2001). How to Score and Interpret Single-Item Health Status Measures: A Manual For Users of the SF-8TM Health Survey: Quality Metric Incorporated, Lincoln. First citation in articleGoogle Scholar

  • Watanabe, N. , Stewart, R. , Jenkins, R. , Bhugra, D. K. , Furukawa, T. A. (2008). The epidemiology of chronic fatigue, physical illness, and symptoms of common mental disorders: a cross-sectional survey from the second British National Survey of Psychiatric Morbidity. Journal of Psychosomatic Research, 64, 357–362. First citation in articleCrossref, Google Scholar

  • Wessely, S. , Chalder, T. , Hirsch, S. , Wallace, P. , Wright, D. (1996). Psychological symptoms, somatic symptoms, and psychiatric disorder in chronic fatigue and chronic fatigue syndrome: A prospective study in primary care. American Journal of Psychiatry, 153, 1050–1059. First citation in articleCrossref, Google Scholar

  • Wessely, S. , Chalder, T. , Hirsch, S. , Wallace, P. , Wright, D. (1997). The Prevalence and Morbidity of Chronic Fatigue Syndrome: A Prospective Primary Care Study. American Journal of Public Health, 87, 1449–1455. First citation in articleCrossref, Google Scholar

  • Wittchen, H. U. , Zaudig, M. , Fydrich, T. (1997). SKID-I und SKID-II. Strukturiertes klinisches Interview für DSM-IV. Göttingen: Hogrefe Testzentrale. First citation in articleGoogle Scholar