Psychometric qualities of a brief self-rated fatigue measure
Open accessAbstract
Objective The main aim of this study was to examine the dimensionality and psychometric qualities of a new 10-item fatigue measure, the Fatigue Assessment Scale (FAS). Methods As part of a longitudinal study, the respondents, all workers with at least 20 working hours per week, completed the FAS, four related fatigue measures, a depression questionnaire, and an emotional stability scale. Results The FAS had a high internal consistency. The pattern of correlations and factor analysis showed good convergent and divergent validity. The FAS correlated strongly with the other fatigue scales. In a factor analysis of the five fatigue questionnaires, the FAS had the highest factor loading on a clear one-factor solution. Moreover, factor analyses revealed that fatigue, on the one hand, and depression and emotional stability, on the other hand, are separate constructs. Finally, it was shown that 8 out of the 10 FAS items were unbiased concerning gender; two had a uniform bias. Conclusions The FAS represents a potentially valuable assessment instrument with promising internal consistency reliability and validity. Gender bias in the FAS does not have consequences for use of the FAS.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Fatigue was measured with the 10-item fatigue assessment scale, with Cronbach's alpha 0.86.
“We used the 10-item fatigue assessment scale (26) to measure (general) fatigue. Two exemplary items are 'I feel mentally exhausted' and 'I feel physically exhausted' [1= (almost) never, 5= (almost) always; a =0.86].”
From A diary study to open up the black box of overtime work among university faculty members (2008) · cites this paper as [26]
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment
THE WHOQOL GROUP (1998) · Psychological Medicine · doi:10.1017/s0033291798006667 · Cited by 7,933 · see citing works
Development of a fatigue scale
Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90081-p · Cited by 3,032 · cited 8× · see citing works
“Several measures of fatigue are claimed to be useful in patient populations as well as in healthy individuals [11,12].”
Influential
Flagged first, then by citations
Cited by
Sorted by citations
Lai, Z., Hanczko, R., Bonilla, E., Caza, T. N., Clair, B., Bartos, A., Miklossy, G., Jimah, J., Doherty, E., Tily, H., et al. (2012) · Arthritis & Rheumatism · doi:10.1002/art.34502 · Cited by 428 · see citing works
Fatigue, performance and the work environment: a survey of registered nurses
Barker, L. M., & Nussbaum, M. A. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05597.x · Cited by 402 · see citing works
Perl, A., Hanczko, R., Lai, Z.-W., Oaks, Z., Kelly, R., Borsuk, R., Asara, J. M., & Phillips, P. E. (2015) · Metabolomics · doi:10.1007/s11306-015-0772-0 · Cited by 189 · see citing works
Wearable sensors and machine learning in post-stroke rehabilitation assessment: A systematic review
Boukhennoufa, I., Zhai, X., Utti, V., Jackson, J., & McDonald-Maier, K. D. (2022) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2021.103197 · Cited by 180 · see citing works
Post-COVID-19 fatigue: a systematic review
Joli, J., Buck, P., Zipfel, S., & Stengel, A. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.947973 · Cited by 155 · see citing works
Factors associated with maternal postpartum fatigue: an observationalstudy
Henderson, J., Alderdice, F., & Redshaw, M. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025927 · Cited by 114 · see citing works
Zhuang, J., Mou, Q., Zheng, T., Gao, F., Zhong, Y., Lu, Q., Gao, Y., & Zhao, M. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04799-5 · Cited by 77 · see citing works
Pavlovic, N. V., GILOTRA, N. A., LEE, C. S., NDUMELE, C., MAMMOS, D., DENNISONHIMMELFARB, C., & AbshireSaylor, M. (2022) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2021.07.005 · Cited by 58 · see citing works
The Efficacy of an Intervention for the Management of Postpartum Fatigue
Giallo, R., Cooklin, A., Dunning, M., & Seymour, M. (2014) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/1552-6909.12489 · Cited by 53 · see citing works
Agasi-Idenburg, S. C., Thong, M. S. Y., Punt, C. J. A., Stuiver, M. M., & Aaronson, N. K. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-016-3451-4 · Cited by 50 · see citing works
De Vries, J., Van der Steeg, A. F., & Roukema, J. A. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.11.008 · Cited by 32 · see citing works
Self-citationA diary study to open up the black box of overtime work among university faculty members
Beckers, D. G., van Hooff, M. L., van der Linden, D., Kompier, M. A., Taris, T. W., & Geurts, S. A. (2008) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.1226 · Cited by 23 · see citing works
“We used the 10-item fatigue assessment scale (26) to measure (general) fatigue.”
MethodSleep in residents: a comparison between anesthesiology and occupational medicine interns
Magnavita, N., Di Prinzio, R. R., Meraglia, I., Vacca, M. E., Soave, P. M., & Di Stasio, E. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032356 · Cited by 4 · see citing works
- Authors
- Michielsen, H. J., De Vries, J., & Van Heck, G. L.
- Affiliations
- Tilburg University (NL)
- Corresponding author
- Michielsen, Helen J
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2003-04
- Volume
- 54
- Issue
- 4
- Pages
- 345-352
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1579950305
- Cited by
- 860
- References
- 3
- Citations by year
- 2026: 80 · 2025: 105 · 2024: 84 · 2023: 106 · 2022: 79 · 2021: 64 · 2020: 44 · 2019: 39 · 2018: 20 · 2017: 28 · 2016: 25 · 2015: 36 · 2014: 19 · 2013: 19 · 2012: 23
- FWCI
- 8.56
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Research portal (Tilburg University) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Universiteit van Tilburg
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Education › Health Education and Validation
- Keywords
- Fatigue Assessment Scale, fatigue measurement, psychometric properties, dimensionality, convergent and discriminant validity, internal consistency, factor structure, depression, emotional stability, gender bias, occupational workers
- MeSH terms
- Adult, Fatigue, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Self-Assessment, Sex Factors, Reproducibility of Results
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review