The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Measurement of fatigue in cancer patients: Further validation of the Fatigue Symptom Inventory
Abstract
Fatigue is one of the most common and debilitating symptoms experienced by cancer patients, yet until recent years it has received little systematic attention, due in part to the lack of adequate instruments to measure fatigue. The primary aim of this report is to further validate a recently developed measure of fatigue for use with cancer patients: the Fatigue Symptom Inventory (FSI). This 13-item self-report measure was designed to measure the intensity and duration of fatigue and its interference with quality of life. The FSI was originally validated in a sample of breast cancer patients and a sample of healthy individuals. In this study, the FSI was evaluated in an outpatient sample that included male and female cancer patients, as well as some older patients, with a variety of cancer diagnoses. A seven-item interference scale was found to have good internal consistency, with alpha coefficients above 0.90. Convergent validity was demonstrated via comparisons with an existing measure of fatigue. Construct validity was demonstrated via comparisons with measure of life satisfaction and depression as well as comparisons among subgroups of patients expected to differ in their experience of fatigue. Overall, the FSI was further established as a valid and reliable measure of fatigue in cancer patients. The potential application of this measure in psychosocial oncology research is discussed.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“The FSI is a 13-item fatigue self-report measure with evidence of reliability and validity in cancer populations [21, 54].”
From Comparative responsiveness and minimally important difference of fatigue symptom inventory (FSI) scales and the FSI-3 in trials with cancer survivors (2022) · cites this paper as [54]
Citations
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
Smets, E. M. A., Garssen, B., Bonke, B., & de Haes, J. C. J. M. (1995) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)00125-o · Cited by 3,622
The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer.
Piper, B. F., Dibble, S. L., Dodd, M. J., Weiss, M. C., Slaughter, R. E., & Paul, S. M. (1998) · PubMed · Cited by 838
Measurement of depressive symptoms in cancer patients
Hann, D., Winter, K., & Jacobsen, P. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00004-5 · Cited by 822
Self-citationCella, D. F. (1997) · PubMed · Cited by 683
Hann, D. M., Jacobsen, P. B., Azzarello, L. M., Martin, S. C., Curran, S. L., Fields, K. K., Greenberg, H., & Lyman, G. H. (1998) · Quality of Life Research · doi:10.1023/a:1024929829627 · Cited by 526
Self-citationFatigue and the cancer experience: the state of the knowledge.
Winningham, M. L., Nail, L. M., Burke, M., Brophy, L., Cimprich, B., Jones, L. S., Pickard-Holley, S., Rhodes, V. A., Pierre, B. S., & Beck, S. L. (1994) · PubMed · Cited by 522
Hann (1998) · Quality of Life Research · doi:10.1023/a:1008842517972 · Cited by 500
Devins, G. M., Orme, C. M., Costello, C. G., Binik, Y. M., Frizzell, B., Stam, H. J., & Pullin, W. M. (1988) · Psychology & Health · doi:10.1080/08870448808400349 · Cited by 412
Fatigue in Women Receiving Adjuvant Chemotherapy for Breast Cancer
Jacobsen, P. B., Hann, D. M., Azzarello, L. M., Horton, J., Balducci, L., & Lyman, G. H. (1999) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(99)00082-2 · Cited by 362
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- McNair DM, Lorr M, Droppleman LF. The Manual for the Profile of Mood States. San Diego, CA: Educational and Industrial Testing Service, 1981.
- Nunnally JM, Bernstein IH. Psychometric Theory 3rd edn. New York: McGraw-Hill, 1994.
Cited by
Sorted by citations
Items 201–258 of 258
Hackney, A. J., Klinedinst, N. J., & Resnick, B. M. (2019) · Journal of Nursing Measurement · doi:10.1891/1061-3749.27.3.534 · Cited by 6
Fatigue Symptom Inventory (FSI)
Shahid, A., Wilkinson, K., Marcu, S., & Shapiro, C. M. (2011) · Springer eBooks · doi:10.1007/978-1-4419-9893-4_36 · Cited by 4
Hoogland, A. I., Gonzalez, B. D., Park, J. Y., Small, B. J., Sutton, S. K., Pidala, J. A., Smith, K. S., Bower, J. E., Jacobsen, P. B., & Jim, H. (2023) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001251 · Cited by 3
Dimensions in Appraising Fatigue in Relation to Performance
van Dam, A., Keijsers, G. P. J., Eling, P., & Becker, E. S. (2011) · Psychology · doi:10.4236/psych.2011.29134 · Cited by 3
The Impact of Chemotherapy in Cancer Patients
Chien, T.-J., Lin, C.-P., Song, Y.-L., & Hsu, C.-H. (2013) · Holistic Nursing Practice · doi:10.1097/hnp.0b013e31829b93f4 · Cited by 3
Lin, P., Belcher, E. K., Gilmore, N. J., Hardy, S. J., Xu, H., & Mustian, K. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-75377-1_10 · Cited by 3
Emerson, C., Skvarc, D., Fuller‐Tyszkiewicz, M., OLIVE, L. S., Gibson, P. R., & Mikocka‐Walus, A. A. (2022) · Digestive Diseases and Sciences · doi:10.1007/s10620-022-07476-x · Cited by 3
Assessment and Management of Cancer-RelatedFatigue
Jim, H., & Jacobsen, P. B. (2008) · Translational medicine series · doi:10.3109/9781420052909.002 · Cited by 3
Role of Physiotherapy in Cancer-Related Fatigue in Cancer Survivors - A Narrative Review
Chopde, C. (2016) · Journal of Novel Physiotherapy and Physical Rehabilitation · doi:10.17352/2455-5487.000032 · Cited by 3
Evaluación multidimensional de la astenia relacionada con el cáncer
Arregui, M. T. S. M., & Bruera, E. D. (2013) · Medicina Paliativa · doi:10.1016/j.medipa.2013.01.006 · Cited by 4
The psychological profile of female cancer patients undergoing radiotherapy: A preliminary study
Alqahtani, M. M. J., & AL-Rammah, T. Y. (2018) · Biomedical Research - India · doi:10.4066/biomedicalresearch.29-17-3660 · Cited by 3
Phungula, P. (2011) · Cited by 3
Hansen, J. L., Rumble, M. E., Coe, C. L., Juckett, M., Foster, M. A., Dickson, D. A., Morris, K. E., Hematti, P., & Costanzo, E. S. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.09.017 · Cited by 2
Latent Profile Analysis of Fatigue Subtypes in Adults With Type 2 Diabetes
Kuo, H., Huang, Y., Benner, A. D., & García, A. A. (2025) · Nursing Research · doi:10.1097/nnr.0000000000000811 · Cited by 2
Young, J. L., Powell, R. N., Powell, A., Welling, L. L. M., Granata, L. E., & Saal, J. (2025) · Journal of Psychopharmacology · doi:10.1177/02698811251368371 · Cited by 2
The Effectiveness of Acupuncture for Fatigue Severity in Lung Cancer Patients: Pilot Study
Hyun, D.-S., Kim, J.-D., Kwon, H.-J., & Jung, H.-J. (2012) · Korean Journal of Acupuncture · Cited by 2
Mustian, K. M., Lin, P., Loh, K. P., & Kleckner, I. R. (2018) · Springer eBooks · doi:10.1007/978-3-319-77432-9_8 · Cited by 2
Ng, A. V., Alt, C. A., & Gore, E. (2007) · Springer eBooks · doi:10.1007/978-0-387-34562-8_8 · Cited by 2
Jameson, G., & Hoff, D. D. V. (2016) · Springer eBooks · doi:10.1007/978-3-319-24814-1_10 · Cited by 2
Participants’ perceptions of groupwork in the management of cancer symptoms in older people
Belchamber, C. (2009) · Groupwork · doi:10.1921/095182410x490322 · Cited by 2
Studies on cognitive performance in burnout
van Dam, A. (2013) · Radboud Repository (Radboud University) · Cited by 2
Sexual Functioning in Breast Cancer Survivors
King, H. M. (2005) · Digital Commons - University of South Florida (University of South Florida) · Cited by 2
Measuring fatigue in medically unwell and distressed patients
Prince, M. I., & Jones, D. E. (2001) · Current Opinion in Psychiatry · doi:10.1097/00001504-200111000-00017 · Cited by 3
Jean‐Pierre, P., Cheng, Y., & Paxton, R. J. (2019) · Acta Oncologica · doi:10.1080/0284186x.2019.1687935 · Cited by 2
Weinfeld‐Yehoudayan, A., Czamanski‐Cohen, J., Weihs, K. L., & Cohen, M. W. (2025) · Psycho-Oncology · doi:10.1002/pon.70099 · Cited by 1
Wilkin, K., Evans, S., Druitt, M. L., & Mikocka‐Walus, A. A. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112119 · Cited by 1
Mosher, C. E., Lewson, A. B., Austin-Wright, M., Matthias, M. S., Helft, P. R., Turk, A. A., Loehrer, P. J., Sehdev, A., Al-Hader, A. A., & Johns, S. A. (2025) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2025-005548 · Cited by 1
Kuo, H., Chou, Y.-J., Yang, H.-Y., & Shun, S. (2025) · Journal of Cancer Survivorship · doi:10.1007/s11764-025-01838-w · Cited by 1
Mama, S. K., Bhatia, M., Shi, J., Schmitz, K. H., Rogers, L. Q., Davis, T. J., Selman, J., Murley, B., Haas, B. K., Smyth, J. M., et al. (2025) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaf078 · Cited by 1
Motivational Interviewing to Promote Physical Activity in Breast Cancer Survivors
Patel, Y. A. (2013) · Cited by 1
Chen, F. C., Kunitake, H., Lawson, E. H., Ryoo, J. J., & Ko, C. Y. (2011) · Springer eBooks · doi:10.1007/978-1-4419-1584-9_56 · Cited by 1
Pomiar zmęczenia – przegląd narzędzi
Kulik, A. (2013) · Polskie Forum Psychologiczne · Cited by 1
Psychosocial Issues in Hepatocellular Carcinoma
Steel, J. L., DiMartini, A. F., & Dew, M. A. (2009) · Humana Press eBooks · doi:10.1007/978-1-60327-376-3_24 · Cited by 1
Fatigue as a Symptom of Coronary Heart Disease
Eckhardt, A. L. (2013) · Figshare · Cited by 1
The experience of fatigue and quality of life in patients with advanced lung cancer
Shaffer, A. (2009) · Digital Commons - University of South Florida (University of South Florida)
Physical exercise : effects in cancer patients
Velthuis, M. J. (2010) · Utrecht University Repository (Utrecht University)
The multidimensional nature of fatigue
Vargovics, M., & Csathó, Á. (2009) · Mentálhigiéné és Pszichoszomatika · doi:10.1556/mental.10.2009.3.1
POSTTRAUMATIC STRESS DISORDER IN ADULT SURVIVORS OF BONE
Ansari, L., & Ansari, L. (2006)
Objective Causes of Cancer-Related Fatigue: Roles of Neuromuscular Dysfunction and Sleep Disorders
Medysky, M. E. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27155
Braun, K., Chelberg, M., Hanke, E., Lefaive, S., Lenz, L. H., & Wiggins, M. S. (2018) · Integrative Cancer Science and Therapeutics · doi:10.15761/icst.1000288
Digital Behavior Change Interventions
Messer, D. W., Shanholtz, C. E., & Chowdhury, A. (2018) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-5225-7128-5.ch008
Sourati, A., Ameri, A., & Malekzadeh, M. (2017) · Springer eBooks · doi:10.1007/978-3-319-55950-6_18
Christodoulou, C., MacAllister, W. S., & Krupp, L. (2007) · Humana Press eBooks · doi:10.1007/978-1-59259-960-8_22
Îngrijirea oncologică paliativă – prezentare de caz
Semenescu, L. E., Mitrea, A., & Crișan, A. E. (2023) · Oncolog-Hematolog ro · doi:10.26416/onhe.63.2.2023.8088
ศิริปัญญา, เ. (2017) · Chula Digiverse · doi:10.58837/chula.the.2017.1212
Banovic, I., Scrima, F., Fornasieri, I., Beaugerie, L., Coquart, J. B., Fourgon, C., Iodice, P., Nion–Larmurier, I., Savoye, G., Sorin, A.-L., et al. (2023) · BMC Psychology · doi:10.1186/s40359-023-01358-1
Maunick, B., Skvarc, D., Naude, C., Emerson, C., & Mikocka‐Walus, A. A. (2024) · Research Square · doi:10.21203/rs.3.rs-4146027/v1
Li, X., Brown, K. A., Honeyfield, K., Hunter‐Schlichting, D., Gruner, M., Blackstad, M., Schleiss, M. R., Teoh, D. G. K., Geller, M. A., Nelson, H. H., et al. (2025) · Cancer Reports · doi:10.1002/cnr2.70380
Mosher, C. E., Shinn, E. H., Addington, E. L., Wu, W., Bricker, J. B., Helft, P. R., Turk, A. A., Vater, L. B., Masood, A., Jalal, S. I., et al. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.108168
Mosher, C. E., Seçinti, E., Kroenke, K., Helft, P. R., Turk, A. A., Loehrer, P. J., Sehdev, A., Al-Hader, A. A., Champion, V. L., & Johns, S. A. (2021) · Figshare · doi:10.6084/m9.figshare.14457122
Mosher, C. E., Seçinti, E., Kroenke, K., Helft, P. R., Turk, A. A., Loehrer, P. J., Sehdev, A., Al-Hader, A. A., Champion, V. L., & Johns, S. A. (2021) · Figshare · doi:10.6084/m9.figshare.14457125
Gregorio, S. W., Smit, T., Baltimore, S., Benson, D., Clinton, S. K., Davenport, A. P., Kendra, K., Presley, C. J., & Marks, D. R. (2026) · JMIR Cancer · doi:10.2196/94676
Kuo, H., Chou, Y.-J., Tien, Y., & Shun, S. (2026) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2026.103288
Boerger, T. F., Touzet, A. Y., Furlan, J. C., Nouri, A., Zipser, C. M., Kwon, B. K., Fehlings, M. G., Guest, J. D., Martin, A. R., Treanor, C., et al. (2026) · JMIR Formative Research · doi:10.2196/88794
Metadata
- Authors
- Hann, D. M., Denniston, M. M., & Baker, F.
- Affiliations
- American Cancer Society (US)
- Venue
- Quality of Life Research
- Published
- 2000-07
- Volume
- 9
- Issue
- 7
- Pages
- 847-854
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1548686894
- Cited by
- 258
- References
- 20
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 11 · 2023: 15 · 2022: 12 · 2021: 17 · 2020: 14 · 2019: 10 · 2018: 14 · 2017: 9 · 2016: 21 · 2015: 8 · 2014: 8 · 2013: 11 · 2012: 8
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- cancer-related fatigue, fatigue measurement, psychometric validation, construct validity, convergent validity, internal consistency, quality of life, depression, life satisfaction, psycho-oncology
- MeSH terms
- Adult, Aged, Aged, 80 and over, Fatigue, Female, Humans, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales, Psychometrics, Quality of Life, Surveys and Questionnaires, 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
