Self-regulatory fatigue in chronic multisymptom illnesses: scale development, fatigue, and self-control
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BACKGROUND: Self-regulatory capacity involves ability to regulate thoughts, emotions, and behavior. Chronic multisymptom illnesses such as fibromyalgia and chronic fatigue syndrome are accompanied by numerous challenges, and have recently been associated with self-regulatory fatigue (SRF). Chronic multisymptom illnesses are also frequently associated with physical fatigue, and through development of a scale measuring SRF, the current study aimed to examine how SRF can be distinguished from physical fatigue. The study also sought to distinguish SRF from self-control. METHODS: Two self-regulation researchers developed 30 items related to self-regulatory capacity. These items were distributed to patients (n = 296) diagnosed with chronic multisymptom illness together with validated measures of physical fatigue and self-control. A principal factor analysis was employed to examine factor structures, identify inter-item relationships, and aid in scale development. RESULTS: The final proposed scale consisted of 18 items measuring self-regulatory capacity (SRF-18) with cognitive, emotional, and behavioral SRF components. Internal consistency and reliability was acceptable (Cronbach's á = 0.81). The final scale was moderately correlated with self-control (r = -0.48) and highly correlated with physical fatigue (r = 0.75), although more so with emotional (r = 0.72) and mental (r = 0.65) than physical (r = 0.46) fatigue components. CONCLUSION: The current study suggests a new scale for measurement of SRF in chronic multisymptom illness. Although cross-validation studies are necessary, such a scale may contribute to a better understanding of the concept of self-regulation and the role of SRF in chronic illness. Although related to physical fatigue and self-control, the results point to SRF as a distinct construct.
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The Self-Regulatory Fatigue 18 has been translated and tested in Norwegian cancer populations and has acceptable internal consistency and reliability.
“The measure has been translated and tested in Norwegian cancer populations [42,43] and has acceptable internal consistency and reliability [41]”
From Short-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain: Randomized Controlled Trial (2023) · cites this paper as [41]
The Self-Regulatory Fatigue 18 (SRF-18) has acceptable internal consistency and reliability.
“The SRF-18 has acceptable internal consistency and reliability [57].”
From Digital Self-Management in Support of Patients Living With Chronic Pain: Feasibility Pilot Study (2020) · cites this paper as [57]
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- Authors
- Vincent, A., Nes, S., Ehlers, & Whipple
- Affiliations
- Mayo Clinic (US)
- Oslo University Hospital (NO)
- Venue
- Journal of Pain Research
- Publisher
- Informa UK Limited
- Published
- 2013-03
- Volume
- 6
- Pages
- 181
- ISSN
- 1178-7090 (ISSN-L)
- PMC
- PMC3596127
- OpenAlex
- W2106895604
- Cited by
- 101
- References
- 44
- Citations by year
- 2026: 29 · 2025: 24 · 2024: 13 · 2023: 11 · 2022: 7 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 1 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 1
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Pain Research (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- Mayo Clinic (RR024150)
- National Institutes of Health (RR024150)
- National Center for Research Resources (RR-024150, UL1RR024150)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- self-regulatory fatigue, self-regulation, chronic multisymptom illness, fibromyalgia, chronic fatigue syndrome, physical fatigue, self-control, scale development, emotional fatigue, mental fatigue
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.
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