How well do the statements describe your own feelings and experiences over the past two weeks. For example, fatigue can be measured using the quality of life questionnaire published by the european organization for research and treatment of cancer questionnaire. The following ten statements refer to how you usually feel. Fatigue severity scale fss questionnaire sleepline. To identify the prevalence and severity of fatigue and predicting factors for severe fatigue in autosomal dominant spinocerebellar ataxia sca. Measures of fatigue the fatigue questionnaire, fatigue severity scale, multidimensional assessment of fatigue scale, and short form36 vitality energy fatigue subscale of the short form health survey geri b. The maf is a 16 item scale that measures fatigue according to four dimensions. The fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. The scale addresses fatigue s effects on daily functioning, querying its relationship to motivation, physical activity, work, family, and social life, and asking respondents to rate the ease with which they are fatigued and the degree to which the. Since fatigue is a subjective symptom with a physical and mental component, the objective assessment of its severity is often challenging. Assessment of fatigue scale, and short form36 vitality energyfatigue. Department of neurology, state university of new york, stony brook 117948121.
But, comparing fatigue over time, or between people, is difficult. Method the mfis was sent by post to patients with clinically definite multiple sclerosis in two. Receive exclusive offers and updates from oxford academic. Fatigue severity scale fss spinal cord injury research. Essentially, the fss consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The fatigue severity scale 1 1, the fatigue impact scale 12 or the mental fatigue scale can also assist with this. Indicate your level of symptom severity over the past week using the following scale. Fatigue severity scale fss spinal cord injury research evidence. Scale is scored for initiative, modality, severity, frequency, and presence or absence of uhthoffs phenomenon. Both of these other instruments also demonstrate a single factor that can be thought of as assessing severity of fatigue. Fifty per cent of the patients with pd had a mean total fss score of 4 or higher, compared with 25% in. A patient needs to answer how fatigue interferes with certain activities. Fatigue tiredness thinking or remembering problem muscle weakness headache paincramps in abdomen. Validation of the fatigue severity scale in a swiss cohort ncbi.
Fatigue severity scale geriatric assessment tool kit. Neuberger fatigue questionnaire general description purpose. The fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. Fatigue assessment scale fas the following ten statements refer to how you usually feel. To assess the severity of fatigue in general practice settings. The fatigue severity scale is a short questionnaire.
Psychometric properties of the fatigue severity scale and the modified fatigue impact scale. Pdf can the fatigue severity scale 7item version be. It contains questions that require a patient to rate his level of fatigue. Fatigue severity scale fss questionnaire for patients download and print pdf. The fss is a nineitem instrument designed to assess fatigue as a symptom of a variety of different chronic conditions and disorders.
Background the 21item modified fatigue impact scale mfis has been recommended as an outcome measure for use in multiple sclerosis and is commonly used to generate an overall score of fatigue. Captures the individuals experience of mental or psychological fatigue and how it interferes with performing certain activities exercise, work and family life. Fatigue is the most frequently described and globally recognized as a disabling symptom. Also described in fibromyalgia, lyme borreliosis, postpolio, amyotrophic lateral sclerosis, brain injury, parkinsons disease, insomnia, sleep apnea. The interviewer asks questions and scores most questions on a scale of 03. We studied a crosssection of 123 patients with sca. The fss is a selfadministered questionnaire with 9 items questions investigating the severity of fatigue in different situations.
Please circle the number that shows how much you agree or disagree with each statement. Patients may be directed to download and complete the fatigue severity scale fss questionnaire by their haematologist, particularly in relation to their feelings of fatigue and the management of an associated iron deficiency. New clinical fibromyalgia diagnostic criteria part 1. For the patients with pd the mean total fss score was 4. The fatigue severity scale fss is meant to evaluate the impact of fatigue on a persons life. Fatigue severity scale fss questionnaire for patients. Fatigue was measured by the fatigue severity scale fss. The fatigue severity scale is a validated tool for clinicians to assess whether you have abnormallylow levels of energy. Dimensional questionnaire braf mdq, bristol rheumatoid arthritis fatigue numerical rating scales braf nrs for severity, effect, and coping, chalder fatigue questionnaire cfq, checklist individual strength cis20r and cis8r, fatigue severity scale fss, functional assessment chronic illness therapy fatigue facit. Videos home outcome measures fatigue severity scale fss. The performance of the bfi in this study is virtually interchangeable with a. Higher scores on the scale are indicative of more severe fatigue. The fatigue severity scale fss is a likert scale consisting of nine items that assess fatigue severity and functionality krupp et al.
Validation of the fatigue severity scale in chronic. The patient should also rate the severity of the fatigue. It is the selfrecognized state in which an individual experiences an overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work that is not relieved by rest. This simple scale was originally standardized on patients with fatigue related to multiple sclerosis and systemic lupus erythematosus. Fatigue severity scale an overview sciencedirect topics. Pdf fatigue is highly prevalent and has a negative impact on quality of life and performance in a variety of.
Though multiple measures of fatigue have been created for use with a variety of clinical and research populations, many of these. The 9item scale which measures the severity of fatigue and its effect on a. This refers to your usual way of life within the last week. Cognitive symptoms 0 no problem 1 slight or mild problems. Pdf validation of the fatigue severity scale in a swiss cohort. Measuring fatigue in patients with parkinsons disease. References original publication krupp lb, larocca ng, muirnash j, steinberg ad. Rasch analysis of the modified fatigue impact scale mfis. Patients may be directed to download and complete the fatigue severity scale fss questionnaire by their haematologist, particularly in relation to their feelings of fatigue and the management of. Health and quality of life outcomes validation of the fatigue severity scale in chronic hepatitis c kathleen rosa 3 min fu 2 leen gilles 1 karin cerri 5 monika peeters 1 jeffrey bubb 4 jane scott 0 0 janssen global services, global commercial strategic organization, manchester, uk 1 janssen research and development, beerse, belgium 2 janssen research and development, radnor, pa. Fatigue severity scale, negative statements about how fatigue. Items are rated on a scale of 1 to 7 according to their level of agreement with a given statement, and include such statements as i am easily fatigued or fatigue. The fatigue assessment scale fas is now available in more than 15 languages.
Parkinsons disease fatigue scale pfs16 printed below are a series of statements about fatigue and the impact that it can have. Fatigue severity scale the fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. Application to patients with multiple sclerosis and systemic lupus erythematosus. Please give an answer to each question, even if you do not have any complaints at the moment. Per statement you can choose one out of five answer categories, varying from never to always. Originally developed for use among individuals with multiple sclerosis. The rapid assessment of fatigue severity in cancer. Rating scale updrs 15, and no separate measure has yet been developed speci. Fatigue is a prominent disabling symptom in a variety of medical and neurologic disorders. Outcome measure fatigue severity scale fss sensitivity to change yes population adult domain tbirelated symptoms fatigue type of measure selfreport icfcodes b4 description the fss is a 9item scale that measures the severity of fatigue and how much it. A visual analogue scale is also included with the scale. Chalder fatigue questionnaire pdf the chalder fatigue scale is widely used to measure physical and mental fatigue in chronic fatigue syndrome patients, but the constructs of the scale have. However, it is important to know that fatigue is not the same as tiredness. The fatigue severity scale fss was distinguishes fatigue from clinical depression.
Please circle the answer to each question that is applicable to you. The fatigue questionnaire, fatigue severity scale, multidimensional. Fatigue severity scale the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. The fatigue severity scale includes nine items that provide a measure of fatigue severity. The fss questionnaire contains nine statements that rate the severity of your fatigue.
Patient reported outcomes or pros are important to clinical care and research settings as they capture the patients, unbiased, selfreported outcomes of their quality of life, symptoms, general health, and wellbeing. The fss questionnaire contains nine statements that rate the severity of your fatigue symptoms. Translations in other languages if yes, then list the languages, german, turkish, norwegian. Fss is a short questionnaire that requires you to rate your level of. Development and validation of the cancer fatigue scale. Fatigue in traumatic brain injury patients sciencedirect.
Fatigue severity scale rehabmeasures database abilitylab. Purpose the scale is composed of 14 items one of which is not scored and is designed to evaluate multiple aspects of fatigue, including its perceived severity, frequency, and interference with daily functioning. Krupps and colleagues in the late 1980s as a tool to assess fatigue in patientswith multiple sclerosis and systemic lupus erythematosus. Fatigue severity scale fss of sleep disorders healthywomen. Fatigue is a subjective complaint with both acute and chronic illness. The fatigue severity scale fss is a method of evaluating the impact of fatigue on you. The mfis is a modified form of the fatigue impact scale fisk et al, 1994b based on items derived from interviews with ms patients concerning how fatigue impacts their lives.
Heidi maloni, phd, aprn, bcanp, cnrn, mscn washington, dc. Read each statement and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. The goal of the study was to assess fatigue in traumatic brain injury patients tbi, identify potential predictors of its occurrence and its impact on quality of life. Fatigue is a major problem in a wide range of chronic diseases including interstitial lung disease ild and sarcoidosis. Application to patients with multiple sclerosis and systemic lupus erythematosus article pdf available in jama neurology 4610. It is quick and easy to complete for patients, and not time consuming. With around 80% of people with lupus experiencing fatigue, it is crucial to have a validated measure that can distinguish between different symptoms. Can the fatigue severity scale 7item version be used across different patient populations as a generic fatigue measure a comparative study using a rasch model approach.
The majority of published studies have used one of two generic instruments, the fatigue severity scale fss 16 or fatigue assessment inventory fai 17. The fss is a short questionnaire that requires you to rate your level of fatigue. Please circle the number between 1 and 7 which you feel best fits the following statements. Six functional scales were used in a selfassessment. It doesnt really measure severity but it is quite useful. Objective to test if the mfis total score is valid by application of the rasch measurement model. Psychometric properties of the fatigue severity scale rasch analyses of individual responses in a norwegian stroke cohort. The cfq measuring a composite of physical and mental fatigue severity i. This instrument provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning.
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