Abstract：
CONTEXT:Fatigue is a frequent symptom in patients suffering from chronic diseases. The Multidimensional Fatigue Inventory (MFI-20) is often used to measure fatigue. The aim of this article was to test the scale structure of the questionnaire. METHODS:The MFI-20 data were obtained from seven samples, including general population samples and samples of patients with different diseases (N between 122 and 1993). Five confirmatory factor analysis (CFA) models were tested for each sample. RESULTS:The scale structure postulated by the original test authors could not be confirmed by the CFAs. The inclusion of a method factor which considers the positive versus the negative orientation of the items yielded a better model fit. Cronbach's alpha was acceptable for most of the samples and scales: the total score of the MFI-20 reached alpha coefficients above 0.89. A short form of the MFI-20 which is restricted to the 10 positively oriented items (MFI-10) showed relatively good CFA indices. CONCLUSION:The factorial validity of the MFI-20 is insufficient, an issue which is due, at least in part, to the inclusion of positively and negatively oriented items. Nevertheless, we recommend maintaining the scale structure of the MFI-20 and not searching for alternative structures.
journal_name
J Pain Symptom Managejournal_title
Journal of pain and symptom managementauthors
Hinz A,Benzing C,Brähler E,Zenger M,Herzberg PY,Finck C,Schmalbach B,Petrowski Kdoi
10.1016/j.jpainsymman.2019.12.005subject
Has Abstractpub_date
2020-03-01 00:00:00pages
717-723issue
3eissn
0885-3924issn
1873-6513pii
S0885-3924(19)30708-0journal_volume
59pub_type
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journal_title：Journal of pain and symptom management
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journal_title：Journal of pain and symptom management
pub_type： 杂志文章
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