Originally developed for use among individuals with multiple sclerosis. An increasing focus on cancerrelated fatigue emphasized the need for sensitive tools to assess this most frequently reported symptom. The fatigue severity scale is a 9item scale which measures the severity of fatigue and its effect on a persons activities and lifestyle in patients with a variety of disorders. The scale addresses fatigues 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.
Each item consists of statements that are scored on a sevenpoint likert type scale ranging from 1 strongly disagree to. Jul 12, 2018 the modified fatigue impact scale is a list of 21 statements that helps doctors evaluate how fatigue impacts someones daily life. Preliminary research suggests that it has acceptable psychometric properties and may be used as a substitute for the mfsi when time constraints and scale length are of concern. Likelihood of reporting chronic fatigue a and chronic fatigue with impairment b among patients with cancer listed in a national registry, compared with individuals without cancer. Rating scale updrs 15, and no separate measure has yet been developed speci. Pdf validation of a german version of the fatigue impact scale. Based on data from forlenza mj, hall p, lichtenstein p et al. Fatigue severity scale fss assessment overview assessment area icf domain. The level of fatigue is measured on a four point likert scale 4 not at all fatigued to 0 very much fatigued webster. How well do the statements describe your own feelings and experiences over the past two weeks. The items are scored on a 7 point scale with 1 strongly disagree and 7 strongly agree. Fatigue severity scale fss questionnaire for patients. The fatigue severity scale fss is a method of evaluating fatigue in multiple sclerosis and other conditions including chronic fatigue immune dysfunction syndrome cfids and systemic lupus erythmatosis sle the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms.
The brief fatigue inventory bfi is used to rapidly assess the severity and impact of cancerrelated fatigue. The six interference items correlate with standard qualityof. The fatigue severity scale fss 4, the modified fatigue impact in ms scale mfis 11, the cognitive and physical fatigue in multiple sclerosis scale cpfms 12, the guys neurological disability scale gnds 10 and the functional. The original fss is a nineitem unidimensional questionnaire developed by krupp, larocca, muirnash, and steinberg 1989 table 1.
Pdf validation of the fatigue severity scale in a swiss cohort. Visual analogue scale to evaluate fatigue severity vasf. 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. This is particularly useful for people with msrelated fatigue.
Percentagesof patients with sle and ms with positive responsesto items on fatiguequestionnare itemst sle ms heat exacerbates fatigue 37. The fatigue severity scale fss is one of the most frequently used inventories for measuring fatigue in people with chronic illnesses. Application to patients with multiple sclerosis and systemic lupus erythematosus. Essentially, the fss consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. Sep 11, 2000 krupp lb, larocca ng, muirnash j, steinberg ad.
One of the easiest methods to evaluate ones level of fatigue is to answer a simple and short questionnaire. Pdf the fatigue impact scale, fis, is an internationally used instrument for the assessment of the impact of fatigue on healthrelated quality of. Entwickelt fur patienten mit multipler sklerose lauren b. Although scoring method 2 is easier to compute, a study of the metric properties of the pfs16 did not recommend its use. Selecting a fatigue rating scale by fred friedberg, phd. Fatigue is highly prevalent and has a negative impact on quality of life and performance in a variety of disorders. This instrument provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning. 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 affects the persons activities and lifestyle in patients with a. The fatigue severity scale fss has been designed to distinguish fatigue from clinical depression. Below is a list of all scales that are currently part of the facit measurement system. 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. In 1994, a canadian group frustrated by this limitation developed the fatigue impact scale fis.
Fatigue assessment scale fas below are a number of questions about possible complaints. The fatigue severity scale the fatigue severity scale can be used to monitor change in fatigue over time or in response to therapeutic interventions. Fatigue severity scale the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Morrow a,e adepartment of radiation oncology, bdepartment of dermatology, cdepartment of medicine, ddepartment of family medicine, and edepartment of psychiatry, university of rochester. Fatigue severity scale fss of sleep disorders the fatigue severity scale fss is a method of evaluating the impact of fatigue on you. The results further showed that fatigue was largely independent of selfreported depressive symptoms and that several characteristicscould differentiate fatigue that accompanies multiple sclerosis from fatigue that accompanies systemic lupus erythematosus.
Fatigue severity scale fss spinal cord injury research. Brief fatigue inventory bfi md anderson cancer center. The maf is a 16 item scale that measures fatigue according to four dimensions. The fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. This study demonstrates 1 the clinical and research applications of a scale that. The majority of published studies have used one of two generic instruments, the fatigue severity scale fss 16 or fatigue assessment inventory fai 17. Fatigue severity scale the fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. Please give an answer to each question, even if you do not have any complaints at the moment. The fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. But, comparing fatigue over time, or between people, is difficult. Selecting a fatigue rating scale by fred friedberg, phd and.
Fatigue is a common and disabling symptom in many chronic diseases. The level of fatigue is measured on a four point likert scale 4 not at all fatigued to 0 very much fatigued webster et al. Per statement you can choose one out of five answer categories, varying from never to always. Fatigue impact scale occupational medicine oxford academic.
Multidimensional fatigue symptom inventory mfsi, he multidimensional fatigue symptom inventory mfsi, is an 83item selfreport measure designed to assess the principal manifestations of fatigue. Items are rated on a 5point scale indicating how true each statement was for the respondent during the last week 0not at all. The fss is a selfreport scale that measures the severity of fatigue and how much it affects the persons activities and lifestyle in patients with a variety of disorders. This is a sample version of the multidimensional atigue. Fatigue severity scale fss questionnaire for patients download and print pdf. The obvious problem with this measure is its subjectivity. She and her colleagues designed a selfreport survey that patients could complete and bring to appointments that would help providers in recognizing and diagnosing fatigue related symptoms of ms. When you are comparing your condition with than before, compare it with how it was before the injury or getting ill.
The fatigue severity scale is a validated tool for clinicians to assess whether you have abnormallylow levels of energy. Parkinsons disease fatigue scale pfs16 printed below are a series of statements about fatigue and the impact that it can have. The fss questionnaire contains nine statements that rate the severity of your fatigue symptoms. Apr 15, 2016 the items are scored on a 7 point scale with 1 strongly disagree and 7 strongly agree. Please circle the answer to each question that is applicable to you. Though multiple measures of fatigue have been created for use with a variety of clinical and research populations, many of these. 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. By limiting the length of the questionnaire, developers hoped to accommodate those individuals who might.
It consists of 9 items, which are scored on a 7point scale with 1 strongly disagree and 7 strongly agree. Msspezifische fatigue severity scale mfss nach krupp. The fss is a valid instrument and a specific questionnaire to assess. Despite fatigue being one of the most common symptoms presenting in primary care, clinicians and researchers were constrained by a lack of validated, reliable and fatiguespecific measures. 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. Outcome measure fatigue severity scale fss sensitivity to change yes population adult domain tbirelated symptomsfatigue type of measure selfreport icfcodes b4 description the fss is a 9item scale that measures the severity of fatigue and how much it affects the persons activities and lifestyle in patients with a variety of disorders. Fatigue severity scale multiple sclerosis encyclopaedia. A physician answers 5 questions about asymptomatic. Grandt1 validation of a german version of the fatigue impact scale fisd. Figure 1the original english and the german version of the fatigue severity scale fss.
Figueroamoseley, a,c pascal jeanpierre, a,d gary r. The fatigue severity scale fss is a method of evaluating fatigue in multiple sclerosis and other conditions including chronic fatigue immune dysfunction syndrome cfids and systemic lupus erythmatosis sle. The 9item fatigue severity scale fss is one of the most commonly used selfreport questionnaires to measure fatigue, but has only been validated in small samplesized studies and in single disorders. It was originally devised for people with multiple sclerosis or systemic lupus erythematosus1. Measuring ra fatigue using the fss scale ra corner. It often covaries with depressive symptoms 14 and sleep impairment 5, 6 and is associated with poorer selfreported health status 7, 8 and reduced quality of life 912. Read each item and decide how much you agree or disagree with it. Because fatigue is a perceived phenomenon, researchers and clinicians rely on subjective measures to indicate need for intervention or.
Since then, it remains one of the most widely used tools. Patients are asked to respond to each statement on a scale of 1 to 7, with 1 indicating strongly disagree and 7 indicating strongly agree. The multidimensional fatigue symptom inventory short form mfsisf is a 30item short form of the mfsi that yield scores only for the empirically derived subscales. Fatigue severity scale fss questionnaire for patients 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. The scale of the problem maarten hofman, a julie l. Krupps in the late 1980s as a tool to evaluate fatigue in patients with multiple sclerosis and systemic lupus erythematosus. Captures the individuals experience of mental or psychological fatigue and how it interferes with performing certain activities exercise, work and family life. Purpose the mfi is a 20item scale designed to evaluate. Loading fatigue severity scale fss of sleep disorders. Can the fatigue severity scale 7item version be used. The fss is a short questionnaire that requires you to rate your level of fatigue. This refers to your usual way of life within the last week.
The modified fatigue impact scale is a list of 21 statements that helps doctors evaluate how fatigue impacts someones daily life. With 40% to 80% of people with ra experiencing fatigue, it is crucial to have a validated measure that can distinguish between different symptoms. The assessment of fatigue in brazilian individuals who have ms is made through the use of selfreport instruments. The aim of this questionnaire is to find out how you experience your complaints. The six interference items correlate with standard qualityoflife measures. The fss questionnaire contains nine statements that rate the severity of.
The fatigue severity scale fss is a 9item selfreport questionnaire scale developed in 1989 24. Anlehnung an bestehende msfatigueskalen fatigue severity scale fss, fai, fis. Questionnaires and all related subscales, translations, and adaptations facit system are owned and ed by david cella, ph. Validation of the fatigue severity scale in a swiss cohort. It captures the individuals experience of mental or. A study of fatigue in systemic lupus erythematosus. 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. The fatigue severity scale fss was developed by lauren krupp, md, a neurologist who specializes in ms, to address this overwhelming ms symptom. Mental function summary the fatigue severity scale fss originally developed for use among individuals with multiple sclerosis. Fatigue assessment scale fas the following ten statements refer to how you usually feel. Outcome measure fatigue severity scale fss sensitivity to change yes population adult domain tbirelated symptomsfatigue type of measure selfreport icfcodes b4 description the fss is a 9item scale that measures the severity of fatigue and how much it. It was originally devised for people with multiple sclerosis or systemic lupus erythematosus. The fss is a nineitem instrument designed to assess fatigue as a symptom of a variety of different chronic conditions and disorders. The facit fatigue scale is a short, item, easy to administer tool that measures an individuals level of fatigue during their usual daily activities over the past week.
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