Dutch Multifactor Fatigue Scale: A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury

Annemarie C. Visser-Keizer; Antoinette Hogenkamp; Herma J.  Westerhof-Evers; Iris J. L. Egberink; Jacoba M. Spikman

doi:10.1016/j.apmr.2014.12.010

Dutch Multifactor Fatigue Scale: A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury

Annemarie C. Visser-Keizer^*, Antoinette Hogenkamp, Herma J. Westerhof-Evers, Iris J. L. Egberink, Jacoba M. Spikman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

20 Citations (Scopus)

Abstract

Objectives: To develop the Dutch Multifactor Fatigue Scale (DMFS), a new scale to assess the nature and impact of fatigue and coping with fatigue in the chronic phase after acquired brain injury (ABI) and to analyze the psychometric properties of this scale in a mixed group of patients with ABI.

Design: Cross-sectional survey study.

Setting: Academic rehabilitation center.

Participants: A mixed sample of patients with ABI (N=134). For the development of the DMFS: community-dwelling adults with stroke (n=9) and traumatic brain injury (n=5). For analyses of the psychometric properties of the DMFS: community-dwelling adults with ischemic stroke (n=55), hemorrhagic stroke (n=22), traumatic brain injury (n=35), or other ABIs (n=22), all at least 6 months after brain injury.

Interventions: Not applicable.

Main Outcome Measures: DMFS, Hospital Anxiety and Depression Scale, Checklist Individual Strength, and Dutch Personality Questionnaire.

Results: Exploratory and confirmatory factor analyses on data of 134 patients showed that the final DMFS consisted of 5 factors (explaining 55% of the variance): Impact of fatigue, Mental fatigue, Signs and Direct consequences of fatigue, Physical fatigue, and Coping with fatigue. All subscales of the DMFS showed sufficient to good reliability, good convergent validity with an existing fatigue scale, and good divergent validity with measures of mood and self-esteem.

Conclusions: The DMFS is believed to improve the diagnostic process of fatigue in the chronic phase after ABI. As it measures several factors of fatigue after brain injury, therapeutic indications can be targeted to patients' needs. (C) 2015 by the American Congress of Rehabilitation Medicine

Original language	English
Pages (from-to)	1056-1063
Number of pages	8
Journal	Archives of Physical Medicine and Rehabilitation
Volume	96
Issue number	6
DOIs	https://doi.org/10.1016/j.apmr.2014.12.010
Publication status	Published - Jun-2015

Keywords

Brain injuries
Fatigue
Neuropsychology
Rehabilitation
Self-assessment
1ST 2 YEARS
POSTSTROKE FATIGUE
PSYCHOMETRIC PROPERTIES
MULTIPLE-SCLEROSIS
DEPRESSION SCALE
HOSPITAL ANXIETY
IMPACT SCALE
STROKE
MILD
VALIDATION

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Dutch Multifactor Fatigue Scale A New Scale to Measure the Different
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title = "Dutch Multifactor Fatigue Scale: A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury",

abstract = "Objectives: To develop the Dutch Multifactor Fatigue Scale (DMFS), a new scale to assess the nature and impact of fatigue and coping with fatigue in the chronic phase after acquired brain injury (ABI) and to analyze the psychometric properties of this scale in a mixed group of patients with ABI.Design: Cross-sectional survey study.Setting: Academic rehabilitation center.Participants: A mixed sample of patients with ABI (N=134). For the development of the DMFS: community-dwelling adults with stroke (n=9) and traumatic brain injury (n=5). For analyses of the psychometric properties of the DMFS: community-dwelling adults with ischemic stroke (n=55), hemorrhagic stroke (n=22), traumatic brain injury (n=35), or other ABIs (n=22), all at least 6 months after brain injury.Interventions: Not applicable.Main Outcome Measures: DMFS, Hospital Anxiety and Depression Scale, Checklist Individual Strength, and Dutch Personality Questionnaire.Results: Exploratory and confirmatory factor analyses on data of 134 patients showed that the final DMFS consisted of 5 factors (explaining 55% of the variance): Impact of fatigue, Mental fatigue, Signs and Direct consequences of fatigue, Physical fatigue, and Coping with fatigue. All subscales of the DMFS showed sufficient to good reliability, good convergent validity with an existing fatigue scale, and good divergent validity with measures of mood and self-esteem.Conclusions: The DMFS is believed to improve the diagnostic process of fatigue in the chronic phase after ABI. As it measures several factors of fatigue after brain injury, therapeutic indications can be targeted to patients' needs. (C) 2015 by the American Congress of Rehabilitation Medicine",

keywords = "Brain injuries, Fatigue, Neuropsychology, Rehabilitation, Self-assessment, 1ST 2 YEARS, POSTSTROKE FATIGUE, PSYCHOMETRIC PROPERTIES, MULTIPLE-SCLEROSIS, DEPRESSION SCALE, HOSPITAL ANXIETY, IMPACT SCALE, STROKE, MILD, VALIDATION",

author = "Visser-Keizer, {Annemarie C.} and Antoinette Hogenkamp and Westerhof-Evers, {Herma J.} and Egberink, {Iris J. L.} and Spikman, {Jacoba M.}",

year = "2015",

month = jun,

doi = "10.1016/j.apmr.2014.12.010",

language = "English",

volume = "96",

pages = "1056--1063",

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publisher = "W B SAUNDERS CO-ELSEVIER INC",

number = "6",

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Dutch Multifactor Fatigue Scale : A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury. / Visser-Keizer, Annemarie C.; Hogenkamp, Antoinette; Westerhof-Evers, Herma J. et al.

In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 6, 06.2015, p. 1056-1063.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Dutch Multifactor Fatigue Scale

T2 - A New Scale to Measure the Different Aspects of Fatigue After Acquired Brain Injury

AU - Visser-Keizer, Annemarie C.

AU - Hogenkamp, Antoinette

AU - Westerhof-Evers, Herma J.

AU - Egberink, Iris J. L.

AU - Spikman, Jacoba M.

PY - 2015/6

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N2 - Objectives: To develop the Dutch Multifactor Fatigue Scale (DMFS), a new scale to assess the nature and impact of fatigue and coping with fatigue in the chronic phase after acquired brain injury (ABI) and to analyze the psychometric properties of this scale in a mixed group of patients with ABI.Design: Cross-sectional survey study.Setting: Academic rehabilitation center.Participants: A mixed sample of patients with ABI (N=134). For the development of the DMFS: community-dwelling adults with stroke (n=9) and traumatic brain injury (n=5). For analyses of the psychometric properties of the DMFS: community-dwelling adults with ischemic stroke (n=55), hemorrhagic stroke (n=22), traumatic brain injury (n=35), or other ABIs (n=22), all at least 6 months after brain injury.Interventions: Not applicable.Main Outcome Measures: DMFS, Hospital Anxiety and Depression Scale, Checklist Individual Strength, and Dutch Personality Questionnaire.Results: Exploratory and confirmatory factor analyses on data of 134 patients showed that the final DMFS consisted of 5 factors (explaining 55% of the variance): Impact of fatigue, Mental fatigue, Signs and Direct consequences of fatigue, Physical fatigue, and Coping with fatigue. All subscales of the DMFS showed sufficient to good reliability, good convergent validity with an existing fatigue scale, and good divergent validity with measures of mood and self-esteem.Conclusions: The DMFS is believed to improve the diagnostic process of fatigue in the chronic phase after ABI. As it measures several factors of fatigue after brain injury, therapeutic indications can be targeted to patients' needs. (C) 2015 by the American Congress of Rehabilitation Medicine

AB - Objectives: To develop the Dutch Multifactor Fatigue Scale (DMFS), a new scale to assess the nature and impact of fatigue and coping with fatigue in the chronic phase after acquired brain injury (ABI) and to analyze the psychometric properties of this scale in a mixed group of patients with ABI.Design: Cross-sectional survey study.Setting: Academic rehabilitation center.Participants: A mixed sample of patients with ABI (N=134). For the development of the DMFS: community-dwelling adults with stroke (n=9) and traumatic brain injury (n=5). For analyses of the psychometric properties of the DMFS: community-dwelling adults with ischemic stroke (n=55), hemorrhagic stroke (n=22), traumatic brain injury (n=35), or other ABIs (n=22), all at least 6 months after brain injury.Interventions: Not applicable.Main Outcome Measures: DMFS, Hospital Anxiety and Depression Scale, Checklist Individual Strength, and Dutch Personality Questionnaire.Results: Exploratory and confirmatory factor analyses on data of 134 patients showed that the final DMFS consisted of 5 factors (explaining 55% of the variance): Impact of fatigue, Mental fatigue, Signs and Direct consequences of fatigue, Physical fatigue, and Coping with fatigue. All subscales of the DMFS showed sufficient to good reliability, good convergent validity with an existing fatigue scale, and good divergent validity with measures of mood and self-esteem.Conclusions: The DMFS is believed to improve the diagnostic process of fatigue in the chronic phase after ABI. As it measures several factors of fatigue after brain injury, therapeutic indications can be targeted to patients' needs. (C) 2015 by the American Congress of Rehabilitation Medicine

KW - Brain injuries

KW - Fatigue

KW - Neuropsychology

KW - Rehabilitation

KW - Self-assessment

KW - 1ST 2 YEARS

KW - POSTSTROKE FATIGUE

KW - PSYCHOMETRIC PROPERTIES

KW - MULTIPLE-SCLEROSIS

KW - DEPRESSION SCALE

KW - HOSPITAL ANXIETY

KW - IMPACT SCALE

KW - STROKE

KW - MILD

KW - VALIDATION

U2 - 10.1016/j.apmr.2014.12.010

DO - 10.1016/j.apmr.2014.12.010

M3 - Article

SN - 0003-9993

VL - 96

SP - 1056

EP - 1063

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 6

ER -