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儿童简短疲劳问卷,一份针对儿童的4项疲劳问卷。

Paediatric short fatigue questionnaire, a 4-item fatigue questionnaire for children.

作者信息

Nap-van der Vlist Merel M, Vroegindeweij Anouk, Hoefnagels Johanna W, van der Ent Cornelis K, Swart Joost F, van de Putte Elise M, Nijhof Sanne L

机构信息

Department of Paediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

Department of Paediatric Rheumatology/Immunology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.

出版信息

J Psychosom Res. 2023 Feb;165:111130. doi: 10.1016/j.jpsychores.2022.111130. Epub 2022 Dec 24.

Abstract

OBJECTIVE

To investigate whether a paediatric Short Fatigue Questionnaire (pSFQ) assesses a valid construct for subjective fatigue, to assess its psychometric properties and provide a cut-off score for severe fatigue in children.

METHODS

The pSFQ consists of 4 items from the Checklist Individual Strength-8 (CIS-8). Data of previous studies using the CIS-8 were used to assess the pSFQ in healthy children (n = 316), children with chronic fatigue syndrome (n = 173), and children with a chronic disease (n = 442). All children were 12-18 years old. Confirmatory factor analysis (CFA) was performed, followed by Cronbach alpha's to investigate internal consistency, and Spearman's correlations to assess construct validity. With ROC analysis, we determined a cut-off score for severe fatigue and provide normative data on the pSFQ for children with and without a chronic disease.

RESULTS

CFA confirmed a one-factor model in the pSFQ representing subjective fatigue. Cronbach's alpha ranged from good to excellent (0.84-0.94), as did construct validity (-0.76 and - 0.87 for correlation with two other fatigue measurements). ROC analysis delivered a cut-off score of ≥21, with a sensitivity of 93.9% and specificity of 96.2% for severe fatigue. Normative data for children with and without a chronic disease showed similar patterns compared to other fatigue questionnaires.

CONCLUSION

The pSFQ is a practical and reliable screening instrument for severe fatigue in children with and without a chronic disease, and effectively reduces the questionnaire length with 50% compared to the conventional CIS-8.

摘要

目的

探讨儿童简短疲劳问卷(pSFQ)是否能有效评估主观疲劳的结构,评估其心理测量学特性,并为儿童严重疲劳提供一个临界值。

方法

pSFQ由简短个人力量清单-8(CIS-8)中的4个项目组成。利用先前使用CIS-8的研究数据,对健康儿童(n = 316)、慢性疲劳综合征儿童(n = 173)和慢性病儿童(n = 442)进行pSFQ评估。所有儿童年龄在12至18岁之间。进行验证性因素分析(CFA),随后计算克朗巴哈系数以研究内部一致性,并计算斯皮尔曼相关性以评估结构效度。通过ROC分析,我们确定了严重疲劳的临界值,并提供了患慢性病和未患慢性病儿童的pSFQ规范数据。

结果

CFA证实pSFQ中代表主观疲劳的单因素模型。克朗巴哈系数从良好到优秀(0.84 - 0.94),结构效度也是如此(与其他两种疲劳测量方法的相关性为-0.76和-0.87)。ROC分析得出临界值≥21,对严重疲劳的敏感性为93.9%,特异性为96.2%。患慢性病和未患慢性病儿童的规范数据与其他疲劳问卷相比显示出相似的模式。

结论

pSFQ是一种实用且可靠的筛查工具,可用于评估患慢性病和未患慢性病儿童的严重疲劳,与传统的CIS-8相比,有效减少了50%的问卷长度。

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