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. Fatigue severity scale fss the fss contains nine statements that rate the severity of your fatigue symptoms. The patient should also rate the severity of the fatigue. Although scoring method 2 is easier to compute, a study of the metric properties of the pfs16 did not recommend its use. The items are scored on a 7 point scale with 1 strongly disagree and 7 strongly agree. When you have your total score, look at the guidelines for scoringinterpretation below to see where your sleep difficulty fits. Pdf to examine the psychometric properties of the 9item fatigue severity scale fss using a rasch model application. In clinical practice, the evaluation and treatment of fa. Pdf a 7item version of the fatigue severity scale has better. The score is the sum of the numbers that correspond to the severity levels identified in all 3. Perception of effort a numerical rating scale of 110 with 10 being maximal effort and 1. 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. Indicate your level of symptom severity over the past week using the following scale. On a scale of one to ten, how fatigued am i in the morning, around noon, and in the.
Fatigue severity scale fss questionnaire for patients. Fatigue severity scale that covers these areas in detail. Fatigue severity scale fss the scale contains nine items that measure the severity of fatigue symptom of the subjects during the past week. Lifestyle while it might sound counterintuitive, not exercising and leading a sedentary lifestyle can actually increase your fatigue. Fatigue severity scale fss spinal cord injury research evidence. People who have severe fatigue early in their parkinsons tend to stay fatigued. Fatigue is an overwhelming sense of tiredness and lack of energy that can impair participation in daily tasks and work. Rasch analysis of the modified fatigue impact scale mfis. The fatigue severity scale fss is a method of evaluating the impact of fatigue on you.
Using a scale of 0 to 3, indicate the patients level of symptom severity over the past week in each of the 3 symptom categories. The fatigue impact scale for daily use dfis, one of the various. New clinical fibromyalgia diagnostic criteria part 1. When you are comparing your condition with than before, compare it with how it was before the injury or getting ill. A patient needs to answer how fatigue interferes with certain activities. Both scales were administered prior to starting natalizumab and 3. Fatigue impact scale mfis, may be part of this assessment. Circle the one number that describes how, during the past 24 hours, fatigue has interfered with your. Measures of physical and cognitive endurance often show a more rapid decline in motor andor cognitive performance in ms patients compared to healthy controls, but correlate poorly with patientreported fatigue severity. The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics. Total score is calculated by deriving an arithmetic mean. Fatigue severity scale 7, a validated fatigue scale 10 was used to quantify fatigue. 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. Internal consistency for fatigue severity scale was good for multiple sclerosis patients icc0.
A visual analogue scale is also included with the scale. The fsi is a 33item questionnaire,23 modified from the 29item fss,72 originally designed for measuring fatigue severity in patients with multiple sclerosis and. This investigation explored relationships between two commonlyused fatigue rating scales in cfs research, the fatigue scale and the fatigue severity scale. The fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. Selecting a fatigue rating scale by fred friedberg, phd and. The 9item fatigue severity scale fss is one of the most commonly used self report questionnaires to measure fatigue, but has only been validated in small.
Cognitive symptoms 0 no problem 1 slight or mild problems. Please read each statement and circle a number from 1 to 7, based on how accurately it reflects. The fatigue severity scale key a total score of less than 36 suggests that you may not be suffering from fatigue. Validation of the fatigue severity scale in a swiss cohort. The results of your examinations and tests will guide the next steps. Epub jul the chalder fatigue questionnaire is a valid and reliable measure of. Fatigue severity scale fss, fatigue impact scale, fatigue. Fatigue severity scale the fss questionnaire contains nine statements that attempt to explore severity of fatigue symptoms. Objective to test if the mfis total score is valid by application of the rasch measurement model. How well do the statements describe your own feelings and experiences over the past two weeks. Fatigue severity scale geriatric assessment tool kit.
Pdf fatigue is a prominent disabling symptom in a variety of medical and neurologic disorders. Essentially, the fss consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. Chronic pain, fatigue, and depressive symptoms in adults. Normal work includes both work outside the home and daily chores 012345678 910 c. It may become a chronic and disabling problem in daily life of the patients with fm 6, 7. There has been limited research comparing the efficacy of different fatigue rating scales for use with individuals with chronic fatigue syndrome cfs. The fatigue severity scale was constructed to assess fatigue in patients with multiple sclerosis. How to measure the patients level of symptom severity 1. 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 purpose of this fictional case study is to highlight key clinical findings in a patient diagnosed with relapsing remitting multiple sclerosis rrms. Fatigue can be a result of the same brain changes that lead to motor symptoms, though the level of fatigue is not necessarily related to the severity of motor symptoms. Originally developed for use among individuals with multiple sclerosis. The impact of fatigue on patients with multiple sclerosis. The fatigue severity scale was recommended for both screening and severity rating.
Regional sleep disorders center university of maryland. The fatigue severity scale is a short questionnaire. The seven answers are added up to get a total score. Method the mfis was sent by post to patients with clinically definite multiple sclerosis in two. Fatigue is a common and often frustrating symptom for up to 80 percent of people with multiple sclerosis ms.
The validity of eortc qlqc30 fatigue scale in advanced. Fatigue severity scale the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. A spanish language version of the cgi and pgi fatigue scales 141. Assessment of global fatigue in multiple sclerosis. The obvious problem with this measure is its subjectivity. Neuberger fatigue questionnaire general description purpose. Fatigue severity scale scores were lowered, but there was still a significant difference between them p fatigue severity scale 1 and fatigue severity scale 2 p0. The fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms.
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. A total score of 36 or more suggests that you may need further evaluation by a physician. The transfer of knowledge about fatigue from one group to another is crucial in both research and healthcare. Validation of the turkish version of the fatigue severity. Fatigue is a disabling symptom associated with reduced quality of life in various populations living with chronic illnesses. In clinic settings where a brief assessment of amount of fatigue is preferred, the 2. The fss is a short questionnaire that requires you to rate your level of fatigue. Fatigue has a major influence on the quality of life of people with multiple sclerosis. Outcomes should be validly and reliably comparable between groups and should not be unduly influenced by diagnostic variations.
Fatigue severity scale ffs the fatigue severity scale ffs is a method of evaluating the impact of fatigue on you. Review fatigue rating scales critique and recommendations. Measurement properties of a generic and a conditionspecific rating scale. Using the fatigue severity scale to inform healthcare. Extraintestinal symptoms suggestive of chronic fatigue and fibromyalgia were demonstrated in 85% and 71%, respectively. Fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time.
Fss is a short questionnaire that requires you to rate your level of. Nevertheless, malabsorption of fat was demonstrated in 10. It captures the individuals experience of mental or. What you should know, a guide for people with multiple. To facilitate research in this area, we developed a. It was originally devised for people with multiple sclerosis or systemic lupus erythematosus. Some people with ms find it hard to accurately describe their msrelated fatigue to their doctor. Pdf validation of the fatigue severity scale in a swiss cohort. The validity and reliability of the fatigue severity scale. Pdf can the fatigue severity scale 7item version be used.
Mental function summary the fatigue severity scale fss originally developed for use among individuals with multiple sclerosis. After examining you, the healthcare provider may order laboratory tests or refer you to a specialist for more evaluation. The fatigue severity scale is a frequently used patientreported measure of fatigue impact, but does not generate the health state utility values required to inform costeffectiveness analysis, limiting its applicability within decisionmaking contexts. Type of questionnairedescription,age, measures fatigue severity in a variety of medical and neurologic. It was originally devised for people with multiple sclerosis or systemic lupus erythematosus1. The modified fatigue impact scale mfis is a tool that doctors use to evaluate how fatigue affects someones life. In addition, copies of all the msqli scales are included so that the user can photocopy these and use them immediately. Measures fatigue severity in a variety of medical and neurologic disorders. It is important to use measurement tools for accurately evaluating fatigue. Insomnia severity index the insomnia severity index has seven questions. However, these latter two scales measure only the amount of fatigue and the 1. The impact of fatigue on patients with multiple sclerosis volume 21 issue 1 john d. 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 validity and reliability of the fatigue severity scale in.
A 9item questionnaire with questions related to how fatigue interferes with certain activities and rates its severity according to a selfreport scale. 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. Please circle the number that shows how much you agree or disagree with. This refers to your usual way of life within the last week. The fss questionnaire contains nine statements that rate the severity of your fatigue symptoms. Fatigue tiredness thinking or remembering problem muscle weakness headache paincramps in abdomen.
The objective of this study was to use statistical. In parkinsons disease patients, fatigue is a disabling nonmotor symptom whose prevalence ranges from 28% to 58%. Fatigue severity scale fss type of questionnairedescription,age. Fatigue severity scale fss american thoracic society. Fatigue rating scales critique and recommendations by the task. Selecting a fatigue rating scale by fred friedberg, phd. A service of the national library of medicine, national institutes of health. Evaluating hypersomnolence and fatigue tallahassee, fl. Fatigue severity scale fss questionnaire sleepline. Fatigue severity scale fss of sleep disorders the fatigue severity scale fss is a method of evaluating the impact of fatigue on you. Fatigue severity scale an overview sciencedirect topics.
Fatigue is highly prevalent and has a negative impact on quality of life and performance in a variety of disorders. 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 not. The fatigue assessment inventory, an expanded version of the fatigue severity scale, is suggested for both screening and severity. It contains questions that require a patient to rate his level of fatigue. Circle the number that best represents your response to each question. Total scores can range from 10, indicating the lowest level of fatigue, to 50, denoting the highest. Captures the individuals experience of mental or psychological fatigue and how it interferes with performing certain activities exercise, work and family life.
Fatigue severity scale fss questionnaire for patients download and print pdf. Parkinsons disease fatigue scale pfs16 printed below are a series of statements about fatigue and the impact that it can have. The ffs is a short questionnaire requires you to rate your level of fatigue. The fatigue severity scale ffs is a method of evaluating the impact of fatigue on you. Fatigue severity scale multiple sclerosis encyclopaedia. 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 fatigue assessment scale fas is now available in more than 15 languages. Fatigue is a major problem in a wide range of chronic diseases including interstitial lung disease ild and sarcoidosis. This refers to your usual way of life in recent times. Please read each statement and circle a number from 1. Can the fatigue severity scale 7item version be used across. 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.
Assessment of fatigue in end stage renal disease patients. Measuring fatigue severity in primary care patients. Outcome measure fatigue severity scale fss moving ahead cre. Fatigue severity scale fss of sleep disorders healthywomen. Your next steps this scale should not be used to make your own diagnosis. To assess the severity of fatigue in general practice settings. Neither igemediated food allergy nor organic pathology could explain the patients symptoms.
Fatigue severity scale fss assessment overview assessment area icf domain. Review fatigue rating scales critique and recommendations by. Fatigue is the most frequently described and globally recognized as a disabling symptom. Committee on the diagnostic criteria for myalgic encephalomyelitischronic fatigue syndrome. Fatigue severity of fatigue was assessed by the fss.