The Development of an Instrument to Measure the Subjective Dimension of Fatigue

Piper, Barbara F.; Lindsey, Ada M.; Dodd, Marylin; Ferketich, Sandra; Paul, Steven M.; Weller, Steven R.

doi:10.1007/978-1-349-13397-0_25

Cited by 176 publications

(139 citation statements)

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“…The fatigue measure was chosen based on a multidimensional definition of fatigue as a subjective sense of tiredness, lack of energy, or decreased capacity for performing one's usual physical or mental activities (18). The Piper Fatigue Scale (PFS) was developed by a nursing researcher based on clinical experience and fatigue descriptions in the literature (19). There are 40 items comprising 4 subscales; answers are given on a 100-mm visual analog scale.…”

Section: Methodsmentioning

confidence: 99%

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The contributions of disease activity, sleep patterns, and depression to fatigue in systemic lupus erythematosus

McKinley

Ouellette

Winkel

1995

Arthritis & Rheumatism

109

105

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Objective. This study describes lupus fatigue multidimensionally and introduces a multivariate model: Sleep problems and depressiain, through reciprocal effects on each other, act as ]mediators through which lupus disease activity increases fatigue.Methods. Self-reported sleep patterns, depression, and fatigue were assessed in 48 women with systemic lupus erythematosuis (SLE) and 27 women from the general population. Rheumatologists rated current lupus disease activity.Results. The SLE group reported greater overall fatigue than did the control!$. Temporal and affective dimensions of fatigue were more differentiating than sensory or severity dimensions. The SLE group also reported longer sleep latency and total sleep time, but not higher depression. Using 2-stage regression, a form of structural equation modeling, the proposed lupus fatigue model was supported.Conclusion. These preliminary results describe fatigue as a multidimensional phenomenon arising out of several contributing factors. They suggest that fatigue treatment strategies should address mediating processes

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Section: Methodsmentioning

confidence: 99%

“…Scale reliability was very good (a = 0.95). The Affective subscale (5 items) is designed to tap the "emotional meaning of fatigue" (19). Items assess whether fatigue is perceived as negative versus positive, abnormal versus normal, unpleasant versus pleasant, destructive versus protective, and disagreeable versus agreeable.…”

Section: Methodsmentioning

confidence: 99%

The contributions of disease activity, sleep patterns, and depression to fatigue in systemic lupus erythematosus

McKinley

Ouellette

Winkel

1995

Arthritis & Rheumatism

109

105

View full text Add to dashboard Cite

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“…30,31 Additionally, the severity of COPD was recorded using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification. Balance with the one-leg stance test, [32][33][34] functional capacity with the 2-min step in place, [35][36][37] and fatigue with the Piper fatigue scale [38][39][40] were also assessed due to the association of these measurements with frailty.…”

Section: Measurementsmentioning

confidence: 99%

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

et al. 2015

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BACKGROUND: Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their different domains (household, leisure time, and sport) for the absence of frailty in subjects with COPD exacerbation and stable COPD. METHODS: A cross-sectional study was conducted. The participants underwent an individual interview, including sociodemographic and clinical aspects. The total physical activity and its domains were assessed by the modified Baecke questionnaire, and frailty was measured according to the modified version of Fried. A total of 212 subjects with COPD (104 stable and 108 with COPD exacerbation) were enrolled, along with 100 healthy subjects. RESULTS: The prevalence of frailty was higher in subjects with COPD compared with the control group. An activity level of 3.54 for COPD exacerbation, 3.88 for stable COPD, and 3.50 for healthy subjects assessed using the Baecke questionnaire were recommended as the cutoff points for frailty. Sensitivity and specificity values were 0.95 and 0.807; 0.95 and 0.815; and 0.95 and 0.947, respectively. CONCLUSIONS: Physical activity level can predict the absence or presence of frailty in subjects with stable and exacerbated COPD.

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“…There are a number of multidimensional questionnaires available that combine fatigue and the manifestations of the symptom, including the Piper Fatigue Scale (PFS) (Piper et al, 1989b), the Multidimensional Fatigue Inventory (MFI) (Smets et al, 1995), the Fatigue Assessment Instrument (FAI) (Schwartz et al, 1993), the Fatigue Impact Scale (FIS) (Fisk et al, 1993) and the Dutch Fatigue Scale (DUFS) (Tiesinga et al, 1998). With the exception of the DUFS, none of these instruments was recognized to be used in measuring fatigue in patients with CHF.…”

Section: Fatigue In Patients With Chronic Heart Failurementioning

confidence: 99%

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

100

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Although fatigue is a prevalent and distressing symptom in patients with chronic heart failure (CHF), it is an underestimated problem in the care of patients, and consequently, insuffi ciently investigated. The primary aim of this thesis was, therefore, to advance the knowledge from the patients' perspective by describing characteristics of the fatigue experience and its consequences in daily life in patients with CHF. A secondary aim was to investigate the relationships between fatigue and selected physiological and psychological factors associated with fatigue. Both quantitative and qualitative methods have been used and three samples of patients have been interviewed on different occasions. In two of the quantitative studies 93 patients, and in another study 112 patients, consecutively included, were interviewed at the hospital. Fifteen patients were included in the qualitative study. These 15 participants were enrolled when they visited an outpatient clinic and most of them were interviewed in their homes. These interviews were supplemented with the content of an Internet discussion with persons living with CHF.The results of the studies indicated that fatigue embraces the individual's body, emotions and cognitive abilities, forcing the person to physical restrictions that, in turn, perpetuate emotional discomfort. However, the physical sensation of fatigue followed by functional limitations seemed to be the most prevalent and distressing experience in patients with CHF. The patients described fatigue as lacking strength, which was associated in connection with physical efforts and lacking energy, viewed as an annoying sensation after both mental and physical strain. Another dimension of fatigue was described as being sleepy, often with a rapid and unforeseen onset. Consequences of fatigue, such as refraining from daily chores, denying oneself opportunities for rejoice and social isolation, further exaggerated the experience of fatigue. Restorative activities that engaged, absorbed or distracted the patients counteracted these negative consequences. Depressed mood was related to those fatigue dimensions that compromised functional ability and motivation to start any activities, whereas anxiety was associated with cognitive impairment. Feelings of uncertainty were related to physical tiredness, possibly infl icted by limitations in performing activities. Symptom distress that was caused by a number of reported symptoms other than fatigue had a diminutive infl uence on fatigue and separate symptoms that were associated with fatigue were, with the exception of breathlessness, not the fi rst and most pressing symptom reported by the patients. Anemic patients reported more fatigue compared with non-anemic patients and functional status, according to the New York Heart Association (NYHA) functional classifi cation criteria, was associated with those fatigue dimensions that encompassed physical tiredness and reduced functioning.The fi ndings provide new insights on the characteristics of fatigue and its con...

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The Development of an Instrument to Measure the Subjective Dimension of Fatigue

Cited by 176 publications

References 0 publications

The contributions of disease activity, sleep patterns, and depression to fatigue in systemic lupus erythematosus

The contributions of disease activity, sleep patterns, and depression to fatigue in systemic lupus erythematosus

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

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