Propiedades psicométricas de la versión española de la Escala de Fatiga de Chalder en población clínica y general

Autores/as

DOI: https://doi.org/10.6018/analesps.570181
Palabras clave: Fatiga, Escala de fatiga de Chalder (CFS), población española, Validación

Resumen

Objetivo: La Escala de Fatiga de Chalder (CFS) es una escala breve para evaluar fatiga que se utiliza en España, pero que no ha sido validada en su población. El objetivo del estudio fue adaptar y evaluar las propiedades psicométricas de la versión española de la CFS (Sp-CFS). Método: La muestra la conformaron 3,671 participantes (3.190 de la población general y 481 pacientes), con edades entre 18 y 86 años (M = 28.43; DT = 12.71), siendo el 67.6% mujeres. Las propiedades psicométricas de la escala se probaron en un diseño transversal utilizando validación cruzada (análisis factorial exploratorio y confirmatorio) y estimación de la invarianza (sexo y condición clínica). Resultados: Un modelo de cuatro factores (baja energía, problemas de sueño, problemas de concentración y disfunción cognitiva subjetiva) en lugar de un modelo original de dos factores (fatiga física y mental) proporcionó mejores índices de bondad de ajuste a los datos. La consistencia interna y la estabilidad de la escala fueron excelentes. Su validez convergente se apoyó en su asociación significativa con la ansiedad, la depresión, el estrés y los síntomas positivos y negativos del espectro de la psicosis. El instrumento no mostró diferencias significativas entre sexos ni condiciones clínicas, y discriminó entre la población general y los pacientes, obteniendo estos últimos puntajes significativamente mayores. Conclusiones: Sp-CFS es una escala fiable y válida para medir la fatiga en población general y clínica española.

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Abrahams, H. J. G., Gielissen, M. F. M., Verhagen, C. A. H. H. V. M., & Knoop, H. (2018). The relationship of fatigue in breast cancer survivors with quality of life and factors to address in psychological interventions: A systematic review. Clinical Psychology Review, 63, 1–11. https://doi.org/10.1016/j.cpr.2018.05.004

Adın, R. M., Ceren, A. N., Salcı, Y., Fil Balkan, A., Armutlu, K., & Ayhan Kuru, Ç. (2022). Dimensionality, psychometric properties, and population-based norms of the Turkish version of the Chalder Fatigue Scale among adults. Health and Quality of Life Outcomes, 20(1), 161. https://doi.org/10.1186/s12955-022-02074-x

Ahn, Y.-C., Lee, J.-S., & Son, C.-G. (2020). Reliability and Validity of the Modified Korean Version of the Chalder Fatigue Scale (mKCFQ11). Healthcare, 8(4), 427. https://doi.org/10.3390/healthcare8040427

American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders. (Fifth Edition, DSM-5). APA.

Bados, A., Solanas, A., & Andrés, R. (2005). Psychometric properties of the Spanish version of Depression, Anxiety and Stress Scales (DASS). Psicothema, 17(4), 679–683.

Barone, T. L. (2017). “Sleep is on the back burner”: Working students and sleep. The Social Science Journal, 54(2), 159–167. https://doi.org/10.1016/j.soscij.2016.12.001

Belza, B., Miyawaki, C. E., Liu, M., Aree-Ue, S., Fessel, M., Minott, K. R., & Zhang, X. (2018). A Systematic Review of Studies Using the Multidimensional Assessment of Fatigue Scale. Journal of Nursing Measurement, 26(1), 36–74. https://doi.org/10.1891/1061-3749.26.1.36

Carfì, A., Bernabei, R., Landi, F., & for the Gemelli Against COVID-19 Post-Acute Care Study Group. (2020). Persistent Symptoms in Patients After Acute COVID-19. JAMA, 324(6), 603. https://doi.org/10.1001/jama.2020.12603

Cella, M., & Chalder, T. (2010). Measuring fatigue in clinical and community settings. Journal of Psychosomatic Research, 69(1), 17–22. https://doi.org/10.1016/j.jpsychores.2009.10.007

Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). Development of a fatigue scale. Journal of Psychosomatic Research, 37(2), 147–153. https://doi.org/10.1016/0022-3999(93)90081-P

Chen, F. F. (2007). Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504. https://doi.org/10.1080/10705510701301834

Chilcot, J., Norton, S., Kelly, M. E., & Moss-Morris, R. (2016). The Chalder Fatigue Questionnaire is a valid and reliable measure of perceived fatigue severity in multiple sclerosis. Multiple Sclerosis Journal, 22(5), 677–684. https://doi.org/10.1177/1352458515598019

Cho, H. J., Costa, E., Menezes, P. R., Chalder, T., Bhugra, D., & Wessely, S. (2007). Cross-cultural validation of the Chalder Fatigue Questionnaire in Brazilian primary care. Journal of Psychosomatic Research, 62(3), 301–304. https://doi.org/10.1016/j.jpsychores.2006.10.018

Cicero, D. C., Kerns, J. G., & McCarthy, D. M. (2010). The Aberrant Salience Inventory: A new measure of psychosis proneness. Psychological Assessment, 22(3), 688–701. https://doi.org/10.1037/a0019913

Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences (0 ed.). Routledge. https://doi.org/10.4324/9780203771587

Dittner, A. J., Wessely, S. C., & Brown, R. G. (2004). The assessment of fatigue. Journal of Psychosomatic Research, 56(2), 157–170. https://doi.org/10.1016/S0022-3999(03)00371-4

Dollfus, S., Mach, C., & Morello, R. (2016). Self-Evaluation of Negative Symptoms: A Novel Tool to Assess Negative Symptoms. Schizophrenia Bulletin, 42(3), 571–578. https://doi.org/10.1093/schbul/sbv161

Doyle, F., Conroy, R., McGee, H., & Delaney, M. (2010). Depressive symptoms in persons with acute coronary syndrome: Specific symptom scales and prognosis. Journal of Psychosomatic Research, 68(2), 121–130. https://doi.org/10.1016/j.jpsychores.2009.07.013

Ferentinos, P., Kontaxakis, V., Havaki-Kontaxaki, B., Dikeos, D., & Papadimitriou, G. (2010). The Fatigue Questionnaire: Standardization in patients with major depression. Psychiatry Research, 177(1–2), 114–119. https://doi.org/10.1016/j.psychres.2009.01.029

Ferrando, P. J., Lorenzo-Seva, U., Hernández-Dorado, A., & Muñiz, J. (2022). Decálogo para el Análisis Factorial de los Ítems de un Test [Decalogue for the Factor Analysis of Test Items]. Psicothema, 34.1, 7–17. https://doi.org/10.7334/psicothema2021.456

Fong, T. C. T., Chan, J. S. M., Chan, C. L. W., Ho, R. T. H., Ziea, E. T. C., Wong, V. C. W., Ng, B. F. L., & Ng, S. M. (2015). Psychometric properties of the Chalder Fatigue Scale revisited: An exploratory structural equation modeling approach. Quality of Life Research, 24(9), 2273–2278. https://doi.org/10.1007/s11136-015-0944-4

Fonseca-Pedrero, E., Paino, M., Lemos-Giráldez, S., & Muñiz, J. (2012). Validation of the community assessment psychic experiences -42 (CAPE-42) in Spanish college students and patients with psychosis. Actas Espanolas de Psiquiatria, 40(4), 169–176.

Gross, G. M., Silvia, P. J., Barrantes-Vidal, N., & Kwapil, T. R. (2012). Psychometric properties and validity of short forms of the Wisconsin Schizotypy Scales in two large samples. Schizophrenia Research, 134(2–3), 267–272. https://doi.org/10.1016/j.schres.2011.11.032

Ha, H., Jeong, D., Hahm, B.-J., & Shim, E.-J. (2018). Cross-Cultural Validation of the Korean Version of the Chalder Fatigue Scale. International Journal of Behavioral Medicine, 25(3), 351–361. https://doi.org/10.1007/s12529-017-9701-0

Häfner, H., Riecher-Rössler, A., Hambrecht, M., Maurer, K., Meissner, S., Schmidtke, A., Fätkenheuer, B., Löffler, W., & van der Heiden, W. (1992). IRAOS: An instrument for the assessment of onset and early course of schizophrenia. Schizophrenia Research, 6(3), 209–223. https://doi.org/10.1016/0920-9964(92)90004-O

Hernández, P., Berrios, G. E., & Bulbena, A. (2000). Concepto y evaluación de la sensación de fatiga [Concept and assesment of the sensation of fatigue]. In Medición clínica en psiquiatría y psicología [Clinical measurement in psychiatry and psychology] (pp. 125–135). Masson.

Jing, M.-J., Lin, W.-Q., Wang, Q., Wang, J.-J., Tang, J., Jiang, E.-S., Lei, Y.-X., & Wang, P.-X. (2016). Reliability and Construct Validity of Two Versions of Chalder Fatigue Scale among the General Population in Mainland China. International Journal of Environmental Research and Public Health, 13(1), 147. https://doi.org/10.3390/ijerph13010147

Kanchanatawan, B., Sriswasdi, S., & Maes, M. (2019). Supervised machine learning to decipher the complex associations between neuro-immune biomarkers and quality of life in schizophrenia. Metabolic Brain Disease, 34(1), 267–282. https://doi.org/10.1007/s11011-018-0339-7

Kanchanatawan, B., Thika, S., Sirivichayakul, S., Carvalho, A. F., Geffard, M., & Maes, M. (2018). In Schizophrenia, Depression, Anxiety, and Physiosomatic Symptoms Are Strongly Related to Psychotic Symptoms and Excitation, Impairments in Episodic Memory, and Increased Production of Neurotoxic Tryptophan Catabolites: A Multivariate and Machine Learning Study. Neurotoxicity Research, 33(3), 641–655. https://doi.org/10.1007/s12640-018-9868-4

Kirkpatrick, B., Fenton, W. S., Carpenter, W. T., & Marder, S. R. (2006). The NIMH-MATRICS Consensus Statement on Negative Symptoms. Schizophrenia Bulletin, 32(2), 214–219. https://doi.org/10.1093/schbul/sbj053

Lenzenweger, M. F., Bennett, M. E., & Lilenfeld, L. R. (1997). The Referential Thinking Scale as a measure of schizotypy: Scale development and initial construct validation. Psychological Assessment, 9(4), 452–463. https://doi.org/10.1037/1040-3590.9.4.452

Li, S. H., Lloyd, A. R., & Graham, B. M. (2020). Physical and mental fatigue across the menstrual cycle in women with and without generalised anxiety disorder. Hormones and Behavior, 118, 104667. https://doi.org/10.1016/j.yhbeh.2019.104667

Loriol, M. (2017). A sociological stance on fatigue and tiredness: Social inequalities, norms and representations. Neurophysiologie Clinique/Clinical Neurophysiology, 47(2), 87–94. https://doi.org/10.1016/j.neucli.2016.12.001

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U

McCallum, S. M., Batterham, P. J., Calear, A. L., Sunderland, M., Carragher, N., & Kazan, D. (2019). Associations of fatigue and sleep disturbance with nine common mental disorders. Journal of Psychosomatic Research, 123, 109727. https://doi.org/10.1016/j.jpsychores.2019.05.005

Meehl, P. E. (1990). Toward an Integrated Theory of Schizotaxia, Schizotypy, and Schizophrenia. Journal of Personality Disorders, 4(1), 1–99. https://doi.org/10.1521/pedi.1990.4.1.1

Menting, J., Tack, C. J., Bleijenberg, G., Donders, R., Droogleever Fortuyn, H. A., Fransen, J., Goedendorp, M. M., Kalkman, J. S., Strik-Albers, R., van Alfen, N., van der Werf, S. P., Voermans, N. C., van Engelen, B. G., & Knoop, H. (2018). Is fatigue a disease-specific or generic symptom in chronic medical conditions? Health Psychology, 37(6), 530–543. https://doi.org/10.1037/hea0000598

Morriss, R., Wearden, A., & Mullis, R. (1998). Exploring the validity of the chalder fatigue scale in chronic fatigue syndrome. Journal of Psychosomatic Research, 45(5), 411–417. https://doi.org/10.1016/S0022-3999(98)00022-1

Nyer, M., Mischoulon, D., Alpert, J. E., Holt, D. J., Brill, C. D., Yeung, A., Pedrelli, P., Baer, L., Dording, C., Huz, I., Fisher, L., Fava, M., & Farabaugh, A. (2015). College students with depressive symptoms with and without fatigue: Differences in functioning, suicidality, anxiety, and depressive severity. Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists, 27(2), 100–108.

Oxford English Dictionary. (2023). Fatigue, n., sense 1.a. Oxford University Press; Oxford English Dictionary. https://doi.org/10.1093/OED/3601200885

Parnas, J., Møller, P., Kircher, T., Thalbitzer, J., Jansson, L., Handest, P., & Zahavi, D. (2005). EASE: Examination of Anomalous Self-Experience. Psychopathology, 38(5), 236–258. https://doi.org/10.1159/000088441

Perera, N. D., Prathapan, S. P., Wass, D. A., & Wijewickrama, A. (2021). Construct validity and reliability of the Sinhala version of the Chalder fatigue questionnaire in a cohort following dengue infection in Sri Lanka. Journal of the National Science Foundation of Sri Lanka, 49(3), 441. https://doi.org/10.4038/jnsfsr.v49i3.9979

Rodríguez-Testal, J. F., Bendala-Rodríguez, P., Perona-Garcelán, S., & Senín-Calderón, C. (2019a). Examining the structure of ideas of reference in clinical and community samples. Comprehensive Psychiatry, 93, 48–55. https://doi.org/10.1016/j.comppsych.2019.06.006

Rodríguez-Testal, J. F., Fuentes-Márquez, S., Senín-Calderón, C., Fernández-León, S., Ceballos -Munuera, C., Perona-Garcelán, S., & Fonseca-Pedrero, E. (2022). Validation of the aberrant salience inventory in a general and clinical Spanish population. Comprehensive Psychiatry, 118, 152343. https://doi.org/10.1016/j.comppsych.2022.152343

Rodríguez-Testal, J. F., Perona-Garcelán, S., Dollfus, S., Valdés-Díaz, M., García-Martínez, J., Ruíz-Veguilla, M., & Senín-Calderón, C. (2019b). Spanish validation of the self-evaluation of negative symptoms scale SNS in an adolescent population. BMC Psychiatry, 19(1), 327. https://doi.org/10.1186/s12888-019-2314-1

Schultze-Lutter, F., Addington, J., Ruhrmann, S., & Klosterkötter, J. (2007). Schizophrenia Proneness Instrument, Adult Version (SPI-A). Giovanni Fioriti Editore s.r.l.

Schultze-Lutter, F., Marshall, M., & Koch, E. (2012). Schizophrenia Proneness Instrument, Child & Youth version (SPI-CY). Giovanni Fioriti Editore s.r.l.

Shahid, A., Shen, J., & Shapiro, C. M. (2010). Measurements of sleepiness and fatigue. Journal of Psychosomatic Research, 69(1), 81–89. https://doi.org/10.1016/j.jpsychores.2010.04.001

Stefanis, N. C., Hanssen, M., Smirnis, N. K., Avramopoulos, D. A., Evdokimidis, I. K., Stefanis, C. N., Verdoux, H., & Van Os, J. (2002). Evidence that three dimensions of psychosis have a distribution in the general population. Psychological Medicine, 32(2), 347–358. https://doi.org/10.1017/S0033291701005141

Tanaka, M., Fukuda, S., Mizuno, K., Imai-Matsumura, K., Jodoi, T., Kawatani, J., Takano, M., Miike, T., Tomoda, A., & Watanabe, Y. (2008). Reliability and Validity of the Japanese Version of the Chalder Fatigue Scale among Youth in Japan. Psychological Reports, 103(3), 682–690. https://doi.org/10.2466/pr0.103.3.682-690

ter Wolbeek, M., van Doornen, L. J. P., Kavelaars, A., Tersteeg-Kamperman, M. D. J., & Heijnen, C. J. (2011). Fatigue, depressive symptoms, and anxiety from adolescence up to young adulthood: A longitudinal study. Brain, Behavior, and Immunity, 25(6), 1249–1255. https://doi.org/10.1016/j.bbi.2011.04.015

Townsend, L., Dyer, A. H., Jones, K., Dunne, J., Mooney, A., Gaffney, F., O’Connor, L., Leavy, D., O’Brien, K., Dowds, J., Sugrue, J. A., Hopkins, D., Martin-Loeches, I., Ni Cheallaigh, C., Nadarajan, P., McLaughlin, A. M., Bourke, N. M., Bergin, C., O’Farrelly, C., … Conlon, N. (2020). Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLOS ONE, 15(11), e0240784. https://doi.org/10.1371/journal.pone.0240784

Üzer, A., & Güleç, H. (2020). Obstrüktif uyku apne sendromlu hastalarda Chalder Yorgunluk Ölçeği’nin Türkçe formunun psikometrik özellikleri. Cukurova Medical Journal, 45(1), 114–118. https://doi.org/10.17826/cumj.629710

Whitehead, L. (2009). The Measurement of Fatigue in Chronic Illness: A Systematic Review of Unidimensional and Multidimensional Fatigue Measures. Journal of Pain and Symptom Management, 37(1), 107–128. https://doi.org/10.1016/j.jpainsymman.2007.08.019

Williams, B., Onsman, A., & Brown, T. (2010). Exploratory Factor Analysis: A Five-Step Guide for Novices. Australasian Journal of Paramedicine, 8, 1–13. https://doi.org/10.33151/ajp.8.3.93

Wolfe, F., Rasker, J. J. J., ten Klooster, P., & Häuser, W. (2021). Subjective Cognitive Dysfunction in Patients With and Without Fibromyalgia: Prevalence, Predictors, Correlates, and Consequences. Cureus. https://doi.org/10.7759/cureus.20351

Wong, W. S., & Fielding, R. (2010). Construct validity of the Chinese version of the Chalder Fatigue Scale in a Chinese community sample. Journal of Psychosomatic Research, 68(1), 89–93. https://doi.org/10.1016/j.jpsychores.2009.05.008

Worm-Smeitink, M., Gielissen, M., Bloot, L., van Laarhoven, H. W. M., van Engelen, B. G. M., van Riel, P., Bleijenberg, G., Nikolaus, S., & Knoop, H. (2017). The assessment of fatigue: Psychometric qualities and norms for the Checklist individual strength. Journal of Psychosomatic Research, 98, 40–46. https://doi.org/10.1016/j.jpsychores.2017.05.007

Zdun-Ryżewska, A., Basiński, K., & Michalik, A. (2020). A confirmatory factor analysis for an adapted and validated Polish version of the Chalder Fatigue Questionnaire. International Journal of Occupational Medicine and Environmental Health, 33(1), 67–76. https://doi.org/10.13075/ijomeh.1896.01497

Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

Publicado
03-04-2024
Cómo citar
Ceballos-Munuera, C., Senín-Calderón, C., Rosales-Becerra, Ángela, & Rodríguez-Testal, J. F. (2024). Propiedades psicométricas de la versión española de la Escala de Fatiga de Chalder en población clínica y general. Anales de Psicología / Annals of Psychology, 40(2), 242–253. https://doi.org/10.6018/analesps.570181
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