ArticleInternational journal of environmental research and public health2016
Reliability and Construct Validity of Two Versions of Chalder Fatigue Scale among the General Population in Mainland China.
Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed.
- Effectiveness of Neurofeedback-Assisted and Conventional 6-Week Web-Based Mindfulness Interventions on Mental Health of Chinese Nursing Students: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Osteoarthritis and Degree of Fatigue are Associated with Pain Levels in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study of 394 Patients.International journal of general medicine · 2025Trial
- Tai Chi as a preventive intervention for improving mental and physical health in non-depressed college students with high perceived stress.Frontiers in public health · 2025Trial
- Exploring the efficacy and safety of a novel standardized ashwagandha (Journal of psychopharmacology (Oxford, England) · 2023Trial
- Dose-effect of long-snake-like moxibustion for chronic fatigue syndrome: a randomized controlled trial.Journal of translational medicine · 2023Trial
- Effectiveness of Liu-zi-jue exercise on coronavirus disease 2019 in the patients: a randomized controlled trial.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022Trial
- Measuring fatigue four years after stroke: a bi-factor analysis of the Norwegian Chalder Fatigue Questionnaire.Journal of patient-reported outcomes · 2026Article
- Fear of Missing Out and Aggression: Role of Fatigue, Daytime Sleepiness and Self-regulation-A Serial Mediation Model.Annals of neurosciences · 2026Article
- Associations Between Fatigue and Sleep Among Night-Shift Nurses: Mediating Role of Depressive Symptoms and Social Support.Journal of nursing management · 2026Article
- Donepezil ameliorates fatigue and depression in PASC patients with HHV-6B SITH-1-induced acetylcholine deficiency.Frontiers in pharmacology · 2026Article
- Psychometric Properties of a Persian Version of the Chalder Fatigue Scale.Medical journal of the Islamic Republic of Iran · 2026Article
- Clinical efficacy of Jianqiao ancient moxibustion in treating chronic fatigue syndrome: a single-center randomized controlled superiority trial protocol.Frontiers in medicine · 2026Article
- Associations Between Fatigue, Knowledge, Self-Management, and Self-Efficacy Among Community-Dwelling Patients with Stable Coronary Heart Disease in Pingdingshan, China: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Chronic fatigue: psychometric properties and updated norm values of the Chalder fatigue scale in a cross-sectional sample representative of the German population.Annals of medicine · 2025Article
- Psychological and behavioral characteristics of overweight and obese Chinese college students with high stress.BMC psychology · 2025Article
- Mental and Physical Health of Chinese College Students After Shanghai Lockdown: An Exploratory Study.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Persistent cognitive symptoms in mild COVID-19 infection: a retrospective cohort study.BMC infectious diseases · 2025Article
- Current situation and related factors of fatigue among doctors and nurses in tertiary general hospitals in Northeast China.Scientific reports · 2025Article
- SARS-CoV-2 Infection Aggravates Physical and Mental Health in Cancer Patients Compared to Co-Living Individuals.Cancer medicine · 2025Observational
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8 authors.
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Abstract
The 14-item Chalder Fatigue Scale (CFS) is widely used, while the 11-item version is seldom to be found in current research in mainland China. The objectives of the present study is to compare the reliability and construct validity between these two versions and to confirm which may be better for the mainland Chinese setting. Based on a cross-sectional health survey with a constructive questionnaire, 1887 individuals aged 18 years or above were selected. Socio-demographic, health-related, gynecological data were collected, and 11-item and 14-item Chalder Fatigue Scale (CFS) were used to assess fatigue. Confirmatory factor analysis and exploratory structural equation modeling (ESEM) were performed to test the fit of models of the two versions. Confirmatory factor analysis of the two versions of CFS did not support the two-factor theorized models. In addition, a three-factor ESEM model of the 11-item version, but not the 14-item version, showed better factor structure and fitness than the other models examined. Both the versions had good internal consistency reliability and a satisfactory internal consistency (Ω = 0.78-0.96, omega coefficient indicates the internal consistency reliability) was obtained from the optimal model. This study provided evidence for satisfactory reliability and structural validity for the three-factor model of the 11-item version, which was proven to be superior to the 14-item version for this data.
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