ArticleBMC psychiatry2023
Psychometric and structural properties of the Karolinska Exhaustion Disorder Scale: a 1,072-patient study.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Clinical and screening utility of the Burnout Assessment Tool: A comparative evaluation of BAT23, BAT12 and BAT4 in Sweden.Scandinavian journal of work, environment & health · 2026Article
- Article
- Web-Based Stress Management for Working Adults With Attention-Deficit/Hyperactivity Disorder (ADHD): Single-Arm, Open Pilot Trial.JMIR formative research · 2025Article
- Photo-supported conversations about well-being (BeWellScandinavian journal of primary health care · 2025Article
- A network analysis of exhaustion disorder symptoms throughout treatment.BMC psychiatry · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
objectiveExhaustion disorder is a stress-related diagnosis that was introduced in 2005 to the Swedish version of the International Statistical Classification of Diseases and Related Health Problems, 10
methodsThe study relied on data from 1,072 patients diagnosed with exhaustion disorder that were included in two clinical trials in Sweden. We investigated the dimensionality, homogeneity, and reliability of the KEDS using advanced statistical techniques, including exploratory structural equation modeling (ESEM) bifactor analysis.
resultsA one-factor confirmatory analytic model exhibited a poor fit, suggesting at least a degree of multidimensionality. The ESEM bifactor analysis found the general factor to explain about 72% of the common variance extracted, with an omega hierarchical coefficient of 0.680. Thus, the ESEM bifactor analysis did not clearly support the scale's essential unidimensionality. A homogeneity analysis revealed a scale-level H of only 0.296, suggesting that KEDS's total scores do not accurately rank individuals on the latent continuum assumed to underlie the measure. The KEDS's reliability was modest, signaling considerable measurement error.
conclusionFindings reveal important limitations to the KEDS with possible implications for the status of exhaustion disorder as a nosological category.
trial registrationThis study was pre-registered on Open Science Framework (osf.io) on April 24, 2022 ( https://osf.io/p34sq/ ).
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