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Assessing functioning in adolescents with chronic fatigue syndrome: psychometric properties and factor structure of the School and Social Adjustment Scale and the Physical Functioning Subscale of the SF36

Published online by Cambridge University Press:  01 April 2020

M.E. Loades Open the ORCID record for M.E. Loades [Opens in a new window] ,
S. Vitoratou ,
K.A. Rimes Open the ORCID record for K.A. Rimes [Opens in a new window]  and
T. Chalder
M.E. Loades
Affiliation:
Department of Psychology, University of Bath, Bath, UK Bristol Medical School, University of Bristol, Bristol, UK
S. Vitoratou
Affiliation:
Psychometrics & Measurement Lab, Department of Biostatistics and Health Informatics, Kingʼs College London, London, UK
K.A. Rimes
Affiliation:
Kingʼs College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK
T. Chalder*
Affiliation:
Kingʼs College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK South London & Maudsley NHS Trust, Beckenham, UK
*
*Corresponding author. Email: trudie.chalder@kcl.ac.uk
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Abstract

Background:

Chronic fatigue syndrome (CFS) has a major impact on functioning. However, no validated measures of functioning for this population exist.

Aims:

We aimed to establish the psychometric properties of the 5-item School and Social Adjustment Scale (SSAS) and the 10-item Physical Functioning Subscale of the SF-36 in adolescents with CFS.

Method:

Measures were completed by adolescents with CFS (n = 121).

Results:

For the Physical Functioning Subscale, a 2-factor solution provided a close fit to the data. Internal consistency was satisfactory. For the SSAS, a 1-factor solution provided an adequate fit to the data. The internal consistency was satisfactory. Inter-item and item-total correlations did not indicate any problematic items and functioning scores were moderately correlated with other measures of disability, providing evidence of construct validity.

Conclusion:

Both measures were found to be reliable and valid and provide brief measures for assessing these important outcomes. The Physical Functioning Subscale can be used as two subscales in adolescents with CFS.

Keywords

academicadolescentsCFSfunctioningphysicalsocial
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 5 , September 2020 , pp. 546 - 556
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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