Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue
Abstract Background Psychometric validation of the Multidimensional Chronic Asthenia Scale (MCAS) was conducted in order to provide an effective tool for assessing the health-related quality of life of French-speaking patients with chronic asthenia (CA). Methods Items resulting from the initial form...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-023-01358-1 |
| _version_ | 1827632660396113920 |
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| author | Ingrid Banovic Fabrizio Scrima Isabelle Fornasieri Laurent Beaugerie Jérémy Coquart Chloé Fourgon Pierpaolo Iodice Isabelle Nion-Larmurier Guillaume Savoye Anne-Laure Sorin Claire Tourny Maria Augustinova |
| author_facet | Ingrid Banovic Fabrizio Scrima Isabelle Fornasieri Laurent Beaugerie Jérémy Coquart Chloé Fourgon Pierpaolo Iodice Isabelle Nion-Larmurier Guillaume Savoye Anne-Laure Sorin Claire Tourny Maria Augustinova |
| author_sort | Ingrid Banovic |
| collection | DOAJ |
| description | Abstract Background Psychometric validation of the Multidimensional Chronic Asthenia Scale (MCAS) was conducted in order to provide an effective tool for assessing the health-related quality of life of French-speaking patients with chronic asthenia (CA). Methods Items resulting from the initial formulation of the self-reported MCAS (along with other materials) were completed by French-speaking volunteers with inactive or active inflammatory bowel disease (IBD-I vs. IBD-A) or chronic fatigue syndrome (CFS). Responses from 621 participants (180 patients with IBD-A, 172 with IBD-I, 269 with CFS) collected in a single online survey were divided into three subsamples to test the construct validity of the MCAS (Step 1, N = 240), to confirm its factorial structure (Step 2, N = 204) and to explore its convergent-discriminant validity with the Fatigue Symptoms Inventory (FSI) and revised Piper Fatigue Scale (r-PFS, Step 3, N = 177). Results Steps 1 and 2 showed that, as expected, MCAS has four dimensions: feeling of constraint (FoC), physical (PC), life (LC) and interpersonal consequences (IC), which are also related to the duration of CA (i.e., the longer it lasts, the more the dimensions are impacted). The results further showed that the MCAS is sensitive enough to capture between-group differences, with the CFS group being the most impaired, followed by IBD-A and IBD-I. While convergent-discriminant validity between the 4 factors of MCAS and FSI and r-PFS, respectively, was satisfactory overall, Step 3 also pointed to some limitations that call for future research (e.g., shared variances between the PC and IC dimensions of MCAS and behavioral dimension of r-PFS). Conclusion Despite these limitations, the MCAS clearly constitutes a promising tool for measuring quantitative differences (i.e., severity/intensity) in CA associated with various diseases, but also, and importantly, the clinically important differences in domains of its expression (i.e., qualitative differences). |
| first_indexed | 2024-03-09T14:48:40Z |
| format | Article |
| id | doaj.art-be160c369bd94d9aa06edc29f1371a4c |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-03-09T14:48:40Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
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| series | BMC Psychology |
| spelling | doaj.art-be160c369bd94d9aa06edc29f1371a4c2023-11-26T14:36:32ZengBMCBMC Psychology2050-72832023-10-0111111210.1186/s40359-023-01358-1Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigueIngrid Banovic0Fabrizio Scrima1Isabelle Fornasieri2Laurent Beaugerie3Jérémy Coquart4Chloé Fourgon5Pierpaolo Iodice6Isabelle Nion-Larmurier7Guillaume Savoye8Anne-Laure Sorin9Claire Tourny10Maria Augustinova11CRFDP Lab., University of Rouen NormandyCRFDP Lab., University of Rouen NormandyFaculty of Psychology, University of StrasbourgDepartment of Gastroenterology, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie Et de Santé Publique, AP-HP, Hôpital Saint-AntoineCETAPS Lab., University of Rouen NormandyCRFDP Lab., University of Rouen NormandyCETAPS Lab., University of Rouen NormandyDepartment of Gastroenterology, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie Et de Santé Publique, AP-HP, Hôpital Saint-AntoineUMR 10173, Université de Rouen Normandie, Centre Hospitalier Universitaire Charles NicolleCRFDP Lab., University of Rouen NormandyCETAPS Lab., University of Rouen NormandyCRFDP Lab., University of Rouen NormandyAbstract Background Psychometric validation of the Multidimensional Chronic Asthenia Scale (MCAS) was conducted in order to provide an effective tool for assessing the health-related quality of life of French-speaking patients with chronic asthenia (CA). Methods Items resulting from the initial formulation of the self-reported MCAS (along with other materials) were completed by French-speaking volunteers with inactive or active inflammatory bowel disease (IBD-I vs. IBD-A) or chronic fatigue syndrome (CFS). Responses from 621 participants (180 patients with IBD-A, 172 with IBD-I, 269 with CFS) collected in a single online survey were divided into three subsamples to test the construct validity of the MCAS (Step 1, N = 240), to confirm its factorial structure (Step 2, N = 204) and to explore its convergent-discriminant validity with the Fatigue Symptoms Inventory (FSI) and revised Piper Fatigue Scale (r-PFS, Step 3, N = 177). Results Steps 1 and 2 showed that, as expected, MCAS has four dimensions: feeling of constraint (FoC), physical (PC), life (LC) and interpersonal consequences (IC), which are also related to the duration of CA (i.e., the longer it lasts, the more the dimensions are impacted). The results further showed that the MCAS is sensitive enough to capture between-group differences, with the CFS group being the most impaired, followed by IBD-A and IBD-I. While convergent-discriminant validity between the 4 factors of MCAS and FSI and r-PFS, respectively, was satisfactory overall, Step 3 also pointed to some limitations that call for future research (e.g., shared variances between the PC and IC dimensions of MCAS and behavioral dimension of r-PFS). Conclusion Despite these limitations, the MCAS clearly constitutes a promising tool for measuring quantitative differences (i.e., severity/intensity) in CA associated with various diseases, but also, and importantly, the clinically important differences in domains of its expression (i.e., qualitative differences).https://doi.org/10.1186/s40359-023-01358-1Health-related quality of lifeChronic astheniaFatigue-specific scaleAssessment tool validation |
| spellingShingle | Ingrid Banovic Fabrizio Scrima Isabelle Fornasieri Laurent Beaugerie Jérémy Coquart Chloé Fourgon Pierpaolo Iodice Isabelle Nion-Larmurier Guillaume Savoye Anne-Laure Sorin Claire Tourny Maria Augustinova Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue BMC Psychology Health-related quality of life Chronic asthenia Fatigue-specific scale Assessment tool validation |
| title | Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue |
| title_full | Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue |
| title_fullStr | Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue |
| title_full_unstemmed | Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue |
| title_short | Psychometric validation of the French Multidimensional Chronic Asthenia Scale (MCAS) in a sample of 621 patients with chronic fatigue |
| title_sort | psychometric validation of the french multidimensional chronic asthenia scale mcas in a sample of 621 patients with chronic fatigue |
| topic | Health-related quality of life Chronic asthenia Fatigue-specific scale Assessment tool validation |
| url | https://doi.org/10.1186/s40359-023-01358-1 |
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