Adaptation of the State and Trait Energy and Fatigue Scales by P.J. O’Connor in Russia

The paper describes the results of the adaptation of the questionnaire by Patrick J. O’Connor, Ph.D., aimed at diagnosing Mental and Physical State and Trait Energy and Fatigue (Mental and Physical State and Trait Energy and Fatigue Scales, STEF), as well as provides validity evidence of the Russian version of the tool on а sample of students. The scales allow to separately measure physical and mental aspects of energy and fatigue. 220 students aged from 18 to 25 years old took part in the questionnaire adaptation. The process of adaptation included direct and reverse translation, as well as analysis of the factor structure of the questionnaire using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Psychometric characteristics were analyzed using Classical Test Theory and Item Response Theory (IRT). The CFA demonstrated that after the adaptation the original four-factor structure of the questionnaire became a three-factor one including energy, physical fatigue and mental fatigue for both scales (state and trait scales). The reliability of the questionnaire scales (Cronbach's Alpha) varies from 0.78 to 0.88. A question about races was excluded from the Russian-language version of the questionnaire due to its irrelevance for the native speakers of Russian. The conducted studies confirm the scales validity. The questionnaire can be used for young people aged from 18 to 25.

1. Bubnova A.Е. Kompleksnaya otsenka sub"ektivnykh i ob"ektivnykh fiziologicheskikh kharakteristik kriticheskogo urovnya utomleniya u operatorov MChS [The subjective and objective physiological characteristics complex assessment of the critical level of fatigue among Emerson operators] [Elektronnyi resurs]. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta = Journal of Volgograd State Medical University, 2019, no. 3(71), pp. 91—95. URL: https://www.elibrary.ru/item.asp?id=41104156 (Accessed 21.09.2023). (In Rus.).
2. Karelin A. Bol'shaya entsiklopediya psikhologicheskikh testov [Large encyclopedia of psychological tests]. Moscow: EKSMO, 2007. 416 p. (In Rus.).
3. Nalichaeva S.A., Talyzenkova M.G. Psikhologiya professional'nogo vygoraniya: uchebno-metodicheskoe posobie [Psychology of professional burnout: educational and methodological manual]. Sevastopol: Izd-vo Filiala MGU v g. Sevastopole, 2012. 60 p. (In Rus.).
4. Gaggero G., Bonassi A., Dellantonio S., Pastore L., Aryadoust V., Esposito G. A Scientometric Review of Alexithymia: Mapping Thematic and Disciplinary Shifts in Half a Century of Research. Frontiers in Psychiatry, 2020. Vol. 11, article ID 611489. 17 p. DOI:10.3389/fpsyt.2020.611489
5. Alemohammad Z.B., Sadeghniiat-Haghighi, K. Risk of Fatigue at Work. In Sharafkhaneh A., Hirshkowitz M. (eds.), Fatigue Management: Principles and Practices for Improving Workplace Safety. New York: Springer, 2018, pp. 181—191. DOI:10.1007/978-1-4939-8607-1_14
6. Alqifari A., Alghidani M., Almazyad R., Alotaibi A., Alharbi W.A., Aljumail E., Alqefari G., Alkamees A., Alqifari H. Burnout in medical undergraduate students in Qassim, Saudi Arabia. Middle East Current Psychiatry, 2021. Vol. 28, article ID 47. 6 p. DOI:10.1186/s43045-021-00128-2
7. Xianglong S., Hu Z., Shumin F., Zhenning L. Bus drivers’ mood states and reaction abilities at high temperatures. Transportation Research Part F: Traffic Psychology and Behaviour, 2018. Vol. 59, part A, pp. 436—444. DOI:10.1016/j.trf.2018.09.022
8. Junghaenel D.U., Christodoulou C., Lai J.-S., Stone A.A. Demographic correlates of fatigue in the US general population: Results from the patient-reported outcomes measurement information system (PROMIS) initiative. Journal of Psychosomatic Research, 2011. Vol. 71, no. 3, pp. 117—123. DOI:10.1016/j.jpsychores.2011.04.007
9. Hersche R., Roser K., Weise A., Michel G., Barbero M. Fatigue Self-Management Education in Persons with Disease-Related Fatigue: A Comprehensive Review of the Effectiveness on Fatigue and Quality of Life. Patient Education and Counseling, 2022. Vol. 105, no. 6, pp. 1362—1378. DOI:10.1016/j.pec.2021.09.016
10. Beaton D.E., Bombardier C., Guillemin F., Ferraz M.B. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine, 2000. Vol. 25, no. 24, pp. 3186—3191. DOI:10.1097/00007632-200012150-00014
11. Hu L., Bentler P.M. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 1999. Vol. 6, no. 1, pp. 1—55. DOI:10.1080/10705519909540118
12. Karr S. Avoiding physician burnout through physical, emotional, and spiritual energy. Current Opinion in Cardiology, 2019. Vol. 34, no. 1, pp. 94—97. DOI:10.1097/HCO.0000000000000574
13. Kern M.L., Armstrong P. Exercise, Physical Activity, and Mental Health [Elektronnyi resurs]. In Friedman H.S., Markey C.H. (eds.), Encyclopedia of Mental Health: Three Volume Set. New York: Academic Press, 2023, pp. 849—856. URL: https://www.sciencedirect.com/science/article/abs/pii/B978032391497000237X (Accessed 22.09.2023). DOI:10.1016/B978-0-323-91497-0.00237-X
14. Lim M.D., Lau M.C. Can We "Brain-Train" Emotional Intelligence? A Narrative Review on the Features and Approaches Used in Ability EI Training Studies. Frontiers in Psychology, 2021. Vol. 12, article ID 569749. 14 p. DOI:10.3389/fpsyg.2021.569749
15. Loriol M. A sociological stance on fatigue and tiredness: Social inequalities, norms and representations. Neurophysiologie Clinique = Clinical Neurophysiology, 2017. Vol. 47, no. 2, pp. 87—94. DOI:10.1016/j.neucli.2016.12.001
16. Loy B.D., Cameron M.H., O’Connor P.J. Perceived fatigue and energy are independent unipolar states: Supporting evidence. Medical Hypotheses, 2018. Vol. 113, pp. 46—51. DOI:10.1016/j.mehy.2018.02.014
17. McNair D.M., Lorr M., Droppleman L.F. Manual for the Profile of Mood States. San Diego: Educational and Industrial Testing Service, 1971. 27 p.
18. Duffy A., Saunders K.E.A., Malhi G.S., Patten S., Cipriani A., McNevin S.H., MacDonald E., Geddes J. Mental health care for university students: a way forward? The Lancet Psychiatry, 2019. Vol. 6, no. 11, pp. 885—887. DOI:10.1016/S2215-0366(19)30275-5
19. Michielsen H.J., De Vries J., van Heck G.L. Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. Journal of Psychosomatic Research, 2003. Vol. 54, no. 4, pp. 345—352. DOI:10.1016/s0022-3999(02)00392-6
20. Dawson A.F., Brown W.W., Anderson J., Datta B., Donald J.N., Hong K., Allan S., Mole T.B., Jones P.B., Galante J. Mindfulness-Based Interventions for University Students: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Applied Psychology: Health and Well-Being, 2020. Vol. 12, no. 2, pp. 384—410. DOI:10.1111/aphw.12188
21. Bateman L., Bested A.C., Bonilla H.F. et al. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management. Mayo Clinic Proceedings, 2021. Vol. 96, no. 11, pp. 2861—2878. DOI:10.1016/j.mayocp.2021.07.004
22. O’Connor P.J. Evaluation of four highly cited energy and fatigue mood measures. Journal of Psychosomatic Research, 2004. Vol. 57, no. 5, pp. 435—441. DOI:10.1016/j.jpsychores.2003.12.006
23. O’Connor P.J., University of Georgia. Mental and physical state and trait energy and fatigue scales: [unpublished manual]. Athens, 2006. Available upon request.
24. Peterson R.A., Kim Y. On the relationship between coefficient alpha and composite reliability. Journal of Applied Psychology, 2013. Vol. 98, no. 1, pp. 194—198. DOI:10.1037/a0030767
25. Boolani A., O’Connor P.J., Reid J., Ma S., Mondal S. Predictors of feelings of energy differ from predictors of fatigue. Fatigue: Biomedicine, Health & Behavior, 2019. Vol. 7, no. 1, pp. 12—28. DOI:10.1080/21641846.2018.1558733
26. Rosales-Ricardo Y., Rizzo-Chunga F., Mocha-Bonilla J., Ferreira J.P. Prevalence of burnout syndrome in university students: A systematic review. Salud Mental, 2021. Vol. 44, no. 2, pp. 91—102. DOI:10.17711/SM.0185-3325.2021.013
27. Revelle W. psych: Procedures for Psychological, Psychometric, and Personality Research [Elektronnyi resurs]. The Comprehensive R Archive Network. 2023. URL: https://CRAN.R-project.org/package=psych (Accessed 04.04.2023).
28. Rosseel Y. lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software, 2012. Vol. 48, no. 2, pp. 1—36. DOI:10.18637/jss.v048.i02
29. Sharafkhaneh A., Hirshkowitz M. Fatigue Management. In Sharafkhaneh A., Hirshkowitz M. (eds.), Fatigue Management: Principles and Practices for Improving Workplace Safety. New York: Springer, 2018, pp. 193—217. DOI:10.1007/978-1-4939-8607-1_15
30. Soerensen J., Nielsen D.S., Pihl G.T. It's a hard process — Nursing students' lived experiences leading to dropping out of their education; a qualitative study. Nurse Education Today, 2023. Vol. 122, article ID 105724. DOI:10.1016/j.nedt.2023.105724
31. Solomon N.L., Manea V. Quantifying Energy and Fatigue: Classification and Assessment of Energy and Fatigue Using Subjective, Objective, and Mixed Methods towards Health and Quality of Life. In Wac K., Wulfovich S. (eds.), Quantifying Quality of Life: Incorporating Daily Life into Medicine. Cham: Springer, 2022, pp. 79—117. DOI:10.1007/978-3-030-94212-0_4
32. Tavakol M., Dennick R. Making sense of Cronbach’s alpha. International Journal of Medical Education, 2011. Vol. 2, pp. 53—55. DOI:10.5116/ijme.4dfb.8dfd
33. Thayer R.E. Factor Analytic and Reliability Studies on the Activation-Deactivation Adjective Check List. Psychological Reports, 1978. Vol. 42, no. 3, pp. 747—756. DOI:10.2466/pr0.1978.42.3.747
34. Krupp L.B., LaRocca N.G., Muir-Nash J., Steinberg A.D. The Fatigue Severity Scale: Application to Patients With Multiple Sclerosis and Systemic Lupus Erythematosus. Archives of Neurology, 1989. Vol. 46, no. 10, pp. 1121—1123. DOI:10.1001/archneur.1989.00520460115022
35. O’Connor P.J., Hill A., Kaya M., Martin B. The Measurement of Emotional Intelligence: A Critical Review of the Literature and Recommendations for Researchers and Practitioners. Frontiers in Psychology, 2019. Vol. 10, article ID 1116. 19 p. DOI:10.3389/fpsyg.2019.01116
36. van Rijn P.W., Rijmen F. A Note on Explaining Away and Paradoxical Results in Multidimensional Item Response Theory. ETS Research Report Series, 2012. Vol. 2012, no. 2, pp. i—10. DOI:10.1002/j.2333-8504.2012.tb02295.x
37. Vidhukumar K., Hamza M. Prevalence and Correlates of Burnout among Undergraduate Medical Students — A Cross-sectional Survey. Indian Journal of Psychological Medicine, 2020. Vol. 42, no. 2, pp. 122—127. DOI:10.4103/IJPSYM.IJPSYM_192_19