Translation and validation of the Dutch language version of the CDC Symptom Inventory for assessment of Chronic Fatigue

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BioMed Central

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Translation and validation of the Dutch language version of the CDC Symptom Inventory for assessment of Chronic Fatigue Syndrome (CFS) Ruud CW Vermeulen* Address: CFS and Pain Research Center Amsterdam, Amsterdam, The Netherlands Email: Ruud CW Vermeulen* - [email protected] * Corresponding author

Published: 18 October 2006 Population Health Metrics 2006, 4:12

doi:10.1186/1478-7954-4-12

Received: 25 June 2006 Accepted: 18 October 2006

This article is available from: http://www.pophealthmetrics.com/content/4/1/12 © 2006 Vermeulen; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background: In a study by Wagner et al., the CDC Symptom Inventory was validated in a population selected from the inhabitants of a city in the USA, and proofed reliable for the assessment of the accompanying symptoms of CFS. The Dutch translation of the CDC Symptom Inventory is compared to the original and the psychometric properties are presented for patients in a tertiary care setting. Methods: One hundred thirty-nine consecutive patients who visited the CFS Center Amsterdam for the first time were asked to complete the CDC Symptom Inventory in the Dutch Language Version (DLV) together with the usual set of questionnaires. Sixty-one patients had Chronic Fatigue (CF) and 78 patients fulfilled the criteria for CFS. Forty-three healthy accompanying persons completed the CDC Symptom Inventory DLV, the Physical Functioning scale of the Medical Outcome Survey Short Form-36 DLV, and the Fatigue and Concentration scales of the Checklist Individual Strength (CIS-20). Results: The healthy controls group contained fewer women and was overall older than the patient groups. The influence of gender on the CDC Symptom Inventory DLV was significant but the effect of age was not. The Dutch version had a good internal consistency and convergent validity. The results were comparable to the original English version, but the sex-related difference needs further study. Conclusion: The Dutch version of the CDC Symptom Inventory is a reliable tool for the assessment of the secondary criteria for CFS. The results show that it is comparable to the outcome of studies in English speaking countries.

Background Chronic Fatigue Syndrome (CFS) is a disabling state that was defined by a working group in 1994 [1]. The main components of the definition are fatigue that is not related to exercise and not relieved by rest, and eight accompany-

ing symptoms, of which four must be present. The CFS is incapacitating, with a serious reduction in daily activity. Several self-rating scales for the presence and severity of fatigue were developed. Of these, the Multidimensional Fatigue Inventory (MFI-20) [2] and the Checklist IndividPage 1 of 6 (page number not for citation purpose