A questionable factor structure of the multidimensional fatigue inventory in the general Dutch population

•The Multidimensional Fatigue Inventory (MFI) is widely used in Europe.•The original five-factor structure of the MFI was not replicated in the general Dutch population.•Alternative four or five- and four-bifactor models were also not replicated.•There are conceptual and structural issues with the M...

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Veröffentlicht in:Journal of clinical epidemiology 2021-09, Vol.137, p.266-276
Hauptverfasser: Kieffer, Jacobien M, Starreveld, Daniëlle EJ, Boekhout, Annelies, Bleiker, Eveline MA
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Sprache:eng
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Zusammenfassung:•The Multidimensional Fatigue Inventory (MFI) is widely used in Europe.•The original five-factor structure of the MFI was not replicated in the general Dutch population.•Alternative four or five- and four-bifactor models were also not replicated.•There are conceptual and structural issues with the MFI.•Results on the scales of the MFI should be interpreted with caution. One of the most commonly used tools to measure fatigue is the Multidimensional Fatigue Inventory (MFI). Studies into the scale structure of the MFI show discrepant findings. The objective of this study was to investigate the scale structure of the MFI in the general Dutch population. Using data from a Dutch probability-based internet panel (n = 2512), the original 5-factor model, a 4-factor, and a 5- and 4-bifactor model of the MFI were tested with confirmatory factor analyses. Additional models were investigated using exploratory factor analysis. Results neither confirmed a 5-factor (RMSEA = 0.120, CFI = 0.933, TLI = 0.920) nor a 4-factor model (RMSEA = 0.122, CFI = 0.928, TLI = 0.917). The two bi-factor models also showed a poor fit (bi-4-factor: RMSEA = 0.151, CFI = 0.895, TLI = 0.873; bi-5-factor: RMSEA = 0.153, CFI = 0.894, TLI = 0.871). Exploratory factor analysis did not support an alternative model, but seemed to show robustness in the loading of the original general fatigue items. Our results did not provide empirical support for a four or five (bi-)factor structure of the MFI, nor for an alternative model. The most reliable scale of the MFI seems to be the general fatigue scale that could be used as a general indicator of fatigue.
ISSN:0895-4356
1878-5921
DOI:10.1016/j.jclinepi.2021.05.005