The Piper Fatigue Scale-Revised: Translation and psychometric evaluation in Spanish-speaking breast cancer survivors

Cantarero-Villanueva, Irene, Fernández-Lao, Carolina, Díaz-Rodríguez, Lourdes, Cuesta-Vargas, Antonio Ignacio, Fernández-de-las-Peñas, César, Piper, Barbara F., & Arroyo-Morales, Manuel (2014) The Piper Fatigue Scale-Revised: Translation and psychometric evaluation in Spanish-speaking breast cancer survivors. Quality of Life Research, 23(1), pp. 271-276.

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Cancer-related fatigue (CRF) is the most common and distressing symptom reported by breast cancer survivors. The primary aim of this study was to translate and evaluate psychometrically for the first time a Spanish version of the Piper Fatigue Scale-Revised (S-PFS-R).


One hundred and eleven women with stage I–IIIA breast cancer who had completed their primary cancer therapy in the previous 6 months with the exception of hormone therapy completed the S-PFS-R, the Profile of Mood States (POMS) Fatigue (POMS-F) and Vigor subscales (POMS-V), and bilateral force handgrip testing. Data analysis included test–retest reliability, construct validity, criterion-related validity, and exploratory factor analyses.


Test–retest reliability was satisfactory (r > 0.86), and all subscales showed moderate to high construct validity estimates [corrected item-subscale correlations (Pearson r = ≥ 0.65)]. The exploratory factor analysis revealed four dimensions with 75.5 % of the common variance explained. The S-PFS-R total score positively correlated with the POMS-F subscale (r = 0.50–0.78) and negatively with the POMS-V subscale (r = −0.13 to −0.44) confirming criterion-related validity. Negative correlations among force handgrip testing, subscales, and total scores were weak (r = −0.26 to −0.29).


The Spanish version of PFS-R shows satisfactory psychometric properties in a sample of breast cancer survivors. This is the first study to translate the PFS-R into Spanish and further testing is warranted.

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5 citations in Web of Science®

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ID Code: 85535
Item Type: Journal Article
Refereed: Yes
Keywords: Breast cancer survivors; Cancer-related fatigue; Spanish Piper Fatigue Scale; Psychometric properties; Force handgrip; Mood state
DOI: 10.1007/s11136-013-0434-5
ISSN: 1573-2649
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2013 Springer Science + Business Media Dordrecht
Deposited On: 12 Nov 2015 01:34
Last Modified: 06 May 2016 00:41

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