Modification of the Asthenic State Assessment Scale
DOI:
https://doi.org/10.17721/BPSY.2025.2(22).18Keywords:
asthenia, chronic fatigue syndrome, asthenic syndrome, Asthenic State Scale, cognitive manifestations, emotional manifestations, physiological manifestations, psychometric characteristicsAbstract
Background. Against the backdrop of chronic stress, manifestations of asthenic syndrome are becoming more widespread among Ukrainians. The issue of developing reliable means of psychological assessment of this condition has become acute.
Methods. The article presents the results of the Ukrainian-language modification of the Asthenic State Scale (ASS-15) questionnaire. The main psychometric characteristics are determined.
Results. Empirical research has shown that some of the questions in the unadapted Ukrainian-language version of the scale demonstrate low reliability and validity, which calls into question its accuracy and diagnostic value. Based on the results of factor analysis, additional subscales were identified that reflect various aspects/domains of asthenic syndrome. Based on the data obtained, the structure of the questionnaire was optimised: questions that showed low reliability and validity were removed. The results of confirmatory factor analysis showed the relevance of implementing a three-component model (X2 = 110, p = 0.05; CFI = 0.961; TLI = 0.953; RMSEA = 0.047, [0.02-0.07]). The updated version of the methodology is more compact, has sufficiently high internal consistency indicators (Cronbach's alpha from 0.70 to 0.83), allows for a differentiated assessment of individual components of asthenic state, and can be recommended for use in clinical, psychological, and scientific research.
Conclusions. The article provides justification for the reduction and modification of the Asthenic State Scale and describes the procedure for distinguishing three subscales: cognitive, emotional, and physiological manifestations of asthenia.
References
Barna, O. M., & Kalinichenko, M. A. (2021). Asthenic syndrome: New challenges – a new approach. Medicine of Ukraine, 4(250), 25—29. https://doi.org/10.37987/1997-9894.2021.4(250).238120 [in Ukrainian].
On the Mental Health Care System in Ukraine. (2025). Law of Ukraine dated 15.01.2025 No. 4223-IX. Official web portal of the Parliament of Ukraine.URL: https://zakon.rada.gov.ua/go/4223-20 [in Ukrainian].
Meijer, R. (2017). Dutch committee on tests and testing (COTAN): current trends in testing. Nederlands Instituut van Psychologrn. URL: https://nip.nl/wp-content/uploads/2022/05/COTAN-review-system-for-evaluating-test-quality.pdf
Methods for detecting chronic fatigue and professional burnout and ways to prevent them and maintain the working capacity of medical personnel of modern healthcare institutions: methodological recommendations (2022). Kyiv: O. O. Bogomolets National Medical University, Ministry of Health of Ukraine, Vinnytsia: Vinnytsia National Medical University named after M. I. Pirogov, Ministry of Health of Ukraine, State Institution “O. M. Marzeev Institute of Public Health, National Academy of Medical Sciences of Ukraine”. 48 p. [in Ukrainian].
ICD-10-AM (2017) International Statistical Classification of Diseases and Related Health Problems. Tenth Revision. Australian Modification. URL: https://kod.poltavalk.com.ua/mkkh-10-am [in Ukrainian].
ICD-11 (2020). International Classification of Diseases 11th Revision. The global standard for diagnostic health information. World Health Organization.URL:https://icd.who.int
DSM-5-TR (2024). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric association. URL: https://www.psychiatry.org/psychiatrists/practice/dsm
Yuzvishinа, E., & Svistilnik, R. (2022). Asthenic syndrome and its correction in the structure of anxiety and depressive disorders. HYPERTENSION, (3.53), 9–14. https://doi.org/10.22141/2224-1485.3.53.2017.106847 [in Ukrainian].
Yuryeva, L. M., Shusterman, T. Y., & Podolska, L. V. (2022). Clinical and psychometric study of asthenia in foreign applicants for medical education at different stages of training. Medicni perspektivi, 27(4), 136—143. https://doi.org/10.26641/2307-0404.2022.4.271189 [in Ukrainian].
Payenok, A. V., & Bakun, O.-N. A. (2024). Comparative characteristics of asthenia and quality of life in patients with post-COVID syndrome. Psychiatry Neurology and Medical Psychology, 26, 411—419. https://doi.org/10.26565/2312-5675-2024-26-06 [in Ukrainian].
Cohen, R.J., Schneider, W.J., Tobin, R.M. Psychological Testing and Assessment: An Introduction to Tests and Measurements. McGraw-Hill. 2021. 1440 p.
Savchenko, O. V., Sukach, S. A., & Timakova, A. V. (2022). The “Personal resources” methodology: validation and standardization on a sample of youth persons. Habitus, 44, 114—122. https://doi.org/10.32782/2663-5208.2022.44.19 [in Ukrainian].
Grinde, B. (2017). Stress and Chronic Fatigue Syndrome. In C. L. Cooper & J. C. Quick (Eds.), The Handbook of Stress and Health (1st ed., pp. 135–146). Wiley. https://doi.org/10.1002/9781118993811.ch8
Zhang, Y.-D., & Wang, L.-N. (2024). Research progress in the treatment of chronic fatigue syndrome through interventions targeting the hypothalamus-pituitary-adrenal axis. Frontiers in Endocrinology, 15, 1373748. https://doi.org/10.3389/fendo.2024.1373748
Ljungström, M., Oltra, E., & Pardo, M. (2024). Stress-Related Chronic Fatigue Syndrome: A Case Report with a Positive Response to Alpha-Methyl-P-Tyrosine (AMPT) Treatment. International Journal of Molecular Sciences, 25(14), 7778. https://doi.org/10.3390/ijms25147778
Avellaneda Fernández, A., Pérez Martín, Á., Izquierdo Martínez, M., Arruti Bustillo, M., Barbado Hernández, F. J., De La Cruz Labrado, J., Díaz-Delgado Peñas, R., Gutiérrez Rivas, E., Palacín Delgado, C., Rivera Redondo, J., & Ramón Giménez, J. R. (2009). Chronic fatigue syndrome: Aetiology, diagnosis and treatment. BMC Psychiatry, 9(Suppl 1), S1. https://doi.org/10.1186/1471-244X-9-S1-S1
Cognitive behavior therapy for chronic fatigue syndrome: A randomized controlled trial. (1997). American Journal of Psychiatry, 154(3), 408–414. https://doi.org/10.1176/ajp.154.3.408
Ocon, A. J. (2013). Caught in the thickness of brain fog: Exploring the cognitive symptoms of Chronic Fatigue Syndrome. Frontiers in Physiology, 4. https://doi.org/10.3389/fphys.2013.00063
Sandoval, A., Li, M., & Jason, L. A. (2025). Two neurocognitive domains identified for patients with myalgic encephalomyelitis/chronic fatigue syndrome and post-acute sequelae of COVID-19. Frontiers in Neurology, 16, 1612548. https://doi.org/10.3389/fneur.2025.1612548
Kluger, B. M., Krupp, L. B., & Enoka, R. M. (2013). Fatigue and fatigability in neurologic illnesses: Proposal for a unified taxonomy. Neurology, 80(4), 409–416. https://doi.org/10.1212/WNL.0b013e31827f07be
Trojsi, F., Di Nardo, F., D’Alvano, G., Passaniti, C., Sharbafshaaer, M., Canale, F., Russo, A., Silvestro, M., Lavorgna, L., Cirillo, M., Esposito, F., Tedeschi, G., & Siciliano, M. (2023). Cognitive, behavioral, and brain functional connectivity correlates of fatigue in amyotrophic lateral sclerosis. Brain and Behavior, 13(7), e2931. https://doi.org/10.1002/brb3.2931
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