Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases

El presente estudio de corte psicométrico, tuvo como objetivo analizar la estructura factorial y la consistencia interna versión en español del cuestionario Fatigue Severity Scale (FSS) en población colombiana de enfermos crónicos. Para ello se aplicó el cuestionario a 52 enfermos crónicos de la ciu...

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Tipo de recurso:
Fecha de publicación:
2017
Institución:
Universidad de Medellín
Repositorio:
Repositorio UDEM
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eng
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oai:repository.udem.edu.co:11407/4373
Acceso en línea:
http://hdl.handle.net/11407/4373
Palabra clave:
Chronic disease people
Colombia
Fatigue
Fatigue Severity Scale (FSS)
Font, E., Rodriguez, E., Buscemi, V., Fatiga, expectativas y calidad de vida en cáncer (2004) Psicooncologia, 1 (2), pp. 45-56
Johansson, S., Ytterberg, C., Hillert, J., Widen Holmqvist, L., Von Koch, L.A., A longitudinal study of variations in and predictors of fatigue in multiple sclerosis (2008) J Neurol Neurosurg Psychiatry, 79, pp. 454-457
Stanton, B.R., Barnes, F., Silber, E., Sleep and fatigue in multiple sclerosis (2006) Mult Scler, (12), pp. 481-486
Lewis, G., Wesseley, S., The Epidemiology of fatigue: More questions than Answers (1992) J Epidemiol Community Health, 46, pp. 92-97
Hewlett, S., Dures, E., Almeida, C., (2011) Measures of Fatigue Arthritis Care Res, 63, pp. 263-286
Hinz, A., Finck, C., Barradas, S., Korner, A., Volker, B., Singer, S., Fatigue in the general population of Colombia: Normative values for the multidimensional Fatigue Inventory MFI-20 (2013) Onkologie, 36, pp. 403-407
Krupp, L., La Rocca, N., Muir, J., Steinberg, A., The fatigue Severity Scale (1992) Arch Neurol, 46, pp. 1121-1123
Rosa, K., Fu, M., Gilles, L., Cerri, K., Peeters, M., Bubb, J., Scott, J., Validation of the Fatigue Severity Scale in chronic hepatitis (2014) Health Qual Life Outcomes, 11, p. 90
Takasaki, H., Treleaven, J., Construct validity and test-retest reliability of the Fatigue Severity Scale in people with chronic neck pain (2013) Arch Phys Med Rehabil, 94 (7), pp. 1328-1334
Valderrama, S., Camelier, A.A., Silva, S.A., Mallmann, R., de Paulo, H.K., Rosa, F.W., Reliability of the Brazilian Portuguese version of the fatigue severity scale and its correlation with pulmonary function, dyspnea, and functional capacity in patients with COPD (2013) J Bras Pneumol, 39 (4), pp. 427-433
Montero, I., León, O., Sistema de clasificación del método en los informes de investigación en Psicología (2005) IJCHP, 5 (1), pp. 115-127
Bulbena, A., Berrios, G.E., Fernández de Larrinoa, P., (2000) Medición Clínica en Psiquiatría y Psicología, , (1 ed.). Madrid: Masson
Alexandre, A., Guirardello, E.B., Adaptación cultural de instrumentos utilizados en salud ocupacional (2002) Rev Panam Salud Publica, 11 (2), pp. 109-111
Lerdal, A., Kottorp, A., Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort (2011) Int J Nurs Stud, 48 (10), pp. 1258-1265
Mattsson, M., Möller, B., Lundberg, I.E., Gard, G., Boström, C., Reliability and validity of the Fatigue Severity Scale in Swedish for patients with systemic lupus erythematosus (2008) Scand J Rheumatol, 37 (4), pp. 269-277
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network_acronym_str REPOUDEM2
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dc.title.spa.fl_str_mv Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
Estructura factorial y consistencia interna de la Escala de Severidad de Fatiga en población colombiana con enfermedades crónicas
title Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
spellingShingle Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
Chronic disease people
Colombia
Fatigue
Fatigue Severity Scale (FSS)
Font, E., Rodriguez, E., Buscemi, V., Fatiga, expectativas y calidad de vida en cáncer (2004) Psicooncologia, 1 (2), pp. 45-56
Johansson, S., Ytterberg, C., Hillert, J., Widen Holmqvist, L., Von Koch, L.A., A longitudinal study of variations in and predictors of fatigue in multiple sclerosis (2008) J Neurol Neurosurg Psychiatry, 79, pp. 454-457
Stanton, B.R., Barnes, F., Silber, E., Sleep and fatigue in multiple sclerosis (2006) Mult Scler, (12), pp. 481-486
Lewis, G., Wesseley, S., The Epidemiology of fatigue: More questions than Answers (1992) J Epidemiol Community Health, 46, pp. 92-97
Hewlett, S., Dures, E., Almeida, C., (2011) Measures of Fatigue Arthritis Care Res, 63, pp. 263-286
Hinz, A., Finck, C., Barradas, S., Korner, A., Volker, B., Singer, S., Fatigue in the general population of Colombia: Normative values for the multidimensional Fatigue Inventory MFI-20 (2013) Onkologie, 36, pp. 403-407
Krupp, L., La Rocca, N., Muir, J., Steinberg, A., The fatigue Severity Scale (1992) Arch Neurol, 46, pp. 1121-1123
Rosa, K., Fu, M., Gilles, L., Cerri, K., Peeters, M., Bubb, J., Scott, J., Validation of the Fatigue Severity Scale in chronic hepatitis (2014) Health Qual Life Outcomes, 11, p. 90
Takasaki, H., Treleaven, J., Construct validity and test-retest reliability of the Fatigue Severity Scale in people with chronic neck pain (2013) Arch Phys Med Rehabil, 94 (7), pp. 1328-1334
Valderrama, S., Camelier, A.A., Silva, S.A., Mallmann, R., de Paulo, H.K., Rosa, F.W., Reliability of the Brazilian Portuguese version of the fatigue severity scale and its correlation with pulmonary function, dyspnea, and functional capacity in patients with COPD (2013) J Bras Pneumol, 39 (4), pp. 427-433
Montero, I., León, O., Sistema de clasificación del método en los informes de investigación en Psicología (2005) IJCHP, 5 (1), pp. 115-127
Bulbena, A., Berrios, G.E., Fernández de Larrinoa, P., (2000) Medición Clínica en Psiquiatría y Psicología, , (1 ed.). Madrid: Masson
Alexandre, A., Guirardello, E.B., Adaptación cultural de instrumentos utilizados en salud ocupacional (2002) Rev Panam Salud Publica, 11 (2), pp. 109-111
Lerdal, A., Kottorp, A., Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort (2011) Int J Nurs Stud, 48 (10), pp. 1258-1265
Mattsson, M., Möller, B., Lundberg, I.E., Gard, G., Boström, C., Reliability and validity of the Fatigue Severity Scale in Swedish for patients with systemic lupus erythematosus (2008) Scand J Rheumatol, 37 (4), pp. 269-277
title_short Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
title_full Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
title_fullStr Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
title_full_unstemmed Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
title_sort Factorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseases
dc.contributor.affiliation.spa.fl_str_mv Bernal Vargas, L., Universidad Cooperativa de Colombia, Villavicencio, Colombia
Riveros Munévar, F., Universidad de San Buenaventura, Bogotá, Colombia
Vinaccia Alpi, S., Fundación Universitaria Sanitas, Bogotá, Colombia
Quiceno Sierra, J.M., Universidad de Medellín, Colombia
dc.subject.keyword.eng.fl_str_mv Chronic disease people
Colombia
Fatigue
Fatigue Severity Scale (FSS)
Font, E., Rodriguez, E., Buscemi, V., Fatiga, expectativas y calidad de vida en cáncer (2004) Psicooncologia, 1 (2), pp. 45-56
Johansson, S., Ytterberg, C., Hillert, J., Widen Holmqvist, L., Von Koch, L.A., A longitudinal study of variations in and predictors of fatigue in multiple sclerosis (2008) J Neurol Neurosurg Psychiatry, 79, pp. 454-457
Stanton, B.R., Barnes, F., Silber, E., Sleep and fatigue in multiple sclerosis (2006) Mult Scler, (12), pp. 481-486
Lewis, G., Wesseley, S., The Epidemiology of fatigue: More questions than Answers (1992) J Epidemiol Community Health, 46, pp. 92-97
Hewlett, S., Dures, E., Almeida, C., (2011) Measures of Fatigue Arthritis Care Res, 63, pp. 263-286
Hinz, A., Finck, C., Barradas, S., Korner, A., Volker, B., Singer, S., Fatigue in the general population of Colombia: Normative values for the multidimensional Fatigue Inventory MFI-20 (2013) Onkologie, 36, pp. 403-407
Krupp, L., La Rocca, N., Muir, J., Steinberg, A., The fatigue Severity Scale (1992) Arch Neurol, 46, pp. 1121-1123
Rosa, K., Fu, M., Gilles, L., Cerri, K., Peeters, M., Bubb, J., Scott, J., Validation of the Fatigue Severity Scale in chronic hepatitis (2014) Health Qual Life Outcomes, 11, p. 90
Takasaki, H., Treleaven, J., Construct validity and test-retest reliability of the Fatigue Severity Scale in people with chronic neck pain (2013) Arch Phys Med Rehabil, 94 (7), pp. 1328-1334
Valderrama, S., Camelier, A.A., Silva, S.A., Mallmann, R., de Paulo, H.K., Rosa, F.W., Reliability of the Brazilian Portuguese version of the fatigue severity scale and its correlation with pulmonary function, dyspnea, and functional capacity in patients with COPD (2013) J Bras Pneumol, 39 (4), pp. 427-433
Montero, I., León, O., Sistema de clasificación del método en los informes de investigación en Psicología (2005) IJCHP, 5 (1), pp. 115-127
Bulbena, A., Berrios, G.E., Fernández de Larrinoa, P., (2000) Medición Clínica en Psiquiatría y Psicología, , (1 ed.). Madrid: Masson
Alexandre, A., Guirardello, E.B., Adaptación cultural de instrumentos utilizados en salud ocupacional (2002) Rev Panam Salud Publica, 11 (2), pp. 109-111
Lerdal, A., Kottorp, A., Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort (2011) Int J Nurs Stud, 48 (10), pp. 1258-1265
Mattsson, M., Möller, B., Lundberg, I.E., Gard, G., Boström, C., Reliability and validity of the Fatigue Severity Scale in Swedish for patients with systemic lupus erythematosus (2008) Scand J Rheumatol, 37 (4), pp. 269-277
topic Chronic disease people
Colombia
Fatigue
Fatigue Severity Scale (FSS)
Font, E., Rodriguez, E., Buscemi, V., Fatiga, expectativas y calidad de vida en cáncer (2004) Psicooncologia, 1 (2), pp. 45-56
Johansson, S., Ytterberg, C., Hillert, J., Widen Holmqvist, L., Von Koch, L.A., A longitudinal study of variations in and predictors of fatigue in multiple sclerosis (2008) J Neurol Neurosurg Psychiatry, 79, pp. 454-457
Stanton, B.R., Barnes, F., Silber, E., Sleep and fatigue in multiple sclerosis (2006) Mult Scler, (12), pp. 481-486
Lewis, G., Wesseley, S., The Epidemiology of fatigue: More questions than Answers (1992) J Epidemiol Community Health, 46, pp. 92-97
Hewlett, S., Dures, E., Almeida, C., (2011) Measures of Fatigue Arthritis Care Res, 63, pp. 263-286
Hinz, A., Finck, C., Barradas, S., Korner, A., Volker, B., Singer, S., Fatigue in the general population of Colombia: Normative values for the multidimensional Fatigue Inventory MFI-20 (2013) Onkologie, 36, pp. 403-407
Krupp, L., La Rocca, N., Muir, J., Steinberg, A., The fatigue Severity Scale (1992) Arch Neurol, 46, pp. 1121-1123
Rosa, K., Fu, M., Gilles, L., Cerri, K., Peeters, M., Bubb, J., Scott, J., Validation of the Fatigue Severity Scale in chronic hepatitis (2014) Health Qual Life Outcomes, 11, p. 90
Takasaki, H., Treleaven, J., Construct validity and test-retest reliability of the Fatigue Severity Scale in people with chronic neck pain (2013) Arch Phys Med Rehabil, 94 (7), pp. 1328-1334
Valderrama, S., Camelier, A.A., Silva, S.A., Mallmann, R., de Paulo, H.K., Rosa, F.W., Reliability of the Brazilian Portuguese version of the fatigue severity scale and its correlation with pulmonary function, dyspnea, and functional capacity in patients with COPD (2013) J Bras Pneumol, 39 (4), pp. 427-433
Montero, I., León, O., Sistema de clasificación del método en los informes de investigación en Psicología (2005) IJCHP, 5 (1), pp. 115-127
Bulbena, A., Berrios, G.E., Fernández de Larrinoa, P., (2000) Medición Clínica en Psiquiatría y Psicología, , (1 ed.). Madrid: Masson
Alexandre, A., Guirardello, E.B., Adaptación cultural de instrumentos utilizados en salud ocupacional (2002) Rev Panam Salud Publica, 11 (2), pp. 109-111
Lerdal, A., Kottorp, A., Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort (2011) Int J Nurs Stud, 48 (10), pp. 1258-1265
Mattsson, M., Möller, B., Lundberg, I.E., Gard, G., Boström, C., Reliability and validity of the Fatigue Severity Scale in Swedish for patients with systemic lupus erythematosus (2008) Scand J Rheumatol, 37 (4), pp. 269-277
description El presente estudio de corte psicométrico, tuvo como objetivo analizar la estructura factorial y la consistencia interna versión en español del cuestionario Fatigue Severity Scale (FSS) en población colombiana de enfermos crónicos. Para ello se aplicó el cuestionario a 52 enfermos crónicos de la ciudad de Villavicencio. El análisis factorial denota tres factores: el factor 1 denominado como afectación física, el factor 2 denominado afectación social y finalmente el factor 3 denominado afectación motivacional de la fatiga, que explican el 76,324% de la varianza total acumulada, y un alfa de Cronbach de 870. Los resultados muestran una alta confiabilidad y concordancia en la estructura factorial con la versión original, lo que implica adecuada validez de la prueba en población colombiana de enfermos crónicos.
publishDate 2017
dc.date.accessioned.none.fl_str_mv 2017-12-19T19:36:51Z
dc.date.available.none.fl_str_mv 2017-12-19T19:36:51Z
dc.date.created.none.fl_str_mv 2017
dc.type.eng.fl_str_mv Article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
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dc.type.driver.none.fl_str_mv info:eu-repo/semantics/article
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/11407/4373
dc.identifier.doi.none.fl_str_mv 10.6018/eglobal.16.2.255821
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad de Medellín
dc.identifier.instname.spa.fl_str_mv instname:Universidad de Medellín
url http://hdl.handle.net/11407/4373
identifier_str_mv 10.6018/eglobal.16.2.255821
reponame:Repositorio Institucional Universidad de Medellín
instname:Universidad de Medellín
dc.language.iso.none.fl_str_mv eng
language eng
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dc.relation.ispartofes.spa.fl_str_mv Enfermeria Global
dc.relation.references.spa.fl_str_mv Universidad de Murcia Servicio de Publicaciones
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_16ec
rights_invalid_str_mv http://purl.org/coar/access_right/c_16ec
dc.publisher.spa.fl_str_mv 16956141
dc.publisher.faculty.spa.fl_str_mv Facultad de Ciencias Sociales y Humanas
dc.source.spa.fl_str_mv Scopus
institution Universidad de Medellín
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spelling 2017-12-19T19:36:51Z2017-12-19T19:36:51Z2017http://hdl.handle.net/11407/437310.6018/eglobal.16.2.255821reponame:Repositorio Institucional Universidad de Medellíninstname:Universidad de MedellínEl presente estudio de corte psicométrico, tuvo como objetivo analizar la estructura factorial y la consistencia interna versión en español del cuestionario Fatigue Severity Scale (FSS) en población colombiana de enfermos crónicos. Para ello se aplicó el cuestionario a 52 enfermos crónicos de la ciudad de Villavicencio. El análisis factorial denota tres factores: el factor 1 denominado como afectación física, el factor 2 denominado afectación social y finalmente el factor 3 denominado afectación motivacional de la fatiga, que explican el 76,324% de la varianza total acumulada, y un alfa de Cronbach de 870. Los resultados muestran una alta confiabilidad y concordancia en la estructura factorial con la versión original, lo que implica adecuada validez de la prueba en población colombiana de enfermos crónicos.The present study has a psychometric design, with the objective of analyzing the factorial structure and the internal consistency for the Spanish version of the Fatigue Severity Scale (FSS) Questionnaire for Colombian population with chronic disease. Was applied the questionnaire to 52 people with chronic disease in Villavicencio city. The factorial Analysis indicates three factors: Factor 1 named physical affectation, Factor 2 named social affectation and Factor 3 named motivational affectation of the fatigue, where they explain the 76.324% of the total cumulative variance with .870 of Cronbach's Alpha. The results present a high reliability and concordance for the factorial structure with the original version which indicates an adequate validity of the test for Colombian population with chronic disease. © Servicio de Publicaciones - Universidad de Murcia.eng16956141Facultad de Ciencias Sociales y Humanashttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85016646088&doi=10.6018%2feglobal.16.2.255821&partnerID=40&md5=201cd30734f88d71cc6069c89a2d4ca8Enfermeria GlobalUniversidad de Murcia Servicio de PublicacionesScopusFactorial structure and internal consistency of the Fatigue Severity Scale in Colombian population with chronic diseasesEstructura factorial y consistencia interna de la Escala de Severidad de Fatiga en población colombiana con enfermedades crónicasArticleinfo:eu-repo/semantics/articlehttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Bernal Vargas, L., Universidad Cooperativa de Colombia, Villavicencio, ColombiaRiveros Munévar, F., Universidad de San Buenaventura, Bogotá, ColombiaVinaccia Alpi, S., Fundación Universitaria Sanitas, Bogotá, ColombiaQuiceno Sierra, J.M., Universidad de Medellín, ColombiaBernal Vargas L.Riveros Munévar F.Vinaccia Alpi S.Quiceno Sierra J.M.Universidad Cooperativa de Colombia, Villavicencio, ColombiaUniversidad de San Buenaventura, Bogotá, ColombiaFundación Universitaria Sanitas, Bogotá, ColombiaUniversidad de Medellín, ColombiaChronic disease peopleColombiaFatigueFatigue Severity Scale (FSS)Font, E., Rodriguez, E., Buscemi, V., Fatiga, expectativas y calidad de vida en cáncer (2004) Psicooncologia, 1 (2), pp. 45-56Johansson, S., Ytterberg, C., Hillert, J., Widen Holmqvist, L., Von Koch, L.A., A longitudinal study of variations in and predictors of fatigue in multiple sclerosis (2008) J Neurol Neurosurg Psychiatry, 79, pp. 454-457Stanton, B.R., Barnes, F., Silber, E., Sleep and fatigue in multiple sclerosis (2006) Mult Scler, (12), pp. 481-486Lewis, G., Wesseley, S., The Epidemiology of fatigue: More questions than Answers (1992) J Epidemiol Community Health, 46, pp. 92-97Hewlett, S., Dures, E., Almeida, C., (2011) Measures of Fatigue Arthritis Care Res, 63, pp. 263-286Hinz, A., Finck, C., Barradas, S., Korner, A., Volker, B., Singer, S., Fatigue in the general population of Colombia: Normative values for the multidimensional Fatigue Inventory MFI-20 (2013) Onkologie, 36, pp. 403-407Krupp, L., La Rocca, N., Muir, J., Steinberg, A., The fatigue Severity Scale (1992) Arch Neurol, 46, pp. 1121-1123Rosa, K., Fu, M., Gilles, L., Cerri, K., Peeters, M., Bubb, J., Scott, J., Validation of the Fatigue Severity Scale in chronic hepatitis (2014) Health Qual Life Outcomes, 11, p. 90Takasaki, H., Treleaven, J., Construct validity and test-retest reliability of the Fatigue Severity Scale in people with chronic neck pain (2013) Arch Phys Med Rehabil, 94 (7), pp. 1328-1334Valderrama, S., Camelier, A.A., Silva, S.A., Mallmann, R., de Paulo, H.K., Rosa, F.W., Reliability of the Brazilian Portuguese version of the fatigue severity scale and its correlation with pulmonary function, dyspnea, and functional capacity in patients with COPD (2013) J Bras Pneumol, 39 (4), pp. 427-433Montero, I., León, O., Sistema de clasificación del método en los informes de investigación en Psicología (2005) IJCHP, 5 (1), pp. 115-127Bulbena, A., Berrios, G.E., Fernández de Larrinoa, P., (2000) Medición Clínica en Psiquiatría y Psicología, , (1 ed.). Madrid: MassonAlexandre, A., Guirardello, E.B., Adaptación cultural de instrumentos utilizados en salud ocupacional (2002) Rev Panam Salud Publica, 11 (2), pp. 109-111Lerdal, A., Kottorp, A., Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort (2011) Int J Nurs Stud, 48 (10), pp. 1258-1265Mattsson, M., Möller, B., Lundberg, I.E., Gard, G., Boström, C., Reliability and validity of the Fatigue Severity Scale in Swedish for patients with systemic lupus erythematosus (2008) Scand J Rheumatol, 37 (4), pp. 269-277The present study has a psychometric design, with the objective of analyzing the factorial structure and the internal consistency for the Spanish version of the Fatigue Severity Scale (FSS) Questionnaire for Colombian population with chronic disease. Was applied the questionnaire to 52 people with chronic disease in Villavicencio city. The factorial Analysis indicates three factors: Factor 1 named physical affectation, Factor 2 named social affectation and Factor 3 named motivational affectation of the fatigue, where they explain the 76.324% of the total cumulative variance with .870 of Cronbach's Alpha. The results present a high reliability and concordance for the factorial structure with the original version which indicates an adequate validity of the test for Colombian population with chronic disease. © Servicio de Publicaciones - Universidad de Murcia.http://purl.org/coar/access_right/c_16ecTHUMBNAIL32. Factorial structure and internal consistency of the Fatigue Severity.pdf.jpg32. Factorial structure and internal consistency of the Fatigue Severity.pdf.jpgIM Thumbnailimage/jpeg10278http://repository.udem.edu.co/bitstream/11407/4373/2/32.%20Factorial%20structure%20and%20internal%20consistency%20of%20the%20Fatigue%20Severity.pdf.jpg11b54676f9eb28226add0d0ba22ed2f8MD52ORIGINAL32. Factorial structure and internal consistency of the Fatigue Severity.pdf32. Factorial structure and internal consistency of the Fatigue Severity.pdfapplication/pdf343587http://repository.udem.edu.co/bitstream/11407/4373/1/32.%20Factorial%20structure%20and%20internal%20consistency%20of%20the%20Fatigue%20Severity.pdfaf016ce52c69b92536a6258a56669fb5MD5111407/4373oai:repository.udem.edu.co:11407/43732020-05-27 17:52:24.176Repositorio Institucional Universidad de Medellinrepositorio@udem.edu.co