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Psychometric validation of the European Portuguese version of The Fatigue and Altered Cognition Scale (FACs)

dc.contributor.authorFernandes, Carina
dc.contributor.authorBaylina, Pilar
dc.contributor.authorBarbosa, Fernando
dc.contributor.authorBarros, Carla
dc.contributor.authorBAYLINA MACHADO, PILAR
dc.date.accessioned2026-05-12T12:58:59Z
dc.date.available2026-05-12T12:58:59Z
dc.date.issued2025-09-15
dc.description.abstractFatigue and “brain fog” are symptoms that may arise from lifestyle factors and various clinical conditions. Despite their significant impact on daily functioning, there is a lack of psychometrically robust instruments to measure their co-occurrence. The Fatigue and Altered Cognition Scale (FACs) was developed to address this gap, allowing the assessment of central fatigue and cognitive complaints commonly referred to as brain fog. In the present study, we translated, culturally adapted, and validated the FACs for European Portuguese. A sample of 591 Portuguese-speaking adults completed the Portuguese version of the FACs, along with the Burnout Assessment Tool (BAT) and the Depression, Anxiety, and Stress Scales (DASS). Confirmatory Factor Analysis tested the factorial structure, and internal consistency and convergent validity were also evaluated. A bifactor model demonstrated the presence of a general factor underlying all items. Internal consistency was excellent, and the FACs exhibited strong positive correlations with both the BAT and the DASS. Moreover, the FACs demonstrated strong criterion-related validity through its significant and robust associations with burnout, depression, anxiety, and stress. Our findings establish the FACs as a valid, reliable, and efficient instrument for both clinical and research applications within European Portuguese contexts.eng
dc.description.sponsorshipCOMPETE2030-FEDER-00892100
dc.identifier.citationFernandes, C., Baylina, P., Barbosa, F., & Barros, C. (2025). Psychometric validation of the European Portuguese version of the Fatigue and Altered Cognition Scale (FACs). Applied Neuropsychology: Adult, 0(0), 1–11. https://doi.org/10.1080/23279095.2025.2560536
dc.identifier.doi10.1080/23279095.2025.2560536
dc.identifier.eissn2327-9109
dc.identifier.issn2327-9095
dc.identifier.urihttp://hdl.handle.net/10400.22/32348
dc.language.isoeng
dc.peerreviewedyes
dc.publisherRoutledge - Taylor and Francis
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/23279095.2025.2560536?src=exp-la
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAltered cognition
dc.subjectBrain fog
dc.subjectFACs
dc.subjectFatigue
dc.subjectFatigue and Altered cognition scale
dc.titlePsychometric validation of the European Portuguese version of The Fatigue and Altered Cognition Scale (FACs)eng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage11
oaire.citation.startPage1
oaire.citation.titleApplied Neuropsychology: Adult
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameBAYLINA MACHADO
person.givenNamePILAR
person.identifier.ciencia-id1419-F23D-4920
person.identifier.orcid0000-0002-3740-862X
person.identifier.ridB-5134-2010
person.identifier.scopus-author-id56534079700
relation.isAuthorOfPublicationb1482a24-d9d8-419d-af68-6df1a75afb3f
relation.isAuthorOfPublication.latestForDiscoveryb1482a24-d9d8-419d-af68-6df1a75afb3f

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