Table 4

Overview of three models: one model including all generic biological/lifestyle factors, one model containing all psychological factors and one model containing all social factors

Associated factorsUnstandardised βEffect size95% CI
Model 1. Biological/lifestyle factors (N=413, adj. R2 58.4%)
 Factors associated with more fatigue
  Pain (VAS, range 0–10)−1.1−0.1−1.7 to −0.5**
  Difficulties getting to sleep (0–5; ‘never’ to ‘almost every day’)−3.3−0.2−4.3 to −2.4**
Factors associated with less fatigue
  No of days physically active/week (0–7)0.40.0−0.3 to 1.1
  Physical functioning (PedsQL GCS subscale, range 0–100)0.60.50.5 to 0.7**
Model 2. Psychological factors (n=370, adj. R2 65.8%)
Factors associated with more fatigue
 Depressive symptoms (RCADS, range 0–30)−3.5−0.7−4.0 to −3.0**
 Anxiety level (RCADS, range 0–111)0.30.20.1 to 0.4**
 Pain catastrophising (PCS-C, range 0–52)−0.30.1−0.5 to −0.1**
Factors associated with less fatigue
 Emotional functioning (PedsQL GCS, range 0–100)0.20.20.1 to 0.3**
Model 3. Social factors (n=413, adj. R2 50.0%)
Factors associated with more fatigue
 Pressure at school (0–4; ‘not at all’ to ‘a lot’)−5.5−0.2−7.4 to −3.5**
 Being bullied (0–5; never to several times per week)4.70.11.9 to 7.5**
Factors associated with less fatigue
 Communication at home (1–5, higher score=better communication)−1.2−0.0−4.3 to 1.9
 Support at home (1–7, higher score=more support)1.60.1−0.5 to 3.7
 Support by friends (1–7, higher score=more support)0.20.0−1.2 to 1.6
 Social functioning (PedsQL GCS subscale, range 0–100)0.80.60.7 to 1.0**
 Member of a sports team or club (0=not a member, 1=member)1.80.0−1.6 to 5.3
Factors not associated with fatigue in this sample
 Screen time per day (hours/day)−0.9−0.1−2.1 to 0.3
  • In all models, fatigue is the dependent variable. Models are adjusted for age and sex of the child. The PedsQL MFS is scored on a scale from 0 to 100, with a lower score indicating more severe fatigue. Thus, a negative correlation indicates a lower score, thus indicating more fatigue.

  • *P<0.05, **p<0.01.

  • PCS-C, Pain Catastrophising Scale for Children; PedsQL GCS, PedsQL Generic Core Scale; PedsQL MFS, PedsQL Multidimensional Fatigue Scale; RCADS, Revised Child Anxiety and Depression Scale; VAS, Visual Analogue Scale.