Fennell Phase Inventory Quiz

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Welcome to your Fennell Phase Inventory Quiz

The Fennell Phase Inventory (FPI) or Fennell Scale is a self-report measure developed in 1999 by the DePaul Myalgic Encephalomyelitis & Chronic Fatigue Syndrome Research Team in the Center for Community Research, DePaul University, Chicago, Illinois, US. Researchers who developed the scale are Leonard Jason, Patricia Fennell, Susan Klein, Guy Fricano, Jane Halpert, & Renee R Taylor.[1]

The Fennell Phase Inventory identifies four phases of coping typically experienced by individuals with chronic illness and has been tested to confirm it applies to the myalgic encephalomyelitis/chronic fatigue syndrome ME/CFS population. Unlike many other models, the Fennell Phase Inventory takes into account the relapsing and remitting nature of ME/CFS, thus allowing that progression through the phases is non-linear and that a patient may fit into more than one phase at a time. It, also, does not assume that the patient will eventually be cured.[2]

The four phases represent a progression of coping. Phase I, the crisis phase, can occur after the initial onset of the illness and is characterized by the individual entering into a state of emotional crisis; Phase II, the stabilization phase, involves the continuation of emotional turmoil as symptoms begin to stabilize; Phase III, the resolution phase, is described by individuals who have accepted the ambiguous and chronic nature of their illness and are beginning to construct meaning out of their experience; and Phase IV, the integration phase, occurs when the individual achieves integration between their pre- and post-illness selves, reintegrates or forms new supportive networks, activities, vocation (if possible) and is able to fit their illness into their philosophical or spiritual framework.

Rate each of the items below on a five point scale

1= definitely do not agree

2=do not agree

3=somewhat agree

4=agree

5=very strongly agree

1. I feel like I am falling apart.a

2. I am just beginning to recognize when and how my symptoms occur.b

3. I am beginning to accept the fact that I will never be completely like I was before the illness and that I will need to become a new person.b

4. I now have learned that living with the illness involves getting sicker, at times, and improving, at times.c

5. The primary way for me to improve is if my physician finds me the right treatment.a

6. I am beginning to seek support and information from others who have or who know about the illness.b

7. I am in the early process of creating meaning about my illness experience.b

8. I have gained a sense of myself that is blended - a combination of my life before and after I first got sick.c

9. I need to know with certainty when and if I am going to get better.a

10. I am just starting to feel like I have some control of my life.b

11. I am beginning to learn how to live with the unknown or chronic nature of my illness.b

12. I have better and more satisfying relationships with people I care about since I first became sick.d

13. It is my fault I got sick.d

14. I am just starting to realize that there may be things I can do to help myself feel better.b

15. I am starting to see my illness experience as having some value.b

16. I am proud of myself for living with this illness.c

17. I think about my illness all of the time.a

18. I am just beginning to stabilize (i.e., feeling a bit less confused and a bit more ordered).b

19. For the first time, I am beginning to have compassion and love for myself and for what I have endured.b

20. I am a better and wiser person since I first got sick.c

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