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Validation of the Arabic Cognitive Functioning Self-Assessment Scale (CFSS): a large multinational study
Feten Fekih-Romdhane1,2, Nelly Kheir3, Mai Helmy4
1Faculty of Medicine of Tunis, Tunis Al Manar University, Tunis, Tunisia.
Applied Neuropsychology. Adult
|March 22, 2026
Summary
The Arabic Cognitive Functioning Self-assessment Scale (CFSS) is validated for measuring memory, orientation, and attention. This cognitive assessment tool shows good reliability and can be used in Arabic-speaking populations.
Area of Science:
- Cognitive Psychology
- Psychometrics
- Neuroscience
Background:
- The Cognitive Functioning Self-assessment Scale (CFSS) measures memory, spatio-temporal orientation, and attention.
- Validation of the CFSS in Modern Standard Arabic was the study's objective.
Purpose of the Study:
- To validate the Cognitive Functioning Self-assessment Scale (CFSS) in Modern Standard Arabic.
- To assess cognitive functioning in a broad, non-clinical Arabic-speaking population.
Main Methods:
- A cross-sectional, community-based, multinational study.
- 4092 adults from Egypt, Jordan, Lebanon, Oman, and Palestine participated.
- Non-probability convenience and snowball sampling were employed.
Main Results:
- The Arabic CFSS demonstrated a unidimensional structure with high internal consistency (Cronbach's α = 0.93).
- Measurement invariance was confirmed across sex, education, and country.
- Females, those with lower education, and Palestinians reported higher cognitive impairment, correlating with insomnia, depression, and anxiety.
Conclusions:
- The validated Arabic CFSS can extend cognitive assessment beyond clinical settings.
- This research contributes valuable data from the understudied Arabic-speaking region to global cognition research.
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