Population based study of fatigue and psychological distress.
Abstract
OBJECTIVES--To determine the prevalence of fatigue in the general population and the factors associated with fatigue. DESIGN--Postal survey. SETTING--Six general practices in southern England. SUBJECTS--31,651 men and women aged 18-45 years registered with the practices. MAIN OUTCOME MEASURES--Responses to the 12 item general health questionnaire and a fatigue questionnaire which included self reported measures of duration, severity, and causes of fatigue. RESULTS--15,283 valid questionnaires were returned, giving a response rate of 48.3%, (64% after adjustment for inaccuracies in the practice registers). 2798 (18.3%) of respondents reported substantial fatigue lasting six months or longer. Fatigue and psychological morbidity were moderately correlated (r = 0.62). Women were more likely to complain of fatigue than men, even after adjustment for psychological distress. The commonest cited reasons for fatigue were psychosocial (40% of patients). Of 2798 patients with excessive tiredness, only 38 (1.4%) attributed this to the chronic fatigue syndrome. CONCLUSION--Fatigue is distributed as a continuous variable in the community and is closely associated with psychological morbidity.
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- Payne-James J, Silk D. Clinical nutrition support. BMJ. 1990 Jul 7;301(6742):1–2. [PMC free article] [PubMed] [Google Scholar]
- Lewis G, Wessely S. The epidemiology of fatigue: more questions than answers. J Epidemiol Community Health. 1992 Apr;46(2):92–97. [PMC free article] [PubMed] [Google Scholar]
- David AS, Wessely S, Pelosi AJ. Postviral fatigue syndrome: time for a new approach. Br Med J (Clin Res Ed) 1988 Mar 5;296(6623):696–699. [PMC free article] [PubMed] [Google Scholar]
- Manu P, Matthews DA, Lane TJ. The mental health of patients with a chief complaint of chronic fatigue. A prospective evaluation and follow-up. Arch Intern Med. 1988 Oct;148(10):2213–2217. [PubMed] [Google Scholar]
- Behan PO, Behan WM. Postviral fatigue syndrome. Crit Rev Neurobiol. 1988;4(2):157–178. [PubMed] [Google Scholar]
- Wessely S, Powell R. Fatigue syndromes: a comparison of chronic "postviral" fatigue with neuromuscular and affective disorders. J Neurol Neurosurg Psychiatry. 1989 Aug;52(8):940–948. [PMC free article] [PubMed] [Google Scholar]
- Butler S, Chalder T, Ron M, Wessely S. Cognitive behaviour therapy in chronic fatigue syndrome. J Neurol Neurosurg Psychiatry. 1991 Feb;54(2):153–158. [PMC free article] [PubMed] [Google Scholar]
- Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP. Development of a fatigue scale. J Psychosom Res. 1993;37(2):147–153. [PubMed] [Google Scholar]
- Croft P, Rigby AS, Boswell R, Schollum J, Silman A. The prevalence of chronic widespread pain in the general population. J Rheumatol. 1993 Apr;20(4):710–713. [PubMed] [Google Scholar]
- Recent topics in cystic fibrosis. Symposium held by the Section of Pediatrics of the Royal Society of Medicine, 26 October 1990, London. J R Soc Med. 1991;84 (Suppl 18):1–39. [PMC free article] [PubMed] [Google Scholar]
- Bickler G, Sutton S. Inaccuracy of FHSA registers: help from electoral registers. BMJ. 1993 May 1;306(6886):1167–1167. [PMC free article] [PubMed] [Google Scholar]
- Jones R, Lydeard S. Irritable bowel syndrome in the general population. BMJ. 1992 Jan 11;304(6819):87–90. [PMC free article] [PubMed] [Google Scholar]
- Cathébras PJ, Robbins JM, Kirmayer LJ, Hayton BC. Fatigue in primary care: prevalence, psychiatric comorbidity, illness behavior, and outcome. J Gen Intern Med. 1992 May-Jun;7(3):276–286. [PubMed] [Google Scholar]
- Kroenke K, Wood DR, Mangelsdorff AD, Meier NJ, Powell JB. Chronic fatigue in primary care. Prevalence, patient characteristics, and outcome. JAMA. 1988 Aug 19;260(7):929–934. [PubMed] [Google Scholar]
- McDonald E, David AS, Pelosi AJ, Mann AH. Chronic fatigue in primary care attenders. Psychol Med. 1993 Nov;23(4):987–998. [PubMed] [Google Scholar]
- David AS. Postviral fatigue syndrome and psychiatry. Br Med Bull. 1991 Oct;47(4):966–988. [PubMed] [Google Scholar]
- Katon W, Russo J. Chronic fatigue syndrome criteria. A critique of the requirement for multiple physical complaints. Arch Intern Med. 1992 Aug;152(8):1604–1609. [PubMed] [Google Scholar]
