This study assessed relationships among psychological symptoms, past and current psychiatric disorder, functional impairment, somatic symptoms, chronic fatigue, and chronic fatigue syndrome.
A prospective cohort study was followed by a nested case-control study.
The subjects, aged 18-45 years, had been in primary care for either clinical viral infections or a range of other problems.
Questionnaire measures of fatigue and psychological symptoms were completed by 1,985 subjects 6 months later ; 214 subjects with chronic fatigue were then compared with 214 matched subjects without fatigue.
Assessments were made with questionnaires, interviews, and medical records of fatigue, somatic symptoms, psychiatric disorder, and functional impairment.
Subjects with chronic fatigue were at greater risk than those without chronic fatigue for current psychiatric disorder assessed by standardized interview (60% versus 19%) or by questionnaire (71% versus 31%). Chronic fatigue subjects were more likely to have received psychotropic medication or experienced psychiatric disorder in the past.
There was a trend for previous psychiatric disorder to be associated with comorbid rather than noncomorbid chronic fatigue.
Most subjects with chronic fatigue syndrome also had current psychiatric disorder when assessed by interview (75%) or questionnaire (78%). (...)
Mots-clés Pascal : Fatigue chronique syndrome, Muscle strié pathologie, Système ostéoarticulaire pathologie, Symptomatologie, Association morbide, Trouble psychiatrique, Soin santé primaire, Trouble fonctionnel, Etude cohorte, Etude longitudinale, Adulte jeune, Homme
Mots-clés Pascal anglais : Chronic fatigue syndrome, Striated muscle disease, Diseases of the osteoarticular system, Symptomatology, Concomitant disease, Mental disorder, Primary health care, Dysfunction, Cohort study, Follow up study, Young adult, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0395492
Code Inist : 002B15I. Création : 10/04/1997.