Fatigue and psychiatric disorder : different or the same ?
Fatigue and psychiatric symptoms are common in the community, but their association and outcome are sparsely studied.
A total of 1177 patients were recruited from UK primary care on attending their general practitioner.
Fatigue and psychiatric disorder was measured at three time points with the 12-item General Health Questionnaire and the 11-item Fatigue Questionnaire.
Total scores for fatigue and psychiatric disorder did not differ between the three time points and were closely correlated (r around 0.6).
The association between non-co-morbid ('pure') fatigue and developing psychiatric disorder 6 months later was the same as that for being well and subsequent psychiatric disorder.
Similarly, having non-co-morbid psychiatric disorder did not predict having fatigue any more than being well 6 months previously.
Between 13 and 15% suffered from non-co-morbid fatigue at each time point and 2.5% suffered from fatigue at two time points 6 months apart.
Less than 1% of patients suffered from non-co-morbid fatigue at all three time points.
The data are consistent with the existence of'pure'independent fatigue state.
However, this state is unstable and the majority (about three-quarters) of patients become well or a case of psychiatric disorder over 6 months.
A persistent, independent fatigue state lasting for 6 months can be identified in the primary-care setting, but it is uncommon - of the order of 2.5%. (...)
Mots-clés Pascal : Fatigue, Etude comparative, Trouble psychiatrique, Association morbide, Environnement social, Santé mentale, Communauté, Soin santé primaire, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Fatigue, Comparative study, Mental disorder, Concomitant disease, Social environment, Mental health, Community, Primary health care, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0398701
Code Inist : 002B15I. Création : 22/03/2000.