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  1. Fatigue and psychiatric disorder : different or the same ?

    Article - En anglais

    Background

    Fatigue and psychiatric symptoms are common in the community, but their association and outcome are sparsely studied.

    Method

    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.

    Results

    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.

    Conclusions

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0398701

    Code Inist : 002B15I. Création : 22/03/2000.