Prognostic factors for persons with idiopathic chronic fatigue
| Autor: | Arthur J. Hartz, Kuhn Em, Bentler Se, Levine Ph, London R |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Patient characteristics Risk Factors Chronic fatigue syndrome medicine Humans Prospective Studies Prospective cohort study Muscle aches Life Style Depression (differential diagnoses) Fatigue Syndrome Chronic business.industry Chronic fatigue General Medicine Middle Aged medicine.disease Prognosis Trouble falling asleep Physical therapy Quality of Life Female business |
| Zdroj: | Archives of family medicine. 8(6) |
| ISSN: | 1063-3987 |
| Popis: | BACKGROUND The simultaneous examination of a large number of patient characteristics in a prospective study of patients with chronic fatigue. OBJECTIVE To compare the relative importance of these characteristics as prognostic factors. METHODS The data analyzed were from 199 subjects in a registry of persons who were aged 18 years or older and had idiopathic fatigue for at least 6 months. All subjects completed an extensive baseline questionnaire that provided information about fatigue, demographic characteristics, medical conditions, lifestyle, sleeping habits, psychological characteristics, and the presence of criteria for chronic fatigue syndrome. Changes in fatigue severity from baseline to 2-year follow-up were tested for an association with risk factors at baseline and with changes in symptoms other than fatigue during the follow-up period. RESULTS The following characteristics at baseline significantly and independently predicted greater fatigue improvement: less unclear thinking, fewer somatoform symptoms not used to define chronic fatigue syndrome, infrequent awakening, fewer hours sleeping, and being married. Of 29 subjects who at baseline reported no somatoform symptoms unrelated to chronic fatigue syndrome and who thought clearly most of the time, 8 substantially improved, compared with 1 of 29 subjects who had more than 2 somatoform symptoms and never thought clearly (P = .01). Improvements in the following symptoms were significantly and independently associated with improvements in fatigue: unclear thinking, depression, muscle aches, and trouble falling asleep. CONCLUSIONS This study identified characteristics of subjects that seem to be of prognostic importance for idiopathic chronic fatigue. Symptoms that change concomitantly with changes in fatigue may be intrinsically linked to fatigue. |
| Databáze: | OpenAIRE |
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