Do Women With Severe Persistent Fatigue Present With Fatigue at the Primary Care Consultation?
| Autor: | Peter Lucassen, T.C. Olde Hartman, K. van Boven, Tomas P. Scheepers |
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| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry 030503 health policy & services Retrospective cohort study macromolecular substances Primary care medicine.disease Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Arts and Humanities (miscellaneous) Chronic fatigue syndrome Medicine 030212 general & internal medicine 0305 other medical science business General Psychology |
| Zdroj: | Zeitschrift für Psychologie, 228, 93-99 Zeitschrift für Psychologie, 228, 2, pp. 93-99 |
| ISSN: | 2190-8370 |
| DOI: | 10.1027/2151-2604/a000402 |
| Popis: | Abstract. Recent studies have shown underdiagnosis of severe persistent fatigue in primary care. To study how patients with severe persistent fatigue present in primary care and whether they differ from patients with less severe fatigue and patients with no fatigue. A 4-year retrospective database study combined with a questionnaire, including all female patients 25–50 years ( n = 917) who are registered in one primary care group practice. Based on the results of a validated self-administered questionnaire, patients were divided into three groups: patients with severe persistent fatigue ( n = 42), patients with fatigue ( n = 174), and patients with no fatigue ( n = 246). Data on frequency of consulting, reason for encounter, and diagnoses from 2009 to 2013 were obtained from the electronic medical health record. Data were analyzed using odds ratios. Women with severe persistent fatigue more often were unemployed and had lower education. They visited the general practitioners (GP) more often than other women. However, more than half of the women with severe persistent fatigue did not visit their GP with fatigue as reason for encounter at all during the 4 years of study. A minority of the women with severe persistent fatigue received a psychological diagnosis or social diagnosis (36% and 19%, respectively) during these 4 years. Underdiagnosis of severe persistent fatigue is partly a consequence of patients not presenting or reporting this to their GP. The reasons for this behavior are not clear. |
| Databáze: | OpenAIRE |
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