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Titre du document / Document title

Clarifying the relationship between Unexplained chronic Fatigue and psychiatric morbidity : Results from a community survey in Great britain

Auteur(s) / Author(s)

SKAPINAKIS P. ; LEWIS G. ; MELTZER H. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Division of Psychological Medicine, University of Wales College of Medicine, ROYAUME-UNI
Social Survey Division, Office for National Statistics, London, ROYAUME-UNI

Résumé / Abstract

Objective: The study examined the associations between several sociodemographic and psychosocial variables and unexplained chronic fatigue in the community before and after adjustment for psychiatric morbidity and determined the prevalence of fatigue and rate of disability resulting from fatigue in the general population. Method: The study is a secondary analysis of 1993 data from a household survey of psychiatric morbidity conducted by the Office for Population Censuses and Surveys in Great Britain. The survey included 12,730 subjects age 16-64 years. Unexplained chronic fatigue was used as the dependent variable in a logistic regression analysis, with various sociodemographic and psychosocial variables and psychiatric morbidity as the independent variables. Psychiatric morbidity was assessed by using the Revised Clinical Interview Schedule Fatigue was measured by using the fatigue section of the Revised Clinical Interview Schedule. Results: A total of 10,108 subjects agreed to cooperate (79.4% participation rate). The prevalence of unexplained chronic fatigue was 9%. Subjects with psychiatric morbidity had higher rates of fatigue. Adjustment for psychiatric morbidity had a minor effect on the associations between sociodemographic factors and chronic fatigue. After adjustment, older subjects, women, and couples with children had higher rates of fatigue. Single subjects, widowed subjects, adults living with parents, and economically inactive subjects had lower rates of fatigue. Fatigue was associated with considerable disability, but most of this disability was explained by the association between fatigue and psychiatric morbidity. Conclusions: Unexplained chronic fatigue is a common condition, strongly associated with psychiatric morbidity. The close relationship between fatigue and psychiatric morbidity should not obscure the possibility of differences as well as similarities in their etiologies.

Revue / Journal Title

The American journal of psychiatry    ISSN  0002-953X   CODEN AJPSAO 

Source / Source

2000, vol. 157, no9, pp. 1492-1498 (35 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Psychiatric Association, Arlington, VA, ETATS-UNIS  (1921) (Revue)

Mots-clés anglais / English Keywords

Chronic fatigue syndrome

;

Prevalence

;

Comparative study

;

Concomitant disease

;

Mental disorder

;

Functional capacity

;

Sociodemographic factor

;

Sex

;

Age

;

Marital status

;

Family environment

;

Socioeconomic status

;

Social support

;

Survey

;

Public health

;

Mental health

;

Social environment

;

United Kingdom

;

Human

;

Europe

;

Mots-clés français / French Keywords

Fatigue chronique syndrome

;

Prévalence

;

Etude comparative

;

Association morbide

;

Trouble psychiatrique

;

Capacité fonctionnelle

;

Facteur sociodémographique

;

Sexe

;

Age

;

Statut conjugal

;

Milieu familial

;

Statut socioéconomique

;

Support social

;

Enquête

;

Santé publique

;

Santé mentale

;

Environnement social

;

Royaume Uni

;

Homme

;

Europe

;

Mots-clés espagnols / Spanish Keywords

Fatiga crónica síndrome

;

Prevalencia

;

Estudio comparativo

;

Asociación morbosa

;

Trastorno psiquiátrico

;

Capacidad funcional

;

Factor sociodemográfico

;

Sexo

;

Edad

;

Estatuto conyugal

;

Medio familiar

;

Estatuto socioeconómico

;

Apoyo social

;

Encuesta

;

Salud pública

;

Salud mental

;

Medio ambiente social

;

Reino Unido

;

Hombre

;

Europa

;

Localisation / Location

INIST-CNRS, Cote INIST : 3283, 35400009129017.0190

Nº notice refdoc (ud4) : 1488158



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