Ridsdale L, Mandalia S, Evans A, Jerrett W, Osler K
UMDS Guy's Hospital, Department of General Practice, London, UK.
Scand J Prim Health Care. 1999 Jun;17(2):72-4. doi: 10.1080/028134399750002674.
To test when patients presented with fatigue whether their beliefs about its cause was related to their frequency of attending; and to measure the association between their fatigue and psychological symptoms and their frequency of attendance during the study year.
A cohort study.
Primary health care.
Patients presenting with fatigue as their main symptom.
A fatigue questionnaire, the general health questionnaire (GHQ), an attribution scale, and measurement of consulting frequency during the 6 months before and after the patient presented.
Patients who believed their fatigue was due to a physical or costly physical cause consult for any reason significantly more frequently than patients who reported that psychological as well as physical problems might have caused their fatigue. Patients' psychological distress measured with the GHQ was more closely associated with frequent attendance than their level of fatigue was.
When patients present with fatigue it is important to inquire about their beliefs and psychological symptoms; these factors may be more important than the fatigue itself in explaining their help-seeking behaviour.
测试当患者出现疲劳症状时，他们对疲劳原因的看法是否与就诊频率相关；并衡量在研究年度内他们的疲劳及心理症状与就诊频率之间的关联。
队列研究。
初级卫生保健机构。
以疲劳为主要症状的患者。
一份疲劳调查问卷、一般健康问卷（GHQ）、一份归因量表，以及患者就诊前后6个月内的就诊频率测量。
认为疲劳是由身体原因或代价高昂的身体原因导致的患者，因任何原因就诊的频率显著高于那些报告心理和身体问题都可能导致疲劳的患者。用GHQ测量的患者心理困扰与频繁就诊的关联比疲劳程度与频繁就诊的关联更为密切。
当患者出现疲劳症状时，询问他们的看法和心理症状很重要；在解释他们的求助行为时，这些因素可能比疲劳本身更重要。
