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两面一体?慢性疲劳与倦怠的历史和现象学。

Two sides of the same coin? On the history and phenomenology of chronic fatigue and burnout.

机构信息

Department of Epidemiology, Maastricht University, Maastricht, The Netherlands.

出版信息

Psychol Health. 2011 Apr;26(4):449-64. doi: 10.1080/08870440903494191. Epub 2010 Apr 29.

DOI:10.1080/08870440903494191
PMID:20437294
Abstract

BACKGROUND

Burnout and chronic fatigue syndrome (CFS) are two fatigue syndromes which have developed largely independently from each other, yet whose similarities in symptoms can be a source of confusion. We aim to explore the phenomenology of burnout and CFS in a historical context as this may provide some insight into the links and relationship between these conditions.

METHOD

A narrative review based on literature in the fields of history, social science and medicine.

RESULTS

The origins of CFS lie within medicine, whereas burnout developed in a psychological setting. As well as symptoms, burnout and CFS also share similar themes such as an overload process triggering illness onset, the need for restoration of depleted energy, external causal attributions and the characteristics of people suffering from these illnesses. However, these themes are expressed in either psychological or medical terms according to the historical background.

CONCLUSION

Despite their similarities, there have been few direct comparisons of the two concepts. Culture, illness perceptions and accountability are important issues in both conditions and could contribute to their differences. Comparing burnout and CFS within one sample frame, thus looking beyond the psychology/medicine divide, could be a useful first step towards understanding their relationship.

摘要

背景

burnout(倦怠)和慢性疲劳综合征(CFS)是两种疲劳综合征,它们各自独立发展,但症状上的相似性可能会造成混淆。我们旨在从历史背景角度探讨 burnout 和 CFS 的现象学,因为这可能有助于深入了解这两种情况之间的联系和关系。

方法

基于历史、社会科学和医学领域的文献进行叙述性综述。

结果

CFS 的起源在于医学,而 burnout 则产生于心理环境中。除了症状之外,倦怠和 CFS 还具有相似的主题,例如过载过程引发疾病发作、需要恢复消耗的能量、外部因果归因以及患有这些疾病的人的特征。然而,根据历史背景,这些主题以心理或医学术语表达。

结论

尽管它们有相似之处,但这两个概念之间很少进行直接比较。文化、疾病认知和责任在这两种情况下都是重要问题,可能导致它们的差异。在一个样本框架内比较 burnout 和 CFS,超越心理/医学的划分,可能是理解它们关系的有用的第一步。

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