Holas Pawel, Kowalski Joachim, Dubaniewicz Anna, Farnik Malgorzata, Jarzemska Agnieszka, Maskey-Warzechowska Marta, Bielecki Maksymilian, Domagala-Kulawik Joanna
University of Warsaw, Faculty of Psychology, Warsaw, Poland.
Department of Pneumonology, Medical University of Gdansk, Poland.
Sarcoidosis Vasc Diffuse Lung Dis. 2018;35(2):160-164. doi: 10.36141/svdld.v35i2.6604. Epub 2018 Apr 28.
Fatigue is one of the most common and disabling symptoms of sarcoidosis. The cause of fatigue remains unclear and is usually multifactorial. The majority of previous studies evaluated clinical parameters with only few of them including assessment of psychological factors as contributing to the severity of the symptoms. The aim of this study was to evaluate the relationship of emotional distress, physical concerns, and dyspnea in explaining fatigue in patients with sarcoidosis. Fifty-seven patients with sarcoidosis were enrolled to the study and filled out measures of fatigue (FAS), dyspnea (MRC), anxiety sensitivity (ASI-3), and anxiety and depression (HADS). Linear regression revealed that distress and physical concerns subscale of ASI are significant predictors of fatigue explaining jointly 53.5% of fatigue variance. The results of the study emphasize the importance of including emotional distress and physical concerns into the diagnostic procedures and management of fatigue in sarcoidosis. .
疲劳是结节病最常见且使人衰弱的症状之一。疲劳的原因尚不清楚，通常是多因素的。以往的大多数研究评估了临床参数，其中只有少数研究将心理因素评估作为症状严重程度的一个因素。本研究的目的是评估情绪困扰、身体担忧和呼吸困难在解释结节病患者疲劳方面的关系。57名结节病患者参与了该研究，并填写了疲劳量表（FAS）、呼吸困难量表（MRC）、焦虑敏感性量表（ASI - 3）以及焦虑和抑郁量表（HADS）。线性回归显示，ASI的困扰和身体担忧分量表是疲劳的重要预测因素，共同解释了53.5%的疲劳方差。该研究结果强调了将情绪困扰和身体担忧纳入结节病疲劳诊断程序和管理的重要性。
