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慢性疲劳对门诊物理治疗患者精神病理学的影响。

The Impact of Chronic Fatigue on Psychopathology in Outpatient Physiotherapy Patients.

作者信息

Aslanidis Zacharias, Kotsiou Ourania S

机构信息

Private Physiotherapy Practice, Serres, Greece.

Hellenic Open University, Patras, Greece.

出版信息

Musculoskeletal Care. 2025 Jun;23(2):e70116. doi: 10.1002/msc.70116.

Abstract

INTRODUCTION

Chronic fatigue is a debilitating condition marked by physical and mental exhaustion, frequently co-occurring with psychiatric disorders such as depression and anxiety.

METHODS

In a cross-sectional study, 172 consecutive patients from a busy physiotherapy clinic were assessed using the Fatigue Assessment Scale (FAS) for physical and mental fatigue and the SCL-90 for various psychological symptoms, with correlation analyses exploring relationships between fatigue severity, psychological distress and demographic factors.

RESULTS

Most participants reported clinically significant fatigue, with 90.69% experiencing physical fatigue and 76.77% experiencing mental fatigue. Paranoid ideation (61.05%) and obsessive-compulsiveness (59.88%) were common. Strong correlations were found between overall fatigue and psychological distress (r = 0.675, p < 0.001), especially between mental fatigue and depression (r = 0.699, p < 0.001).

CONCLUSION

Overall, the findings underscore the need for integrated multidisciplinary interventions to address both chronic fatigue and its related psychiatric symptoms.

摘要

引言

慢性疲劳是一种使人衰弱的状况,其特征为身心疲惫,常与抑郁症和焦虑症等精神疾病同时出现。

方法

在一项横断面研究中,对一家繁忙的物理治疗诊所的172名连续就诊患者使用疲劳评估量表(FAS)评估身心疲劳情况,并使用症状自评量表(SCL - 90)评估各种心理症状,通过相关性分析探究疲劳严重程度、心理困扰与人口统计学因素之间的关系。

结果

大多数参与者报告有临床上显著的疲劳,90.69%的人有身体疲劳,76.77%的人有精神疲劳。偏执观念(61.05%)和强迫观念(59.88%)较为常见。发现总体疲劳与心理困扰之间存在强相关性(r = 0.675,p < 0.001),尤其是精神疲劳与抑郁之间(r = 0.699,p < 0.001)。

结论

总体而言,研究结果强调需要采取综合多学科干预措施来解决慢性疲劳及其相关的精神症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cceb/12053036/98f147204c76/MSC-23-e70116-g001.jpg

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