Pawlikowska T, Chalder T, Hirsch S R, Wallace P, Wright D J, Wessely S C
Department of General Practice, St Mary's Hospital Medical School, London.
BMJ. 1994 Mar 19;308(6931):763-6. doi: 10.1136/bmj.308.6931.763.
To determine the prevalence of fatigue in the general population and the factors associated with fatigue.
Postal survey.
Six general practices in southern England.
31,651 men and women aged 18-45 years registered with the practices.
Responses to the 12 item general health questionnaire and a fatigue questionnaire which included self reported measures of duration, severity, and causes of fatigue.
15,283 valid questionnaires were returned, giving a response rate of 48.3%, (64% after adjustment for inaccuracies in the practice registers). 2798 (18.3%) of respondents reported substantial fatigue lasting six months or longer. Fatigue and psychological morbidity were moderately correlated (r = 0.62). Women were more likely to complain of fatigue than men, even after adjustment for psychological distress. The commonest cited reasons for fatigue were psychosocial (40% of patients). Of 2798 patients with excessive tiredness, only 38 (1.4%) attributed this to the chronic fatigue syndrome.
Fatigue is distributed as a continuous variable in the community and is closely associated with psychological morbidity.
确定普通人群中疲劳的患病率以及与疲劳相关的因素。
邮寄调查。
英格兰南部的六个全科医疗诊所。
在这些诊所注册的31651名年龄在18至45岁之间的男女。
对12项一般健康问卷以及一份疲劳问卷的回答，该疲劳问卷包括自我报告的疲劳持续时间、严重程度和原因的测量。
共收回15283份有效问卷，回复率为48.3%（在对诊所登记册中的不准确信息进行调整后为64%）。2798名（18.3%）受访者报告有持续六个月或更长时间的严重疲劳。疲劳与心理疾病中度相关（r = 0.62）。即使在对心理困扰进行调整后，女性比男性更有可能抱怨疲劳。最常被提及的疲劳原因是心理社会因素（40%的患者）。在2798名过度疲劳的患者中，只有38名（1.4%）将其归因于慢性疲劳综合征。
疲劳在社区中呈连续变量分布，且与心理疾病密切相关。
