基于人群的疲劳与心理困扰研究。
Population based study of fatigue and psychological distress.
作者信息
Pawlikowska T, Chalder T, Hirsch S R, Wallace P, Wright D J, Wessely S C
机构信息
Department of General Practice, St Mary's Hospital Medical School, London.
出版信息
BMJ. 1994 Mar 19;308(6931):763-6. doi: 10.1136/bmj.308.6931.763.
OBJECTIVES
To determine the prevalence of fatigue in the general population and the factors associated with fatigue.
DESIGN
Postal survey.
SETTING
Six general practices in southern England.
SUBJECTS
31,651 men and women aged 18-45 years registered with the practices.
MAIN OUTCOME MEASURES
Responses to the 12 item general health questionnaire and a fatigue questionnaire which included self reported measures of duration, severity, and causes of fatigue.
RESULTS
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.
CONCLUSION
Fatigue is distributed as a continuous variable in the community and is closely associated with psychological morbidity.
目的
确定普通人群中疲劳的患病率以及与疲劳相关的因素。
设计
邮寄调查。
地点
英格兰南部的六个全科医疗诊所。
研究对象
在这些诊所注册的31651名年龄在18至45岁之间的男女。
主要观察指标
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。
结果
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。
结论
疲劳在社区中呈连续变量分布，且与心理疾病密切相关。
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