Hickie I B, Hooker A W, Hadzi-Pavlovic D, Bennett B K, Wilson A J, Lloyd A R
School of Psychiatry, University of New South Wales, Sydney, NSW.
Med J Aust. 1996 May 20;164(10):585-8. doi: 10.5694/j.1326-5377.1996.tb122199.x.
To determine the prevalence and sociodemographic and psychiatric correlates of prolonged fatigue syndromes among patients in primary care.
Prospective questionnaire survey.
Adults over 18 years attending three general practices in metropolitan Sydney and one on the Central Coast, north of Sydney.
Of 1593 patients, 25% had prolonged fatigue, while 37% had psychological disorder. Of the patients with fatigue, 70% had both fatigue and psychological disorder, while 30% had fatigue only. The factors associated with prolonged fatigue were concurrent psychological disorder, female gender, lower socioeconomic status and fewer total years of education. Patients with fatigue were more likely to have a current depressive disorder.
Prolonged fatigue/neurasthenia syndromes are common in Australian primary care settings, and are commonly associated with current depressive disorders. Such syndromes, however, do not fit readily into current international psychiatric classification systems.
确定基层医疗患者中持续性疲劳综合征的患病率及其社会人口学和精神科相关因素。
前瞻性问卷调查。
悉尼大都市地区的三家普通诊所及悉尼北部中央海岸一家诊所的18岁以上成年人。
1593名患者中，25%患有持续性疲劳，37%患有心理障碍。在疲劳患者中，70%既患有疲劳又患有心理障碍，30%仅患有疲劳。与持续性疲劳相关的因素有并发心理障碍、女性、社会经济地位较低和受教育总年限较少。疲劳患者更有可能患有当前的抑郁症。
持续性疲劳/神经衰弱综合征在澳大利亚基层医疗环境中很常见，且通常与当前的抑郁症相关。然而，这类综合征并不容易纳入当前的国际精神科分类系统。
