Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population

被引：36

作者：

Laura Solomon

Rosane Nisenbaum

Michele Reyes

Dimitris A Papanicolaou

William C Reeves

机构：

[1] Division of Viral/Rickettsial Dis., Natl. Center for Infectious Diseases, Ctr. for Disease Control/Prevention, Atlanta, GA

[2] Div. of Nutrition/Physical Activity, Natl. Ctr. Chron. Dis. Prev./Health, Ctr. for Disease Control/Prevention, Atlanta, GA

[3] Department of Medicine, Emory University School of Medicine, Atlanta, GA

来源：

Health and Quality of Life Outcomes | / 1卷 / 1期

关键词：

CFS; Chronic fatigue syndrome; Disability; Fatigue; Function;

D O I：

10.1186/1477-7525-1-48

中图分类号：

学科分类号：

摘要：

Background: Scant research has adequately addressed the impact of chronic fatigue syndrome on patients' daily activities and quality of life. Enumerating specific problems related to quality of life in chronic fatigue syndrome patients can help us to better understand and manage this illness. This study addresses issues of functional status in persons with chronic fatigue syndrome and other fatiguing illnesses in a population based sample, which can be generalized to all persons with chronic fatigue. Methods: We conducted a random telephone survey in Wichita, Kansas to identify persons with chronic fatigue syndrome and other fatiguing illnesses. Respondents reporting severe fatigue of at least 1 month's duration and randomly selected non-fatigued respondents were asked to participate in a detailed telephone interview. Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning. Those meeting the 1994 chronic fatigue syndrome case definition, as determined on the basis of their telephone responses, were invited for clinical evaluation to confirm a diagnosis of chronic fatigue syndrome. For this analysis, we evaluated unemployment due to fatigue, number of hours per week spent on work, chores, and other activities (currently and prior to the onset of fatigue), and energy level. Results: There was no difference between persons with chronic fatigue syndrome and persons with a chronic fatigue syndrome-like illness that could be explained by a medical or psychiatric condition for any of the outcomes we measured except for unemployment due to fatigue (15% vs. 40%, P < .01). Persons with chronic fatigue syndrome and other fatiguing illnesses had substantially less energy and spent less time on hobbies, schooling, or volunteer work than did non-fatigued controls (P < .01). Conclusions: Persons with chronic fatigue syndrome are as impaired as persons whose fatigue could be explained by a medical or psychiatric condition, and they have less energy than non-fatigued controls. © 2003 Solomon te al; licensee BioMed Central Ltd.

引用

页数：10

共 11 条

[1]

Fukuda K., Straus S., Hickie I., Sharpe M.C., Dobbins J.G., Komaroff A., The chronic fatigue syndrome: A comprehensive approach to its definition and study, Ann. Intern. Med., 121, pp. 953-959, (1994)

[2]

Schweitzer R., Kelly B., Foran A., Terry D., Whiting J., Quality of life in chronic fatigue syndrome, Soc. Sci. Med., 41, pp. 1367-1372, (1995)

[3]

Fava G.A., Methodological and conceptual issues in research on quality of life, Psychother. Psychosom., 54, pp. 70-76, (1990)

[4]

Buchwald D., Pearlman T., Umali J., Schmaling K., Katon W., Functional status in patients with chronic fatigue syndrome, other fatiguing illnesses, and healthy individuals, Am. J. Med., 101, pp. 364-370, (1996)

[5]

Hardt J., Buchwald D., Wilks D., Sharpe M., Nix W.A., Egle U.T., Health-related quality of life in patients with chronic fatigue syndrome, An international study, J. Psychosom. Res., 51, pp. 431-434, (2001)

[6]

Anderson J.S., Ferrans C.E., The quality of life of persons with chronic fatigue syndrome, J. Nerv. Ment. Dis, 185, pp. 359-367, (1997)

[7]

Komaroff A.L., Fagioli L.R., Doolittle T.H., Et al., Health status in patients with chronic fatigue syndrome and in general population and disease comparison groups, Am. J. Med., 101, pp. 281-290, (1996)

[8]

Rockey P.H., Griep R.J., Behavioral dysfunction in hyperthyroidism, improvement with treatment, Arch. Intern. Med., 140, pp. 1194-1197, (1980)

[9]

Hart L.G., Evans R.W., The functional status of ESRD patients as measured by the sickness impact profile, J. Chron. Dis., 40, SUPPL. 1, (1987)

[10]

Bergner L., Bergner M., Hallstrom A.P., Eisenberg M., Cobb L.A., Health status of survivors of out-of-hospital cardiac arrest six months later, Am. J. Public Health, 74, pp. 508-510, (1984)

← 1 2 →