COGNITIVE IMPAIRMENT IN PATIENTS WITH CHRONIC FATIGUE - A PRELIMINARY-STUDY

被引:67
作者
MCDONALD, E [1 ]
COPE, H [1 ]
DAVID, A [1 ]
机构
[1] INST PSYCHIAT,DEPT PSYCHOL MED,DECRESPIGNY PK,LONDON SE5 8AZ,ENGLAND
关键词
D O I
10.1136/jnnp.56.7.812
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Subjective impairment of memory and concentration is a frequent complaint in sufferers from chronic fatigue. To study this, 65 general practice attenders identified as having chronic fatigue were administered a structured psychiatric interview and a brief screening battery of cognitive tests. Subjective cognitive impairment was strongly related to psychiatric disorder, especially depressed mood, but not fatigue, anxiety, or objective performance. Simple tests of attention and concentration showed some impairment but this was influenced by both fatigue and depression. Subjects with high levels of fatigue performed less well on a memory task requiring cognitive effort, even in the absence of depression. There was no evidence for mental fatiguability. The relationship between depression, fatigue, and cognitive function requires further research.
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页码:812 / 815
页数:4
相关论文
共 25 条
[1]   THE NEUROPSYCHOLOGICAL DIMENSIONS OF POSTINFECTIOUS NEUROMY ASTHENIA (CHRONIC FATIGUE SYNDROME) - A PRELIMINARY-REPORT [J].
ALTAY, HT ;
TONER, BB ;
BROOKER, H ;
ABBEY, SE ;
SALIT, IE ;
GARFINKEL, PE .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1990, 20 (02) :141-149
[2]   WHAT CAN AMNESIC PATIENTS LEARN [J].
BROOKS, DN ;
BADDELEY, AD .
NEUROPSYCHOLOGIA, 1976, 14 (01) :111-122
[3]  
COHEN RM, 1982, ARCH GEN PSYCHIAT, V39, P593
[4]   TIRED, WEAK, OR IN NEED OF REST - FATIGUE AMONG GENERAL-PRACTICE ATTENDERS [J].
DAVID, A ;
PELOSI, A ;
MCDONALD, E ;
STEPHENS, D ;
LEDGER, D ;
RATHBONE, R ;
MANN, A .
BMJ-BRITISH MEDICAL JOURNAL, 1990, 301 (6762) :1199-1202
[5]   POSTVIRAL FATIGUE SYNDROME - TIME FOR A NEW APPROACH [J].
DAVID, AS ;
WESSELY, S ;
PELOSI, AJ .
BRITISH MEDICAL JOURNAL, 1988, 296 (6623) :696-698
[6]   POSTVIRAL FATIGUE SYNDROME AND PSYCHIATRY [J].
DAVID, AS .
BRITISH MEDICAL BULLETIN, 1991, 47 (04) :966-988
[7]   VOLUNTARY MOVEMENT DYSFUNCTION IN HUNTINGTON DISEASE AND TARDIVE-DYSKINESIA [J].
DAVID, AS ;
JESTE, DV ;
FOLSTEIN, MF ;
FOLSTEIN, SE .
ACTA NEUROLOGICA SCANDINAVICA, 1987, 75 (02) :130-139
[8]  
HALLIGAN PW, 1989, LANCET, V2, P908
[9]   THE PSYCHIATRIC STATUS OF PATIENTS WITH THE CHRONIC FATIGUE SYNDROME [J].
HICKIE, I ;
LLOYD, A ;
WAKEFIELD, D ;
PARKER, G .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 156 :534-540
[10]   CHRONIC FATIGUE SYNDROME - A WORKING CASE DEFINITION [J].
HOLMES, GP ;
KAPLAN, JE ;
GANTZ, NM ;
KOMAROFF, AL ;
SCHONBERGER, LB ;
STRAUS, SE ;
JONES, JF ;
DUBOIS, RE ;
CUNNINGHAMRUNDLES, C ;
PAHWA, S ;
TOSATO, G ;
ZEGANS, LS ;
PURTILO, DT ;
BROWN, N ;
SCHOOLEY, RT ;
BRUS, I .
ANNALS OF INTERNAL MEDICINE, 1988, 108 (03) :387-389