"I'm So Tired": Fatigue as a Persistent Physical Symptom among Working People Experiencing Exhaustion Disorder.
anxiety
burnout
depression
exhaustion disorder
functional impairment
medically unexplained symptoms
persistent physical symptoms
stress-related disorder
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
16 08 2021
16 08 2021
Historique:
received:
09
07
2021
revised:
13
08
2021
accepted:
14
08
2021
entrez:
27
8
2021
pubmed:
28
8
2021
medline:
7
9
2021
Statut:
epublish
Résumé
Fatigue is widespread in the population, particularly among working people. Exhaustion disorder (ED), a clinical manifestation of burnout, is common, but, after treatment, about one-third still experience fatigue and other physical symptoms. We propose that in some instances, fatigue as a persistent physical symptom (PPS) might be a more appropriate formulation of ED patients' fatigue problems, and we suggest that ED patients who meet fatigue PPS criteria will differ from other ED patients in terms of psychological distress, non-fatigue PPSs and functional impairment. Questionnaires were sent to 10,956 members of a trade union of which 2479 (22.6%) responded. Of 1090 participants who met criteria for ED, 106 (9.7%) met criteria for fatigue as a PPS. Participants who met fatigue PPS criteria scored on average higher on measures of depression, anxiety and functional impairment and were more likely to have clinically significant scores. Moreover, they had 27 times higher odds of meeting other PPS subtypes and reported more non-fatigue PPS subtypes, suggesting a more complex health problem. Specific evidence-based interventions are available for both ED and PPSs, and therefore, it is crucial to accurately formulate the fatigue problem reported by patients to provide appropriate treatment.
Identifiants
pubmed: 34444405
pii: ijerph18168657
doi: 10.3390/ijerph18168657
pmc: PMC8392333
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
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