PDF(Pubmed)
Abstract：
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.
摘要：
疲劳在人群中普遍存在，特别是在劳动人民中。排气障碍(ED),倦怠的临床表现，是常见的，但是,治疗后,大约三分之一的人仍然会出现疲劳和其他身体症状。我们建议在某些情况下，疲劳作为一种持续的身体症状（PPS）可能是ED患者疲劳问题的更合适的表述，我们建议符合疲劳PPS标准的ED患者在心理困扰方面与其他ED患者不同，非疲劳PPSs和功能障碍。问卷已发送给工会的10,956名成员，其中2479名（22.6％）回答。在1090名符合ED标准的参与者中，106（9.7％）符合PPS的疲劳标准。符合疲劳PPS标准的参与者在抑郁方面的平均得分更高，焦虑和功能障碍，更有可能有临床意义的评分。此外，他们遇到其他PPS亚型的几率高27倍，并且报告了更多的非疲劳PPS亚型，暗示了一个更复杂的健康问题。具体的循证干预措施适用于ED和PPSs，因此,准确制定患者报告的疲劳问题以提供适当的治疗至关重要。
