{"title":"辨证生理和心理疲劳。","authors":"D A Katerndahl","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Although chronic fatigue is a common complaint in family practice, little research has focused upon differentiating physical causes from psychological causes based upon historical information. This pilot study was conducted to determine whether psychological and fatigue scales could be used to identify potential causes, and to assess the utility of using fatigue characteristics to distinguish psychological from physical fatigue. Family health center patients were randomly selected and interviewed for the presence of fatigue. Those with significant fatigue were asked to participate in a structured, in-depth interview concerning fatigue characteristics, psychiatric conditions, and symptom checklists. Of 248 patients interviewed, 17 (6.9%) had fatigue. Fourteen patients had at least one psychiatric disorder. Fatigue severity correlated with depression severity in depressed patients (r = 0.83, p < 0.02) and with severity of phobic anxiety (r = 0.55, p < 0.1) in panic attack patients. However, fatigue characteristics generally did not differentiate between those with and without associated psychological disorders.</p>","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"13 1","pages":"81-91"},"PeriodicalIF":0.0000,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Differentiation of physical and psychological fatigue.\",\"authors\":\"D A Katerndahl\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Although chronic fatigue is a common complaint in family practice, little research has focused upon differentiating physical causes from psychological causes based upon historical information. This pilot study was conducted to determine whether psychological and fatigue scales could be used to identify potential causes, and to assess the utility of using fatigue characteristics to distinguish psychological from physical fatigue. Family health center patients were randomly selected and interviewed for the presence of fatigue. Those with significant fatigue were asked to participate in a structured, in-depth interview concerning fatigue characteristics, psychiatric conditions, and symptom checklists. Of 248 patients interviewed, 17 (6.9%) had fatigue. Fourteen patients had at least one psychiatric disorder. Fatigue severity correlated with depression severity in depressed patients (r = 0.83, p < 0.02) and with severity of phobic anxiety (r = 0.55, p < 0.1) in panic attack patients. However, fatigue characteristics generally did not differentiate between those with and without associated psychological disorders.</p>\",\"PeriodicalId\":77127,\"journal\":{\"name\":\"Family practice research journal\",\"volume\":\"13 1\",\"pages\":\"81-91\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1993-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Family practice research journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family practice research journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
尽管慢性疲劳是家庭实践中常见的主诉,但很少有研究集中在区分基于历史信息的生理原因和心理原因上。本初步研究旨在确定是否可以使用心理和疲劳量表来识别潜在的原因,并评估使用疲劳特征来区分心理疲劳和身体疲劳的效用。随机抽取家庭健康中心患者,对其疲劳状况进行访谈。那些有明显疲劳的人被要求参加一个关于疲劳特征、精神状况和症状检查表的结构化的、深入的访谈。248例受访患者中,17例(6.9%)有疲劳症状。14名患者至少有一种精神障碍。抑郁症患者疲劳程度与抑郁严重程度相关(r = 0.83, p < 0.02),惊恐发作患者疲劳程度与恐惧焦虑严重程度相关(r = 0.55, p < 0.1)。然而,疲劳特征通常不能区分有或没有相关心理障碍的人。
Differentiation of physical and psychological fatigue.
Although chronic fatigue is a common complaint in family practice, little research has focused upon differentiating physical causes from psychological causes based upon historical information. This pilot study was conducted to determine whether psychological and fatigue scales could be used to identify potential causes, and to assess the utility of using fatigue characteristics to distinguish psychological from physical fatigue. Family health center patients were randomly selected and interviewed for the presence of fatigue. Those with significant fatigue were asked to participate in a structured, in-depth interview concerning fatigue characteristics, psychiatric conditions, and symptom checklists. Of 248 patients interviewed, 17 (6.9%) had fatigue. Fourteen patients had at least one psychiatric disorder. Fatigue severity correlated with depression severity in depressed patients (r = 0.83, p < 0.02) and with severity of phobic anxiety (r = 0.55, p < 0.1) in panic attack patients. However, fatigue characteristics generally did not differentiate between those with and without associated psychological disorders.