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

Solomon L, Nisenbaum R, Reyes M, Papanicolaou DA, Reeves WC - Health Qual Life Outcomes (2003)

Bottom Line: Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning.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).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. zfk9@cdc.gov

ABSTRACT

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.

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Related in: MedlinePlus

Energy level of fatigue groups on a scale from 1 to 100, 1 being the worst one could feel and 100 being the best. groups are statistically similar; ‡ significantly different from the adjacent group (P < .01);Bars represent 25th to 75th percentile.
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Figure 4: Energy level of fatigue groups on a scale from 1 to 100, 1 being the worst one could feel and 100 being the best. groups are statistically similar; ‡ significantly different from the adjacent group (P < .01);Bars represent 25th to 75th percentile.

Mentions: We asked subjects to express how they felt in terms of energy, wellness and ability to complete everyday activities on a composite scale from 1 to 100 (Figure 4). There was a clear downward trend in energy scores associated with severity of the fatigue category. The No Fatigue groups reported median energy scores between 80 and 85; Prolonged Fatigue, Chronic Fatigue, and CFS-like groups reported median energy scores of 50 (P < .01 compared with No Fatigue groups); CFS and Explained Syndromic Fatigue groups were also significantly lower, with median energy scores of 40 (P < .01 compared with the middle groups).


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

Solomon L, Nisenbaum R, Reyes M, Papanicolaou DA, Reeves WC - Health Qual Life Outcomes (2003)

Energy level of fatigue groups on a scale from 1 to 100, 1 being the worst one could feel and 100 being the best. groups are statistically similar; ‡ significantly different from the adjacent group (P < .01);Bars represent 25th to 75th percentile.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC239865&req=5

Figure 4: Energy level of fatigue groups on a scale from 1 to 100, 1 being the worst one could feel and 100 being the best. groups are statistically similar; ‡ significantly different from the adjacent group (P < .01);Bars represent 25th to 75th percentile.
Mentions: We asked subjects to express how they felt in terms of energy, wellness and ability to complete everyday activities on a composite scale from 1 to 100 (Figure 4). There was a clear downward trend in energy scores associated with severity of the fatigue category. The No Fatigue groups reported median energy scores between 80 and 85; Prolonged Fatigue, Chronic Fatigue, and CFS-like groups reported median energy scores of 50 (P < .01 compared with No Fatigue groups); CFS and Explained Syndromic Fatigue groups were also significantly lower, with median energy scores of 40 (P < .01 compared with the middle groups).

Bottom Line: Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning.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).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. zfk9@cdc.gov

ABSTRACT

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.

Show MeSH
Related in: MedlinePlus