Chronic Fatigue in Primary Care: Prevalence, Patient Characteristics, and Outcome

JAMA: The Journal of the American Medical Association

Volumn 260, Issue 7, 1988, Pages 929-934

  Kroenke, Kurt ^a   Wood, David R ^a   Mangelsdorff, A David ^b   Meier, Nancy J ^a   Powell, John B ^c  

^a Departments of Medicine   (United States)

^b BROOKE ARMY MEDICAL CENTER   (United States)

^c Departments of Psychology   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANXIETY; DEPRESSION; FATIGUE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT;

ADULT; AGE FACTORS; ANXIETY; CHRONIC DISEASE; DEPRESSION; EXERTION; FATIGUE; FEMALE; HUMAN; MALE; MIDDLE AGE; PROGNOSIS; PROSPECTIVE STUDIES; PSYCHOLOGICAL TESTS; SEX FACTORS;

EID: 0023795328     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.1988.03410070057028     Document Type: Article

References (45)

1. The National Ambulatory Medical Care Survey: 1975 Summary. US Dept of Health and Human Services publication (PHS) 78-1784, 1978.
2. Allan FN: The differential diagnosis of weakness and fatigue. N Engl J Med 1944;231:414-418.
3. Morrison JD: Fatigue as a presenting complaint in family practice.J Fam Pract 1980;10:795-801.
4. Sugarman JR, Berg AO: Evaluation of fatigue in a family practice. J Fam Pract 1984;19:643-647.
5. Johnson JE, Pinholt EM, Jenkins TR, et al.: Content of ambulatory internal medicine practice in an academic army medical center and an army community hospital. Milit Med 1988;152:21-25.
6. Montgomery GK: Uncommon tiredness among college undergraduates. J Consult Clin Psychol 1983;51:517-525.
7. Cardenas DD, Kutner NG: The problem of fatigue in dialysis patients. Nephron 1982;30:336-340.
8. Frankel HM: Determination of body mass index. JAMA 1986;255:1292.
9. Miller A, Green M, Robinson D: Simple rule for calculating normal erythrocyte sedimentation rate. Br Med J 1983;286:266.
10. Beck AT, Ward CH, Mendelson M, et al.: An inventory for measuring depression. Arch Gen Psychiatry 1961;4:53-63.
11. Main CJ: The Modified Somatic Perception Questionnaire. J Psychosom Res 1983;27:503-514.
12. Holmes TH, Rahe RH: The Social Readjustment Rating Scale. J Psychosom Res 1967;11:213-219.
13. Petrich J, Holmes TH: Life change and onset of illness. Med Clin North Am 1977;61:825-838.
14. Nielsen AC, Williams TA: Depression in ambulatory medical patients: Prevalence by self-report questionnaire and recognition by nonpsychiatric physicians. Arch Gen Psychiatry 1980;37:999-1004.
15. Millon T, Green C, Meagher R: Millon Behavioral Health Inventory Manual. Minneapolis, National Computer Systems Inc, 1982.
16. Bergner M, Bobbitt RA, Carter WB, et al.: The Sickness Impact Profile: Development and final revision of a health status measure. Med Care 1981;19:787-805.
17. Solberg LI: Lassitude: A primary care evaluation. JAMA 1984;251:3272-3276.
18. Jerrett WA: Lethargy in general practice. Practitioner 1981;225:731-737.
19. Rockwell DA, Burr BD: The tired patient. J Fam Pract 1977;5:853-857.
20. Kaye PL: ’Pernicious’ fatigue: Identification, pathogenesis, and treatment. Behav Neuropsychiatry 1973-1974;5:24-31.
21. Surridge DHC, Erdahl DLW, Lawson JS, et al.: Psychiatric aspects of diabetes mellitus. Br J Psychiatry 1984;145:269-276.
22. Christensen T, Kehlet H: Postoperative fatigue and changes in nutritional status. Br J Surg 1984;71:473-476.
23. Poteliakhoff A: Adrenocortical activity and some clinical findings in acute and chronic fatigue. J Psychosom Res 1981;25:91-95.
24. Sumaya CV: Serological testing for Epstein-Barr virus: Developments in interpretation. J Infect Dis 1985;151:984-987.
25. Merlin TL: Chronic mononucleosis: Pitfalls in the laboratory diagnosis. Hum Pathol 1986;17:2-8.
26. Buchwald D, Sullivan JL, Komaroff AL: Frequency of ’chronic active Epstein-Barr virus infection’ in a general medical practice. JAMA 1987;257:2303-2307.
27. Schoen I, Brooks SH: Judgement based on 95% confidence limits: A statistical dilemma involving multitest screening and proficiency testing of multiple specimens. Am JClin Pathol 1970;53:190-193.
28. Sox HC, Liang MH: The erythrocyte sedimentation rate: Guidelines for rational use. Ann Intern Med 1986;104:515-523.
29. Jones JF, Ray CG, Minnich LL, et al.: Evidence for active Epstein-Barr virus infection in patients with persistent unexplained illnesses: Elevated anti—early antibodies. Ann Intern Med 1985;102:1-7.
30. Strauss SE, Tosato G, Armstrong G, et al.: Persisting illness and fatigue in adults with evidence of Epstein-Barr virus infection. Ann Intern Med 1985;102:7-16.
31. Holmes GP, Kaplan JE, Stewart JA, et al.: A cluster of patients with a chronic mononucleosislike syndrome: Is Epstein-Barr virus the cause? JAMA 1987;257:2297-2302.
32. Lane TJ, Manu P, Matthews D: Prospective diagnostic evaluation of adults with chronic fatigue, abstracted. Clin Res 1988;316:714.
33. Holmes GP, Kaplan JE, Gantz NM, et al.: Chronic fatigue syndrome: A working case definition. Ann Intern Med 1988;108:387-389.
34. Katon W, Kleinman A, Rosen G: Depression and somatization: A review. Am J Med 1982;72:127-135,241-247.
35. Barsky AJ: Patients who amplify bodily sensations. Ann Intern Med 1979;91:63-70.
36. Linn LS, Yager J: Recognition of depression and anxiety by primary physicians. Psychosomatics 1984;25:593-600.
37. Robins LN, Helzer JE, Croughan J, et al.: National Institute of Mental Health Diagnostic Interview Schedule: The history, characteristics, and validity. Arch Gen Psychiatry 1981;38:381-389.
38. Rockey PH, Griep RJ: Behavioral dysfunction in hyperthyroidism: Improvement with treatment. Arch Intern Med 1980;140:1194-1197.
39. Ott CR, Sivarajan ES, Newton KM, et al.: A controlled randomized study of early cardiac rehabilitation: The Sickness Impact Profile as an assessment tool. Heart Lung 1983;12:162-170.
40. Bergner L, Bergner M, Hallstrom AP, et al.: Health status of survivors of out-of-hospital cardiac arrest six months later. Am J Public Health 1984;74:508-510.
41. Wartman SA, Morlock LL, Malitz FE, et al.: Impact of divergent evaluations by physicians and patients of patients’ complaints. Public Health Rep 1983;98:141-145.
42. Pinholt EM, Kroenke K, Hanley JF, et al.: Functional assessment of the elderly: A comparison of standard instruments with clinical judgment. Arch Intern Med 1987;147:484-488.
43. Hales RE, Travis TW: Exercise as a treatment option for anxiety and depressive disorders. Milit Med 1987;152:299-302.
44. Taylor CB, Sallis JF, Needle R: The relation of physical activity and exercise to mental health. Public Health Rep 1985;100:195-202.
45. Hankin JR, Locke BZ: The persistence of depressive symptomatology among prepaid groups practice enrollees: An exploratory study. Am J Public Health 1982;72:1000-1007.