McBeth, J and Tomenson, B and Chew-Graham, CA and Macfarlane, GJ and Jackson, J and Littlewood, A and Creed, FH (2015) Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue. Journal of Psychosomatic Research, 79 (6). 484 - 491. ISSN 0022-3999

[img]
Preview
Text
C Chew-Graham - Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue.pdf - Published Version
Available under License Creative Commons Attribution.

Download (721kB) | Preview

Abstract

OBJECTIVE: Chronic widespread pain and chronic fatigue share common associated factors but these associations may be explained by the presence of concurrent depression and anxiety. METHODS: We mailed questionnaires to a randomly selected sample of people in the UK to identify participants with chronic widespread pain (ACR 1990 definition) and those with chronic fatigue. The questionnaire assessed sociodemographic factors, health status, healthcare use, childhood factors, adult attachment, and psychological stress including anxiety and depression. To identify persons with unexplained chronic widespread pain or unexplained chronic fatigue; we examined participant's medical records to exclude medical illness that might cause these symptoms. RESULTS: Of 1443 participants (58.0% response rate) medical records of 990 were examined. 9.4% (N=93) had unexplained chronic widespread pain and 12.6% (N=125) had unexplained chronic fatigue. Marital status, childhood psychological abuse, recent threatening experiences and other somatic symptoms were commonly associated with both widespread pain and fatigue. No common effect was found for few years of education and current medical illnesses (more strongly associated with chronic widespread pain) or recent illness in a close relative, neuroticism, depression and anxiety scores (more strongly associated with chronic fatigue). Putative associated factors with a common effect were associated with unexplained chronic widespread pain or unexplained chronic fatigue only when there was concurrent anxiety and/or depression. DISCUSSION: This study suggests that the associated factors for chronic widespread pain and chronic fatigue need to be studied in conjunction with concurrent depression/anxiety. Clinicians should be aware of the importance of concurrent anxiety or depression.

Item Type: Article
Uncontrolled Keywords: chronic fatigue; epidemiology; fibromyalgia; functional somatic syndromes; medically unexplained symptoms; population based
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Related URLs:
Depositing User: Symplectic
Date Deposited: 09 Feb 2016 11:41
Last Modified: 16 Feb 2016 13:40
URI: http://eprints.keele.ac.uk/id/eprint/1453

Actions (login required)

View Item View Item