Chronic Fatigue Syndrome (CFS), chronic fatigue, & psychiatric disorders: predictors of functional status in a national nursing sample

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Members of 2 nurses' associations (N = 71) were assessed using 2
mail questionnaires, a telephone questionaire, the Diagnostic
Interview Schedule, and medical records. Physicians reviewed
participants to determine whether they met current criteria
for chronic fatigue syndrome (CFS). Stepwise multivariate
regression analyses were conducted to identify predictors of
functional status scores. Impairments in physical, role, and
social functioning increased as fatigue severity increased.

Bodily pain increased as fatigue severity increased, and
ratings of overall health increased as severity of fatigue
decreased. Nurses with a current psychiatric diagnosis
reported more impairments in emotional functioning than nurses
with a lifetime diagnosis or no psychiatric diagnosis. Quality
of life decreased as fatigue severity increased. Nurses with
fatigue not meeting CFS criteria reported better quality of
life than those with CFS or medical exclusions.

Wagner-Raphael LI, Jason LA, Ferrari JR

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