Comparison of Fatigue Severity and Quality of Life between Unexplained Fatigue Patients and Explained Fatigue Patients, 2018, Kim et al

Andy · May 26, 2018

Unexplained fatigue seems to be assumed to equate to CFS by the authors.

Abstract:
Background
Recently, despite the high prevalence of fatigue in patients, there is a lack of research on the quality of life (QoL) in unexplained fatigue patients, indicating that they are not properly diagnosed and treated. The aim of this study was to compare fatigue severity and QoL between patients with explained and unexplained fatigue.
Methods
The study consisted of 200 Korean adults who complained of fatigue without underlying disease. Fatigue Severity Scale, Short Form Health Survey-36 version 2 (SF-36v2), and Beck Depression Inventory-II (BDI-II) self-questionnaires were administered. Participants were dichotomized to two groups, namely, patients with unexplained or explained fatigue, sorted according to laboratory examination results. The chi-square test, t-test, and Wilcoxon rank-sum test were used, and analysis of covariance was calculated after adjusting for age, sex, body mass index, smoking status, and physical component summary (PCS) of SF-36v2 or BDI-II.
Results
PCS of SF-36v2 between the two groups showed significant difference. Compared to patients with explained fatigue, those with unexplained fatigue showed lower physical component scores of QoL.
Conclusion
QoL of patients with unexplained fatigue could largely diminish than those with explained fatigue. The primary clinician should be aware of poor QoL in patients with unexplained fatigue to identify who is in need of more attention and intervention.
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https://www.kjfm.or.kr/journal/view.php?doi=10.4082/kjfm.2018.39.3.180

Trish · May 26, 2018

Interesting. It's in the Korean Journal of Family Medicine, so may be a good thing in recognising the need for more support for patients with unexplained fatigue. I wonder whether Korea recognises ME/CFS. I have only read the abstract.

Andy · May 26, 2018

Trish said: ↑

Interesting. It's in the Korean Journal of Family Medicine, so may be a good thing in recognising the need for more support for patients with unexplained fatigue. I wonder whether Korea recognises ME/CFS. I have only read the abstract.
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Sadly they cite PACE as the evidence for CBT as a treatment in the conclusion. I don't remember that they mention GET or not.

Trish · May 26, 2018

Andy said: ↑

Sadly they cite PACE as the evidence for CBT as a treatment in the conclusion. I don't remember that they mention GET or not.
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Ah, not so good then, if they are using PACE as the kind of support they are talking about.

Wonko · May 26, 2018

But surely in that case, after a while, the "fatigue" would no longer be "unexplained", as it would be caused by the advice to ignore what their own bodies are telling them, leading to a worsening, but explained, "fatigue" (amongst other things) so according to the abstract of this paper the victims QoL should then improve.

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Comparison of Fatigue Severity and Quality of Life between Unexplained Fatigue Patients and Explained Fatigue Patients, 2018, Kim et al

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Comparison of Fatigue Severity and Quality of Life between Unexplained Fatigue Patients and Explained Fatigue Patients, 2018, Kim et al

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