ArticleJournal of clinical nursing2011
Patterns of morning and evening fatigue among adults with HIV/AIDS.
Article in Journal of clinical nursing, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Distinct morning and evening fatigue profiles in gastrointestinal cancer during chemotherapy.BMJ supportive & palliative care · 2023Article
- Validation of a short version of the Lee fatigue scale in adults living in Norway: a cross-sectional population survey.BMC public health · 2023Article
- Higher Stress in Oncology Patients is Associated With Cognitive and Evening Physical Fatigue Severity.Journal of pain and symptom management · 2023Article
- Impact of worst pain severity and morning fatigue profiles on oncology outpatients' symptom burden and quality of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Mental health and fatigue status of the medical workforce during the COVID-19 outbreak in the Yangzhou city, China.Frontiers in psychiatry · 2022Article
- Development of the Warwick Axial Spondyloarthritis faTigue and Energy questionnaire (WASTEd)-a new patient-reported outcome measure.Rheumatology advances in practice · 2022Article
- Article
- The effect of increased physical activity on symptom burden in older persons living with HIV.AIDS care · 2019Article
- A Rasch Analysis of Assessments of Morning and Evening Fatigue in Oncology Patients Using the Lee Fatigue Scale.Journal of pain and symptom management · 2016Article
- Fatigue in HIV-Infected People: A Three-Year Observational Study.Journal of pain and symptom management · 2015Observational
- Cytokine polymorphisms are associated with fatigue in adults living with HIV/AIDS.Brain, behavior, and immunity · 2014Article
- Development of a short version of the Lee Visual Analogue Fatigue Scale in a sample of women with HIV/AIDS: a Rasch analysis application.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013Article
- Fatigue and Sleep Disturbance Related to Perceived Stress in Chinese HIV-Positive Individuals: A Mixed Methods Study.Journal of AIDS & clinical research · 2013Article
- Lee Fatigue And Energy Scales: exploring aspects of validity in a sample of women with HIV using an application of a Rasch model.Psychiatry research · 2013Article
- Distinct Co-occurring Morning and Evening Fatigue Profiles in Patients With Gastrointestinal Cancers Receiving Chemotherapy.Cancer nursingArticle
- Sleep disturbances in persons living with HIV.The Journal of the Association of Nurses in AIDS Care : JANACArticle
- Article
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Authors and funding
5 authors.
Funding
Abstract
AIMS AND
objectivesDescribe patterns of morning and evening fatigue in adults with HIV and examine their relationship to demographic and clinical factors and other symptoms.
backgroundMost studies of HIV-related fatigue assess average levels of fatigue and do not address its diurnal fluctuations. Patterns of fatigue over the course of the day may have important implications for assessment and treatment.
designA cross-sectional, correlational design was used with six repeated measures over 72 hours.
methodA convenience sample of 318 HIV-infected adults was recruited in San Francisco. Socio-demographic, clinical and symptom data were collected with questionnaires. CD4+ T-cell count and viral load were obtained from medical records. Participants completed a four-item version of the Lee Fatigue Scale each morning and evening for three consecutive days. Participants were grouped based on their diurnal pattern of fatigue (high evening only, high morning only, high morning and evening and low morning and evening). Group comparisons and logistic regression were used to determine the unique predictors of each fatigue pattern.
resultsThe high evening fatigue pattern was associated with anxiety and the high morning pattern was associated with anxiety and depression. The morning fatigue pattern showed very little fluctuation between morning and evening, the evening pattern showed the largest fluctuation. The high morning and evening pattern was associated with anxiety, depression and sleep disturbance and this group reported the most fatigue-related distress and interference in functioning.
conclusionsThese results provide initial evidence for the importance of assessing the patient's daily pattern of fatigue fluctuation, as different patterns were associated with different symptom experiences and perhaps different aetiologies. RELEVANCE TO CLINICAL PRACTICE: Different fatigue patterns may benefit from tailored intervention strategies. Management of depressive symptoms could be tested in patients who experience high levels of morning fatigue.
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