Evidence map›Paper›PMID 26652592›Full record

ArticleJournal of psychosomatic research2015

Common and unique associated factors for medically unexplained chronic widespread pain and chronic fatigue.

J McBeth, B Tomenson, C A Chew-Graham, G J Macfarlane, J Jackson, A Littlewood, F H Creed

Open access · hybridAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. [Fatigue in chronic physical diseases].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

J McBethArthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, UK. Electronic address: john.mcbeth@manchester.ac.uk.
B TomensonBiostatistics Unit, Institute of Population Health, The University of Manchester, Manchester, UK.
C A Chew-GrahamResearch Institute, Primary Care and Health Sciences, Keele University, Newcastle, Staffs, ST5 5BG, UK.
G J MacfarlaneMusculoskeletal Research Collaboration (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UK.
J JacksonInstitute of Brain, Behaviour and Mental Health, University of Manchester, UK.
A LittlewoodArthritis Research UK Epidemiology Unit, The University of Manchester, Manchester, UK.
F H CreedInstitute of Brain, Behaviour and Mental Health, University of Manchester, UK.
University of Manchester · GBKeele University · GBUniversity of Aberdeen · GBVersus Arthritis · GB

Funding

Medical Research Council G0500272
6 · The paper itself

Abstract

objectiveChronic widespread pain and chronic fatigue share common associated factors but these associations may be explained by the presence of concurrent depression and anxiety.

methodsWe 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.

resultsOf 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.

Indexed as

AdultAnxietyChronic PainDelivery of Health CareDepressionFatigueFemaleHealth StatusHumansMaleMiddle AgedObject AttachmentSampling StudiesStress, PsychologicalSurveys and QuestionnairesUnited KingdomChronic fatigueEpidemiologyFibromyalgiaFunctional somatic syndromesMedically unexplained symptomsPopulation based

Identifiers

PMID26652592
PMCPMC4678257
OpenAlexW2165625537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.