Evidence map›Paper›PMID 32824904›Full record

ArticleBrain sciences2020

Fatigue in Cancer and Neuroinflammatory and Autoimmune Disease: CNS Arousal Matters.

Christine Ulke, Galina Surova, Christian Sander, Christoph Engel, Kerstin Wirkner, Philippe Jawinski, Tilman Hensch, Ulrich Hegerl

Abstract read
In one paragraph

Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Fatigue and brain arousal in patients with major depressive disorder.European archives of psychiatry and clinical neuroscience · 2021
    Article
  4. 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

8 authors.

Christine UlkeDepartment of Psychiatry and Psychotherapy, Leipzig University Medical Center, Semmelweisstrasse 10, D-04103 Leipzig, Germany.ORCID 0000-0002-8277-1671
Galina SurovaDepartment of Psychiatry and Psychotherapy, Leipzig University Medical Center, Semmelweisstrasse 10, D-04103 Leipzig, Germany.
Christian SanderDepartment of Psychiatry and Psychotherapy, Leipzig University Medical Center, Semmelweisstrasse 10, D-04103 Leipzig, Germany.
Christoph EngelLIFE-Leipzig Research Center for Civilization Diseases, University of Leipzig, D-04103 Leipzig, Germany.ORCID 0000-0002-7247-282X
Kerstin WirknerLIFE-Leipzig Research Center for Civilization Diseases, University of Leipzig, D-04103 Leipzig, Germany.
Philippe JawinskiLIFE-Leipzig Research Center for Civilization Diseases, University of Leipzig, D-04103 Leipzig, Germany.
Tilman HenschDepartment of Psychiatry and Psychotherapy, Leipzig University Medical Center, Semmelweisstrasse 10, D-04103 Leipzig, Germany.ORCID 0000-0003-2696-6017
Ulrich HegerlDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe-Universität Frankfurt am Main, 60323 Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term fatigue is not only used to describe a sleepy state with a lack of drive, as observed in patients with chronic physical illnesses, but also a state with an inhibition of drive and central nervous system (CNS) hyperarousal, as frequently observed in patients with major depression. An electroencephalogram (EEG)-based algorithm has been developed to objectively assess CNS arousal and to disentangle these pathophysiologically heterogeneous forms of fatigue. The aim of this study was to test the hypothesis that fatigued patients with CNS hyperarousal score higher on depressive symptoms than those without this neurophysiological pattern.

methodsSubjects with fatigue (Multidimensional Fatigue Inventory sum-score > 40) in the context of cancer, neuroinflammatory, or autoimmune diseases were drawn from the 60+ cohort of the Leipzig Research Center for Civilization Diseases. CNS arousal was assessed by automatic EEG-vigilance stage classification using the Vigilance Algorithm Leipzig (VIGALL 2.1) based on 20 min EEG recordings at rest with eyes closed. Depression was assessed by the Inventory of Depressive Symptomatology (IDS-SR).

resultsSixty participants (33 female; median age: 67.5 years) were included in the analysis. As hypothesized, fatigued patients with CNS hyperarousal had higher IDS-SR scores than those without hyperarousal (F

conclusionhyperaroused fatigue in patients with chronic physical illness may be a sign of comorbid depression.

Indexed as

depressionelectroencephalographyfatiguehyperarousalneurophysiology

Identifiers

PMID32824904
PMCPMC7564388

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.