Evidence map›Paper›PMID 34444405›Full record

ArticleInternational journal of environmental research and public health2021

"I'm So Tired": Fatigue as a Persistent Physical Symptom among Working People Experiencing Exhaustion Disorder.

Elín Broddadóttir, Sigrún Ólafsdóttir Flóvenz, Haukur Freyr Gylfason, Þórey Þormar, Hjalti Einarsson, Paul Salkovskis, Jón Friðrik Sigurðsson

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Non-Cardiac Chest Pain as a Persistent Physical Symptom: Psychological Distress and Workability.International journal of environmental research and public health · 2023
    Article
  6. Article
  7. [Tiredness, fatigue and exhaustion: all the same or manifestations of a continuum?-Food for thought].Somnologie : Schlafforschung und Schlafmedizin = Somnology : sleep research and sleep medicine · 2022
    Review
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.

Elín BroddadóttirDepartment of Psychology, Reykjavik University, 102 Reykjavik, Iceland.ORCID 0000-0002-8883-3693
Sigrún Ólafsdóttir FlóvenzDepartment of Psychology, Reykjavik University, 102 Reykjavik, Iceland.
Haukur Freyr GylfasonDepartment of Business, Reykjavik University, 102 Reykjavik, Iceland.
Þórey ÞormarDepartment of Psychology, Reykjavik University, 102 Reykjavik, Iceland.
Hjalti EinarssonStett.is, Icelandic Confederation of University Graduates, 105 Reykjavik, Iceland.
Paul SalkovskisOxford Centre for Psychological Health, Oxford Institute of Clinical Psychology Training and Oxford Cognitive Therapy Center, Warneford Hospital, Oxford University, Oxford OX3 7JX, UK.
Jón Friðrik SigurðssonDepartment of Psychology, Reykjavik University, 102 Reykjavik, Iceland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatigue is widespread in the population, particularly among working people. Exhaustion disorder (ED), a clinical manifestation of burnout, is common, but, after treatment, about one-third still experience fatigue and other physical symptoms. We propose that in some instances, fatigue as a persistent physical symptom (PPS) might be a more appropriate formulation of ED patients' fatigue problems, and we suggest that ED patients who meet fatigue PPS criteria will differ from other ED patients in terms of psychological distress, non-fatigue PPSs and functional impairment. Questionnaires were sent to 10,956 members of a trade union of which 2479 (22.6%) responded. Of 1090 participants who met criteria for ED, 106 (9.7%) met criteria for fatigue as a PPS. Participants who met fatigue PPS criteria scored on average higher on measures of depression, anxiety and functional impairment and were more likely to have clinically significant scores. Moreover, they had 27 times higher odds of meeting other PPS subtypes and reported more non-fatigue PPS subtypes, suggesting a more complex health problem. Specific evidence-based interventions are available for both ED and PPSs, and therefore, it is crucial to accurately formulate the fatigue problem reported by patients to provide appropriate treatment.

Indexed as

FatigueStress, PsychologicalAnxietyBurnout, PsychologicalDepressionHumansSurveys and Questionnairesanxietyburnoutdepressionexhaustion disorderfunctional impairmentmedically unexplained symptomspersistent physical symptomsstress-related disorder

Identifiers

PMID34444405
PMCPMC8392333

What OpenQuestion holds

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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.