Evidence map›Paper›PMID 37300578›Full record

ArticleEuropean child & adolescent psychiatry2024

"I'm always going to be tired": a qualitative exploration of adolescents' experiences of fatigue in depression.

Nina Higson-Sweeney, Kate Cooper, Barnaby D Dunn, Maria E Loades

Open access · hybridAbstract read
In one paragraph

Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Children's experiences of living with their mental ill-health - a scoping review.International journal of qualitative studies on health and well-being · 2025
    Article
  8. Article
  9. 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

4 authors at 2 institutions in 1 country.

Nina Higson-SweeneyDepartment of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK. nhs35@bath.ac.uk.ORCID http://orcid.org/0000-0002-6926-0463
Kate CooperDepartment of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.ORCID http://orcid.org/0000-0002-8216-5567
Barnaby D DunnMood Disorders Centre, University of Exeter, Exeter, EX4 4QG, UK.ORCID http://orcid.org/0000-0002-0299-0920
Maria E LoadesDepartment of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.ORCID http://orcid.org/0000-0002-0839-3190
University of Bath · GBUniversity of Exeter · GB

Funding

Economic and Social Research Council ES/P000630/1National Institute for Health and Care Research DRF-2016-09-021National Institute for Health and Care Research ICA-CDRF-2018-04-ST2-047
6 · The paper itself

Abstract

Adolescent depression is a prevalent and disabling condition, but current psychological treatments are only moderately effective. One way to enhance outcomes is to further our understanding of adolescent depression and improve our capacity to target the most frequently reported and problematic symptoms. A common but often neglected symptom of depression is fatigue, which is associated with considerable impairment and has the potential to interfere with adolescents' engagement in psychological therapies. Despite this, the experience of fatigue in adolescent depression and how we target it in treatment is currently poorly understood. Therefore, we aimed to explore adolescents' experiences and understandings of fatigue in depression, recruiting from clinical and community settings. Semi-structured interviews were conducted with 19 UK-based adolescents aged 14-18 years old with elevated symptoms of depression. Using reflexive thematic analysis, three themes were generated. Fatigue is a complex concept explored adolescents' understanding of fatigue as a dynamic, multifaceted symptom which had mental and physical components. Trapped in a cycle of fatigue considered the complex and reciprocal relationship between fatigue and other depressive symptoms, and the subsequent impact of limited energy on engagement with everyday activities. Finally, stigma as a barrier to help-seeking highlighted how adolescents were reluctant to seek help due to experienced stigma and the perception that fatigue was not a serious enough symptom. Findings from this study suggest that fatigue should be viewed as a psychological as well as somatic symptom of depression, with implications regarding the identification and treatment of fatigue in depression in routine clinical practice.

Indexed as

DepressionFatigueQualitative ResearchAdolescentFemaleHumansMaleSocial StigmaUnited KingdomAdolescenceDepressionFatigueLived experienceQualitative

Identifiers

PMID37300578
PMCPMC10257178
OpenAlexW4380153246

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.