慢性疲勞病患之身體、精神症狀與人格特質調查

An Investigation to Somatic Symptoms, Psychiatric Symptoms and Personality of Chronic Fatigue Patients

施嫈瑜(Ying-Yu Shih) ； 李世代(Shyh-Dye Lee) ； 郭聖達(San-Dar Kuo)

《台灣公共衛生雜誌》 22卷5期 (2003/10) Pp. 362-367

https://doi.org/10.6288/TJPH2003-22-05-10

摘要

Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p＜0.00l), sleep disturbance(p＜0.001), immune impairment (p＜0.01), and peptic ulcer(p＜0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p＜0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p＜0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psychosocial mode, intervening in patient’s psychosocial variables as well as biological variables.

關鍵字

慢性疲勞 ； 機能性身體化症候群 ； 生理心理社會模式

並列摘要

Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p＜0.00l), sleep disturbance(p＜0.001), immune impairment (p＜0.01), and peptic ulcer(p＜0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p＜0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p＜0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psychosocial mode, intervening in patient’s psychosocial variables as well as biological variables.

並列關鍵字

chronic fatigue ； functional somatic syndrome ； bio-psycho-social model

參考文獻

Addington, A. M., Gallo, J. J., Ford, D. E., Eaton, W. W.(2001).Epidemiology of Unexplained Fatigue and Major Depression in the Community: The Baltimore ECA Follow-Up, 1981-1994.Psychol Med.31

Allen, L., Escobar, J. I., Lehrer, P. M., Gara, M. A., Woolfolk, R. L.(2002).Psychosocial Treatments for Multiple Unexplained Physical Symptoms: A Review of the Literature.Psychosoma Med.64

Barsky, A. J., Borus, J. F.(1999).Functional Somatic Syndromes.Ann Int Med.130

Cathebras, P. J., Robbins, J. M., Kirmayer, L. J., Hayton, B. C.(1992).Fatigue in Primacy Care: Prevalence, Psychiatric Comorbidity, Illness Behavior, and Outcome.J General Int Med.7

Craig, T., Kakumanu, S.(2002).Chronic fatigue Syndrome: Evaluation and Treatment.Am Fam Physician.65