Fatigue, sleep and depression: An exploratory interRAI study of older adults.

Barak, Yoram; Leitch, Sharon; Greco, Philippa; Glue, Paul

doi:10.1016/j.psychres.2020.112772

Cited by 9 publications

(4 citation statements)

References 21 publications

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“…The results of the study showed that participants with depressive disorder always experienced multiple somatic symptoms simultaneously, regardless of whether they were in the onset or remission period, which confirmed the findings of other studies (Novick et al, 2015;Perugi et al, 2011). We identified 37 somatic symptoms from the interview data, some of which have been reported in quantitative studies, such as weakness (Barak et al, 2020), dizziness (Teixeira et al, 2016), body pain (Kawamura et al, 2013), sleep disorders, gastrointestinal discomfort, etc., while other symptoms hardly appear in literature, such as abnormal blood pressure, skin ecchymosis, or heavy eyelids. This may illustrate that, as subjective experiences, somatic symptoms differ according to patients' perception and understanding.…”

Section: Patients With Depressive Disorder Experienced Multiple Somatic Symptomssupporting

confidence: 84%

Experiences and coping strategies of somatic symptoms in patients with depressive disorder: A qualitative study

Chen

Jia

et al. 2022

Archives of Psychiatric Nursing

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Background: Depressive disorder is the most prevalent mental illness and is characterised by the presence of mental and somatic symptoms, with the latter affecting 65.0% to 98.2% of patients with their general function and quality of life. Purpose: The purpose of this study aimed to explore the experiences and coping strategies of somatic symptoms in Chinese patients with depressive disorder, and to gain new insight into the illness and the health care provided to patients. Methods: Semi-structured, in-depth interviews were conducted with 15 patients diagnosed with depressive disorder according to international classification of diseases 10th revision. The interviews were transcribed verbatim and the thematic analysis was adapted to the data. MAXQDA10 software was used to organise, encode, classify, induce, and extract themes. Results: Four major themes were extracted from the interviews: (1) descriptions of symptoms; (2) perceptions of the symptoms; (3) symptom disturbance; and (4) coping strategies of symptoms. Within the first theme, patients identified the following sub-themes: complex experiences of somatic symptoms, which were mainly in the neuromuscular system, circulatory respiratory system, gastrointestinal system and some symptoms without obvious systemic classification; difficulty in locating symptoms accurately; and being not consistent with examination results. The second theme included patient's inadequate understanding of somatic symptoms; and denial of the link between physical discomfort and depression. Disturbance of somatic symptoms embraced three sub-themes: (1) Uncertainty about somatic symptoms; (2) Struggling with daily life; (3) Impact on social activities; (4) feeling a decrease in family support. Lastly, coping strategies taken by patients in the face of various symptoms mainly included relying on drug treatment, avoiding stressors, diverting attention, and compromise or acceptance. Conclusions: Patients with depressive disorder experience a variety of somatic symptoms that have a negative impact on social function and reduce their quality of life. Patients did not have an adequate understanding of their physical discomfort and lacked effective coping strategies for these somatic symptoms. Professional staff should pay more attention to patients' somatic symptoms and focus on targeted symptom management to facilitate patient recovery.

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Section: Patients With Depressive Disorder Experienced Multiple Somatic Symptomssupporting

confidence: 84%

Experiences and coping strategies of somatic symptoms in patients with depressive disorder: A qualitative study

Chen

Jia

et al. 2022

Archives of Psychiatric Nursing

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“…[65,67] A previous study on older adults revealed a significant association between depression and fatigue. [68] The results of the present study revealed a high prevalence of depression. It is generally known that women tend to have a higher rate of depression than men, and the significant proportion of women among the study participants may have had an impact on the findings.…”

Section: Discussionsupporting

confidence: 50%

Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study

Kim,

2023

Medicine

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In modern society, demanding and stressful events contribute to increased fatigue in adults. Moreover, fatigue is the most prevalent symptom of long coronavirus disease 2019. Fatigue is a subjective feeling of tiredness that can be attributed to various causes. This cross-sectional study investigated factors affecting physical and mental fatigue in adults living in South Korea. Self-reported data were collected through an online survey conducted between July 11 and July 17, 2021. The final sample comprised 362 participants, excluding those with uncertain responses. The collected data were analyzed using IBM SPSS version 27.0. General characteristics and variables of the participants were examined through descriptive statistical analysis. Differences in fatigue level according to the general characteristics of the participants were analyzed using t tests and one-way analysis of variance. The correlation between variables was analyzed using Pearson correlation coefficients. To investigate factors affecting fatigue, stepwise multiple regression analysis was conducted. The overall level of fatigue according to participants’ general characteristics differed significantly based on alcohol use, economic status, number of chronic diseases, stress, depression, and sleep problems. Factors affecting physical fatigue were depression, sleep problems, General Health Questionnaire (GHQ-12) scores, and number of chronic diseases. The factors affecting mental fatigue were depression, GHQ-12 score, and alcohol use. The variables that had the most significant impact on overall fatigue were alcohol consumption, the number of chronic illnesses, depression, and GHQ-12, in that order. This emphasizes the importance of lifestyle improvement and dietary management in adults for preventing chronic diseases and managing mental health. The results of this study should be considered when planning health services to provide fatigue interventions for Korean adults.

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“…These included age (Bevilacqua et al, 2018; Salter et al, 2019), number of comorbidities (Horne et al, 2019; W. Q. Lin et al, 2015), pain (Crowe et al, 2017; Teshale, 2019), sleep (Barak et al, 2020; Loh et al, 2018), and gender (Bevilacqua et al, 2018; Salter et al, 2019).…”

Section: Methodsmentioning

confidence: 99%

“…Psychological risk factors of fatigue included depression and anxiety (Barak et al, 2020; Crane et al, 2016; Kim & Son, 2020; Salter et al, 2019). Eight items from the PROMIS item bank v.1.0 emotional distress–depression and PROMIS emotional distress v.1.0 emotional distress–anxiety were used to measure depression and anxiety, respectively.…”

Section: Methodsmentioning

confidence: 99%

Examining a Fatigue Management Model in Older Individuals

Torossian

Chung

Mamo

et al. 2022

Rehabilitation Nursing

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PurposeThe aim of this study was to examine a fatigue model for older individuals based on the theory of unpleasant symptoms.Research DesignThe research design used was a secondary data analysis of the “Patient-Reported Outcomes Measurement Information System Profiles–Health Utilities Index” data set.MethodsMultiple regression analysis and path analyses were used to examine hypothesized model paths.ResultsA number of comorbidities, pain, sleep, depression, anxiety, education, and sensory impairment were significant predictors of fatigue. Higher fatigue scores predicted lower physical, social, and cognitive performances, as well as worse perceived health and quality of life (QOL). In addition, the identified fatigue outcomes mediated the relationship between fatigue and QOL.ConclusionsFuture research should be directed toward exploring other risk factors of fatigue and examining feedback loops depicted in the theory of unpleasant symptoms.Clinical Relevance to the Practice of Rehabilitation NursingRehabilitation nurses should closely monitor and manage the identified fatigue-influencing factors to improve older individuals’ performance, perceived health, and QOL.

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Fatigue, sleep and depression: An exploratory interRAI study of older adults.

Cited by 9 publications

References 21 publications

Experiences and coping strategies of somatic symptoms in patients with depressive disorder: A qualitative study

Experiences and coping strategies of somatic symptoms in patients with depressive disorder: A qualitative study

Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study

Examining a Fatigue Management Model in Older Individuals

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