The Fatigue Experience for Women With Human Immunodeficiency Virus

Lee, Kathryn A.; Portillo, Carmen J.; Miramontes, Helen

doi:10.1111/j.1552-6909.1999.tb01984.x

Cited by 80 publications

(56 citation statements)

References 33 publications

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“…Results showing an association between lower CD4ϩ cell counts and increased fatigue levels (Darko et al, 1992;Lee et al, 1999Lee et al, , 2001) support the theoretical relationship between fatigue and disease severity. Zidovudine-induced anemia (Fischl, 1989;Fischl et al, 1989) and mitochondrial toxicity (Darko et al, 1992) support the relation to treatment strategies.…”

Section: The Integrated Fatigue Modelsupporting

confidence: 67%

“…Empirical results regarding decreased motor functioning (Perkins et al, 1995) and decreased functional status (O'Dell, Hubert, Lubeck & O'Driscroll, 1996) support the theoretical relationship between fatigue and activity/rest patterns. Insomnia and sleep patterns (Darko et al, 1992;Lee, Portillo, & Miramontes, 1999) support the theoretical relationship between fatigue and altered sleep/wake patterns.…”

Section: The Integrated Fatigue Modelmentioning

confidence: 81%

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Theories of Fatigue: Application in HIV/AIDS

Voss

Dodd²,

Portillo³

et al. 2006

Journal of the Association of Nurses in AIDS Care

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A number of theoretical fatigue frameworks have been developed by nurse scientists with the intention of guiding research, practice, and education in fatigue. However, there is a significant gap between theory development and research utilization of fatigue frameworks in clinical and intervention trials. The purpose of this report is to assess an example of an inductive fatigue framework and a deductive symptom management model: The Integrated Fatigue Model (IFM) and the revised University of California, San Francisco, Symptom Management Model (UCSF-SMM), to investigate their potential to guide future nursing research projects on fatigue. The IFM is a fatigue-specific comprehensive framework of 14 biological and psychosocial patterns that influence signs and symptoms of fatigue and trigger six fatigue dimensions. The developers emphasized that patterns could be interrelated and influence the dimensionality of fatigue. The UCSF-SMM is a multidimensional symptom management model embedded within the three nursing domains: person, environment, and health and illness. The model places symptom perceptions, symptom management strategies, and outcomes within these nursing domains to be the key components of a highly complex symptom management process. The IFM is an important development in the understanding and conceptualization of fatigue in cancer and in HIV/AIDS. However, it does not reach the level of integration of the UCSF-SMM in taking fatigue research a significant step forward by integrating symptom impact, symptom management, and symptom outcomes. Both models have significant weaknesses because of their complexity.

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Section: The Integrated Fatigue Modelsupporting

confidence: 67%

Section: The Integrated Fatigue Modelmentioning

confidence: 81%

Theories of Fatigue: Application in HIV/AIDS

Voss

Dodd²,

Portillo³

et al. 2006

Journal of the Association of Nurses in AIDS Care

View full text Add to dashboard Cite

show abstract

“…The LFS has been used with healthy individuals 47,48 and in patients with cancer and HIV disease. 49–52 A cutoff score of ≥4.4 indicates high levels of fatigue. 24 A cutoff score of ≤4.8 indicates low levels of energy.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Initial Levels and Trajectories of Anxiety in Women Before and for 6 Months After Breast Cancer Surgery

et al. 2014

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Background The diagnosis of breast cancer in combination with the anticipation of surgery evokes fear, uncertainty, and anxiety in most women. Objective In patients who underwent breast cancer surgery, study purposes were to examine how ratings of state anxiety changed from the time of the preoperative assessment to 6 months after surgery and to investigate whether specific demographic, clinical, symptom, and psychosocial adjustment characteristics predicted the preoperative levels of state anxiety and/or characteristics of the trajectories of state anxiety. Interventions/Methods Patients (n=396) were enrolled preoperatively and completed the Spielberger State Anxiety inventory monthly for six months. Using hierarchical linear modeling, demographic, clinical, symptom, and psychosocial adjustment characteristics were evaluated as predictors of initial levels and trajectories of state anxiety. Results Patients experienced moderate levels of anxiety prior to surgery. Higher levels of depressive symptoms and uncertainty about the future, as well as lower levels of life satisfaction, less sense of control, and greater difficulty coping predicted higher preoperative levels of state anxiety. Higher preoperative state anxiety, poorer physical health, decreased sense of control, and more feelings of isolation predicted higher state anxiety scores over time. Conclusions Moderate levels of anxiety persist in women for six months following breast cancer surgery. Implications for Practice Clinicians need to implement systematic assessments of anxiety to identify high risk women who warrant more targeted interventions. In addition, ongoing follow-up is needed in order to prevent adverse postoperative outcomes and to support women to return to their preoperative levels of function.

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“…1,2 Most of the literature on fatigue in this population has focused on its clinical management by health care professionals, emphasizing the importance of identifying underlying causes (e.g., anemia, sleep disorders) so that they may be prevented or treated. [1][2][3][4][5] Given the association between depression and fatigue among HIV/ AIDS patients, [6][7][8][9][10] practitioners have also been advised to try to differentiate between anxiety or depression-related fatigue 4 and fatigue due to underlying physical disorders, so that appropriate treatment may be provided. 8 A number of strategies with varying efficacy in alleviating fatigue among HIV-infected adults have been identified.…”

Section: Introductionmentioning

confidence: 99%

Strategies for Coping with Fatigue Among HIV-Positive Individuals Fifty Years and Older

Siegel

Brown-Bradley

Lekas

2004

AIDS Patient Care and STDs

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Fatigue, a common symptom among persons living with HIV/AIDS, is often underreported and undertreated. However, given fatigue's pervasive effects on well-being and functioning, the identification of its physiologic and psychological causes and strategies to alleviate it are important to patients' quality of life. As part of a study to understand better how HIV-positive middle-aged and older adults (501) manage common symptoms, 49 participants discussed in depth their experience with fatigue. Most engaged in both self-care activities and sought the assistance of a health care professional. Frequent strategies included dietary changes, vitamins, modification of routines, rest, exercise, and prescribed medications for anemia, Vitamin B 12 deficiency, or testosterone deficiency. Complementary and alternative medicine (e.g., acupuncture, massage, herbal remedies, special juices) was also commonly used. Participants often used multiple strategies to alleviate their fatigue, possibly because of their tendency to attribute it to multiple causes. These HIV-positive older adults were also apt to view fatigue as an indirect indicator of their overall health status and immune functioning. This may explain why many of the coping strategies they used could be considered approaches to improving their overall health status as a means to increasing their energy levels. Health care professionals can play an important role in helping HIV-positive individuals manage their fatigue. The majority of participants tried to implement the coping suggestions offered by health care professionals, as well as those from family, friends, and support group members. 275

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The Fatigue Experience for Women With Human Immunodeficiency Virus

Cited by 80 publications

References 33 publications

Theories of Fatigue: Application in HIV/AIDS

Theories of Fatigue: Application in HIV/AIDS

Predictors of Initial Levels and Trajectories of Anxiety in Women Before and for 6 Months After Breast Cancer Surgery

Strategies for Coping with Fatigue Among HIV-Positive Individuals Fifty Years and Older

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