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Prevalence and correlates of fatigue and its association with quality of life among clinically stable older psychiatric patients during the COVID-19 outbreak: a cross-sectional study.
Zou, Siyun; Liu, Zi-Han; Yan, Xiaona; Wang, Huan; Li, Yulong; Xu, Xiuying; Du, Xiangdong; Zhang, Lan; Zhang, Qinge; Jackson, Todd; Ungvari, Gabor S; Xiang, Yu-Tao.
  • Zou S; Medical College of Soochow University, Suzhou, Jiangsu Province, China.
  • Liu ZH; Guangji Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China.
  • Yan X; Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Building E12, Avenida da Universidade, Taipa, Macau SAR, China.
  • Wang H; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China.
  • Li Y; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
  • Xu X; Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China.
  • Du X; Department of Psychiatry, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China.
  • Zhang L; Department of Psychiatry, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China.
  • Zhang Q; Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China.
  • Jackson T; Medical College of Soochow University, Suzhou, Jiangsu Province, China.
  • Ungvari GS; Guangji Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China.
  • Xiang YT; Department of Psychiatry, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China.
Global Health ; 16(1): 119, 2020 12 18.
Article in English | MEDLINE | ID: covidwho-992508
ABSTRACT

BACKGROUND:

The pattern of fatigue in older psychiatric patients during the COVID-19 outbreak was unknown. This study examined the prevalence of fatigue and its association with overall quality of life (overall QOL) in clinically stable older patients with psychiatric disorders during the COVID-19 outbreak.

METHODS:

This was a multicenter, cross-sectional study. Fatigue, depressive symptoms, pain, insomnia symptoms, and overall QOL were assessed with standardized instruments.

RESULTS:

A total of 1063 patients were recruited. The prevalence of fatigue was 47.1% (95%CI 44.1-50.1%). An analysis of covariance revealed that overall QOL was significantly lower in patients with fatigue compared to those without (P = 0.011). A multiple logistic regression analysis revealed that more severe depressive symptoms (OR = 1.15, P < 0.001), insomnia symptoms (OR = 1.08, P < 0.001) and pain (OR = 1.43, P < 0.001) were significantly associated with fatigue.

CONCLUSIONS:

Fatigue is common among clinically stable older patients with psychiatric disorders during the COVID-19 outbreak. Considering its negative impact on overall QOL, regular assessment of fatigue and appropriate treatment warrant attention in this subpopulation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pain / Quality of Life / Severity of Illness Index / Fatigue / COVID-19 / Sleep Initiation and Maintenance Disorders / Mental Disorders Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Global Health Year: 2020 Document Type: Article Affiliation country: S12992-020-00644-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pain / Quality of Life / Severity of Illness Index / Fatigue / COVID-19 / Sleep Initiation and Maintenance Disorders / Mental Disorders Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Global Health Year: 2020 Document Type: Article Affiliation country: S12992-020-00644-6