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1.
J Rheumatol ; 29(11): 2426-34, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12415604

RESUMO

OBJECTIVE: To examine the independent effects of chronic regional and widespread pain syndromes on health and functional status after accounting for comorbid chronic fatigue using a co-twin control design. METHODS: We identified 95 twin pairs discordant for pain in which one twin had chronic regional or widespread pain and the other denied chronic pain. Demographic data, functional and psychological status, health behaviors, and symptoms based on the 1994 criteria for chronic fatigue syndrome (CFS) were assessed by questionnaire. Psychiatric diagnoses were based on structured interview. Random effects regression modeling estimated associations between chronic regional and widespread pain and each health measure with and without adjustment for CFS. RESULTS: Significant differences (p

Assuntos
Doenças em Gêmeos , Nível de Saúde , Dor/fisiopatologia , Atividades Cotidianas , Adulto , Doença Crônica , Síndrome de Fadiga Crônica/fisiopatologia , Síndrome de Fadiga Crônica/psicologia , Feminino , Fibromialgia/fisiopatologia , Fibromialgia/psicologia , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Dor/psicologia , Classe Social , Inquéritos e Questionários
2.
Qual Life Res ; 11(5): 463-71, 2002 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12113393

RESUMO

Chronic fatigue syndrome (CFS) and the symptom of chronic fatigue may be accompanied by substantial functional disability. A volunteer sample of twins discordant for fatigue was identified from throughout the US. Fatigued twins were classified using three increasingly stringent definitions: (1) > or = 6 months of fatigue (119 pairs); (2) CFS-like illness based on self-report of the Centers for Disease Control and Prevention CFS research definition criteria (74 pairs); and (3) CFS assessed by clinical examination (22 pairs). Twins with chronic fatigue were compared with their unaffected co-twins on the eight standard scales and two physical and mental component summary scales from the medical outcomes study short-form health survey (SF-36). Substantial impairment was observed for fatigued twins across all levels of fatigue, while scores in the healthy twins were similar to US population values. Mean scores among fatigued twins on the physical and mental component summary scales were below 97 and 77%, respectively, of the US population scores. Diminished functional status was found across increasingly stringent classifications of fatigue and was associated with a dramatic decrement in physical functioning. The symptom of fatigue has a pronounced impact on functional status, especially in the domain of physical functioning.


Assuntos
Atividades Cotidianas/classificação , Síndrome de Fadiga Crônica/fisiopatologia , Adulto , Doença Crônica , Síndrome de Fadiga Crônica/genética , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Perfil de Impacto da Doença , Inquéritos e Questionários , Estados Unidos
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