In this blog, our senior content developer and managing editor Rachel talks about a new online resource to support people with fatigue. Prev Med. Psychiatric disorders and medical care utilization among people in the general population who report fatigue. BMJ Open. The vast majority of patients with systemic lupus erythematosus (SLE) complain about fatigue. What is fatigue?Fatigue is a feeling of tiredness or exhaustion. The differential diagnosis of tiredness: a systematic review. Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: a randomized controlled trial. She says: How to get supportIf you are finding it very difficult to cope with fatigue, it can help to explain any problems to your doctor or nurse. For the purpose of this topic, the differentials discussed concentrate on people presenting with fatigue or where fatigue is the only symptom. [1]Chen MK. Am J Med. A company limited by guarantee, registered in England and Wales company number 2400969. Washington, DC: The National Academies Press; 2015. Bensing JM, Hulsman RL, Schreurs KM. [22]Ridsdale L, Evans A, Jerrett W, et al. 1992 May-Jun;7(3):276-86. Reid S, Chalder T, Cleare A, et al. Fatigue can be divided into categories based on origin, attribution, and duration of symptoms. Fatigue may be a symptom of almost any medical condition. Whatever cancer throws your way, we're right there with you. The purpose of this study is to validate the Fatigue Assessment Scale (FAS) and assess the impact of disease activity on fatigue in SLE. Psychological symptoms, somatic symptoms, and psychiatric disorder in chronic fatigue and chronic fatigue syndrome: a prospective study in the primary care setting. Prins JB, van der Meer JW, Bleijenberg G. Chronic fatigue syndrome. Perform objective post-accident or incident analysis to determine if fatigue may have been a factor. VAT no: 668265007, Planned maintenance - Tuesday 10th November, 7am-1pm, Fixes and issues - an update for members, October 2020, Fixes and issues - an update for members, September 2020. 1993 Dec 27;153(24):2759-65. http://www.ncbi.nlm.nih.gov/pubmed/8257251?tool=bestpractice.com. FAID Quantum fatigue assessment software is a powerful analytical tool, which can help identify fatigue exposures and support the management of hours of work within an organisation’s fatigue management plan. http://www.ncbi.nlm.nih.gov/pubmed/16443043?tool=bestpractice.com, Psychological (e.g., psychiatric disorder), social (e.g., family problems), and physiological factors (e.g., old age). http://www.ncbi.nlm.nih.gov/pubmed/7778839?tool=bestpractice.com 1998 Sep 28;105(3A):83S-90S. Registered office: 89 Albert Embankment, London SE1 7UQ. Request FAST Licence(s) Active US military or government personnel: request or renew here. external link opens in a new windowDepression in adults: what is it? BMJ Open. J Gen Intern Med. Int Rev Psychiatry. 1994 Dec 15;121(12):953-9. http://www.ncbi.nlm.nih.gov/pubmed/7978722?tool=bestpractice.com. Fatigue in primary care: prevalence, psychiatric comorbidity, illness behavior, and outcome. BMJ. Steele L, Dobbins JG, Fukuda K, et al. Galland-Decker C, Marques-Vidal P, Vollenweider P. Prevalence and factors associated with fatigue in the Lausanne middle-aged population: a population-based, cross-sectional survey. CMAJ. [9]Wessely S, Chalder T, Hirsch S, et al. 2003 Jun;53(491):441-5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314617/, http://www.ncbi.nlm.nih.gov/pubmed/12939888?tool=bestpractice.com. Iron supplementation for unexplained fatigue in non-anaemic women: double blind randomised placebo controlled trial. Chronic fatigue in primary care. Hickie IB, Hooker AW, Hadzi-Pavlovic D, et al. BMJ. Fatigue is a common complaint in the general population, with a prevalence between 4.3% and 21.9%. [3]Wessely S, Chalder T, Hirsch S, et al. http://www.ncbi.nlm.nih.gov/pubmed/10524374?tool=bestpractice.com http://www.ncbi.nlm.nih.gov/pubmed/8637460?tool=bestpractice.com __________________________________________________________________________________________________________. http://www.ncbi.nlm.nih.gov/pubmed/27765009?tool=bestpractice.com, The prevalence of fatigue seems to be higher in women than men, due to iron deficit as a consequence of menstruation, and to psychosocial factors. Okkes IM, Oskam SK, Lamberts H. The probability of specific diagnoses for patients presenting with common symptoms to Dutch family physicians. 2002 Jan;51(1):31-6. Ridsdale L, Evans A, Jerrett W, et al. Arch Intern Med. For example: Support onlineRESTORE is a new online tool, developed by Macmillan and the University of Southampton, that provides information about things you can do to help you cope with fatigue. 2003 May 24;326(7399):1124. Am J Public Health. 2003 Jun;53(491):441-5. FAID Quantum utilises two discrete biomathematical models (BMMs) to provide a richer overall understanding of fatigue exposures. Darbishire L, Ridsdale L, Seed PT. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1380968/ J Gen Intern Med. BMJ. It has been extensively validated as an accurate predictor of fatigue related accident risk by the U.S. Department of Transportation. Fukuda K, Straus SE, Hickie I, et al. The most frequent psychiatric illnesses included major depression, panic disorder, and somatisation disorder. Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system. Chronic fatigue in primary care. Fatigue in selected primary care settings: sociodemographic and psychiatric correlates. A-1 Fatigue Management Risk Assessment Tool 1 2 3 4 5 6 7 8 9 10 11 12 13 Risk Factors Risk Factor or Stressor Weight Factor 1 2 3 4 Total Risk # Corrective Action Plan For any urgent enquiries please contact our customer services team who are ready to help with any problems. The prevalence and morbidity of chronic fatigue and chronic fatigue syndrome: a prospective primary care study. BF is an author of a number of references cited in this topic. CM declares that he has no competing interests. Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system. Arch Intern Med. Fatigue in primary care: prevalence, psychiatric comorbidity, illness behavior, and outcome. Methods Instrumental Design. A systematic review and meta-analysis of studies reporting on the differential diagnosis of tiredness in primary care found serious somatic disease was a rare cause. http://www.ncbi.nlm.nih.gov/pubmed/1613608?tool=bestpractice.com Stadje R, Dornieden K, Baum E, et al. 2002 Jan;51(1):31-6. The prevalences of the following causes were found to be: anaemia (2.8%); malignancy (0.6%); serious somatic disease (4.3%); depression (18.5%). 1996 Aug;153(8):1050-9. European studies have shown that patients with fatigue lasting longer than 6 months were given a diagnosis of chronic fatigue syndrome in up to one third of cases. JC is an author of a reference cited in this topic. Calculates fatigue and risk indeces for shift work schedules Author: RJKnight (Updated to 2010 by ADMiles) Keywords: Fatigue, Calculator, Shiftwork, Risk Index Description: Before using for the first time, users are recommended to read the user manual and the research report describing the tool development (especially section 2). http://www.ncbi.nlm.nih.gov/pubmed/9314795?tool=bestpractice.com FAID Quantum utilises two discrete biomathematical models (BMMs) to provide a richer overall understanding of fatigue exposures. A common and practical definition defined fatigue as a sensation of exhaustion during or after usual activities, or a feeling of inadequate energy to begin these activities. The epidemiology of self-perceived fatigue among adults. It may be attributed to:[8]Prins JB, van der Meer JW, Bleijenberg G. Chronic fatigue syndrome. http://www.bmj.com/cgi/content/full/326/7399/1124 A Dutch study identified a specific diagnosis in 63% of patients presenting to general practitioners with general weakness or tiredness for any length of time. In 2016, InterDynamics set a new standard with FAID Quantum, which offers a whole new level of scientifically-verified alertness prediction with the addition of a new BMM. The origin of fatigue may be: Peripheral (usually a neuromuscular origin). Macmillan's range of self-management toolsRESTORE is one of a range of self-management tools produced by Macmillan to support people to cope with different symptoms throughout their cancer journey. http://www.ncbi.nlm.nih.gov/pubmed/12939888?tool=bestpractice.com [18]Fukuda K, Straus SE, Hickie I, et al. Psychiatric disorders and medical care utilization among people in the general population who report fatigue. Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management, You'll need a subscription to access all of BMJ Best Practice, Chronic fatigue syndrome/systemic exertion intolerance disease. 2003 Feb-May;15(1-2):57-64. http://www.ncbi.nlm.nih.gov/pubmed/12745311?tool=bestpractice.com. They also report fatigue as one of their most debilitating symptoms. The chronic fatigue syndrome: a comprehensive approach to its definition and study. [5]Skapinakis P, Lewis G, Meltzer H. Clarifying the relationship between unexplained chronic fatigue and psychiatric morbidity: results from a community survey in Great Britain. 1993 Aug;8(8):436-40. [6]Steele L, Dobbins JG, Fukuda K, et al. Prev Med. BMJ. InterDynamics’ FAID software and biomathematical model (BMM) has been a global standard for fatigue exposure prediction and fatigue management since its introduction in the late 1990s. Arch Intern Med. [23]Institute of Medicine.