慢性疲勞病患之身體、精神症狀與人格特質調查

An Investigation to Somatic Symptoms, Psychiatric Symptoms and Personality of Chronic Fatigue Patients

10.6288/TJPH2003-22-05-10

施嫈瑜(Ying-Yu Shih)；李世代(Shyh-Dye Lee)；郭聖達(San-Dar Kuo)

慢性疲勞 ； 機能性身體化症候群 ； 生理心理社會模式 ； chronic fatigue ； functional somatic syndrome ； bio-psycho-social model

台灣公共衛生雜誌

22卷5期（2003 / 10 / 01）

362 - 367

繁體中文

Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p＜0.00l), sleep disturbance(p＜0.001), immune impairment (p＜0.01), and peptic ulcer(p＜0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p＜0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p＜0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psychosocial mode, intervening in patient’s psychosocial variables as well as biological variables.

Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p＜0.00l), sleep disturbance(p＜0.001), immune impairment (p＜0.01), and peptic ulcer(p＜0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p＜0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p＜0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psychosocial mode, intervening in patient’s psychosocial variables as well as biological variables.

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