The association between chronic diseases and fatigue in the working population

Objective: The aims of this study were to examine (a) whether employees with a chronic disease report more fatigue than employees without a chronic disease, (b) whether number or type of chronic disease is related to fatigue, and (c) whether differences in fatigue level in various types of chronic d...

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Bibliographic Details
Published in:	Journal of psychosomatic research Vol. 54; no. 4; pp. 339 - 344
Main Authors:	Franssen, Pascal M.L, Bültmann, Ute, Kant, IJmert, van Amelsvoort, Ludovic G.P.M
Format:	Journal Article
Language:	English
Published:	Amsterdam Elsevier Inc 01-04-2003 New York, NY Elsevier
Subjects:	Adolescent Adult Aged Biological and medical sciences Chronic disease Chronic Disease - psychology Chronic diseases Cohort Studies Depression - diagnosis Depression - etiology Depression - psychology Diseases of the osteoarticular system Employees Employment Epidemiology Fatigue Fatigue - epidemiology Fatigue - etiology Female Fundamental and applied biological sciences. Psychology Health Status Humans Male Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Netherlands Occupational psychology Population Surveillance Psychological distress Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Severity of Illness Index Surveys and Questionnaires Work condition. Job performance. Stress Working population Netherlands Europe Working population Fatigue Chronic disease Psychological distress Epidemiology Social environment Prevalence Disease Mental health Somatic complaint Occupational environment Worker Public health Mood disorder Human Depression Psychosocial factor Stress Symptomatology Concomitant disease Chronic Severity score Typology Comparative study Somatic disease Life style
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Summary:	Objective: The aims of this study were to examine (a) whether employees with a chronic disease report more fatigue than employees without a chronic disease, (b) whether number or type of chronic disease is related to fatigue, and (c) whether differences in fatigue level in various types of chronic diseases are related to psychological distress. Methods: Data were taken from 12,137 employees. Fatigue was measured with the Checklist Individual Strength (CIS). Results: Employees with a chronic disease reported more fatigue (OR=2.9, 95% CI=2.7–3.2). Small differences were observed in the level of fatigue in various types of diseases. A strong linear association between the number of chronic diseases and fatigue was found. Psychological distress explained the higher level of fatigue in some chronic diseases (gastrointestinal diseases and migraine). Conclusions: Fatigue is more common in employees with a chronic disease. A strong association between number of chronic diseases and fatigue exists. Fatigue in employees with a chronic disease can partly be explained by psychological distress. Some chronic diseases show a stronger association between psychological distress and fatigue.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-3999 1879-1360
DOI:	10.1016/S0022-3999(02)00395-1