Demographic correlates of fatigue in the US general population: Results from the patient-reported outcomes measurement information system (PROMIS) initiative

Demographic correlates of fatigue in the US general population: Results from the patient-reported outcomes measurement information system (PROMIS) initiative
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DOI:
10.1016/j.jpsychores.2011.04.007
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发表时间:
2011-09-01
影响因子:
4.7
通讯作者:
Stone, Arthur A.
Stone, Arthur A.
中科院分区:
医学3区
文献类型:
--
作者:
Junghaenel, Doerte U.;Christodoulou, Christopher;Stone, Arthur A.

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目的:利用患者报告结果测量信息系统(PROIS)开发的一种新工具,调查美国普通人群中疲劳的人口学相关性。首先,我们检验了新的PROMIS工具与慢性病治疗-疲劳功能评估(FFAIT-F)和SF-36V2活力子量表的相关性。基于之前的发现,我们进一步研究了疲劳的几个人口统计学相关因素:女性是否会报告比男性更高的疲劳感,以及已婚人士是否会比未婚者经历更低的疲劳感。我们还探讨了年龄、教育程度和疲劳之间的关系。方法:基于666名普通人群中的疲劳度评分进行分析。疲劳用新的PROMIS仪器,Facit-F和SF-36v2活力子量表进行评估。用独立样本t检验和单因素方差分析检验疲劳度的差异。结果:三种疲劳量表之间高度相关。证实了之前的报道,女性报告的疲劳感比男性更高。已婚参与者报告的疲劳感明显低于未婚参与者。单因素方差分析对参与者的年龄产生了主要影响:较年轻的参与者给出了明显更高的疲劳评级。我们还发现了对参与者教育的主要影响。拥有硕士或博士学位的参与者的疲劳感显著低于受过大学教育和高中以下教育的参与者。结论:女性、未婚、年龄较小和教育程度较低都与一般人群中疲劳感的增加有关,三种疲劳量表在检测所观察到的关联方面表现得同样好。(C)2011年,由爱思唯尔公司出版。
Objective: To investigate demographic correlates of fatigue in the US general population using a new instrument developed by the Patient-Reported Outcome Measurement Information System (PROMIS). First, we examined correlations between the new PROMIS instrument and the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) and the SF-36v2 Vitality subscale. Based on prior findings, we further examined several demographic correlates of fatigue: whether women would report higher levels of fatigue compared to men, and whether married people would experience lower levels of fatigue compared to unmarried people. We also explored the relationship between age, education, and fatigue.Methods: Analyses were based on fatigue ratings by 666 individuals from the general population. Fatigue was assessed with the new PROMIS instrument, the FACIT-F, and the SF-36v2 Vitality subscale. Differences in fatigue were examined with independent samples t-tests and univariate ANOVAs.Results: The three fatigue instruments were highly intercorrelated. Confirming prior reports, women reported higher levels of fatigue than men. Married participants reported significantly less fatigue than their unmarried counterparts. Univariate ANOVAs yielded a main effect for participants' age: younger participants gave significantly higher fatigue ratings. We also found a main effect for participants' education. Participants with a masters or doctoral degree had significantly lower ratings of fatigue than participants with some college education and education up to high school.Conclusion: Female gender, not being married, younger age and lower educational attainment were each associated with increased fatigue in the general population and the three fatigue instruments performed equally well in detecting the observed associations. (C) 2011 Published by Elsevier Inc.