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Article: Psychiatric morbidity and illness experience of primary care patients with chronic fatigue in Hong Kong

TitlePsychiatric morbidity and illness experience of primary care patients with chronic fatigue in Hong Kong
Authors
Issue Date2000
PublisherAmerican Psychiatric Publishing, Inc. The Journal's web site is located at http://ajp.psychiatryonline.org
Citation
American Journal Of Psychiatry, 2000, v. 157 n. 3, p. 380-384 How to Cite?
AbstractObjective: The authors' goal was to examine the prevalence and experience of psychiatric morbidity among primary care patients with chronic fatigue in Hong Kong. Method: One hundred adult patients with medically unexplained fatigue for 6 or more months were assessed with the Explanatory Model Interview Catalogue, psychopathological rating scales, and an enhanced version of the Structured Clinical Interview for DSM-III-R. Results: The lifetime prevalence of DSM-III-R depressive and anxiety disorders was 54%. Current depressive and anxiety disorders were identified in 28 patients, who exhibited more psychopathology and functional impairment than other patients. Thirty-three patients had somatoform pain disorder, and 30 had undifferentiated somatoform disorder, but most of them could also be diagnosed as having shenjing shuairuo (weakness of nerves) and, to a lesser extent, ICD-10 neurasthenia. Chronic fatigue syndrome diagnosed according to the 1988 Centers for Disease Control criteria was rare (3%) and atypical. Generally, patients mentioned fatigue if asked, but pains (36%), insomnia (20%), and worries (13%) were the most troublesome symptoms. Most patients attributed illness onset to psychosocial sources. Conclusions: Psychiatric morbidity was common among primary care patients with chronic fatigue. Subthreshold psychiatric morbidity was very common and was more validly represented by the disease construct of shenjing shuairuo or neurasthenia than somatoform disorder.
Persistent Identifierhttp://hdl.handle.net/10722/81578
ISSN
2015 Impact Factor: 13.505
2015 SCImago Journal Rankings: 5.218
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLee, Sen_HK
dc.contributor.authorYu, Hen_HK
dc.contributor.authorWing, Yen_HK
dc.contributor.authorChan, Cen_HK
dc.contributor.authorLee, AMen_HK
dc.contributor.authorLee, DTSen_HK
dc.contributor.authorChen, CNen_HK
dc.contributor.authorLin, Ken_HK
dc.contributor.authorWeiss, MGen_HK
dc.date.accessioned2010-09-06T08:19:29Z-
dc.date.available2010-09-06T08:19:29Z-
dc.date.issued2000en_HK
dc.identifier.citationAmerican Journal Of Psychiatry, 2000, v. 157 n. 3, p. 380-384en_HK
dc.identifier.issn0002-953Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/81578-
dc.description.abstractObjective: The authors' goal was to examine the prevalence and experience of psychiatric morbidity among primary care patients with chronic fatigue in Hong Kong. Method: One hundred adult patients with medically unexplained fatigue for 6 or more months were assessed with the Explanatory Model Interview Catalogue, psychopathological rating scales, and an enhanced version of the Structured Clinical Interview for DSM-III-R. Results: The lifetime prevalence of DSM-III-R depressive and anxiety disorders was 54%. Current depressive and anxiety disorders were identified in 28 patients, who exhibited more psychopathology and functional impairment than other patients. Thirty-three patients had somatoform pain disorder, and 30 had undifferentiated somatoform disorder, but most of them could also be diagnosed as having shenjing shuairuo (weakness of nerves) and, to a lesser extent, ICD-10 neurasthenia. Chronic fatigue syndrome diagnosed according to the 1988 Centers for Disease Control criteria was rare (3%) and atypical. Generally, patients mentioned fatigue if asked, but pains (36%), insomnia (20%), and worries (13%) were the most troublesome symptoms. Most patients attributed illness onset to psychosocial sources. Conclusions: Psychiatric morbidity was common among primary care patients with chronic fatigue. Subthreshold psychiatric morbidity was very common and was more validly represented by the disease construct of shenjing shuairuo or neurasthenia than somatoform disorder.en_HK
dc.languageengen_HK
dc.publisherAmerican Psychiatric Publishing, Inc. The Journal's web site is located at http://ajp.psychiatryonline.orgen_HK
dc.relation.ispartofAmerican Journal of Psychiatryen_HK
dc.titlePsychiatric morbidity and illness experience of primary care patients with chronic fatigue in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0002-953X&volume=157&spage=380&epage=384&date=2000&atitle=Psychiatric+morbidity+and+illness+experience+of+primary+care+patients+with+chronic+fatigue+in+Hong+Kongen_HK
dc.identifier.emailLee, AM: amlee@hkucc.hku.hken_HK
dc.identifier.authorityLee, AM=rp00483en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1176/appi.ajp.157.3.380en_HK
dc.identifier.pmid10698813-
dc.identifier.scopuseid_2-s2.0-0034062202en_HK
dc.identifier.hkuros106159en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034062202&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume157en_HK
dc.identifier.issue3en_HK
dc.identifier.spage380en_HK
dc.identifier.epage384en_HK
dc.identifier.isiWOS:000085731200010-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLee, S=8695933800en_HK
dc.identifier.scopusauthoridYu, H=55196233600en_HK
dc.identifier.scopusauthoridWing, Y=7004821189en_HK
dc.identifier.scopusauthoridChan, C=7404813542en_HK
dc.identifier.scopusauthoridLee, AM=7405629831en_HK
dc.identifier.scopusauthoridLee, DTS=15319214300en_HK
dc.identifier.scopusauthoridChen, CN=7501960339en_HK
dc.identifier.scopusauthoridLin, K=7403966905en_HK
dc.identifier.scopusauthoridWeiss, MG=7404318008en_HK

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