Cross-cultural differences in the epidemiology of unexplained fatigue syndromes in primary care

Author:

Skapinakis Petros,Lewis Glyn,Mavreas Venetsanos

Abstract

BackgroundUnexplained fatigue has been extensively studied but most of the samples used were from Western countries.AimsTo present international data on the prevalence of unexplained fatigue and fatigue as a presenting complaint in primary care.MethodSecondary analysis of the World Health Organization study of psychological problems in general health care. A total of 5438 primary care attenders from 14 countries were assessed with the Composite International Diagnostic Interview.ResultsThe prevalence of unexplained fatigue of 1-month duration differed across centres, with a range between 2.26 (95% CI 1.17–4.33) and 15.05 (95% CI 10.85–20.49). Subjects from more-developed countries were more likely to report unexplained fatigue but less likely to present with fatigue to physicians compared with subjects from less developed countries.ConclusionsIn less-developed countries fatigue might be an indicator of unmet psychiatric need, but in more-developed countries it is probably a symbol of psychosocial distress.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference25 articles.

1. An epidemiological study of neurasthenia in Chinese-Americans in Los Angeles

2. Cross-cultural Feasibility, Reliability and Sources of Variance of the Composite International Diagnostic Interview (CIDI)

3. Skapinakis P. , Lewis G. & Mavreas V. (2003) Unexplained fatigue syndromes in a multinational primary care study. American Journal of Psychiatry, in press.

4. Fatigue in selected primary care settings: sociodemographic and psychiatric correlates;Hickie;Medical Journal of Australia,1996

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