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Fatigue in Psychiatric HIV Patients: A Pilot Study of Psychological Correlates

Fatigue in Psychiatric HIV Patients: A Pilot Study of Psychological Correlates BACKGROUND: Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE: The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psychological correlates of fatigue. METHOD: The authors comprehensively assessed fatigue in 38 consecutive HIV patients referred for psychiatric treatment with the Identity-Consequence Fatigue Scale. RESULTS: About 80% of patients reported at least moderate feelings of fatigue, and about 25% judged that fatigue was severely affecting their daily functioning. Depression, anxiety, and perceived stress explained between 20% and 75% of the variance in fatigue ratings. DISCUSSION: The results suggest that fatigue in the era of effective antiretroviral treatment is prevalent, relevant, and related to psychological morbidities. Recognition and treatment of these comorbidities may be important in reducing this fatigue. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychosomatics American Psychiatric Publishing, Inc (Journal)

Fatigue in Psychiatric HIV Patients: A Pilot Study of Psychological Correlates

Fatigue in Psychiatric HIV Patients: A Pilot Study of Psychological Correlates

Psychosomatics , Volume 50 (5): 455 – Sep 1, 2009

Abstract

BACKGROUND: Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE: The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psychological correlates of fatigue. METHOD: The authors comprehensively assessed fatigue in 38 consecutive HIV patients referred for psychiatric treatment with the Identity-Consequence Fatigue Scale. RESULTS: About 80% of patients reported at least moderate feelings of fatigue, and about 25% judged that fatigue was severely affecting their daily functioning. Depression, anxiety, and perceived stress explained between 20% and 75% of the variance in fatigue ratings. DISCUSSION: The results suggest that fatigue in the era of effective antiretroviral treatment is prevalent, relevant, and related to psychological morbidities. Recognition and treatment of these comorbidities may be important in reducing this fatigue.

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Publisher
American Psychiatric Publishing, Inc (Journal)
Copyright
Copyright © 2009 Academy of Psychosomatic Medicine. All rights reserved.
ISSN
0033-3182
DOI
10.1176/appi.psy.50.5.455
pmid
19855030
Publisher site
See Article on Publisher Site

Abstract

BACKGROUND: Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE: The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psychological correlates of fatigue. METHOD: The authors comprehensively assessed fatigue in 38 consecutive HIV patients referred for psychiatric treatment with the Identity-Consequence Fatigue Scale. RESULTS: About 80% of patients reported at least moderate feelings of fatigue, and about 25% judged that fatigue was severely affecting their daily functioning. Depression, anxiety, and perceived stress explained between 20% and 75% of the variance in fatigue ratings. DISCUSSION: The results suggest that fatigue in the era of effective antiretroviral treatment is prevalent, relevant, and related to psychological morbidities. Recognition and treatment of these comorbidities may be important in reducing this fatigue.

Journal

PsychosomaticsAmerican Psychiatric Publishing, Inc (Journal)

Published: Sep 1, 2009

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