Skip to main content

Care of the Patient with Fatigue

  • Chapter
Family Medicine
  • 46 Accesses

Abstract

Everyone experiences fatigue periodically as a result of hard physical labor or loss of sleep. Fatigue, loss of energy, and lassitude are also common symptoms experienced by patients with any of a large number of diseases. A patient who complains of fatigue presents a difficult problem for the family physician because there are many possible explanations for the fatigue. This difficulty is compounded by the subjective nature of the complaint and the potential seriousness of some of the diseases in the differential diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Buchwald D, Umali P, Umali J, Kitch P, et al. Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system. Ann Intern Med 1995;123(2): 81–8.

    Article  PubMed  CAS  Google Scholar 

  2. Kroenke K, Wood DR, Mangelsdorf D, Meier NJ, Powell JB. Chronic fatigue in primary care. JAMA 1988;260:929–34.

    Article  PubMed  CAS  Google Scholar 

  3. Pawlikowska T, Chalder T, Hirsch SR, Wallace P, et al. Population based study of fatigue and psychosocial distress. BMJ 1994;308:763–6.

    Article  PubMed  CAS  Google Scholar 

  4. Ruffin MT, Cohen M. Evaluation and management of fatigue. Am Fam Physician 1994;50:625–32.

    PubMed  Google Scholar 

  5. Valdini AF, Steinhardt S, Valicenti J, Jaffe A. One year follow-up of fatigued patients. J Fam Pract 1988;26:33–8.

    PubMed  CAS  Google Scholar 

  6. Straus SE. The history of chronic fatigue syndrome. Rev Infect Dis 1991;13 Suppl 1:52–7.

    Article  Google Scholar 

  7. Holmes GP, Kaplan JE, Gantz NM, et al. Chronic fatigue syndrome: a working case definition. Ann Intern Med 1988; 108:387–9.

    Article  PubMed  CAS  Google Scholar 

  8. Manu P, Lane TJ, Matthews DA. The frequency of chronic fatigue syndrome in patients with persistent fatigue. Ann Intern Med 1988;109:554–6.

    Article  PubMed  CAS  Google Scholar 

  9. Sharpe MC, Archard LC, Banatvala JE, Borysiewicz LK, et al. A report—chronic fatigue syndrome: guidelines for research. J R Soc Med 1991;84:118–21.

    PubMed  CAS  Google Scholar 

  10. Lloyd AR, Hickie J, Boughton CR, Spencer O, Wakefield D. Prevalence of chronic fatigue syndrome in an Australian population. Med J. Aust 1900;153:522–8.

    Google Scholar 

  11. Shahar E, Lederer J. Asthenic symptoms in a rural family practice. J Fam Pract 1990;31:257–62.

    PubMed  CAS  Google Scholar 

  12. Kirk J, Douglass R, Nelson E, Jaffe J, et al. Chief complaint of fatigue: a prospective study. J Fam Pract 1990;30:33–41.

    PubMed  CAS  Google Scholar 

  13. Cathebras PJ, Robbins JM, Kirmayer LJ, Hayton BC. Fatigue in primary care: prevalence, psychiatric comorbidity, illness behavior, and outcome. J Gen Intern Med 1992;7:276–86.

    Article  PubMed  CAS  Google Scholar 

  14. Kronke K, Spitzer RL, Williams JBW, Linzer M, et al. Physical symptoms in primary care: predictors of psychiatric disorders and functional impairment. Arch Fam Med 1994;3:774–9.

    Article  Google Scholar 

  15. Sugarman JR, Berg AD. Evaluation of fatigue in a family practice. J Fam Pract 1984;19:643–7.

    PubMed  CAS  Google Scholar 

  16. Jones JF. Serologic and immunologic responses in chronic fatigue syndrome with emphasis on the Epstein-Barr virus. Rev Infect Dis 1991;13 Suppl 1:526–31.

    Google Scholar 

  17. Buchwald D, Komaroff AL. Review of laboratory findings for patients with chronic fatigue syndrome. Rev Infect Dis 1991;13 Suppl 1:512–18.

    Google Scholar 

  18. Sumaya CV Serologic and virologic epidemiology of Epstein-Barr virus: relevance to chronic fatigue syndrome. Rev Infect Dis 1991;13 Suppl 1:519–25.

    Google Scholar 

  19. Khan AS, Heneine WM, Chapman LE, Gary HE, et al. Assessment of retrovirus sequence and other possible risk factors for chronic fatigue syndrome. Ann Intern Med 1993;118: 241–5.

    Article  PubMed  CAS  Google Scholar 

  20. Bates DW, Buchwald D, Lee J, Kith P, et al. A comparison of case definitions of chronic fatigue syndrome. Clin Infect Dis 1994;18 Suppl 1:511–15.

    Google Scholar 

  21. Buttler S, Chalder T, Ron M, Wessley S. Cognitive behavior therapy in chronic fatigue syndrome. J Neurol Neurosurg Psychiatry 1991;54:153–8.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media New York

About this chapter

Cite this chapter

Saultz, J. (1998). Care of the Patient with Fatigue. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_55

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-2947-4_55

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2949-8

  • Online ISBN: 978-1-4757-2947-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics