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Are fatigue symptoms and chronic fatigue syndrome following Q fever infection related to psychosocial variables?
J Psychosom Res. 2012 Apr; 72(4):300-4.JP

Abstract

OBJECTIVE

Fatigue is known as one of the most common long-term sequelae of Q fever infections. The study aimed to determine the prevalence of fatigue symptoms, chronic fatigue, and chronic fatigue syndrome (CFS) in a sample of patients who were exposed to Q fever (Coxiella burnetii) infection compared to controls, and to contrast Q fever patients with and without fatigue symptoms related to somatoform symptoms, hypochondriacal worries and beliefs, psychosocial complaints, and social support.

METHODS

Cross-sectional study of 84 Q fever exposed patients from a specific region in Jena (Germany) and 85 matched controls using standardized questionnaires (MFI, SF-12, CDC-SI, SOMS, Whiteley Index, OQ-45 and F-Sozu). Diagnostic interviews were performed to validate questionnaire results in a smaller subsample.

RESULTS

Patients who were exposed to a Q fever infection in the past indicated more fatigue symptoms and chronic fatigue than controls (54.8 vs. 20%, 32.1 vs. 4.7%) but did not show more criteria for a CFS (1 patient in each group). Q fever patients showing fatigue symptoms revealed significantly higher scores in the SOMS, the Whiteley-Index, and higher psychosocial complaints measured with the OQ-45. Their health related Quality of Life was reduced, no differences were found related to perceived social support.

CONCLUSION

Although in our sample fatigue symptoms were common among Q fever patients, we found no increased prevalence of CFS in contrast to several other studies. The combination of fatigue symptoms with other psychosocial symptoms/problems support the view of a biopsychosocial etiology of fatigue symptoms.

Authors+Show Affiliations

Jena University Hospital, Friedrich-Schiller University, Institute of Psychosocial Medicine and Psychotherapy, Germany. Bernhard.strauss@med.uni-jena.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22405225

Citation

Strauss, Bernhard, et al. "Are Fatigue Symptoms and Chronic Fatigue Syndrome Following Q Fever Infection Related to Psychosocial Variables?" Journal of Psychosomatic Research, vol. 72, no. 4, 2012, pp. 300-4.
Strauss B, Löschau M, Seidel T, et al. Are fatigue symptoms and chronic fatigue syndrome following Q fever infection related to psychosocial variables? J Psychosom Res. 2012;72(4):300-4.
Strauss, B., Löschau, M., Seidel, T., Stallmach, A., & Thomas, A. (2012). Are fatigue symptoms and chronic fatigue syndrome following Q fever infection related to psychosocial variables? Journal of Psychosomatic Research, 72(4), 300-4. https://doi.org/10.1016/j.jpsychores.2012.01.010
Strauss B, et al. Are Fatigue Symptoms and Chronic Fatigue Syndrome Following Q Fever Infection Related to Psychosocial Variables. J Psychosom Res. 2012;72(4):300-4. PubMed PMID: 22405225.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are fatigue symptoms and chronic fatigue syndrome following Q fever infection related to psychosocial variables? AU - Strauss,Bernhard, AU - Löschau,Maria, AU - Seidel,Thomas, AU - Stallmach,Andreas, AU - Thomas,Andrea, Y1 - 2012/02/09/ PY - 2011/08/31/received PY - 2012/01/16/revised PY - 2012/01/16/accepted PY - 2012/3/13/entrez PY - 2012/3/13/pubmed PY - 2012/8/14/medline SP - 300 EP - 4 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 72 IS - 4 N2 - OBJECTIVE: Fatigue is known as one of the most common long-term sequelae of Q fever infections. The study aimed to determine the prevalence of fatigue symptoms, chronic fatigue, and chronic fatigue syndrome (CFS) in a sample of patients who were exposed to Q fever (Coxiella burnetii) infection compared to controls, and to contrast Q fever patients with and without fatigue symptoms related to somatoform symptoms, hypochondriacal worries and beliefs, psychosocial complaints, and social support. METHODS: Cross-sectional study of 84 Q fever exposed patients from a specific region in Jena (Germany) and 85 matched controls using standardized questionnaires (MFI, SF-12, CDC-SI, SOMS, Whiteley Index, OQ-45 and F-Sozu). Diagnostic interviews were performed to validate questionnaire results in a smaller subsample. RESULTS: Patients who were exposed to a Q fever infection in the past indicated more fatigue symptoms and chronic fatigue than controls (54.8 vs. 20%, 32.1 vs. 4.7%) but did not show more criteria for a CFS (1 patient in each group). Q fever patients showing fatigue symptoms revealed significantly higher scores in the SOMS, the Whiteley-Index, and higher psychosocial complaints measured with the OQ-45. Their health related Quality of Life was reduced, no differences were found related to perceived social support. CONCLUSION: Although in our sample fatigue symptoms were common among Q fever patients, we found no increased prevalence of CFS in contrast to several other studies. The combination of fatigue symptoms with other psychosocial symptoms/problems support the view of a biopsychosocial etiology of fatigue symptoms. SN - 1879-1360 UR - https://www.unboundmedicine.com/medline/citation/22405225/Are_fatigue_symptoms_and_chronic_fatigue_syndrome_following_Q_fever_infection_related_to_psychosocial_variables L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(12)00026-8 DB - PRIME DP - Unbound Medicine ER -