Fatigue during the COVID-19 pandemic - prevalence and predictors: findings from a prospective cohort study.

IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Stress-The International Journal on the Biology of Stress Pub Date : 2024-01-01 Epub Date: 2024-05-17 DOI:10.1080/10253890.2024.2352117
Michail Kalfas, Kieran Ayling, Ru Jia, Carol Coupland, Kavita Vedhara, Trudie Chalder
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Abstract

The COVID-19 pandemic and consequent lockdowns had a substantial impact on mental health. Distress and fatigue are highly correlated. However, little is known about the determinants of fatigue in the general population during the pandemic. This study aimed to examine the prevalence and predictors of fatigue during the COVID-19 pandemic in the UK population. Online surveys were completed by a UK community cohort in April 2020 (wave 1), July-September 2020 (wave 2) and November-December 2020 (wave 3). In total, 3097 participants completed the wave 1 survey, and 1385 and 1087 participants (85.4% women) completed wave 2 and 3 surveys respectively. Fatigue was assessed using the Chalder Fatigue Scale at waves 2 and 3. Hair samples were provided by 827 participants (90.6% women) at wave 1 and wave 2, which were analyzed to indicate HairE (stress hormone). The mean total fatigue score during wave 2 was 14.7 (SD = 4.7), significantly higher than pre-pandemic levels observed in the community (mean difference 0.50, p = .003). At wave 2, 614 (44.3%) participants met the case definition for fatigue, only 15.6% of whom indicated that fatigue lasted for more than 6 months (suggesting it had started prior to the pandemic). Predictors of fatigue at wave 3 included being in a risk group, depression and belief in having COVID-19, which explained 23.8% of the variability in fatigue scores. Depression at wave 1 was the only significant predictor of remaining a fatigue case at wave 3. Fatigue was highly prevalent in the UK community during the COVID-19 pandemic and limited people's daily function. Depression and sociodemographic variables were significant predictors of fatigue.

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COVID-19 大流行期间的疲劳--流行程度和预测因素:一项前瞻性队列研究的结果。
COVID-19 大流行和随之而来的封锁对心理健康产生了重大影响。苦恼和疲劳是高度相关的。然而,人们对大流行期间普通人群疲劳的决定因素知之甚少。本研究旨在调查 COVID-19 大流行期间英国人口疲劳的发生率和预测因素。英国社区人群于 2020 年 4 月(第 1 次调查)、2020 年 7 月至 9 月(第 2 次调查)和 2020 年 11 月至 12 月(第 3 次调查)完成了在线调查。共有 3097 名参与者完成了第 1 次调查,1385 名和 1087 名参与者(85.4% 为女性)分别完成了第 2 次和第 3 次调查。在第 2 和第 3 次调查中,使用 Chalder 疲劳量表对疲劳程度进行了评估。827 名参与者(90.6% 为女性)在第 1 波和第 2 波提供了头发样本,分析结果显示了 HairE(压力荷尔蒙)。第 2 波的疲劳总分平均值为 14.7(标准差 = 4.7),明显高于在社区观察到的大流行前水平(平均差为 0.50,P = .003)。在第 2 次调查中,有 614 名(44.3%)参与者符合疲劳的病例定义,其中只有 15.6% 的人表示疲劳持续了 6 个月以上(表明疲劳在大流行之前就已开始)。第 3 波时的疲劳预测因素包括处于风险组、抑郁和认为自己患有 COVID-19,这些因素解释了 23.8% 的疲劳评分差异。第 1 次检测时的抑郁是第 3 次检测时仍为疲劳病例的唯一重要预测因素。在 COVID-19 大流行期间,疲劳在英国社区非常普遍,限制了人们的日常活动。抑郁和社会人口变量是疲劳的重要预测因素。
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来源期刊
CiteScore
5.60
自引率
0.00%
发文量
25
审稿时长
6-12 weeks
期刊介绍: The journal Stress aims to provide scientists involved in stress research with the possibility of reading a more integrated view of the field. Peer reviewed papers, invited reviews and short communications will deal with interdisciplinary aspects of stress in terms of: the mechanisms of stressful stimulation, including within and between individuals; the physiological and behavioural responses to stress, and their regulation, in both the short and long term; adaptive mechanisms, coping strategies and the pathological consequences of stress. Stress will publish the latest developments in physiology, neurobiology, molecular biology, genetics research, immunology, and behavioural studies as they impact on the understanding of stress and its adverse consequences and their amelioration. Specific approaches may include transgenic/knockout animals, developmental/programming studies, electrophysiology, histochemistry, neurochemistry, neuropharmacology, neuroanatomy, neuroimaging, endocrinology, autonomic physiology, immunology, chronic pain, ethological and other behavioural studies and clinical measures.
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