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Fatigue as a manifestation of psychosocial distress in a low-income country: A population-based panel study

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Fatigue as a manifestation of psychosocial distress in a low-income country : A population-based panel study. / Smartt, Caroline; Medhin, Girmay; Alem, Atalay; Patel, Vikram; Dewey, Michael; Prince, Martin; Hanlon, Charlotte.

In: Tropical Medicine and International Health, Vol. 21, No. 3, 01.03.2016, p. 365-372.

Research output: Contribution to journalArticle

Harvard

Smartt, C, Medhin, G, Alem, A, Patel, V, Dewey, M, Prince, M & Hanlon, C 2016, 'Fatigue as a manifestation of psychosocial distress in a low-income country: A population-based panel study', Tropical Medicine and International Health, vol. 21, no. 3, pp. 365-372. https://doi.org/10.1111/tmi.12658

APA

Smartt, C., Medhin, G., Alem, A., Patel, V., Dewey, M., Prince, M., & Hanlon, C. (2016). Fatigue as a manifestation of psychosocial distress in a low-income country: A population-based panel study. Tropical Medicine and International Health, 21(3), 365-372. https://doi.org/10.1111/tmi.12658

Vancouver

Smartt C, Medhin G, Alem A, Patel V, Dewey M, Prince M et al. Fatigue as a manifestation of psychosocial distress in a low-income country: A population-based panel study. Tropical Medicine and International Health. 2016 Mar 1;21(3):365-372. https://doi.org/10.1111/tmi.12658

Author

Smartt, Caroline ; Medhin, Girmay ; Alem, Atalay ; Patel, Vikram ; Dewey, Michael ; Prince, Martin ; Hanlon, Charlotte. / Fatigue as a manifestation of psychosocial distress in a low-income country : A population-based panel study. In: Tropical Medicine and International Health. 2016 ; Vol. 21, No. 3. pp. 365-372.

Bibtex Download

@article{b3d4a86fda5d49ac8264ec4c822837af,
title = "Fatigue as a manifestation of psychosocial distress in a low-income country: A population-based panel study",
abstract = "Objective: Fatigue is a common complaint worldwide and associated with disability and high health service use costs. We tested the hypothesis that maternal fatigue would be associated independently with maternal common mental disorder ('maternal CMD') in a rural, low-income country setting. Methods: The analysis was conducted using data from a population-based cohort located in the Butajira demographic surveillance site, Ethiopia. A total of 1065 women were recruited in pregnancy and followed up to 2.5 (n = 1009; 94.7{\%}) and 3.5 years post-partum (n = 989; 92.9{\%}). Maternal CMD symptoms were measured using a locally validated version of the Self-Reporting Questionnaire and fatigue was measured using a dichotomised item from the Patient Health Questionnaire-15. Physical health indicators included haemoglobin level, body mass index and illness episodes. Generalised estimating equations were used to conduct hypothesis-driven and exploratory multivariable analyses in the panel at 2.5 and 3.5 years. Results: The prevalence of maternal fatigue was 8.3{\%} at 2.5 years and 5.5{\%} at 3.5 years post-partum. Psychological symptoms of maternal CMD were associated independently with complaints of fatigue after adjusting for anaemia, body mass index, physical ill health, poverty and other confounding variables: adjusted odds ratio (aOR), 1.46; 95{\%} confidence interval (CI), 1.28-1.66 for each one point increase in SRQ score. In the multivariable model, only psychosocial factors (CMD and stressful life events) and self-reported physical ill health were associated significantly with complaints of fatigue. Conclusion: Complaints of fatigue are associated strongly with maternal CMD and other psychosocial risk factors in this rural, low-income country setting with a high burden of undernutrition and infectious disease. Fatigue should be understood as a potential indicator of CMD in primary care to improve detection and treatment.",
keywords = "Ethiopia, Fatigue, Low-and middle-income countries, Maternal CMD, Population-based panel study, Psychosocial distress",
author = "Caroline Smartt and Girmay Medhin and Atalay Alem and Vikram Patel and Michael Dewey and Martin Prince and Charlotte Hanlon",
year = "2016",
month = "3",
day = "1",
doi = "10.1111/tmi.12658",
language = "English",
volume = "21",
pages = "365--372",
journal = "Tropical Medicine and International Health",
issn = "1360-2276",
publisher = "BioMed Central Ltd.",
number = "3",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Fatigue as a manifestation of psychosocial distress in a low-income country

T2 - A population-based panel study

AU - Smartt, Caroline

AU - Medhin, Girmay

AU - Alem, Atalay

AU - Patel, Vikram

AU - Dewey, Michael

AU - Prince, Martin

AU - Hanlon, Charlotte

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Objective: Fatigue is a common complaint worldwide and associated with disability and high health service use costs. We tested the hypothesis that maternal fatigue would be associated independently with maternal common mental disorder ('maternal CMD') in a rural, low-income country setting. Methods: The analysis was conducted using data from a population-based cohort located in the Butajira demographic surveillance site, Ethiopia. A total of 1065 women were recruited in pregnancy and followed up to 2.5 (n = 1009; 94.7%) and 3.5 years post-partum (n = 989; 92.9%). Maternal CMD symptoms were measured using a locally validated version of the Self-Reporting Questionnaire and fatigue was measured using a dichotomised item from the Patient Health Questionnaire-15. Physical health indicators included haemoglobin level, body mass index and illness episodes. Generalised estimating equations were used to conduct hypothesis-driven and exploratory multivariable analyses in the panel at 2.5 and 3.5 years. Results: The prevalence of maternal fatigue was 8.3% at 2.5 years and 5.5% at 3.5 years post-partum. Psychological symptoms of maternal CMD were associated independently with complaints of fatigue after adjusting for anaemia, body mass index, physical ill health, poverty and other confounding variables: adjusted odds ratio (aOR), 1.46; 95% confidence interval (CI), 1.28-1.66 for each one point increase in SRQ score. In the multivariable model, only psychosocial factors (CMD and stressful life events) and self-reported physical ill health were associated significantly with complaints of fatigue. Conclusion: Complaints of fatigue are associated strongly with maternal CMD and other psychosocial risk factors in this rural, low-income country setting with a high burden of undernutrition and infectious disease. Fatigue should be understood as a potential indicator of CMD in primary care to improve detection and treatment.

AB - Objective: Fatigue is a common complaint worldwide and associated with disability and high health service use costs. We tested the hypothesis that maternal fatigue would be associated independently with maternal common mental disorder ('maternal CMD') in a rural, low-income country setting. Methods: The analysis was conducted using data from a population-based cohort located in the Butajira demographic surveillance site, Ethiopia. A total of 1065 women were recruited in pregnancy and followed up to 2.5 (n = 1009; 94.7%) and 3.5 years post-partum (n = 989; 92.9%). Maternal CMD symptoms were measured using a locally validated version of the Self-Reporting Questionnaire and fatigue was measured using a dichotomised item from the Patient Health Questionnaire-15. Physical health indicators included haemoglobin level, body mass index and illness episodes. Generalised estimating equations were used to conduct hypothesis-driven and exploratory multivariable analyses in the panel at 2.5 and 3.5 years. Results: The prevalence of maternal fatigue was 8.3% at 2.5 years and 5.5% at 3.5 years post-partum. Psychological symptoms of maternal CMD were associated independently with complaints of fatigue after adjusting for anaemia, body mass index, physical ill health, poverty and other confounding variables: adjusted odds ratio (aOR), 1.46; 95% confidence interval (CI), 1.28-1.66 for each one point increase in SRQ score. In the multivariable model, only psychosocial factors (CMD and stressful life events) and self-reported physical ill health were associated significantly with complaints of fatigue. Conclusion: Complaints of fatigue are associated strongly with maternal CMD and other psychosocial risk factors in this rural, low-income country setting with a high burden of undernutrition and infectious disease. Fatigue should be understood as a potential indicator of CMD in primary care to improve detection and treatment.

KW - Ethiopia

KW - Fatigue

KW - Low-and middle-income countries

KW - Maternal CMD

KW - Population-based panel study

KW - Psychosocial distress

UR - http://www.scopus.com/inward/record.url?scp=84959478186&partnerID=8YFLogxK

U2 - 10.1111/tmi.12658

DO - 10.1111/tmi.12658

M3 - Article

AN - SCOPUS:84959478186

VL - 21

SP - 365

EP - 372

JO - Tropical Medicine and International Health

JF - Tropical Medicine and International Health

SN - 1360-2276

IS - 3

ER -

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