Siyun Zou1,2, Zi-Han Liu3,4,5, Xiaona Yan6, Huan Wang7, Yulong Li7, Xiuying Xu6, Xiangdong Du1,2, Lan Zhang7, Qinge Zhang8, Todd Jackson9, Gabor S Ungvari10,11, Yu-Tao Xiang12,13,14. 1. Medical College of Soochow University, Suzhou, Jiangsu Province, China. 2. Guangji Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China. 3. Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Building E12, Avenida da Universidade, Taipa, Macau SAR, China. 4. Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China. 5. Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China. 6. Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China. 7. Department of Psychiatry, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China. 8. The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China. zqe81@126.com. 9. Department of Psychology, University of Macau, Macau SAR, China. 10. Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia. 11. University of Notre Dame Australia, Fremantle, Australia. 12. Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Building E12, Avenida da Universidade, Taipa, Macau SAR, China. xyutly@gmail.com. 13. Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China. xyutly@gmail.com. 14. Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China. xyutly@gmail.com.
Abstract
BACKGROUND: The pattern of fatigue in older psychiatric patients during the COVID-19 outbreak was unknown. This study examined the prevalence of fatigue and its association with overall quality of life (overall QOL) in clinically stable older patients with psychiatric disorders during the COVID-19 outbreak. METHODS: This was a multicenter, cross-sectional study. Fatigue, depressive symptoms, pain, insomnia symptoms, and overall QOL were assessed with standardized instruments. RESULTS: A total of 1063 patients were recruited. The prevalence of fatigue was 47.1% (95%CI: 44.1-50.1%). An analysis of covariance revealed that overall QOL was significantly lower in patients with fatigue compared to those without (P = 0.011). A multiple logistic regression analysis revealed that more severe depressive symptoms (OR = 1.15, P < 0.001), insomnia symptoms (OR = 1.08, P < 0.001) and pain (OR = 1.43, P < 0.001) were significantly associated with fatigue. CONCLUSIONS: Fatigue is common among clinically stable older patients with psychiatric disorders during the COVID-19 outbreak. Considering its negative impact on overall QOL, regular assessment of fatigue and appropriate treatment warrant attention in this subpopulation.
BACKGROUND: The pattern of fatigue in older psychiatricpatients during the COVID-19 outbreak was unknown. This study examined the prevalence of fatigue and its association with overall quality of life (overall QOL) in clinically stable older patients with psychiatric disorders during the COVID-19 outbreak. METHODS: This was a multicenter, cross-sectional study. Fatigue, depressive symptoms, pain, insomnia symptoms, and overall QOL were assessed with standardized instruments. RESULTS: A total of 1063 patients were recruited. The prevalence of fatigue was 47.1% (95%CI: 44.1-50.1%). An analysis of covariance revealed that overall QOL was significantly lower in patients with fatigue compared to those without (P = 0.011). A multiple logistic regression analysis revealed that more severe depressive symptoms (OR = 1.15, P < 0.001), insomnia symptoms (OR = 1.08, P < 0.001) and pain (OR = 1.43, P < 0.001) were significantly associated with fatigue. CONCLUSIONS:Fatigue is common among clinically stable older patients with psychiatric disorders during the COVID-19 outbreak. Considering its negative impact on overall QOL, regular assessment of fatigue and appropriate treatment warrant attention in this subpopulation.
Entities:
Keywords:
COVID-19; Fatigue; Older psychiatric patients; Quality of life
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