Comparison of exhaustion symptoms in patients with stress-related and other psychiatric and somatic diagnoses

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  • Jesper Kristiansen, National Research Centre for the Working Environment
  • ,
  • Maria Kristine Friborg, National Research Centre for the Working Environment
  • ,
  • Nanna Eller, Bispebjerg Hospital, Bispebjerg
  • ,
  • Lars Peter Andreas Brandt, Department of Occupational and Environmental Medicine, Odense University Hospital, Odense
  • ,
  • David John Glasscock
  • Jesper Pihl-Thingvad, Department of Occupational and Environmental Medicine, Odense University Hospital, Odense
  • ,
  • Roger Persson, Department of Psychology, Lund University, Lund, Sweden.
  • ,
  • Aniella Beser, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm
  • ,
  • Marie Asberg, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm
  • ,
  • Sannie Vester Thorsen, National Research Centre for the Working Environment

BackgroundSeveral rating scales assessing stress-related symptoms of exhaustion have emerged in recent years. However, more knowledge is needed about the performance of these rating scales in patients with stress-related disorders as well as in other patient groups. With the recently developed Karolinska Exhaustion Disorder Scale (KEDS), we compared symptoms of exhaustion in different patient groups that were sorted according to diagnosis.MethodsPatients were sampled consecutively from departments of occupational medicine (DOM) at three Danish hospitals. The total study group comprised 698 care-seeking patients (487 women). Patients with stress-related diagnoses (n=217; the International Classification of Diseases [ICD]-10 code F43: reaction to severe stress and adjustment disorder) were compared to a diverse group of patients with a range of somatic diagnoses (n=338) and to patients with other psychiatric diagnoses (n=143), including subgroups with major depression disorder (n=34; F32 and F33) and problems related to employment and unemployment (n=99; Z56). The data were analysed using linear mixed models with the SPSS statistical program.ResultsThe mean KEDS sum score in patients with stress-related diagnoses (29.3; SD=8.0) was significantly higher than in patients with other psychiatric diagnoses (25.9; SD=9.5) and in patients with somatic diagnoses (17.6; SD=10.8). The subgroup with a major depression disorder had high mean KEDS sum scores (31.4, SD=8.1), similar to patients with stress-related diagnoses, while the mean KEDS sum score in patients with problems related to employment and unemployment (Z56) was 23.5 (SD=9.0). Young and old patients scored similarly on KEDS, but in patients with somatic diagnoses, female patients scored significantly higher than male patients.ConclusionThe symptoms of exhaustion measured with KEDS were higher in patients with stress-related diagnoses and major depression disorder than in patients with somatic diagnoses. The intermediate level of the symptoms of exhaustion that were associated with problems related to employment and unemployment, (Z56) compared to the lower level of the symptoms with somatic diagnoses, suggests that KEDS might be useful in detecting mild, prodromal states of exhaustion. This needs further investigation.

OriginalsprogEngelsk
Artikelnummer84
TidsskriftBMC Psychiatry
Vol/bind19
Antal sider9
ISSN1471-244X
DOI
StatusUdgivet - 4 mar. 2019

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