Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 98
Filtrar
Mais filtros










Intervalo de ano de publicação
1.
Tohoku J Exp Med ; 248(4): 261-272, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31434813

RESUMO

After the Fukushima nuclear accident in 2011, there was confusion among the public caused by uncoordinated information about radiation provided by diverse channels. We explored the association between information sources regarding reconstruction progress after the disaster and mental fatigue in Fukushima. We used data from the annual public opinion survey by the Fukushima Prefectural Government on its policies from 2013 to 2015, which contained survey responses from 1,300 community residents randomly selected from the 28 municipalities in the Fukushima Prefecture. The survey contained a question assessing mental fatigue: "How often do you usually feel mentally tired or depressed?" In total, 2,130 participants (758 participants in 2013, 699 participants in 2014, and 673 participants in 2015) were analyzed. The respondents were classified as two categories, "high mental fatigue" and "low mental fatigue," based on their responses to this question. Overall, the proportion of participants with high mental fatigue was 13.2%. There was no association between the year of survey or occupation and high mental fatigue. Cluster analysis was performed to classify information sources. Then, we conducted a cross-sectional analysis of the associations between clusters of information sources and high mental fatigue. We found that unreliable information sources, such as "Internet" and "a combination of TV, radio, and word of mouth," were significantly associated with high mental fatigue, compared with reliable information sources, such as "municipal public relations in addition to major media (newspaper, TV, and radio)." These findings provide important insights into how information sources affect mental fatigue following a disaster.


Assuntos
Acidente Nuclear de Fukushima , Fadiga Mental/epidemiologia , Adulto , Idoso , Feminino , Geografia , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Adulto Jovem
2.
Artigo em Inglês | MEDLINE | ID: mdl-31443480

RESUMO

OBJECTIVES: "Karoshi" (death due to overwork) of doctors occurred frequently and attracted increasing attention in recent years in China. This study aimed to determine the prevalence of work-related accumulated fatigue of doctors and its associated factors in tertiary hospitals of China. METHODS: A cross-sectional questionnaire survey was conducted on 1729 full-time doctors employed by 24 tertiary hospitals across eastern developed, central developing, and western underdeveloped regions of China. Accumulated fatigue was categorized into four levels using the "Self-diagnosis Checklist for Assessment of Workers' Accumulated Fatigue" rated on a scale matrix considering both overwork and fatigue symptoms. Ordinal logistic regression analyses were performed to identify factors associated with work-related accumulated fatigue. RESULTS: About 78.8% of respondents reported a "high level" of work-related accumulated fatigue, including 42.0% at a "very high" level. Male doctors and those aged between 30 and 45 years and who had a professional title were found to have higher levels of accumulative fatigue than others. Low salary and poor working conditions (in the western region) were also significantly associated with high levels of work-related accumulated fatigue (p < 0.05). CONCLUSION: High levels of work-related accumulated fatigue are prevalent in doctors working in tertiary hospitals in China. Male doctors establishing their early- and mid-careers are the high-risk group. Poor working conditions are associated with work-related accumulated fatigue.


Assuntos
Fadiga Mental/epidemiologia , Médicos/psicologia , Adulto , Idoso , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Fadiga Mental/psicologia , Pessoa de Meia-Idade , Médicos/estatística & dados numéricos , Prevalência
3.
Mult Scler Relat Disord ; 31: 118-123, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30981190

RESUMO

OBJECTIVE: To examine whether cognitive and physical fatigue are differentially associated with problems in self-care, mobility, relationships, participation, psychological well-being, and quality of life in people with multiple sclerosis. METHODS: A cross-sectional study involving seventy-four community-dwelling people with MS was undertaken. Between-groups analysis was used to compare ratings on the Perceived Impact of Problem Profile (PIPP) in a range of functional domains and the SF-36 quality of life measure, across median-split groups based on level of both physical and cognitive fatigue using the Modified Fatigue Impact Scale. RESULTS: The impact of poor psychological well-being (p = .005), and associated distress (p = .008) on PIPP was greater in the 'high-level' cognitive fatigue group than the 'low-level' cognitive fatigue group. By contrast, the 'high-level' and 'low-level' physical fatigue groups differed significantly in their self-reported impact of problems in the areas of mobility (p = .002), relationships (p = .014), participation (p = .001), and psychological well-being (p = .004). Overall mental quality of life was significantly lower (p < .001) in those high in cognitive fatigue comparative to the low-level group, and overall physical quality of life was significantly lower (p = .002) in people with multiple sclerosis high in physical fatigue as opposed to low. CONCLUSION: Cognitive and physical fatigue were associated with distinct problems in daily functioning, which impact differentially on role fulfilment and quality of life in multiple sclerosis. Therefore, these two types of fatigue should be considered distinct domains of the fatigue experience in MS.


Assuntos
Atividades Cotidianas , Fadiga Mental/psicologia , Esclerose Múltipla/psicologia , Qualidade de Vida , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Fadiga Mental/complicações , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/epidemiologia , Autocuidado/estatística & dados numéricos , Adulto Jovem
4.
Clin Nurse Spec ; 32(4): 177-181, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29878928

RESUMO

PURPOSE: The purpose of this study was to examine the incidence of attentional fatigue and the relationship between sleep disturbance and attentional fatigue in working long-term breast cancer survivors (BCS). METHODS: A descriptive, correlation design was used. The data for this study were drawn from a larger descriptive study designed to understand the impact of cognitive dysfunction on work-related outcomes. Breast cancer survivors completed questionnaires regarding sleep disturbance, attentional fatigue, and demographic and medical characteristics. Sleep disturbance, a subscale of the Pittsburgh Sleep Quality Index, is measured by asking 9 questions about sleep disturbances. Attentional fatigue was measured by the Attentional Function Index. Descriptive statistics and multiple regression were performed to assess the impact of sleep disturbance on attentional fatigue, controlling for covariates. RESULTS: Sixty-eight female BCS, ranging from 29 to 68 years old (mean [SD], 52.1 [8.6] years old) and, on average, 4.97 (SD, 3.36) years posttreatment, participated. Thirty-four percent of BCS had poor to moderate attention function. Sleep disturbance significantly predicted attentional fatigue (P < .05), explaining 16% of the variance, F4,57 = 2.68, P < .04, R = 0.16. CONCLUSIONS: Clinicians can assess and intervene to decrease sleep disturbance, which may also improve attentional fatigue in BCS. However, sleep disturbance is only 1 contributing factor. Further investigation into factors contributing to attentional fatigue in BCS is warranted.


Assuntos
Atenção , Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Fadiga Mental/epidemiologia , Trabalho/psicologia , Adulto , Idoso , Neoplasias da Mama/terapia , Sobreviventes de Câncer/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Fatores de Risco , Transtornos do Sono-Vigília/epidemiologia , Trabalho/estatística & dados numéricos , Adulto Jovem
5.
Aging Ment Health ; 22(11): 1486-1493, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-28885038

RESUMO

OBJECTIVES: Improving the design and targeting of interventions is important for alleviating loneliness among older adults. This requires identifying which correlates are the most important predictors of loneliness. This study demonstrates the use of recursive partitioning in exploring the characteristics and assessing the relative importance of correlates of loneliness in older adults. METHOD: Using exploratory regression trees and random forests, we examined combinations and the relative importance of 42 correlates in relation to loneliness at age 68 among 2453 participants from the birth cohort study the MRC National Survey of Health and Development. RESULTS: Positive mental well-being, personal mastery, identifying the spouse as the closest confidant, being extrovert and informal social contact were the most important correlates of lower loneliness levels. Participation in organised groups and demographic correlates were poor identifiers of loneliness. The regression tree suggested that loneliness was not raised among those with poor mental wellbeing if they identified their partner as closest confidante and had frequent social contact. CONCLUSION: Recursive partitioning can identify which combinations of experiences and circumstances characterise high-risk groups. Poor mental wellbeing and sparse social contact emerged as especially important and classical demographic factors as insufficient in identifying high loneliness levels among older adults.


Assuntos
Fadiga/epidemiologia , Nível de Saúde , Solidão , Satisfação Pessoal , Personalidade , Rede Social , Participação Social , Fatores Socioeconômicos , Idoso , Estudos de Coortes , Interpretação Estatística de Dados , Feminino , Humanos , Masculino , Fadiga Mental/epidemiologia , Reino Unido/epidemiologia
6.
Psychol Health Med ; 23(3): 304-316, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28778141

RESUMO

The present study aimed to investigate the prevalence of fatigue and determine factors associated with fatigue in female medical personnel. Based on a cross-sectional study, a total of 1608 female medical personnel at 54 hospitals in Zhuhai, China were recruited by a multistage stratified cluster sampling method. The Symptoms Checklist-90-Revised and Chalder Fatigue Scale were used to assess psychiatric symptoms and fatigue, respectively. Data regarding demographic, health, and work related variables were also collected. Multivariate logistic regression model was constructed to determine the influencing factors of fatigue. Approximately 83% of participants had experienced fatigue in the past week. The risk of fatigue was higher in aged 30-39 years old than older or younger participants; Longer sleeping time predicted a lower prevalence of fatigue (OR = .35), while tense physician-patient relationship predicted a higher prevalence of fatigue (OR = 1.77). Depression (OR = 1.76) and anxiety (OR = 1.96) were found related to fatigue. Additionally, fatigue was associated with marital status, occupation, health related factors (exercise, regular diet, and health status), and work related factors (hospital rank and turnover intention). These study findings might facilitate development and implementation of targeted interventions and preventive measures.


Assuntos
Fadiga/psicologia , Nível de Saúde , Fadiga Mental/psicologia , Médicas/psicologia , Adulto , Fatores Etários , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , China , Correlação de Dados , Estudos Transversais , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/psicologia , Fadiga/epidemiologia , Feminino , Humanos , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Análise Multivariada , Razão de Chances , Relações Médico-Paciente , Médicas/estatística & dados numéricos , Qualidade de Vida/psicologia , Fatores de Risco , Privação do Sono/epidemiologia , Privação do Sono/psicologia
7.
BMC Public Health ; 17(1): 654, 2017 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-28806984

RESUMO

BACKGROUND: Fatigue is widespread in the population and a common complaint in primary care. Little is known about prevalence of fatigue in the population and its predictors. We aimed to describe the pattern of fatigue in the general population and to explore the associations with age, sex, socioeconomic status, self-reported physical activity, sitting time and self-rated health. METHODS: One thousand, five hundred and fifty-seven out of 2500 invited subjects in the Northern Sweden MONICA Study 2014, aged 25-74 years, filled out the Multidimensional Fatigue Inventory (MFI-20), consisting of four subscales: General fatigue (GF), Physical fatigue (PF), Reduced activity (RA) and Mental fatigue (MF). Questions regarding age, sex, socioeconomic status, physical activity, sitting time and self-rated health were also included. RESULTS: Higher age correlated significantly with lower fatigue scores for the GF and MF subscales. Women had higher fatigue scores than men on all subscales (p < 0.05). Among men, higher socioeconomic status was related to lower fatigue for the GF, PF and RA subscales (age adjusted p < 0.05). Among women, higher socioeconomic status was related to lower fatigue for the PF and MF subscales (age adjusted p < 0.05). Higher physical activity was connected to lower levels of fatigue for all subscales (age and sex adjusted p < 0.001) except for MF. Longer time spent sitting was also related to more fatigue on all subscales (age and sex adjusted p < 0.005) except for MF. Better self-rated health was strongly associated with lower fatigue for all subscales (age and sex adjusted p < 0.001). CONCLUSION: Older, highly educated, physically active men, with little sedentary behavior are generally the least fatigued. Self-rated health is strongly related to fatigue. Interventions increasing physical exercise and reducing sedentary behavior may be important to help patients with fatigue and should be investigated in prospective studies.


Assuntos
Exercício/fisiologia , Fadiga/epidemiologia , Fadiga Mental/epidemiologia , Vigilância da População , Adulto , Fatores Etários , Idoso , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Comportamento Sedentário , Autorrelato , Fatores Sexuais , Classe Social , Suécia/epidemiologia
8.
Artigo em Inglês | MEDLINE | ID: mdl-28771199

RESUMO

Job strain is a major concern in view of its effects among civil servants associated with job burnout, mental fatigue and chronic diseases. The objective of this study was to assess the job strain level among civil servants and examine the effect of job strain on job burnout, mental fatigue and the resulting chronic diseases. A cross-sectional study with a representative sample consisting of 5000 civil servants was conducted from March to August 2014. Using a structured questionnaire, the job strain level, job burnout and mental fatigue were measured by using the Personal Strain Questionnaire (PSQ), Maslach Burnout Inventory (MBI) and Multidimensional Fatigue Inventory (MFI-20), respectively. Overall, 33.8% of the civil servants were found to be afflicted with high and moderate job strain. The characteristics of most of the civil servants with a higher-job strain level were as follows: female, Uygur, lower educational level and job title rank, shorter working experience, married marital status, and lower income level. Civil servants suffering from chronic disease mainly had hypertension and coronary heart disease, which accounted for 18.5% of the diseases. Civil servants with a high-job strain level exhibited higher rates of burnout, mental fatigue scores and incidence of chronic diseases. There was a multiple linear regression model composed of three predictor variables in job burnout, which accounted for 45.0% of its occurrence: female gender, lower-income level, higher-job strain in civil servants, the greater the rate of job burnout was. Four factors-male gender, lower-job title rank, higher-job strain, shorter-job tenure of civil servants-explained 25.0% of the mental fatigue model. Binary logistic regression showed that intermediate-rank employees (OR = 0.442, 95% CI: 0.028-0.634; p < 0.05), job tenure of 10-20 years (OR = 0.632, 95% CI: 0.359-0.989; p < 0.05), and low-job strain (OR = 0.657, 95% CI: 0.052-0.698; p < 0.05) were all associated with significantly lower odds of chronic disease. The risk of chronic disease was higher in civil servants with high-job burnout scores and mental fatigue scores compared with civil servants with lower scores (OR = 1.139, 95% CI: 1.012-3.198; OR = 1.697, 95% CI: 1.097-2.962). These data provide evidence for the effects of job strain on job burnout, mental fatigue and chronic diseases among civil servants.


Assuntos
Empregados do Governo/psicologia , Empregados do Governo/estatística & dados numéricos , Fadiga Mental/epidemiologia , Estresse Ocupacional/epidemiologia , Adulto , China/epidemiologia , Doença Crônica , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
9.
Anaesthesia ; 72(9): 1069-1077, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28681546

RESUMO

Long daytime and overnight shifts remain a major feature of working life for trainees in anaesthesia. Over the past 10 years, there has been an increase in awareness and understanding of the potential effects of fatigue on both the doctor and the patient. The Working Time Regulations (1998) implemented the European Working Time Directive into UK law, and in August 2009 it was applied to junior doctors, reducing the maximum hours worked from an average of 56 per week to 48. Despite this, there is evidence that problems with inadequate rest and fatigue persist. There is no official guidance regarding provision of a minimum standard of rest facilities for doctors in the National Health Service, and the way in which rest is achieved by trainee anaesthetists during their on-call shift depends on rota staffing and workload. We conducted a national survey to assess the incidence and effects of fatigue among the 3772 anaesthetists in training within the UK. We achieved a response rate of 59% (2231/3772 responses), with data from 100% of NHS trusts. Fatigue remains prevalent among junior anaesthetists, with reports that it has effects on physical health (73.6% [95%CI 71.8-75.5]), psychological wellbeing (71.2% [69.2-73.1]) and personal relationships (67.9% [65.9-70.0]). The most problematic factor remains night shift work, with many respondents commenting on the absence of breaks, inadequate rest facilities and 57.0% (55.0-59.1) stating they had experienced an accident or near-miss when travelling home from night shifts. We discuss potential explanations for the results, and present a plan to address the issues raised by this survey, aiming to change the culture around fatigue for the better.


Assuntos
Anestesiologia/educação , Internato e Residência , Fadiga Mental/epidemiologia , Fadiga Mental/psicologia , Acidentes de Trânsito , Adulto , Feminino , Humanos , Incidência , Masculino , Admissão e Escalonamento de Pessoal , Médicos , Descanso , Medicina Estatal , Inquéritos e Questionários , Reino Unido/epidemiologia , Tolerância ao Trabalho Programado , Carga de Trabalho
10.
Clinics (Sao Paulo) ; 72(5): 305-309, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28591343

RESUMO

OBJECTIVE:: To evaluate professional achievement and factors associated with occupational burnout among health professionals. METHODS:: An institution-based cross-sectional study was conducted on 436 healthcare providers, consisting of 101 nurses, 81 doctors and 254 nursing technicians, all meeting pre-established inclusion criteria. Occupational burnout was detected using the Maslach occupational burnout inventory tool. Data were collected by self-administered questionnaires comprising questions concerning socio-demographics, education and training, and the Maslach occupational burnout inventory was used to identify levels of emotional exhaustion, depersonalization and professional achievement. RESULTS:: Emotional exhaustion was associated with education level and work place for nursing technicians. Depersonalization was associated with gender in nursing technicians. For nurses, depersonalization showed a significant association with education level, whereas this factor was associated with number of jobs for doctors. Lower levels of professional achievement were observed for unspecialized doctors compared to those with further training. Higher levels of professional achievement were associated with professionals with postgraduate training compared to those without. CONCLUSIONS:: High levels of emotional exhaustion were found in professionals from the maternity unit as well as in professionals with lower educational levels. Depersonalization was higher in physicians with several jobs and in female nurses. Low professional achievement was found in unspecialized doctors, while high professional achievement was associated with postgraduate training.


Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Recursos Humanos em Hospital/psicologia , Brasil/epidemiologia , Estudos Transversais , Despersonalização , Feminino , Hospitais Universitários/estatística & dados numéricos , Humanos , Masculino , Fadiga Mental/epidemiologia , Fadiga Mental/etiologia , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Risco , Autorrelato , Fatores Socioeconômicos , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
11.
Rev Assoc Med Bras (1992) ; 63(4): 361-365, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28614540

RESUMO

Objective:: To evaluate burnout syndrome in its three aspects, jointly as well as independently, in physiotherapists from the Extremadura region (Spain). Method:: Analytic descriptive epidemiological transversal trial in primary care and institutional practice, with physiotherapists practicing in Extremadura who met the inclusion criteria, after having signed an informed consent form. Emotional exhaustion, depersonalization and low professional accomplishment were the outcomes measured. Results:: Physiotherapists from Extremadura show a 65.23 point level of burnout syndrome, according to the Maslach Burnout Inventory questionnaire. Therefore, they are positioned in the middle of the rating scale for the syndrome, and very near to the high level at starting score of 66 points. Conclusion:: Physiotherapists in Extremadura present moderate scores for the three dimensions of burnout syndrome, namely, emotional exhaustion, depersonalization and low professional accomplishment. For this reason, they are in the moderate level of the syndrome and very near to the high level, which starts at a score of 66 points. No relation between burnout syndrome and age has been found in our study.


Assuntos
Esgotamento Profissional/epidemiologia , Fisioterapeutas/psicologia , Análise de Variância , Estudos Transversais , Despersonalização/epidemiologia , Despersonalização/psicologia , Humanos , Fadiga Mental/epidemiologia , Fadiga Mental/psicologia , Fisioterapeutas/estatística & dados numéricos , Prevalência , Setor Privado/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Índice de Gravidade de Doença , Espanha/epidemiologia , Inquéritos e Questionários , Fatores de Tempo , Carga de Trabalho
12.
Clinics ; 72(5): 305-309, May 2017. tab
Artigo em Inglês | LILACS | ID: biblio-840081

RESUMO

OBJECTIVE: To evaluate professional achievement and factors associated with occupational burnout among health professionals. METHODS: An institution-based cross-sectional study was conducted on 436 healthcare providers, consisting of 101 nurses, 81 doctors and 254 nursing technicians, all meeting pre-established inclusion criteria. Occupational burnout was detected using the Maslach occupational burnout inventory tool. Data were collected by self-administered questionnaires comprising questions concerning socio-demographics, education and training, and the Maslach occupational burnout inventory was used to identify levels of emotional exhaustion, depersonalization and professional achievement. RESULTS: Emotional exhaustion was associated with education level and work place for nursing technicians. Depersonalization was associated with gender in nursing technicians. For nurses, depersonalization showed a significant association with education level, whereas this factor was associated with number of jobs for doctors. Lower levels of professional achievement were observed for unspecialized doctors compared to those with further training. Higher levels of professional achievement were associated with professionals with postgraduate training compared to those without. CONCLUSIONS: High levels of emotional exhaustion were found in professionals from the maternity unit as well as in professionals with lower educational levels. Depersonalization was higher in physicians with several jobs and in female nurses. Low professional achievement was found in unspecialized doctors, while high professional achievement was associated with postgraduate training.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Recursos Humanos em Hospital/psicologia , Brasil/epidemiologia , Estudos Transversais , Despersonalização , Hospitais Universitários/estatística & dados numéricos , Fadiga Mental/epidemiologia , Fadiga Mental/etiologia , Estudos Prospectivos , Fatores de Risco , Autorrelato , Fatores Socioeconômicos , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
13.
Int J STD AIDS ; 28(13): 1325-1334, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28409538

RESUMO

We compared the prevalence of menopause symptoms between women living with HIV to their HIV-negative peers and determined predictors of severe menopause symptoms in Jos, Nigeria. This descriptive cross-sectional study included 714 women aged 40-80 years. We compared prevalence and severity of menopause symptoms using the menopause rating scale (MRS). Logistic regression analysis was used to determine the predictors of severe symptoms. Six-hundred and seven (85.0%) were HIV-positive, with a mean duration of infection of 5.6 ± 2.7 years. The mean age of the cohort was 46 ± 5 years. The most prevalent menopause symptoms were hot flushes (67.2%), joint and muscle discomfort (66.2%), physical/mental exhaustion (65.3%), heart discomfort (60.4%), and anxiety (56.4%). The median MRS score was higher for HIV-positive compared to HIV-negative women (p = 0.01). Factors associated with severe menopause symptoms included HIV-positive status (aOR: 3.01, 95% CI: 1.20-7.54) and history of cigarette smoking (aOR: 4.18, 95% CI: 1.31-13.26). Being married (aOR: 0.49, 95% CI: 0.32-0.77), premenopausal (aOR: 0.60, 95% CI: 0.39-0.94), and self-reporting good quality of life (aOR: 0.62. 95% CI: 0.39-0.98) were protective against severe menopause symptoms. We found HIV infection, cigarette smoking, quality of life, and stage of the menopause transition to be associated with severe menopause symptoms. As HIV-positive populations are aging, additional attention should be given to the reproductive health of these women.


Assuntos
Infecções por HIV/psicologia , Soronegatividade para HIV , Soropositividade para HIV/epidemiologia , Fogachos/epidemiologia , Menopausa/psicologia , Qualidade de Vida , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Infecções por HIV/epidemiologia , Humanos , Modelos Logísticos , Menopausa/fisiologia , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Nigéria/epidemiologia , Dor/epidemiologia , Prevalência , Índice de Gravidade de Doença , Transtornos do Sono-Vigília , Inquéritos e Questionários
14.
Brain Behav ; 7(4): e00653, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28413704

RESUMO

Self-estimated health can be used for comparison of different diseases between countries. It is important to elaborate on whether disparities in self-estimated health are due to disease-specific parameters or socioeconomic differences. In this study, we aimed at evaluating clinical and social similarities and differences in myasthenia gravis (MG) patients between comparable regions in two Baltic Sea countries, Estonia and Sweden. METHODS: This cross-sectional study included southern counties in Sweden and Estonia of comparable size. All patients with a confirmed MG diagnosis were asked to answer two questionnaires including demographic and disease-specific data, lifestyle issues, and mental fatigue (Fatigue Severity Scale [FSS]). Clinical fatigue was assessed objectively through the Quantitative Myasthenia Gravis Score (QMG). RESULTS: Thirty-six of 92 identified patients in Estonia and 40 of 70 identified MG patients in Sweden chose to participate in the study. The demographic characteristics and symptoms reported by the patients were similar. QMG score did not differ; however, the Estonian patients scored their current subjective disease severity significantly higher (5.6 ± 2.8) compared to the Swedish patients (3.4 ± 2.3, p = .0005). Estonian patients also had significantly higher FSS scores (5.0 ± 1.7) than Swedish patients (3.5 ± 1.6; p = .001). Swedish patients were more active and performed physical activity more regularly (29.1% in Estonia and 74.2% in Sweden, p = .004). CONCLUSIONS: Although, the patients had comparable clinical fatigue, Estonian patients evaluated their health state as being more severe and reported more mental fatigue than Swedish patients. These data indicate large regional differences in disease perception of MG, which is important to consider in international studies.


Assuntos
Fadiga Mental/epidemiologia , Miastenia Gravis/epidemiologia , Miastenia Gravis/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Estudos Transversais , Estônia/epidemiologia , Feminino , Humanos , Masculino , Fadiga Mental/fisiopatologia , Pessoa de Meia-Idade , Miastenia Gravis/fisiopatologia , Prevalência , Índice de Gravidade de Doença , Fatores Socioeconômicos , Inquéritos e Questionários , Suécia/epidemiologia , Adulto Jovem
15.
Rev. andal. med. deporte ; 10(1): 31-41, mar. 2017. tab
Artigo em Espanhol | IBECS | ID: ibc-160074

RESUMO

Actualmente no existe consenso sobre los factores que determinan la aparición de la fatiga. Hay factores que se derivan exclusivamente del esfuerzo físico, otros que dependen del esfuerzo mental que este lleva aparejado, y otros de los resultados de la tarea que se está realizando. Como consecuencia, se han desarrollado diferentes modelos explicativos que pretenden aunar las diferentes razones de su aparición. No obstante, la tendencia actual es entender la fatiga como un estado motivacional complejo cuyo origen tiene lugar en numerosos procesos fisiológicos y psicológicos que sirven para regular el esfuerzo y proteger al organismo de daños graves. Los objetivos de la presente revisión narrativa son analizar los diferentes enfoques existentes para el estudio y la explicación de la fatiga, establecer el vínculo con el concepto de carga de entrenamiento y justificar la importancia de evaluar las repercusiones de la carga mental para conseguir una adecuada planificación y control del proceso de entrenamiento (AU)


There is currently no consensus on the factors that determine the onset of fatigue. There are some factors that are derived exclusively from the physical effort, others that depend on the mental effort due to physical effort, and some others on the feedback provided by the task being performed. As a result, we have developed different explanatory models that seek to combine the different reasons for its occurrence. Nevertheless, the current trend is to understand fatigue as a complex motivational state whose origin occurs in many physiological and psychological processes that serve to regulate the effort and protect the body from serious damage. The aims of this narrative review are to analyze the different existing approaches to the study and explanation of fatigue, establish the link with the concept of training load and justify the importance of evaluating the impact of mental load to achieve a proper planning and a training process control (AU)


Atualmente não existe consenso sobre os fatores que determinam o aparecimento da fadiga. Existem fatores que são derivados exclusivamente do esforço físico, outros que dependem do esforço mental que ela traz, e outros resultados da tarefa executada. Como consequência, tem-se desenvolvido diferentes modelos explicativos que procuram combinar as diferentes razões para a sua ocorrência. No entanto, a tendência atual é entender a fadiga como um estado motivacional complexo, cuja origem ocorre em muitos processos fisiológicos e psicológicos que servem para regular o esforço e proteger o corpo de danos graves. Os objetivos da presente revisão narrativa são analisar as diferentes abordagens existentes para o estudo e explicação da fadiga, estabelecer a ligação com o conceito de carga de treinamento e justificar a importância de se avaliar o impacto da carga mental para alcançar um planejamento adequado e controle de processo de treinamento (AU)


Assuntos
Humanos , Masculino , Feminino , Fadiga/epidemiologia , Fadiga Mental/epidemiologia , Fadiga Mental/psicologia , Treinamento de Resistência/métodos , Esforço Físico/fisiologia , Fadiga/etiologia , Desidratação/complicações , Suor/fisiologia , Motivação/fisiologia , Terapia Cognitivo-Comportamental/tendências , Transtornos Neurocognitivos/fisiopatologia
16.
J Women Aging ; 29(5): 428-436, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27629589

RESUMO

We examined 359 women aged 45-65 years who visited Jordan University Hospital between February and November 2014. The menopausal symptoms were assessed using a validated Arabic version of the menopause rating scale. The mean age at menopause was 49.4 years. Women aged 50-55 years more frequently exhibited hot flushes and vaginal dryness. Although premenopausal women were 1.5 times more likely to experience irritability, perimenopausal women were more likely to experience hot flushes, physical and mental irritability, sexual problems, vaginal dryness, and joint and muscular discomfort. Hence, health care providers should focus on women at all stages of life.


Assuntos
Fogachos/psicologia , Menopausa/psicologia , Fadiga Mental/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Estresse Psicológico/psicologia , Feminino , Fogachos/epidemiologia , Humanos , Jordânia , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Qualidade de Vida , Índice de Gravidade de Doença , Disfunções Sexuais Fisiológicas/epidemiologia , Disfunções Sexuais Psicogênicas/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
17.
Mult Scler Relat Disord ; 10: 1-6, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27919474

RESUMO

BACKGROUND: Although cognitive fatigue plays a significant part in Multiple Sclerosis (MS) related impairment, knowledge regarding it is largely lacking. Until now, not many tools are available to a clinician to detect cognitive fatigue. The subjective tools of fatigue have never been reliable.tabl OBJECTIVES: To assess the prevalence and clinical/ demographic profile of cognitive fatigue in MS using novel clinical and electrophysiological measures and to find their accuracy. We also aimed to test the three leading hypotheses - the temporal fatigue, cognitive load and cognitive domain hypotheses of cognitive fatigue in MS. METHODS: 50 consecutive MS patients attending the Neurology OPD in Madras Medical College, Chennai from May 2015 to February 2016 satisfying the 2010 revised McDonald criteria for MS with an equal number of matched controls were recruited. Modified versions (a shorter version, and longer and more demanding versions) of the Stroop test, symbol digit modalities test, and serial addition tests were used in addition to modified tests of P300 latency and amplitude each specifically tailored to reveal cognitive fatigue. RESULTS: Out of the seven measures of cognitive fatigue used, 46% (n=23) of MS patients had impairment in two or more of the scores compared to that of 8% (n=4) in the healthy control group. The Expanded disability status scale (EDSS) scores were significantly higher for MS patients with cognitive fatigue compared to those without. All the clinical and electrophysiological measures used in this study had a relatively high sensitivity and specificity. In addition, all the clinical measures correlated with the electrophysiological measures of cognitive fatigue in this study. Our data also supported all three hypotheses implying that cognitive fatigue in MS may be a multifaceted entity. CONCLUSION: Cognitive fatigue is widely prevalent in MS and can be detected with specific tools. The tools developed and described in this study may be used as an effective means of detecting cognitive fatigue in MS patients and thus allowing patients to realise their limitations. Institution of appropriate remedial measures like advising such patients to break up a more cognitively demanding task into smaller subtasks may help to improve their quality of life.


Assuntos
Encéfalo/fisiopatologia , Cognição/fisiologia , Potencial Evocado P300 , Fadiga Mental/fisiopatologia , Esclerose Múltipla/fisiopatologia , Estimulação Acústica , Adolescente , Adulto , Idoso , Percepção Auditiva/fisiologia , Encéfalo/diagnóstico por imagem , Avaliação da Deficiência , Feminino , Humanos , Masculino , Fadiga Mental/diagnóstico por imagem , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Modelos Neurológicos , Modelos Psicológicos , Esclerose Múltipla/diagnóstico por imagem , Esclerose Múltipla/epidemiologia , Esclerose Múltipla/psicologia , Testes Neuropsicológicos , Prevalência , Adulto Jovem
18.
J Safety Res ; 59: 83-95, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27847002

RESUMO

INTRODUCTION: A large number of road safety communication campaigns have been designed and implemented in the recent years; however their explicit impact on driving behavior and road accident rates has been estimated in a rather low proportion. METHOD: Based on the findings of the evaluation of three road safety communication campaigns addressing the issues of drinking and driving, seat belt usage, and driving fatigue, this paper applies different types of research designs (i.e., experimental, quasi-experimental, and non-experimental designs), when estimating the effectiveness of road safety campaigns, implements a cross-design assessment, and conducts a cross-campaign evaluation. An integrated evaluation plan was developed, taking into account the structure of evaluation questions, the definition of measurable variables, the separation of the target audience into intervention (exposed to the campaign) and control (not exposed to the campaign) groups, the selection of alternative research designs, and the appropriate data collection methods and techniques. RESULTS: Evaluating the implementation of different research designs in estimating the effectiveness of road safety campaigns, results showed that the separate pre-post samples design demonstrated better predictability than other designs, especially in data obtained from the intervention group after the realization of the campaign. CONCLUSIONS: The more constructs that were added to the independent variables, the higher the values of the predictability were. The construct that most affects behavior is intention, whereas the rest of the constructs have a lower impact on behavior. This is particularly significant in the Health Belief Model (HBM). On the other hand, behavioral beliefs, normative beliefs, and descriptive norms, are significant parameters for predicting intention according to the Theory of Planned Behavior (TPB). PRACTICAL APPLICATIONS: The theoretical and applied implications of alternative research designs and their applicability in the evaluation of road safety campaigns are provided by this study.


Assuntos
Condução de Veículo , Dirigir sob a Influência/prevenção & controle , Disseminação de Informação , Fadiga Mental/epidemiologia , Segurança/estatística & dados numéricos , Cintos de Segurança/estatística & dados numéricos , Grécia/epidemiologia , Intenção , Fadiga Mental/etiologia
19.
Br J Nurs ; 25(13): 757-63, 2016 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-27409786

RESUMO

OBJECTIVE: To explore and determine relationship between psychosocial factors and work-related fatigue among emergency and critical care nurses in Brunei. METHODS: Cross-sectional study conducted on all emergency and critical care nurses across Brunei public hospitals from February to April 2016. RESULTS: 201 nurses participated in the study (82% response rate). A total of 36% of the variance of chronic fatigue was explained by stress, trust in management, decision latitude, self-rated health, and work-family conflict. Burnout, self-rated health, commitment to workplace, and trust in management explained 30% of the variance of acute fatigue. Stress, work-family conflict and reward explained 28% of the variance of intershift recovery after controlling for significant sociodemographic variables. Smoking was identified as an important sociodemographic factor for work-related fatigue. CONCLUSIONS: Psychosocial factors were good predictors of work-related fatigue. A range of psychosocial factors were established, however more research is required to determine all possible causation factors of nurses' work-related fatigue.


Assuntos
Esgotamento Profissional/psicologia , Enfermagem de Cuidados Críticos , Enfermagem em Emergência , Satisfação no Emprego , Fadiga Mental/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Brunei/epidemiologia , Esgotamento Profissional/epidemiologia , Estudos Transversais , Fadiga/epidemiologia , Fadiga/psicologia , Feminino , Nível de Saúde , Hospitais Públicos , Humanos , Masculino , Fadiga Mental/epidemiologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Tolerância ao Trabalho Programado/psicologia , Equilíbrio Trabalho-Vida
20.
Int J Occup Med Environ Health ; 29(3): 405-16, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26988880

RESUMO

OBJECTIVES: The aim of this study was to investigate the prevalence of obesity, alcoholic beverage consumption, unhealthy alcohol use and sudden sleep onset at the wheel among Italian truck drivers. In addition to prevalence rates, this study also aimed at investigating potential predictors for sudden-onset sleepiness and obesity. MATERIAL AND METHODS: A sample of truck drivers was extracted from the database of the High Risk Professional Driver Study. Data concerning demographics, anthropometry, medical information and working conditions were collected using anonymous questionnaires. Logistic regression analyses were performed to assess the association of the reported body mass index (BMI), alcohol consumption and sudden sleep onset with working conditions and general lifestyle factors. RESULTS: Three hundred and thirty-five questionnaires were collected. According to their BMI, 45% of the participants were overweight and 21.4% of them were obese. Twenty-four point two percent declared they drank alcoholic beverages during working hours or work breaks and 21.3% of the drivers had an Alcohol Use Disorders Identification Test Consumption (AUDIT C) score ≥ 5 (the threshold value for unhealthy alcohol use). Forty-one point six percent of the interviewees experienced one episode of sudden sleep onset at the wheel per month (5.5% per week and 0.9% daily). Predictive factors for obesity were: length of service (odds ratio (OR) = 1.09, confidence interval (95% CI): 1.04-1.15, p < 0.001) and the AUDIT C total score (OR = 1.34, 95% CI: 1.08-1.66, p = 0.008). Predictive factors for sudden-onset sleepiness at the wheel were: age > 55 years old (OR = 5.22, 95% CI: 1.29-21.1, p = 0.020), driving more than 50 000 km per year (OR = 2.89, 95% CI: 1.37-6.11, p = 0.006) and the Chalder Fatigue Questionnaire (CFQ) score > 11 (adjusted OR = 2.97, 95% CI: 1.22-7.21, p = 0.016). CONCLUSIONS: This study strongly emphasizes the need for intervention in order to reduce and prevent important risk factors for the sake of road safety and truck drivers' health.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Alcoolismo/epidemiologia , Condução de Veículo , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Veículos Automotores , Obesidade/epidemiologia , Adulto , Humanos , Itália/epidemiologia , Fadiga Mental/epidemiologia , Pessoa de Meia-Idade , Prevalência , Fatores de Risco
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA