Fatigue, burnout, and chronic fatigue syndrome among employees on sick leave: do attributions make the difference?
Open Access
- 1 June 2003
- journal article
- research article
- Published by BMJ in Occupational and Environmental Medicine
- Vol. 60 (>90001), 26i-31
- https://doi.org/10.1136/oem.60.suppl_1.i26
Abstract
Background: Persistent fatigue among employees, burnout, and chronic fatigue syndrome (CFS) are three fatigue conditions that share some characteristics in theory. However, these conditions have not been compared in empirical research, despite conceptual similarities. Methods: This cross sectional study aimed to investigate relations between persistent fatigue, burnout, and CFS by describing the clinical features of a sample of 151 fatigued employees on sick leave. Using validated instruments, subgroups based on research criteria for CFS and burnout within the sample of fatigued employees and a reference group of 97 diagnosed CFS patients were compared. Analyses of covariance were performed. Results: A total of 66 (43.7%) fatigued employees met research criteria for CFS (except symptom criteria) and 76 (50.3%) met research criteria for burnout. “CFS-like employees” (fatigued employees who met CFS criteria) reported stronger somatic attributions than “non-CFS-like employees”. Burnt out CFS-like employees were more depressed and distressed than CFS-like employees who were not burnt out. Burnout cases among the non-CFS-like employees had stronger psychological attributions than fatigued employees who were not burnt out. Compared to diagnosed CFS patients, CFS-like employees merely had a shorter duration of fatigue complaints. Burnt out CFS-like employees had stronger psychological attributions and were more distressed than CFS patients. Conclusions: Fatigued employees shared many important characteristics with CFS patients, regardless of burnout status, and many fatigued employees met CFS criteria and/or burnout criteria. Differences however concerned the causal attributions that were made. This raises questions about the role of causal attributions: are they modified by fatigue complaints or do they determine illness outcome?Keywords
This publication has 22 references indexed in Scilit:
- Natural course and predicting self-reported improvement in patients with chronic fatigue syndrome with a relatively short illness durationJournal of Psychosomatic Research, 2002
- Fatigue and psychological distress in the working populationJournal of Psychosomatic Research, 2002
- Interventions for the Treatment and Management of Chronic Fatigue SyndromeJAMA, 2001
- Cognitive behaviour therapy for chronic fatigue syndrome: a multicentre randomised controlled trialThe Lancet, 2001
- Randomised controlled trial of patient education to encourage graded exercise in chronic fatigue syndromeBMJ, 2001
- Identifying physical activity patterns in chronic fatigue syndrome using actigraphic assessmentJournal of Psychosomatic Research, 2000
- Fatigue among working people: validity of a questionnaire measureOccupational and Environmental Medicine, 2000
- The prevalence and morbidity of chronic fatigue and chronic fatigue syndrome: a prospective primary care study.American Journal of Public Health, 1997
- Fatigue syndromes: a comparison of chronic "postviral" fatigue with neuromuscular and affective disorders.Journal of Neurology, Neurosurgery & Psychiatry, 1989
- SCL-90: an outpatient psychiatric rating scale--preliminary report.1973