Table of Contents
ISRN Neurology
Volume 2011, Article ID 627081, 8 pages
http://dx.doi.org/10.5402/2011/627081
Research Article

Patients with Severe Poststroke Fatigue Show a Psychosocial Profile Comparable to Patients with Other Chronic Disease: Implications for Diagnosis and Treatment

1Donders Centre for Cognition, Radboud University Nijmegen, 6500 HE Nijmegen, The Netherlands
2Sint Maartenskliniek Research, Development and Education, 6500 GM Nijmegen, The Netherlands
3Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands
4Center of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Center De Hoogstraat, 3583 TM Utrecht, The Netherlands
5Nijmegen Centre for Evidence Based Practice, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
6Department of Rehabilitation, Radboud University Nijmegen Medical Centre, Nijmegen, 6500 HB Nijmegen, The Netherlands

Received 4 August 2011; Accepted 17 September 2011

Academic Editors: A. Conti, A. Karni, and K. W. Lange

Copyright © 2011 Aglaia M. E. E. Zedlitz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To obtain a psychosocial profile of patients with poststroke fatigue (PSF), which could aid in optimizing treatment strategies. Methods. Eighty-eight outpatients with severe PSF measured with the Checklist Individual Strength-fatigue subscale (CIS-f) and the Fatigue Severity Scale (FSS) were selected. Depression and anxiety, psychological distress, coping, social support, and self-efficacy of this group were compared to reference groups of healthy controls and patients with other chronic diseases. Associations between psychosocial characteristics and fatigue were calculated. Results. Compared to healthy controls, patients with PSF reported more psychological distress, less problem-focused coping, and more positive social support. Minor or no differences were found in comparison with other chronic patients. The CIS-f correlated with somatic complaints and the FSS with cognitive complaints. Conclusion. Patients with PSF show a psychosocial profile comparable to patients with other chronic disease. Implications for diagnosis and treatment are discussed.