Fatigue in Multiple Sclerosis Compared to Stroke

Lukoschek, Claudia; Sterr, Annette; Claros-Salinas, Dolores; Gütler, Rolf; Dettmers, Christian

Fatigue in Multiple Sclerosis Compared to Stroke

Dateien

Lukoschek_0-309001.pdfGröße: 153.35 KBDownloads: 351

Datum

2015

Autor:innen

Lukoschek, Claudia

Sterr, Annette

Claros-Salinas, Dolores

Gütler, Rolf

Dettmers, Christian

Open Access-Veröffentlichung

Open Access Gold

Sammlungen

Psychologie

Publikationstyp

Zeitschriftenartikel

Publikationsstatus

Published

Erschienen in

Frontiers in Neurology. 2015, 6, 116. eISSN 1664-2295. Available under: doi: 10.3389/fneur.2015.00116

Zusammenfassung

Objectives: Fatigue is typically associated with multiple sclerosis (MS), but recent studies suggest that it is also a problem for patients with stroke. While a direct comparison of fatigue in, e.g., Stroke and MS is desirable, it is presently not easily possible because of different definitions and assessment tools used for the two conditions. In the present study, we therefore assessed fatigue in Stroke and MS using a generic, not disease-specific instrument to allow transdiagnostic comparison.

Method: A total of 137 patients with MS and 102 patients with chronic stroke completed the SF-36, a generic questionnaire assessing health related quality of life. Fatigue was measured through the vitality scale of the SF-36. The vitality scale consists of two positive items (“lot of energy,” “full of life”) and two negative ones (“worn out,” “tired”). The two negative ones were scaled in reverse order. The vitality scale has been recommended as reciprocal index of fatigue.

Results: Normalized vitality scores in MS (35.3) and stroke (42.1) were clearly lower than published reference values from the SF-36 in age-matched healthy controls. The sum score of the vitality items was lower in MS than in stroke patients. This difference could not be explained by age, gender, or the Physical Functioning Scale of the SF-36. Both patient groups showed no positive correlation between fatigue and physical functioning. Fatigue – as determined with the vitality scale of the SF-36 – correlated with the estimated working capacity in MS patients, but not in stroke patients.

Conclusion: These findings confirm high fatigue in MS and stroke patients with higher values in MS. Fatigue has a higher impact on working capacity in MS than in stroke. Fatigue in both patient groups is not a direct consequent of physical functioning/impairment. Vitality score of the SF-36 is a suitable transdiagnostic measure for the assessment of fatigue in stroke and MS.

Fachgebiet (DDC)

150 Psychologie

Schlagwörter

assessment, fatigue, multiple sclerosis, questionnaire, SF-36, stroke, vitality

Zitieren

ISO 690

LUKOSCHEK, Claudia, Annette STERR, Dolores CLAROS-SALINAS, Rolf GÜTLER, Christian DETTMERS, 2015. Fatigue in Multiple Sclerosis Compared to Stroke. In: Frontiers in Neurology. 2015, 6, 116. eISSN 1664-2295. Available under: doi: 10.3389/fneur.2015.00116

BibTex

@article{Lukoschek2015-05-26Fatig-33314,
  year={2015},
  doi={10.3389/fneur.2015.00116},
  title={Fatigue in Multiple Sclerosis Compared to Stroke},
  volume={6},
  journal={Frontiers in Neurology},
  author={Lukoschek, Claudia and Sterr, Annette and Claros-Salinas, Dolores and Gütler, Rolf and Dettmers, Christian},
  note={Article Number: 116}
}

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