Everyday cognitive failure and depressive symptoms predict fatigue in sarcoidosis: A prospective follow-up study

Celine Hendriks, Marjolein Drent*, Willemien De Kleijn, Marjon Elfferich, Petal Wijnen, Jolanda De Vries

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

24 Citations (Web of Science)

Abstract

Background: Fatigue is a major and disabling problem in sarcoidosis. Knowledge concerning correlates of the development of fatigue and possible interrelationships is lacking. Objective: A conceptual model of fatigue was developed and tested. Methods: Sarcoidosis outpatients (n = 292) of Maastricht University Medical Center completed questionnaires regarding trait anxiety, depressive symptoms, cognitive failure, dyspnea, social support, and small fiber neuropathy (SFN) at baseline. Fatigue was assessed at 6 and 12 months. Sex, age, and time since diagnosis were taken from medical records. Pathways were estimated by means of path analyses in AMOS. Results: Everyday cognitive failure, depressive symptoms, symptoms suggestive of SFN, and dyspnea were positive predictors of fatigue. Fit indices of the model were good. Conclusions: The model validly explains variation in fatigue. Everyday cognitive failure and depressive symptoms were the most important predictors of fatigue. In addition to physical functioning, cognitive and psychological aspects should be included in the management of sarcoidosis patients.
Original languageEnglish
Pages (from-to)S24-S30
Number of pages7
JournalRespiratory Medicine
Volume138
DOIs
Publication statusPublished - 1 May 2018

Keywords

  • Anxiety
  • Cognition
  • Depressive symptoms
  • Fatigue
  • Small fiber neuropathy (SFN)
  • Sarcoidosis
  • Social support
  • Quality of life (QoL)
  • QUALITY-OF-LIFE
  • SMALL-FIBER NEUROPATHY
  • IDIOPATHIC PULMONARY-FIBROSIS
  • PSYCHOLOGICAL-FACTORS
  • CLINICAL REMISSION
  • EXERCISE CAPACITY
  • ASSESSMENT SCALE
  • MUSCLE STRENGTH
  • FIT INDEXES
  • ANXIETY

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