Monthly Archives: August 2013

Does neuropsychological test performance predict outcome of cognitive behavior therapy for Chronic Fatigue Syndrome and what is the role of underperformance?






CONCLUSION: Underperformance or neuropsychological test performance was not related to the change in fatigue, functional impairments, and physical limitations following CBT for CFS. However, underperforming patients did drop out more often. Therapists should pay attention to beliefs and behavioral or environmental factors that might maintain underperformance and increase the risk of dropout. Continue reading

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Problems in cross-cultural use of the hospital anxiety and depression scale: “no butterflies in the desert”






CONCLUSION: Initial decisions concerning item content and response options likely leave the HADS difficult to translate, but we failed to find an acknowledgment of problems in articles involving its translation and cross-cultural use. Investigators’ lack of awareness of these issues can lead to anomalous results and difficulties in interpretation and integration of these results. Reviews tend to overlook these issues and most reviews indiscriminately integrate results from studies performed in… Continue reading

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Multidimensional structure of the Groningen frailty indicator in community-dwelling older people.






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Multidimensional structure of the Groningen frailty indicator in community-dwelling older people.
BMC Geriatr. 2013 Aug 22;13(1):86
Authors: Bielderman A, van der Schans CP, van Lieshout MR, de Greef MH, Boers… Continue reading

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Time-course of depressive symptoms in patients with heart failure.






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Time-course of depressive symptoms in patients with heart failure.
J Psychosom Res. 2013 Mar;74(3):238-43
Authors: Johansson P, Lesman-Leegte I, Lundgren J, Hillege HL, Hoes A, Sanderman R, van Veldhuisen DJ, … Continue reading

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Multidimensional structure of the Groningen Frailty Indicator in community-dwelling older people






CONCLUSIONS: The present findings support a three-dimensional factor structure of the GFI, suggesting that a multidimensional assessment of frailty with the GFI is possible. These GFI subscale scores produce a richer assessment of frailty than with a single overall sum GFI score, and likely their use will contribute to more directed and customized care for older adults. Continue reading

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Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom






Fatigue is a common symptom of patients with chronic kidney disease, but seldom investigated after transplantation. We determined the prevalence, impact and related factors of severe fatigue in kidney transplant recipients (KTRs). Medical records and questionnaires were used to assess kidney function, donor characteristics, fatigue (Checklist Individual Strength), functional impairments (Sickness Impact Profile), work status, body mass index (BMI), pain, depressive symptoms, social support and… Continue reading

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Chronic fatigue in type 1 diabetes: highly prevalent but not explained by hyperglycemia or glucose variability






OBJECTIVE Fatigue is a classical symptom of hyperglycemia, but the relationship between chronic fatigue and diabetes has not been systematically studied. We investigated prevalence, impact, and potential determinants of chronic fatigue in patients with type 1 diabetes mellitus (T1DM). RESEARCH DESIGN AND METHODS Out of 324 randomly selected T1DM outpatients, 214 participated in this cross-sectional observational study. Participants were compared with age- and sex-matched population-based… Continue reading

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Ineffectiveness of reverse wording of questionnaire items: let’s learn from cows in the rain






CONCLUSIONS: Using twenty items, balanced for scoring direction, to assess fatigue did not prevent respondents from inattentive or acquiescent answering. Rather, fewer mistakes are made with a 10-item instrument with items posed in the same direction. Such a format is preferable for both epidemiological and clinical studies. Continue reading

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