“…In studies that examined fatigue representation, participants related fatigue to overdoing, 30 disease, 21,31,32 worsening health status, 33 weather, heat and humidity, 30,33,34 full-time work outside the home or role burden, 32 and time of day. 32 Consequences of the fatigue experience varied, ranging from frustration due to inability to complete a task and irritability with self and others 32 to strained relationships, feelings of helplessness and hopelessness, and loss of control such as an ''undertow'' effect.…”