Screening Method for Assessment of Work Ability for Patients Suffering From Mental Fatigue

Johansson, Birgitta

doi:10.3389/fnbeh.2022.869377

Cited by 7 publications

(5 citation statements)

References 35 publications

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“…Physicians and psychologists tend to add more collaborative actions and contacts with POB's employer and/or health insurance mostly for severe POBs and a pessimistic prognosis. This echoes the professionals' identified gap in the current practice and the need of tripartite collaboration (POB, employer, health professionals) as early as possible (23)(24)(25).…”

Section: Main Findingsmentioning

confidence: 68%

Management of patients with occupational burnout in Switzerland: some insights on the heterogeneity in current practices

Canu,

Getzmann,

Shoman

et al. 2023

Preprint

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We aimed to describe the characteristics and current practices of Swiss health professionals who manage patients with occupational burnout (POB), namely the general practitioners (GP), psychiatrist-psychotherapists (PP), occupational physicians (OP) and psychologists. Among 3216 respondents, 2951 reported to consult POB, and 1130 (713 physicians and 410 psychologists) to treat them. The study showed that POB management constitutes 5 to 25% of health care professionals’ consultations, with an inequal distribution of POBs across professionals’ specialties and specializations, but also across geographic regions. The profile of POB consulted also differs across professionals. Work psychologists see more often POB at early burnout stage, GPs have most patients with moderate burnout, while PPs report the largest proportion of patients with severe burnout.The treatment practices depend on burnout severity. Psychiatrists and physicians with double specialty (GP-OPs and GP-PPs) treat patients with more severe burnout than GPs. Psychologists treating patients with severe burnout collaborate with other health professionals and contact the POB’s employer and/or health insurance. Treatment practices and burnout severity are not associated with the proportion of relapsed patients and patients who return to work. Yet, the former is associated with professionals’ age, sex, and specialty. Physicians with waiting time >3 months have a higher proportion of relapsed patients. GPs prescribe most often sick leaves, while PPs are the most frequent prescribers of pharmacological treatment. PPs collaborate significantly more often than GPs with pharmacologists and contact POB’s employer and health insurance. Among psychologists, work psychologists differ from other psychologists by a more frequent POB (psycho)education and coaching, namely on how to negotiate with employer and family, as well as on physical exercise. They also more often contact POB’s employer. Besides profession and specialization, we observed important regional variation in treatment modalities chosen by both physicians and psychologists.

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Section: Main Findingsmentioning

confidence: 68%

Management of patients with occupational burnout in Switzerland: some insights on the heterogeneity in current practices

Canu,

Getzmann,

Shoman

et al. 2023

Preprint

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“…There is a reduction in endurance in terms of mental activity, and it has been suggested that brain function is less efficient in the case of mental fatigue ( 37 , 38 , 39 , 40 , 40 ). The perceived lack of energy is suggested to be a pathological brain state ( 41 ), and the evaluation of mental fatigue using the MFS assessment scale is considered relevant for appraising work ability ( 18 , 42 ). Therefore, it is important to evaluate mental fatigue as a separate issue.…”

Section: Discussionmentioning

confidence: 99%

“…The median duration of symptoms from debut to diagnosis was 4.0 months. Inclusion criteria were as follows: (i) premenopausal, (ii) free thyroxine ≥ 50 pmol/L (reference range [12][13][14][15][16][17][18][19][20][21][22] and/ or total triiodothyronine ≥ 6.0 pmol/L (reference range 1.3-3.1), and (iii) positive thyroid-stimulating hormone receptor antibodies or a diffuse uptake on technetium scintigraphy. Exclusion criteria were as follows: (i) pregnancy, (ii) other serious diseases (endocrine disease, heart failure, respiratory failure, malignancy, psychosis, active thyroid-associated ophthalmopathy), (iii) inability to follow the study protocol, (iv) past, present, or expected use of steroids within the next 15 months, and (v) patients with contraindications for magnetic resonance imaging or with amiodarone-induced GD.…”

Section: Study Subjects and Study Designmentioning

confidence: 99%

“…The origin of acute and residual symptoms and the relationship with thyroid dysfunction remain unknown ( 9 ), along with the way in which, from a clinical perspective, these symptoms interfere with everyday life. Mental fatigue is known to reduce work ability in other clinical contexts ( 18 ), and it is, therefore, necessary to screen for it routinely. Mental fatigue and depression should be considered separately as the treatment options differ depending on the condition.…”

Section: Introductionmentioning

confidence: 99%

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The relationship between mental fatigue, depression, and cognition in Graves’ disease

Johansson¹,

Holmberg

Skau

et al. 2023

European Thyroid Journal

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Objective: Mental fatigue, depression, anxiety and cognitive complaints are common in Graves’ disease (GD). Our aims were to assess the relationship between these variables in patients with GD during both hyperthyroidism and a long stable euthyroidism. Methods: A prospective longitudinal case-control study where sixty-five premenopausal women diagnosed with GD and 65 matched controls were assessed twice with 15 months in-between. The first visit for patients was in overt hyperthyroidism and the second after treatment. Results: During the hyperthyroid phase, mental fatigue, depression and anxiety were significantly increased for GD patients compared to controls (all p<0.001). Among GD patients 89% reported mental fatigue and among controls 14%. No difference in cognitive tests was found. After 15 months, significant improvements for GD patients after treatment were found for the items mental fatigue, depression and anxiety (all p<0.001), but these were unchanged in controls. GD patients reported residual mental fatigue (38%), 23% without depression and 15% mental fatigue combined with depression. Self-reported cognitive complaints were pronounced while cognitive tests did not reveal any deficiencies. Conclusion: Mental fatigue and emotional distress are common in the hyperthyroid phase. These improve with treatment but are still more common in GD patients after 15 months of therapy than in controls. The residual mental fatigue is shown to be a phenomenon distinct from depression in this study. This indicates the importance of assessing mental fatigue in GD patients and underlines the need for rehabilitation and healthcare support as fatigue will have consequences for work ability.

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“…A validated English translation is found at www.brainfatigue.se. The MFS has also been evaluated in hypothyroid patients with good correlation to work ability (75). It is unclear whether mental fatigue is similar to "brain fog", which has been recently reviewed for hypothyroidism (76).…”

Section: Evaluation Of Qol In Gd Patientsmentioning

confidence: 99%

Patient needs and care: moves toward person-centered care for Graves' disease in Sweden

Lindo

Breikert²,

Lakwijk

et al. 2023

European Thyroid Journal

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Patients with Graves' disease (GD) not only need appropriate medical care, they also need to be cared for. The aim of this review is to examine the literature on GD patient needs, expectations, perceptions, and quality of life. We will also present methods for patient care, define gaps in knowledge, and suggest factors that can be introduced into the regular care of GD patients. Patient information, teamwork with a thyroid/ contact nurses, education of personnel and patients, quality of life measurements, and the formation of a rehabilitation program have enough evidence to be implemented into regular care. However, visualizing patient needs through person-centered care requires further evaluation in GD patients before being implemented in routine care. We conclude that considerable improvement in nursing can be achieved in relation to GD.

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Screening Method for Assessment of Work Ability for Patients Suffering From Mental Fatigue

Cited by 7 publications

References 35 publications

Management of patients with occupational burnout in Switzerland: some insights on the heterogeneity in current practices

Management of patients with occupational burnout in Switzerland: some insights on the heterogeneity in current practices

The relationship between mental fatigue, depression, and cognition in Graves’ disease

Patient needs and care: moves toward person-centered care for Graves' disease in Sweden

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