Asthenic symptoms in a rural family practice: Epidemiologic characteristics and a proposed classification

Eyal Shahar, J. Lederer

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Asthenic symptoms (eg, fatigue, lassitude, weakness) are of major concern in family practice setting, yet relatively little research has addressed this issue. A retrospective chart review over a 10-year period was conducted to better characterize these symptoms in a rural family practice providing health care to 508 adult patients. Asthenic complaints were recorded at least once in the medical charts of 164 patients (32%) with a preponderance of female patients. Peak prevalence occurred in the third decade of age and during the summer months. Associated symptoms, mainly pain and dizziness, were reported in 75% of the cases. A cause or diagnosis was not identified by the practicing physician in nearly 50% of the encounters; nevertheless, most episodes resolved spontaneously. Patients could be subclassified into three categories according to the recurrence pattern of their asthenic symptoms during the study period. The largest category (64%) included patients who had a single or two episodes and was thus termed 'episodic asthenia.' Forty-five patients (27%) with recurrent episodes (mean 4.4, range 3 to 10) were classified as having 'recurrent episodic asthenia.' A third small group (14 patients, 9%) with persistent complaints over the years but no evidence of the chronic fatigue syndrome were classified as having 'chronic persistent asthenia.' The proposed classification may help future research of asthenic symptoms in the family practice setting.

Original languageEnglish (US)
Pages (from-to)257-262
Number of pages6
JournalJournal of Family Practice
Volume31
Issue number3
StatePublished - 1990
Externally publishedYes

Fingerprint

Family Practice
Asthenia
Fatigue
Chronic Fatigue Syndrome
Dizziness
Delivery of Health Care
Physicians
Recurrence
Pain
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Asthenic symptoms in a rural family practice : Epidemiologic characteristics and a proposed classification. / Shahar, Eyal; Lederer, J.

In: Journal of Family Practice, Vol. 31, No. 3, 1990, p. 257-262.

Research output: Contribution to journalArticle

@article{1a7eb2623b7e4a96a3e00fb1d2f9da5b,
title = "Asthenic symptoms in a rural family practice: Epidemiologic characteristics and a proposed classification",
abstract = "Asthenic symptoms (eg, fatigue, lassitude, weakness) are of major concern in family practice setting, yet relatively little research has addressed this issue. A retrospective chart review over a 10-year period was conducted to better characterize these symptoms in a rural family practice providing health care to 508 adult patients. Asthenic complaints were recorded at least once in the medical charts of 164 patients (32{\%}) with a preponderance of female patients. Peak prevalence occurred in the third decade of age and during the summer months. Associated symptoms, mainly pain and dizziness, were reported in 75{\%} of the cases. A cause or diagnosis was not identified by the practicing physician in nearly 50{\%} of the encounters; nevertheless, most episodes resolved spontaneously. Patients could be subclassified into three categories according to the recurrence pattern of their asthenic symptoms during the study period. The largest category (64{\%}) included patients who had a single or two episodes and was thus termed 'episodic asthenia.' Forty-five patients (27{\%}) with recurrent episodes (mean 4.4, range 3 to 10) were classified as having 'recurrent episodic asthenia.' A third small group (14 patients, 9{\%}) with persistent complaints over the years but no evidence of the chronic fatigue syndrome were classified as having 'chronic persistent asthenia.' The proposed classification may help future research of asthenic symptoms in the family practice setting.",
author = "Eyal Shahar and J. Lederer",
year = "1990",
language = "English (US)",
volume = "31",
pages = "257--262",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "3",

}

TY - JOUR

T1 - Asthenic symptoms in a rural family practice

T2 - Epidemiologic characteristics and a proposed classification

AU - Shahar, Eyal

AU - Lederer, J.

PY - 1990

Y1 - 1990

N2 - Asthenic symptoms (eg, fatigue, lassitude, weakness) are of major concern in family practice setting, yet relatively little research has addressed this issue. A retrospective chart review over a 10-year period was conducted to better characterize these symptoms in a rural family practice providing health care to 508 adult patients. Asthenic complaints were recorded at least once in the medical charts of 164 patients (32%) with a preponderance of female patients. Peak prevalence occurred in the third decade of age and during the summer months. Associated symptoms, mainly pain and dizziness, were reported in 75% of the cases. A cause or diagnosis was not identified by the practicing physician in nearly 50% of the encounters; nevertheless, most episodes resolved spontaneously. Patients could be subclassified into three categories according to the recurrence pattern of their asthenic symptoms during the study period. The largest category (64%) included patients who had a single or two episodes and was thus termed 'episodic asthenia.' Forty-five patients (27%) with recurrent episodes (mean 4.4, range 3 to 10) were classified as having 'recurrent episodic asthenia.' A third small group (14 patients, 9%) with persistent complaints over the years but no evidence of the chronic fatigue syndrome were classified as having 'chronic persistent asthenia.' The proposed classification may help future research of asthenic symptoms in the family practice setting.

AB - Asthenic symptoms (eg, fatigue, lassitude, weakness) are of major concern in family practice setting, yet relatively little research has addressed this issue. A retrospective chart review over a 10-year period was conducted to better characterize these symptoms in a rural family practice providing health care to 508 adult patients. Asthenic complaints were recorded at least once in the medical charts of 164 patients (32%) with a preponderance of female patients. Peak prevalence occurred in the third decade of age and during the summer months. Associated symptoms, mainly pain and dizziness, were reported in 75% of the cases. A cause or diagnosis was not identified by the practicing physician in nearly 50% of the encounters; nevertheless, most episodes resolved spontaneously. Patients could be subclassified into three categories according to the recurrence pattern of their asthenic symptoms during the study period. The largest category (64%) included patients who had a single or two episodes and was thus termed 'episodic asthenia.' Forty-five patients (27%) with recurrent episodes (mean 4.4, range 3 to 10) were classified as having 'recurrent episodic asthenia.' A third small group (14 patients, 9%) with persistent complaints over the years but no evidence of the chronic fatigue syndrome were classified as having 'chronic persistent asthenia.' The proposed classification may help future research of asthenic symptoms in the family practice setting.

UR - http://www.scopus.com/inward/record.url?scp=0025187378&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025187378&partnerID=8YFLogxK

M3 - Article

C2 - 2391456

AN - SCOPUS:0025187378

VL - 31

SP - 257

EP - 262

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 3

ER -