Estimating the prevalence of chronic fatigue syndrome among nurses


      The present study assessed the prevalence of chronic fatigue syndrome (CFS) in a sample of nurses. There is a paucity of studies on the prevalence of CFS in healthcare professionals. Two samples of nurses were recruited through mailed questionnaires. Data were collected on demographic characteristics and symptoms. In addition from the sample, those nurses with CFS-like symptoms were more comprehensively evaluated using a structured clinical interview and reviewing their medical records. A physician review team estimated the prevalence of CFS to be 1,088 per 100,000. These findings suggest that nurses might represent a high-risk group for this illness, possibly due to occupational stressors such as exposure to viruses in the work setting, stressful shift work that is disruptive to biologic rhythms, or to other possible stressors in the work settings (e.g., accidents).
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        • The Medical Staff of the Royal Free Hospital
        An outbreak of encephalomyelitis in the Royal Free Hospital Group. London, in 1955.
        BMJ. 1957; : 895-904
        • Shelokov A
        • Habel K
        • Verder G
        • Welsh W
        Epidemic neuromyasthenia.
        N Engl J Med. 1957; 257: 345-355
        • Tyler P.A
        • Carroll D
        • Cunningham S.E
        Stress and well-being in nurses.
        Int J Nurs Stud. 1991; 28: 125-130
        • Kennedy S
        • Kiecolt-Glaser J.K
        • Glaser R
        Immunological consequences of acute and chronic stressors.
        Br J Med Psychol. 1988; 61: 77-85
        • Johnson H
        Osler’s Web Inside the Labyrinth of the Chronic Fatigue Synrome Epidemic. Crown Publishers, New York1996: 196-216
        • Henderson D.A
        • Shelokov A
        Epidemic neuromyasthenia-clinical syndrome?.
        N Engl J Med. 1959; 260: 757-764
        • Jason L.A
        • Taylor S.L
        • Johnson S
        • et al.
        Prevalence of chronic fatigue syndrome-related symptoms among nurses.
        Eval Health Prof. 1993; 16: 385-399
        • Fukuda K
        • Straus S.E
        • Hickie I
        • Sharpe M.C
        • Dobbins J.G
        • Komaroff A
        The chronic fatigue syndrome.
        Ann Intern Med. 1994; 121: 953-959
      1. Robins LN, Helzer J, Cottler L, Goldring E. National Institute of Mental Health Diagnositic Interview Schedule, Version 3 Revised (DIS-III-R). St. Louis, MO: Department of Psychiatry, Washington University School of Medicine, (1989).

        • Jason L.A
        • Ropacki M.T
        • Santoro N.B
        • et al.
        A screening instrument for chronic fatigue syndrome.
        J Chron Fatigue Syndrome. 1997; 3: 39-59
        • Jason L.A
        • Taylor R
        • Wagner L
        • et al.
        Estimating rates of chronic fatigue syndrome from a community based sample.
        Am J Community Psychol. 1995; 23: 557-568
        • Jason L.A
        • Richman J.A
        • Friedberg F
        • Wagner L
        • Taylor R
        • Jordan K.M
        Politics, science, and the emergence of a new disease.
        Am Psychol. 1997; 52: 973-983
        • Akerstedt T
        • Torsvall L
        • Gillberg M
        Sleepiness and shift work.
        Sleep. 1985; 5: S95-S106
        • Milne D
        • Watkins F
        An evaluation of the effects of shift rotation on nurses’ stress, coping and strain.
        Int J Nurs Stud. 1986; 23: 139-146