{"id":"https://openalex.org/W1840367349","doi":null,"title":"Patients who consult with tiredness: frequency of consultation, perceived causes of tiredness and its association with psychological distress.","display_name":"Patients who consult with tiredness: frequency of consultation, perceived causes of tiredness and its association with psychological distress.","publication_year":1994,"publication_date":"1994-09-01","ids":{"openalex":"https://openalex.org/W1840367349","mag":"1840367349","pmid":"https://pubmed.ncbi.nlm.nih.gov/8790655","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1238992"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:319102","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1238992","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1238992","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032636744","display_name":"Leone Ridsdale","orcid":"https://orcid.org/0000-0002-2234-2859","observed_orcids":["https://orcid.org/0000-0002-2234-2859"]},"institutions":[{"id":"https://openalex.org/I1298207432","display_name":"Guy's Hospital","ror":"https://ror.org/04r33pf22","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1298207432","https://openalex.org/I200166805","https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"L Ridsdale","raw_affiliation_strings":["Department of General Practice, UMDS Guy's Hospital, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Practice, UMDS Guy's Hospital, London","institution_ids":["https://openalex.org/I1298207432"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110305091","display_name":"A Evans","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Evans","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009628648","display_name":"W Jerrett","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"W Jerrett","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040228620","display_name":"Sundhiya Mandalia","orcid":"https://orcid.org/0000-0003-2546-498X","observed_orcids":["https://orcid.org/0000-0003-2546-498X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Mandalia","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005600726","display_name":"K Osler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K Osler","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5108528732","display_name":"Hita Vora","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H Vora","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":58,"citation_normalized_percentile":{"value":0.08969057,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"44","issue":"386","first_page":"413","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.41260001063346863,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.41260001063346863,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11282","display_name":"Fibromyalgia and Chronic Fatigue Syndrome Research","score":0.34060001373291016,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.08889999985694885,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fatigue","display_name":"fatigue","score":0.925000011920929},{"id":"https://openalex.org/keywords/consultation-frequency","display_name":"consultation frequency","score":0.6629999876022339},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.8550000190734863},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.5220000147819519},{"id":"https://openalex.org/keywords/doctor-patient-communication","display_name":"physician-patient communication","score":0.6819999814033508},{"id":"https://openalex.org/keywords/general-health-questionnaire","display_name":"General Health Questionnaire","score":0.7210000157356262}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8202049732208252},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5757494568824768},{"id":"https://openalex.org/C2780124687","wikidata":"https://www.wikidata.org/wiki/Q25098848","display_name":"General Health Questionnaire","level":3,"score":0.558008074760437},{"id":"https://openalex.org/C2780838233","wikidata":"https://www.wikidata.org/wiki/Q836925","display_name":"Complaint","level":2,"score":0.5351688861846924},{"id":"https://openalex.org/C143299363","wikidata":"https://www.wikidata.org/wiki/Q900584","display_name":"Attribution","level":2,"score":0.5106638073921204},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.5013384819030762},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.4525349736213684},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.43407636880874634},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4233625531196594},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.33728668093681335},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33170509338378906},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.26771077513694763},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.13500738143920898},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005221","descriptor_name":"Fatigue","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005221","descriptor_name":"Fatigue","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005221","descriptor_name":"Fatigue","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"pmh:oai:europepmc.org:319102","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1238992","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1238992","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1238992","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Br J Gen Pract","raw_type":"Text"},{"id":"pmid:8790655","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8790655","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of general practice : the journal of the Royal College of General Practitioners","raw_type":"Journal Article"},{"id":"pmh:oai:kclpure.kcl.ac.uk:publications/06c64242-6ccf-4a7d-a4f3-d36b1a16cf6b","doi":null,"is_oa":false,"landing_page_url":"https://kclpure.kcl.ac.uk/portal/en/publications/06c64242-6ccf-4a7d-a4f3-d36b1a16cf6b","pdf_url":null,"source":{"id":"https://openalex.org/S4306400216","display_name":"Research Portal (King's College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I183935753","host_organization_name":"King's College London","host_organization_lineage":["https://openalex.org/I183935753"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ridsdale, L, Evans, A, Jerrett, W, Mandalia, S, Osler, K & Vora, H 1994, 'PATIENTS WHO CONSULT WITH TIREDNESS - FREQUENCY OF CONSULTATION, PERCEIVED CAUSES OF TIREDNESS AND ITS ASSOCIATION WITH PSYCHOLOGICAL DISTRESS', British Journal of General Practice, vol. 44, no. 386, pp. 413-416.","raw_type":"info:eu-repo/semantics/publishedVersion"},{"id":"mag:1840367349","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8790655","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:319102","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1238992","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W18576645","https://openalex.org/W163826582","https://openalex.org/W207611744","https://openalex.org/W1974271005","https://openalex.org/W2002775830","https://openalex.org/W2036393776","https://openalex.org/W2039706959","https://openalex.org/W2046881168","https://openalex.org/W2060287153","https://openalex.org/W2069197068","https://openalex.org/W2112802342","https://openalex.org/W2114336603","https://openalex.org/W2133150942","https://openalex.org/W2155232216","https://openalex.org/W2171498995","https://openalex.org/W2221074060"],"related_works":["https://openalex.org/W2104241638","https://openalex.org/W2039706959","https://openalex.org/W2060287153","https://openalex.org/W1519485264","https://openalex.org/W2013286613","https://openalex.org/W2072548877","https://openalex.org/W183190009","https://openalex.org/W2029965278","https://openalex.org/W1993591393","https://openalex.org/W2009387116"],"abstract_inverted_index":{"BACKGROUND:":[0],"Few":[1],"prospective":[2],"studies":[3],"have":[4],"been":[5],"carried":[6],"out":[7],"in":[8,41,44,114,161],"primary":[9],"care":[10],"on":[11,147,193,293],"patients":[12,23,52,156,178,192,205,228,299],"presenting":[13,58],"with":[14,59,64,143,157],"tiredness.":[15],"AIM:":[16],"A":[17,224],"study":[18,201],"was":[19,27,174,190],"undertaken":[20],"to":[21,84,132,195,212,240,250,265,290],"describe":[22],"whose":[24],"main":[25],"complaint":[26],"fatigue":[28,76,138,159,168,183],"or":[29,56,135],"of":[30,93,126,137,204,209,217,227,253,301],"being":[31,302],"\"tired":[32,303],"all":[33,304],"the":[34,104,110,115,122,133,148,162,196,207,210,220,233,267,275,305],"time'.":[35,306],"METHOD:":[36],"Over":[37],"one":[38],"year,":[39],"doctors":[40,218,273,287],"four":[42],"practices":[43],"Lancashire,":[45],"Mid-Glamorgan,":[46],"Suffolk":[47],"and":[48,61,78,119,169,256,296],"Surrey":[49],"recruited":[50],"220":[51],"aged":[53],"16":[54],"years":[55],"more":[57,107,258,292],"fatigue,":[60],"matched":[62],"them":[63],"a":[65,75],"comparison":[66,111,163],"group":[67,112],"from":[68,238],"their":[69,230,272],"lists.":[70],"The":[71,124,140,165],"general":[72,149,170],"health":[73,150,171],"questionnaire,":[74],"questionnaire":[77,81,151,172],"an":[79],"attribution":[80],"were":[82,95],"used":[83],"measure":[85],"outcomes":[86],"over":[87],"six":[88,116,185,234],"months.":[89],"General":[90],"practice":[91],"records":[92],"consultations":[94],"also":[96,154],"examined.":[97],"RESULTS:":[98],"Patients":[99,244],"consulting":[100,142,245],"for":[101,176,191,246],"tiredness":[102,144,211,247],"attended":[103],"doctor":[105],"significantly":[106],"frequently":[108,259],"than":[109,188,260],"both":[113],"months":[117,186,199,235],"before":[118],"after":[120],"entering":[121],"study.":[123,197],"frequency":[125],"attending":[127],"could":[128],"not":[129],"be":[130,213],"related":[131],"duration":[134],"severity":[136],"alone.":[139],"majority":[141],"scored":[145],"highly":[146],"but":[152],"so":[153],"did":[155],"equivalent":[158],"scores":[160,173,184],"group.":[164],"correlation":[166],"between":[167],"close":[175],"those":[177],"who":[179],"still":[180],"had":[181],"high":[182],"later":[187],"it":[189],"entry":[194,202],"Six":[198],"following":[200],"61%":[203],"perceived":[206],"cause":[208],"physical,":[214],"while":[215,271],"57%":[216],"viewed":[219],"problem":[221,268,276],"as":[222,269,277],"psychological.":[223,278],"small":[225],"number":[226],"changed":[229],"views":[231],"during":[232],"follow":[236],"up":[237],"physical":[239,270,285],"psychological":[241,254],"attributions.":[242],"CONCLUSION:":[243],"are":[248],"likely":[249],"report":[251],"symptoms":[252],"distress":[255],"attend":[257],"other":[261],"patients.":[262],"They":[263],"tend":[264],"view":[266,274],"Having":[279],"established":[280],"that":[281],"there":[282],"is":[283],"no":[284],"problem,":[286],"may":[288],"need":[289],"focus":[291],"sharing":[294],"ideas":[295],"explanations":[297],"when":[298],"complain":[300]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
