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Tiredness, fatigue, and exhaustion in the context of a major depressive disorder.

机译:在严重的抑郁症中疲倦,疲劳和疲惫。

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摘要

Framed in a multimethod design using ethnoscience and grounded theory, the purpose of this study was to characterize the attributes of tiredness, fatigue, and exhaustion, and to explore their influences on illness experiences in individuals with major depressive disorder. Two domains, mind (attributes: cognitive function, sleep quality, emotional reactivity, social interaction) and body (attributes: stamina and control over body processes), were identified. These attributes changed qualitatively with participants' progression from tiredness to fatigue and from fatigue to exhaustion, and determined whether participants "faced outward" to engage with others or "faced inward" to protect energy reserves--a decision largely influenced by the capacity "to hold up a mask" to conceal symptoms. The mask was energy depleting, and if participants could not hold up their mask, they withdrew to preserve energy. Findings regarding the role of the mask could contribute to the development of patient self-care strategies and caregiver interventions.
机译:本研究以民族科学和扎根理论为基础,采用多方法设计,旨在描述疲劳,疲劳和疲惫的特征,并探讨其对重度抑郁症患者疾病经历的影响。确定了两个领域,即思想(属性:认知功能,睡眠质量,情绪反应,社交互动)和身体(属性:耐力和对身体过程的控制)。这些属性随着参与者从疲倦到疲劳以及从疲劳到疲惫的发展而发生质的变化,并确定参与者是“面向外”与他人互动还是“面向内”以保护能量储备-这一决定在很大程度上受“承受能力”的影响。举起面具”来掩盖症状。口罩消耗的能量很大,如果参与者不能举起口罩,他们会退出以保存能量。有关口罩作用的发现可能有助于患者自我护理策略和护理人员干预措施的发展。

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