Prevalence of fatigue, pain, and affective disorders in adults with duchenne muscular dystrophy and their associations with quality of life.
OBJECTIVE
To assess the prevalence of fatigue, pain, anxiety, and depression in adults with Duchenne muscular dystrophy (DMD), and to analyze their relationship with health-related quality of life.


METHODS
Cross-sectional study.


METHODS
Home of participants.


METHODS
Adults (N=80) with DMD.


METHODS
Not applicable.


METHODS
Fatigue was assessed with the Fatigue Severity Scale; pain with 1 item of the Medical Outcomes Study 36-Item Short-Form Health Survey and by interview; and anxiety and depression by using the Hospital Anxiety and Depression Scale. Health-related quality of life was assessed using the World Health Organization Quality of Life Scale-Brief Version. Associations between these conditions and quality of life were assessed by means of univariate and multivariate logistic regression analyses.


RESULTS
Symptoms of fatigue (40.5%), pain (73.4%), anxiety (24%), and depression (19%) were frequently found. Individuals often had multiple conditions. Fatigue was related to overall quality of life and to the quality-of-life domains of physical health and environment; anxiety was related to the psychological domain.


CONCLUSIONS
Fatigue, pain, anxiety, and depression, potentially treatable symptoms, occur frequently in adults with DMD and significantly influence health-related quality of life.
Department of Rehabilitation Medicine and Physical Therapy, Erasmus University Medical Center, Rotterdam, The Netherlands; Rijndam Rehabilitation, Rotterdam, The Netherlands. Electronic address: rpangalila@rijndam.nl.
Robert F
RF
Pangalila
Department of Social Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Geertrudis A
GA
van den Bos
Department of Rehabilitation Medicine and Physical Therapy, Erasmus University Medical Center, Rotterdam, The Netherlands; Rijndam Rehabilitation, Rotterdam, The Netherlands.
Bart
B
Bartels
Rijndam Rehabilitation, Rotterdam, The Netherlands.
Michael
M
Bergen
Department of Rehabilitation Medicine and Physical Therapy, Erasmus University Medical Center, Rotterdam, The Netherlands.
Henk J
HJ
Stam
Department of Rehabilitation Medicine and Physical Therapy, Erasmus University Medical Center, Rotterdam, The Netherlands; Rijndam Rehabilitation, Rotterdam, The Netherlands.
Marij E
ME
Roebroeck
D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005221:Fatigue / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000453:epidemiology / Q000523:psychology*; D010146:Pain / Q000453:epidemiology / Q000523:psychology*; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012720:Severity of Illness Index
Adult; Fatigue; Mood disorders; Muscular dystrophy, Duchenne; Pain; Quality of life; Rehabilitation