De Vries EA, Heijenbrok-Kal MH, Van Kooten F, Giurgiu M, Ebner-Priemer UW, Ribbers GM, Van den Berg-Emons RJG, Bussmann JBJ. Daily patterns of fatigue after subarachnoid haemorrhage: an ecological momentary assessment study.
J Rehabil Med 2023;
55:jrm6486. [PMID:
37853923 PMCID:
PMC10599157 DOI:
10.2340/jrm.v55.6486]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 08/24/2023] [Indexed: 10/20/2023] Open
Abstract
OBJECTIVE
To examine the daily course of, and factors associated with, momentary fatigue after subarachnoid haemorrhage, and to explore subgroups of patients with distinct diurnal patterns of fatigue.
DESIGN
Observational study using ecological momentary assessment.
SUBJECTS
A total of 41 participants with subarachnoid haemorrhage.
METHODS
Patients with fatigue were included within one year post-onset. Momentary fatigue (scale 1-7) was assessed with repeated measurements (10-11 times/day) during 7 consecutive days. Multilevel-mixed-model analyses and latent-class trajectory modelling were conducted.
RESULTS
Mean (standard deviation; SD) age of the group was 53.9 (13.0) years, 56% female, and mean (SD) time post-subarachnoid haemorrhage onset was 9.3 (3.2) months. Mean (SD) momentary fatigue over all days was 3.22 (1.47). Fatigue increased significantly (p < 0.001) over the day, and experiencing more burden of fatigue and day type (working day vs weekend day) were significantly (p < 0.05) associated with higher momentary fatigue. Three subgroups could be distinguished based on diurnal patterns of fatigue. The largest group (n = 17, 41.5%) showed an increasing daily pattern of fatigue.
CONCLUSION
Momentary fatigue in patients with subarachnoid haemorrhage increases over the day, and diurnal patterns of fatigue differ between participants. In addition to conventional measures, momentary measures of fatigue might provide valuable information for physicians to optimize personalized management of fatigue after subarachnoid haemorrhage.
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