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Publications

Sociodemographic and psychosocial correlates of fatigue and chronic fatigue: A cross-sectional study from a South East London community survey

Publication details

Authors
Shuo Zhang, Stephani L. Hatch, Matthew Hotopf, Graham Thornicroft, Trudie Chalder, Jayati Das-Munshi
Journal
Journal of Psychosomatic Research
Publication date
May 14, 2025
DOI / Link
https://doi.org/10.1016/j.jpsychores.2025.112146

Summary

Fatigue, including chronic fatigue, is a common but often overlooked health issue in the general population. This study aimed to understand how widespread fatigue is and what factors are linked to it, using data from a large community survey in South London. Researchers interviewed 1,698 adults from randomly selected households in the boroughs of Southwark and Lambeth between 2008 and 2010. Fatigue levels were measured using a widely used questionnaire, and researchers examined how fatigue related to people’s backgrounds and experiences.

They found that nearly one in four people (23.5%) reported significant fatigue at the time of the survey. Fatigue was more common among those who experienced disruptions to work or daily activities due to physical or emotional issues. People with higher levels of fatigue were also more likely to have sought emotional support, either from professionals or from family and friends. Additionally, those who felt they had low levels of emotional or practical support were more likely to report fatigue.

The findings show that fatigue is not only widespread but also closely linked to social and emotional wellbeing. People who lack supportive relationships or who are struggling emotionally may be more vulnerable to fatigue. This suggests that improving access to both formal mental health support and informal social support could help reduce the burden of fatigue in the community. For policymakers and public health professionals, these insights offer important guidance for designing more targeted and effective interventions.

Abstract

Objective. A better understanding of fatigue and chronic fatigue symptoms in the community may lead to better targeted preventative interventions. This study aims to estimate the prevalence of fatigue and chronic fatigue and explore relationships with sociodemographic and psychosocial factors in a representative community population survey in London, UK.

Methods. The first wave of the South East London Community Health study (2008 to 2010) surveyed face-to-face 1698 individuals aged 16 years and over from 1075 randomly selected households in the boroughs of Southwark and Lambeth. Self-reported fatigue and/or chronic fatigue was determined using the Chalder fatigue scale. Ordinal and binary logistic regression analyses were undertaken to assess the association of sociodemographic and psychosocial factors with higher levels of fatigue symptoms.

Results. The point prevalence of fatigue was 23.5 % (95 % CI 21.5–25.7). After adjusting for age and sex, higher levels of fatigue were substantially associated with impacts on work and other activities due to physical (OR: 4.87 (95 % CI 3.44–6.88)) or emotional symptoms (OR: 4.52 (95 % CI, 3.16–6.48)). Higher levels of fatigue were also associated with seeking emotional help from professionals (OR: 2.73 (95 % CI, 1.91–3.92) or family or friends (OR: 2.37 (95 % CI,1.68–3.34) and reporting less perceived instrumental (OR: 2.01 (0.75–5.37)) and emotional support (OR: 3.76 (1.46–9.68)).

Conclusion. Our findings highlight the high prevalence of fatigue and chronic fatigue in a representative urban community sample. Higher levels of fatigue were significantly associated with greater disability and formal and informal help-seeking. The quality of perceived social support is an important protective factor.