Table 4.
Age- and Sex-Adjusted Longitudinal Associations of Individual Physical, Cognitive, and Mental Health Status Variables at 6 Months With Fatigue Symptoms at 12-Month Follow-up (N = 732)
| Variable at 6 Months Follow-up [Scaled by 0.5 SD] | Mean Difference (95% CI) in Fatigue at 12 Monthsa [Positive Value = Less Fatigue] | P |
|---|---|---|
| Physical Component summary (SF-36v2) [∼6 points]b | 1.0 (0.3 to 1.5) | .002 |
| Physical Functioning (FPI –SF) [∼0.5 point] | 1.2 (0.6 to 1.7) | < .001 |
| Cognition (MMSE) [∼1 point] | 0.6 (0.2 to 1.1) | .006 |
| Mental Component summary (SF-36v2) [∼7 points] | 1.0 (0.4 to 1.6) | < .001 |
| PSTD symptoms (IES-R) [∼0.5 points] | –1.1 (–1.6 to –0.5) | < .001 |
| Anxiety symptoms (HADS-Anxiety Subscale) [∼2.5 points] | –1.0 (–1.6 to –0.4) | < .001 |
| Depression symptoms (HADS-Depression Subscale) [2.5 points] | –1.7 (–2.3 to –1.0) | < .001 |
For SF-36, FPI-SF and MMSE higher scores = better function; for IES-R and HADS higher scores = greater symptoms. See Table 1 legend for expansion of abbreviations.
Each row reports the results of a separate regression model that evaluates the age- and sex-adjusted association of the variable named in the row at 6 months, with fatigue symptoms at 12 months. Analyses were conducted by using a longitudinal random effects regression model. Fatigue symptoms were measured by using the transformed score from the validated Functional Assessment of Chronic Illness Therapy-Fatigue Scale (range: 0 to 100), with higher scores representing less fatigue (range, 0-100). Values presented represent the estimated mean difference in 12-month fatigue score for a 0.5 SD difference in the variable named in the row at 6 months.
The interpretation of first row is as follows: “If Patient A had a Physical Component Summary score that was 0.5 standard deviations higher than Patient B at 6 month follow-up, then Patient A’s expected fatigue score would be 1.0 point higher than Patient B’s at 12 month follow-up.”