Fatigue severity, attributions, medical utilization, and symptoms in persons with chronic fatigue

This study examined the roles of ethnicity, gender, and socioeconomic status (SES) in predicting fatigue severity, symptoms, medical utilization, and attributions among a sample of individuals with chronic fatigue. Using path analysis, a model was tested and revised. In the new model, gender predicted fatigue, ethnicity predicted attributions, fatigue predicted medical utilization and attributions, and attributions predicted medical utilization. Women reported more fatigue and were more likely to feel that stress and depression were causing their fatigue. Higher-SES participants were more likely to cite stress and over-work as causing their fatigue. Latinos reported more physical symptoms than African Americans and Whites. The implications of these results are discussed.